Surveillance summary in the Western Pacific Region
This surveillance summary includes informa:on from countries and areas where transmission of Hand, Foot, and Mouth Disease (HFMD) occurs and case counts are rou:nely reported.
Northern Hemisphere
China (No update)
As of 31 December 2016, a total of 2,468,174 cases of HFMD including 220 deaths were reported in China in 2016. From 1 to 31 December, 145,558 cases were reported, lower than the number reported in November (n=217,754). The number of HFMD cases reported monthly in 2016 follows the seasonal paSern observed in 2012 to 2015 (Figure 1).
Figure 1: HFMD cases reported monthly 2012-2016, Na:onal Health and Family Planning Commission, China
Japan
There have been 69,121 HFMD cases reported in 2016. The number of HFMD cases in 2017 week 3 was 681 and week 4 was 542 compared with 515 cases and 447 cases reported in the previous weeks (week 1 and 2). The number of cases remains at low level compare to the peak of previous season, higher than those in same week in previous seven years (Figure 2).
Figure 2: HFMD cases reported weekly by sen:nel sites 2010-2017, Na:onal Ins:tute of Infec:ous Diseases, Japan
Hand, Foot, and Mouth Disease Situa:on Update Number 507|
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Republic of Korea
The weekly number of reported HFMD cases from sen:nel sites remains at low levels. The fi^h week of 2017, the number of HFMD cases per 1,000 consulta:ons was 0.3, which was lower than last week (0.4) (Figure 3).
Figure 3: HFMD per 1,000 consulta:ons reported weekly by sen:nel sites 2013-2017, Korea Centres for Disease Control and Preven:on, Korea
Countries/regions in the tropical zone
Hong Kong SAR (China)
As of 31 December 2016, a total of 775 hospital admissions for HFMD have been reported from sen:nel sites in 2016. In week 4 of 2017, the number of cases requiring hospitalisa:on was 4 and no cases reported in week 5, 2017, which were lower than the number of cases reported in week 1 of 2017 (Figure 4).
Figure 4: HFMD cases admiSed to hospital reported weekly by sen:nel sites 2012-2017, Hong Kong Centre for Health Protec:on, China
Number of cases
0 20 40 60 80
Week of reporting
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
2012 2013 2014 2015 2016 2017
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No. of HFMD per 1,000 consulta:ons
Macau SAR (China)
In 2016, there have been 3,808 cases of HFMD reported in Macau SAR. In week 2, 2017, there were 76 cases of HFMD reported, which was higher than those in week 1, but it has been dropped to 14 cases in week 5, 2017. Overall, the ac:vity of HFMD remains low in 2017 (Figure 5).
Figure 5: HFMD cases reported weekly 2012-2017, Macau Centre for Disease Control and Preven:on, China
Singapore
As of week 52, 2016, a total of 42,154 cases of HFMD have been reported in Singapore in 2016. In week 4, 2017 there were 494 cases reported, lower than number of cases reported in week 3 , 2017 (Figure 6).
Figure 6: HFMD cases reported per week 2012-2017, Ministry of Health, Singapore
Number of HFMD cases
0 75 150 225 300
Week of repor:ng
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
2012 2013 2014 2015 2016 2017
Number of HFMD cases
0 450 900 1350 1800
Week of repor:ng
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52
2012 2013 2014 2015 2016
2017
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Viet Nam (No update)
As of 25 December 2016, there were 48,866 cases of HFMD and one death reported in Viet Nam in 2016.
In week 52, 590 cases were reported with no deaths. The number of cases has been decreasing since week 43, following a similar trend to the previous year (Figure 7).
Figure 7: HFMD cases and deaths reported per week 2015-2016, the General Department of Preven:ve Medicine, Ministry of Health, Viet Nam
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Number of HFMD cases Number of deaths
Epi week
Number of HFMD cases Number of HFMD cases 2015
Number of deaths 2015 Number of deaths 2016