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Hand, Foot and Mouth Disease Situation Update Number 533

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

1 Hand, Foot and Mouth Disease Situation Update Number 533

13 February 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

Between 1 and 31 January 2018, a total of 34,800 cases of HFMD and three deaths were reported in China (Figure 1).

Figure 1: HFMD cases reported monthly 2013-2018, National Health and Family Planning Commission, China

Japan

The number of HFMD cases reported in week 4 of 2018 was 724. As of 28 January, 2018, there have been a total of 2,533 HFMD cases reported, consistent with seasonal trends of the same period observed between 2013 and 2017 (Figure 2).

Figure 2. HFMD cases reported weekly by sentinel sites 2013-week 4, 2018 National Institute of Infectious Diseases, Japan

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

2013 2014 2015 2016 2017 2018

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

2011 2012 2013 2014 2015 2016 2017 2018

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

2 Hand, Foot and Mouth Disease Situation Update Number 533

13 February 2018

Republic of Korea

In week 5 of 2018, there were 0.6 HFMD cases per 1,000 consultations at sentinel sites. This is compared to 0.3 cases per 1,000 consultations in the previous week. This follows seasonal trends of the same period observed between 2013 and 2017 (Figure 3).

Figure 3: HFMD per 1,000 consultations reported weekly by sentinel sites 2013-2018, Korea Centres for Disease Control and Prevention, ROK

Hong Kong SAR, China

In week 5, from sentinel hospital sites 5 HFMD cases were reported. A total of 15 have been reported in 2018(Figure 4).

Figure 4: HFMD hospital admissions reported weekly by sentinel sites 2013-2018, 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

2013 2014 2015 2016 2017 2018

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

3 Hand, Foot and Mouth Disease Situation Update Number 533

13 February 2018

Macao SAR, China

A cumulative total of 157 HFMD cases have been reported in Macao SAR during the first five weeks of 2018. There were 15 cases of HFMD reported in week 5, 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 5 of 2018, there were 757 cases of HFMD reported. HMFD cases have been increasing since the beginning of 2018 (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

csaes

HFMD cases in Macau SAR, 2012-2018 (by week)

2012-2016 average 2017 2018

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

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

2013 2014 2015

2016 2017 2018

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

4 Hand, Foot and Mouth Disease Situation Update Number 533

13 February 2018 Viet Nam

The number of reported HFMD cases in week 5 was 478, which was a 10.2% decrease from 532 cases in the previous week. The number of reported HFMD cases admitted to hospital was 237 in week 5, which was an 11.6% decrease from the previous week.

Cumulative number of case for 2018 is 2,743, which is a 16.9 % decrease compared to the number in the same period of 2017. Of these, 1,432 cases were admitted to hospital which was a 31.7%

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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