HAND-FOOT-MOUTH DISEASE AND CLIMATIC FACTORS IN DAK LAK PROVINCE FROM 2012 TO 2013

2014 ◽  
pp. 192-198
Author(s):  
Quang Hung Thai ◽  
Thanh Hue Dinh ◽  
Dinh Binh Tran

Introduction: Hand-foot-mouth-disease (HFMD) is an emerging infectious disease caused by enterovirus. Based on the surveillance data of HFMD and climatic parameters, this study aims to describe the distribution of HFMD in Dak Lak in 2012-2013 and explore the influence of climatic factors on HFMD cases. Methodology: Case series and ecologic studies were used. HFMD case was defined based on MOH’s guidelines. Poisson regression was used to examine the association between the incidence of HFMD and climatic factors. Results: There were 6913 cases of HFMD in Dak Lak in 2012-2013. Mean age (SD) was 24 (17) months. The incidence of HFMD (per 100,000) was 224 in male, 165 in female, 227 in Kinh people, 119 in ethnic minority people. HFMD occurred in all districts and scattered throughout the year, but the highest incidence was in September, October and November (accounting for 43.3%). The climatic variables were related to HFMD cases. Each 1°C rising in temperature corresponded to an increased of 6.3% (RR=1.063, 95%CI=1.037-1.089) in the monthly number of HFMD cases. Similarly, an increase of each 1% in relative humidity, 50mm in rainfall or 5 hour of sunlight corresponded to an increase of 9,8% (RR=1.098, 95% CI=1.087-1.110); 1.7% (RR=1.017, 95% CI=1.005-1.029); 3.4% (RR=1.034, 95% CI=1.029-1.040) in the monthly number of HFMD cases respectively. Conclusions: HFMD occurred all the year round, peaked from September through November. The disease occurred mainly in children under 5 years of age (96%), more common in boys than in girls (ratio 1.4), in Kinh than ethnic minority people (ratio 1.9). There were HFMD cases in all districts of the province. Climatic factors (temperature, humidity, precipitation, sunshine hours) had a significant influence on occurrence and transmission of HFMD. Keywords: Hand-foot-mouth disease (HFMD), climatic factors

2021 ◽  
Vol 8 (12) ◽  
pp. 1998
Author(s):  
Nihil E. Lohidakshan ◽  
Chakravarthi R. Srinivas ◽  
Sruthi Alanghat

Hand, food, and mouth disease (HFMD) is a highly contagious disease caused by enteroviruses affecting young children under 5 years. Among enteroviruses (EVs), the main pathogens of HFMD are coxsackievirus A16 (CV-A16) and EV-A71 (EV-71).1 The clinical features include a prodromal phase which has low-grade fever, malaise and sore throat. This initial phase is usually followed by enanthem and erythematous papular skin lesions, predominantly affecting palms and soles. The dorsal surface of hands, feet, and perioral skin are rarely affected. Atypical HFMD presents as a widely distributed rash with varying morphology that makes clinical diagnosis and treatment challenging.2 Our objective is to present atypical cutaneous manifestations of HFMD caused by CA6.


2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Vu Thai Son ◽  
Nguyen Thi Huong

Knowledge and practice of mothers and caregivers are decisive factors in the prevention of Hand,Foot and Mouth disease for children under 5 years old. A cross-sectional descriptive study was usedto assess the current status of knowledge and practice on prevention of Hand, Foot and Mouth diseaseamong mothers/carers of children under 5 years old in Tu Nang commune, Yen Chau district, SonLa province. Out of a total of 944 study subjects, 73% had correct knowledge about subjects at riskof disease, 84% knew about the danger of the disease and 81.4% knew about measures to preventthe spread. However, only 30.7% subjects had correct knowledge about taking care of children withHand, Foot and Mouth disease. The rate of using antiseptic solution for cleaning utensils of childrenis low, accounting for only 13.1%. Correct practice of handling measures when children are sickand preventing infection ranges from 30.9 to 59.4%. And most of the study subjects practiced goodenvironmental hygiene (92.8%).


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Tao Fu ◽  
Ting Chen ◽  
Zhen-Bin Dong ◽  
Shu-Ying Luo ◽  
Ziping Miao ◽  
...  

Abstract Hand-foot-mouth disease (HFMD) is an acute intestinal virus infectious disease which is one of major public health problems in mainland China. Previous studies indicated that HFMD was significantly influenced by climatic factors, but the associated factors were different in different areas and few study on HFMD forecast models was conducted. Here, we analyzed epidemiological characteristics of HFMD in Yiwu City, Zhejiang Province and constructed three forecast models. Overall, a total of 32554 HFMD cases were reported and 12 cases deceased in Yiwu City, Zhejiang Province. The incidence of HFMD peaked every other year and the curve of HFMD incidence had an approximately W-shape. The majority of HFMD cases were children and 95.76% cases aged ≤5 years old from 2008 to 2016. Furthermore, we constructed and compared three forecast models using autoregressive integrated moving average (ARIMA) model, negative binomial regression model (NBM), and quasi-Poisson generalized additive model (GAM). All the three models had high agreements between predicted values and observed values, while GAM fitted best. The exposure-response curve of monthly mean temperature and HFMD was approximately V-shaped. Our study explored epidemiological characteristics of HFMD in Yiwu City and provided accurate methods for early warning which would be great importance for the control and prevention of HFMD.


