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Countries in the temperate zone 1 Hand, Foot and Mouth Disease Situation Update Number 532

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Hand, Foot, and Mouth Disease Situation Update Number 511|

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Hand, Foot and Mouth Disease Situation Update Number 532

30 January 2018

Surveillance summary in the Western Pacific Region

This surveillance summary includes information from countries and areas where transmission of Hand, Foot and Mouth Disease (HFMD) occurs and case counts are routinely reported.

Countries in the temperate zone China (No update)

Between 1 and 31 December 2017, a total of 78,750 cases of HFMD and no deaths were reported in China. There was a decreasing trend of HFMD cases following the trend of previous years between 2012 and 2016 (Figure 1).

Figure 1: HFMD cases reported monthly 2012-2017, National Health and Family Planning Commission, China

Japan

The number of HFMD cases reported in week 3 of 2018 was 741. As of 24 January, 2018, there have been a total of 1808 HFMD cases reported, consistent with seasonal trends of the same period observed between 2010 and 2017 (Figure 2).

Figure 2. HFMD cases reported weekly by sentinel sites 2010-week 3, 2018 National Institute of Infectious Diseases, Japan

0 5000 10000 15000 20000 25000 30000 35000 40000

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51

Number of HFMD cases

Week of reporting

2010 2011 2012 2013 2014 2015 2016 2017 2018 0

100000 200000 300000 400000 500000 600000

1 2 3 4 5 6 7 8 9 10 11 12

Number of HFMD cases

Month of reporting

2012 2013 2014 2015 2016 2017

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Hand, Foot, and Mouth Disease Situation Update Number 532 |

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Republic of Korea

In week 3 of 2018, there were 0.3 HFMD cases per 1,000 consultations. This is compared to 0.4 cases per 1,000 consultations in the previous week. This follows seasonal trends of the same period observed between 2013 and 2016 (Figure 3).

Figure 3. HFMD rate among outpatinets in Republic of Korea , 2013 – week 3 2018

Countries/regions in the tropical zone Hong Kong SAR, China

In week 3, from sentinel hospital sites one HFMD case was reported. A total of nine cases have been reported in 2018. The trend in HFMD cases is consistent with previous years (Figure 4).

Figure 4: HFMD cases admitted to hospital reported weekly by sentinel sites 2012-2017, Hong Kong Centre for Health Protection, China

0 10 20 30 40 50 60 70 80

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52

Number of cases

Week of reporting

2012 2013 2014 2015 2016 2017

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Hand, Foot, and Mouth Disease Situation Update Number 532 |

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- 200 400 600 800 1,000 1,200 1,400 1,600 1,800

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52

Number of HFMD cases

Week of reporting

2012 2013 2014 2015 2016 2017 2018

Macao SAR, China

A cumulative total of 99 HFMD cases have been reported in Macao SAR during the first three weeks of 2018. There were 25 cases of HFMD reported in week 3, consistent with the 2012-2016 average.

(Figure 5).

Figure 5: HFMD cases reported weekly from 2012-2018, Macau Centre for Disease Control and Prevention, China

Singapore

In week 3 of 2018, there were 541 cases of HFMD reported. The current number of reported HFMD cases is comparable to previous years (Figure 6).

Figure 6: HFMD cases reported per week 2012-2017, Ministry of Health, Singapore

0 50 100 150 200 250

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

No. of HFMD csaes

2012-2016 average 2017 2018

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Hand, Foot, and Mouth Disease Situation Update Number 532 |

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Viet Nam

The number of reported HFMD cases in week 3 was 496, which was an 8.1% increase from 459 cases in the previous week. The number of reported HFMD cases admitted to hospital was 244 in week 3, which was a 19% increase in the previous week.

Cumulative number of case for 2018 was 1,674, which was a 26.5 % decrease compared to the number in the same period of 2017. Of these, 861 cases admitted to hospital which was a 40.5%

decrease compared to a 26.5 % decrease compared to the number in the same period of 2017.

Figure 7. Trend of hospital admitted HFMD cases by week in Viet Nam, 2017 - 2018

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