PRO/EDR> Hand, foot & mouth disease

Published Date: 2012-08-05 04:06:03
Subject: PRO/EDR Hand, foot mouth disease – Philippines (02): 2nd EV71 case
Archive Number: 20120805.1228715

HAND, FOT AND MOUTH DISEASE – PHILIPPINES (02): SECOND ENTEROVIRUS 71 CASE
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Date: Tue 31 Jul 2012

Source: Department of Health,Republic of Philippines, Press Release

http://www.doh.gov.ph/top/node/6511%20

DOH updates list of HFMD cases

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Health Secretary Enrique T. Ona today confirmed the second case of EV-71 (Enterovirus-71)-associated HFMD (Human [sic, actually Hand] Foot Mouth Disease) in a 5-year old boy from Benguet province. “The patient presented with fever and rashes in the hands, feet, and mouth and is presently recovering at home as no hospitalization was required. Just like the first confirmed case he had no history of travel to Cambodia. A DOH team is now conducting contact tracing to determine the spread [source] of infection,” Ona revealed.

The Department of Health’s National Epidemiology Center reported 43 suspected HFMD cases as of 21 Jul 2012. Laboratory results were available for 42 of these cases. Twenty-one cases (21), which screened positive for a human enterovirus [infection] were classified as confirmed HFMD cases; 2 of these cases further tested positive for EV-71 while 19 were negative [for EV-71].

Of the confirmed HFMD cases, 14 were males and age ranged from 6 months to 23 years; 12 were less than 5 years old. Most of the cases were reported from Southern Luzon (13) and Davao (4). No deaths were reported.

An interim guideline for surveillance of HFMD and severe enteroviruses is now available. All suspected cases of HFMD are now required to be immediately reported to the DOH within 24 hours of detection. Laboratory screening and confirmation of human enteroviruses are done at the Research Institute for Tropical Medicine (RITM).

“The public is reminded to observe strict personal hygiene and hand washing,” Ona reminded. He adding that shared toys or teaching tools in daycare should be cleaned, washed and disinfected as they easily become contaminated.

As of today, there are no travel restrictions to and from HFMD-affected countries. “Quarantine officers continue to screen arriving passengers as part of international precautions to prevent the international spread of diseases,” the health chief concluded.

Communicated by:

ProMED-mail Rapporteur Kunihiko Iizuka

[This report indicates that human enterovirus 71 is present in the Philippines and responsible for a small proportion of cases of HFMD. The identities of the other human enteroviruses found by this surveillance operation are not revealed. It is apparent, however, that human enterovirus 71 infection has not been associated with cases of sever disease, such as was observed in Cambodia. These observations suggest that factors other than the enterovirus type were responsible for the severity of the disease observed in some patients there.

The interactive HealthMap of the Philippines can be accessed at: http://healthmap.org/r/00bk]

See Also

Hand, foot mouth disease – Thailand (03): 2nd EV71 fatality 20120728.1218572
Hand, foot mouth disease – Thailand (02): EV71 fatality 20120727.1217890
Hand, foot mouth disease – Thailand: (BM) 20120714.1201907
Hand, foot mouth disease – Philippines, Thailand: EV-71 cases
Hand, foot mouth disease – Viet Nam (11) 20120712.1199237
Hand, foot mouth disease – Viet Nam (10): (QM) 20120711.1198166
Undiagnosed illness, fatal, child – Cambodia (04): EV71, WHO 20120709.1195264
Undiagnosed illness, fatal, child – Cambodia (03): EV71 20120708.1193960
Hand, foot mouth disease – Worldwide 20120701.1186614
Hand, foot mouth disease – Viet Nam (09): (DN) 20120614.1168548
Hand. foot mouth disease – Viet Nam (08): travel alert 20120526.1145959
Hand, foot mouth disease – Viet Nam (07) 20120420.1108616
Hand, foot mouth disease – Viet Nam (06), Mekong Delta 20120417.1104577
Hand, foot mouth disease – Viet Nam (05) 20120408.1093926
Hand, foot mouth disease (02): Viet Nam (southern) 20120313.1069657
Hand, foot mouth disease – Viet Nam 20120221.1048374]
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Article source: http://healthmap.org/ln.php?1228715&promed&0