Hand, Foot, and Mouth Disease Situation Update Number 461
05 May 2015
Surveillance summary in the Western Pacific Region
This surveillance summary includes information from countries where transmission of Hand, Foot, and Mouth disease (HFMD) occurs and case counts are routinely reported.
Northern Hemisphere
China (no update)
As of 31 March, there were 152,144 cases of HFMD, including 14 deaths, reported by China for 2015.
From 1 to 31 March 2015, 61,378 cases of HFMD had been reported, a 26% decrease compared with the same period in 2014 (n=83,264). The number of HFMD cases reported monthly in 2015 is following the seasonal pattern displayed in 2012, 2013 and 2014 (Figure 1).
Figure 1: HFMD cases reported monthly 2012-2015, National Health and Family Planning Commission, China
Japan
As of 22 April, there were 19,447cases of HFMD reported in Japan for 2015. Since 12 March (week 11), weekly case numbers of HFMD have increased in Japan and are higher compared with the numbers seen in previous years (Figure 2). For the period 16 to 22 April 2015, there were 2,439 cases reported, compared with 383 over the same reporting period in 2014.
Figure 2: HFMD cases reported weekly by sentinel sites 2012-2015, National Institute of Infectious Diseases, Japan 0
5000 10000 15000 20000 25000 30000
Week of reporting
2012 2013 2014 2015
Number of HFMD cases
Countries/regions in the tropical zone
Hong Kong (China)
The weekly number of hospital admissions from sentinel sites remains low, following the seasonal pattern of HFMD in Hong Kong (Figure 3). As of 25 April, there were 44 cases reported in 2015, compared with 49 cases reported for the same period in 2014.
Figure 3: HFMD cases admitted to hospital reported weekly by sentinel sites 2012-2015, Hong Kong Center for Health Protection, China
Macao (China) (No update)
As of 2 April, 333 cases of HFMD have been reported in Macao for 2015. From 23 March to 2 April 2015, 27 cases were reported, and 85% decrease compared with the same period in 2014 (n=177) (Figure 4).
Figure 4: HFMD cases reported weekly 2012-2015, Macao Center for Disease Control and Prevention, China 0
10 20 30 40 50 60 70 80
Number of cases
Week of reporting
2012 2013
2014 2015
Singapore
As of 25 April, there were 8,835 HFMD cases reported in Singapore for 2015. From 19to 25 April 2015, there were 692 cases of HFMD reported, higher than the number of cases reported in the previous week (n=632) and the same period of 2014 (n=348) (Figure 5).
Figure 5: HFMD cases reported per week 2012-2015, Ministry of Health, Singapore
Viet Nam
For the period 1 Jan to 19 April 2015, there were 13,720 cases of HFMD reported in Viet Nam including two deaths. Compared with the same period in 2014 (17,410 cases and 2 deaths), the number of
reported cases has decreased by 21.2%. During week 16 (from 13 to 19 April 2015), there were 916 cases and no deaths reported in 62 of the 63 provinces. This is a decrease of 55 cases (5.7%) compared with the previous week (Figure 6).
Figure 6: HFMD cases and deaths reported per week 2014-2015, the General Department of Preventive Medicine, Ministry of Health, Viet Nam 0
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Number of HFMD cases
Week of reporting
2012 2013 2014 2015