Author(s):  
José Alberto García ◽  
Cindy Stefania Franco Cedeño

Una erupción cutánea puede tener múltiples causas, que incluyen inflamación, reacciones a medicamentos e infecciones. Las erupciones infecciosas pueden ser causadas por bacterias, parásitos y virus. Por su parte, las enfermedades exantematosas más comunes en la infancia son causadas por virus. La enfermedad mano-pie-boca es una enfermedad exantemática que se presenta principalmente en niños menores de 5 años, causada principalmente por el virus Coxsackie. Es una enfermedad completamente benigna, cuyo período de incubación oscila entre los 3 a 7 días, no deja secuelas, huellas ni cicatrices cuando desaparece. Se realizó un estudio retrospectivo y descriptivo para determinar las características de la fiebre aftosa en niños menores de 5 años durante el período junio a diciembre de 2019. La información se tomó de las historias clínicas de los pacientes. La muestra del estudio estuvo formada por 40 pacientes controlados de la consulta de urgencias pediátricas. Se determinó que la enfermedad se presenta con mayor frecuencia en pacientes varones entre 3 y 4 años de edad; además, la historia personal está estrechamente relacionada con la presentación y gravedad de los síntomas, así como la época del año.Palabras clave: Enfermedad mano-pie-boca; exantemas virales; Coxsackie; enfermedad exantemática. Abstract A skin rash can have multiple causes, including inflammation, drug reactions, and infections. Infectious rashes can be caused by bacteria, parasites, and viruses. For their part, the most common exanthematous diseases in childhood are caused by viruses. Hand-foot-and-mouth disease is an exanthematic disease that occurs mainly in children under 5 years of age, caused mainly by the Coxsackie virus. It is a completely benign disease, whose incubation period ranges from 3 to 7 days, it does not leave sequelae, traces or scars when it disappears. A retrospective and descriptive study was carried out to determine the characteristics of foot-and-mouth disease in children under 5 years of age during the period June to December 2019. The information was taken from the medical records of the patients. The study sample consisted of 40 controlled patients from the pediatric emergency department. It was determined that the disease occurs more frequently in male patients between 3 and 4 years of age; Furthermore, personal history is closely related to the presentation and severity of symptoms, as well as the time of year.Keywords: Hand-foot-mouth disease; viral exanthemas; Coxsackie; exanthematous disease.


2018 ◽  
Vol 12 (6) ◽  
pp. 723-729 ◽  
Author(s):  
Xiaowen Hu ◽  
Fachun Jiang ◽  
Wei Ni

AbstractBackgroundWe aimed to quantify the impact of few times floods on hand-foot-mouth disease (HFMD) in Qingdao during 2009-2013.MethodsThe Spearman correlation test was applied to examine the lagged effects of floods on monthly morbidity of HFMD during study period in Qingdao. We further quantified the effects of 5 flood events on the morbidity of HFMD using the time-series Poisson regression controlling for climatic factors, seasonality, and lagged effects among different populations.ResultsA total of 55,920 cases of HFMD were reported in the study region over the study period. The relative risks of floods on the morbidity of HFMD among the total population, males, females, under 1-2 years old, and 3-5 years old were 1.178, 1.165, 1.198, 1.338, and 1.245, respectively.ConclusionsThis study has, for the first time, provided the positive evidence of the impact of floods on HFMD. It demonstrates that floods can significantly increase the risk of HFMD during study period. Additionally, among the different populations, the risks were higher among children under 1-5 years old. (Disaster Med Public Health Preparedness. 2018;12:723-729)


Author(s):  
Elisabetta Venturini ◽  
Luisa Galli ◽  
Elena Chiappini ◽  
Maurizio De Martino ◽  
Andrea Bassi

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e92745 ◽  
Author(s):  
Jiaojiao Wang ◽  
Zhidong Cao ◽  
Daniel Dajun Zeng ◽  
Quanyi Wang ◽  
Xiaoli Wang ◽  
...  

2021 ◽  
Vol 104 (8) ◽  
pp. 1229-1234

Background: Hand-foot-mouth disease (HFMD) is an infectious disease that mainly occurs in children under five years old. Vietnam is a developing country with high prevalence of the disease outbreak every year. Can Tho City, Co Do District had the highest incidence of children under five years old acquired HFMD. Objective: 1) To determine the factors correlating with knowledge, attitude, and practice in HFMD prevention of mothers having children under five years old, and 2) to evaluate the alteration in knowledge, attitude, and practice in prevention HFMD of mothers having children under five years old after intervention with health educational communication. Materials and Methods: Community intervention study was done in 420 subjects. At first, all the participants would do the questionnaire and practicing assessment. Then, the participants were divided into two groups, the intervened group for educational communication, and the control group with no intervention. The intervention included three steps, 1) training knowledge and skills for medical staffs and collaborators, 2) providing information about HFMD for the mothers, 3) broadcasting information leaflets to the subjects’ house every month. The assessment in awareness, attitude, and practice would be performed again after one month. The present study staff achieved approval from the Science and Educating Council of Can Tho University of Medicine and Pharmacy. In addition, the present study also received the agreement from The People’s Committee of Co Do District. Results: The present study results shows that 23.3% of mothers had the right knowledge, 50.5% of mothers had the right attitude, and 17.4% of mothers with children under five years of age had the right disease prevention practice. There was an association between education level of mothers with children under five years of age with knowledge, attitude, and practice in disease prevention. After intervention, knowledge of the mothers in the intervened group improved more than 2.79 times, right attitude more than 2.84 times, and practice improvement more than 1.83 times in compared with the control group. Conclusion: Educational communication plays an important role in HFMD disease prevention through increasing the awareness, opinion, and disease prevention of the mothers who directly take care of the under five years old children. Keywords: Hand-foot-mouth disease; Knowledge; Attitudes; Practices; Effective intervention


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