Published Date: 2009-04-10 23:58:11
Subject: PRO/EDR> Hand, foot & mouth disease - China (08): (ZJ) fatal
Archive Number: 20090410.1385
HAND, FOOT & MOUTH DISEASE - CHINA (08): (ZHEJIANG) FATAL
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Wed 8 Apr 2009
Source: Xinhua News Agency [edited]
East China's Zhejiang Province reported Wednesday [8 Apr 2008] its
1st death from hand-foot-mouth disease (HFMD) this year .
A child in Cixi, Ningbo city died Sunday [5 Apr 2009] hours after he
was admitted to hospital, said Zhang Leming, head of the Ningbo
Municipal Health Bureau, Wednesday [8 Apr 2008].
The child developed symptoms of fever and rashes on his hands and
feet last Friday [3 Apr 2008] and was sent to a community clinic on
Sunday [5 Apr 2008].
Because of his severe illness, he was moved to the Cixi Municipal No.
2 People's Hospital and re-transferred to the Cixi Municipal People's
Hospital. The health bureau provided no details of the child.
Ningbo city had reported 367 cases of infections from the highly
contagious disease as of [5 Apr 2008], said Zhang.
Cases have also been reported in Beijing. The city has reported more
than 1000 cases this year , according to a statement issued by
Beijing Health Bureau on Wednesday [8 Apr 2008].
"The number of infected children has been growing fast recently in
the city," the statement said. It said that nearly 90 percent of the
infected children are below the age of 5. "Kindergartens which
reported more than 20 cases or 2 severe cases within one week should
be shut down for a thorough inspection," the statement said.
[In the previous post, Mod.CP had the following comment: "The hand,
foot & mouth disease epidemic in China continues to escalate from 19
deaths reported on 1 Apr 2009 to the 33 deaths reported on 7 Apr 2009.
The epidemic remains centered on the provinces of Henan and Shandong
in contrast to the preceding year when Anhui was the most affected
province. It seems likely that the death toll currently at 33 may
eventually exceed the 40 deaths recorded in 2008, since the epidemic
is predicted to peak in mid-summer. - Mod.CP"
It is noteworthy that Henan and Shandong provinces are contiguous
with Anhui province (to the north), the epicenter of the 2008 HFMD
outbreak in China, while Zhejiang province is contiguous with Anhui
(to the southeast). The mortality associated with this outbreak is
suggestive that the majority of cases are most likely due to
enterovirus 71 (EV71) infection, as the organism is generally
associated with significantly higher morbidity and mortality than the
other common etiologic agent, coxsackievirus 16.
For a map of China with provinces, see
For the interactive HealthMap/ProMED map of China with links to other
ProMED-mail and PRO/MBDS postings in China and surrounding areas, see
<http://healthmap.org/r/008e>. - Mod.MPP]