Hand, Foot, and Mouth Disease Situation Update 10 March 2015

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Hand, Foot, and Mouth Disease Situation Update Number 456 |

1 Hand, Foot, and Mouth Disease Situation Update

10 March 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

There were 90,766 cases of HFMD, including 10 deaths, reported by China in 2015. This is similar to the number of cases reported in January and February in 2012–2014 (Figure 1).

Cumulative cases reported in 2015 90,766 Cumulative deaths reported in 2015 10

Figure 1: HFMD cases reported monthly 2012-2015, National Health and Family Planning Commission, China

Japan

As of 28 February, there were 7,163 cases of HFMD reported in Japan for 2015. Compared with the previous three years, the weekly HFMD case numbers in 2015 are higher (Figure 2). For the period 15 to 28 February 2015, there were 1,946 cases reported compared with 525 for the same period in 2014.

Cumulative cases reported in 2015 7,163 Cumulative deaths reported in 2015 NA

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Figure 2: HFMD cases reported weekly by sentinel sites 2012-2015, National Institute of Infectious Diseases, Japan

Countries/regions in the tropical zone

Hong Kong (China)

The weekly number of hospital admissions from sentinel sites reported by hospital authority remains low and follows the known seasonal pattern (Figure 3). As of 28 February 2015, there were 17 cases reported in 2015 compared with 10 cases reported for the same period in 2014.

Cumulative cases reported in 2015 17

Cumulative deaths reported in 2015 NA

Figure 3: HFMD cases admitted to hospital reported weekly by sentinel sites 2012-2015, Hong Kong Center for Health Protection, China

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Macao (China)

As of 9 March 2015, a total of 243 cases of HFMD have been reported in 2015. During the last week of February and the first week of March 2015, 11 cases were reported. This is 62% decrease compared to the same period in 2014 (n=29) (Figure 4).

Cumulative cases reported in 2015 243

Figure 4: HFMD cases reported weekly 2012-2015, Macao Center for Disease Control and Prevention, China

Singapore

As of 28 February 2015, there were 4,142 HFMD cases reported in 2015. Weekly case numbers decreased in week ending February 21 when compared to the previous week, but increased week by 156 cases. Over the period 15–28 February 2015, 990 cases were reported, 41% higher than the

numbers reported in the same reporting period of 2014 (n=700), but 45% lower than the same period in 2012 (n=1,808) (Figure 5).

Cumulative cases reported in 2015 4,142

0 50 100 150 200 250

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

Number of cases

2009 2010 2011 2012 2013 2014 2015

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Figure 5: HFMD cases reported per week 2012-2015, Ministry of Health, Singapore

Mekong area

Viet Nam

For the period 1 January 2015 to 1 March 2015, there were 6,489 cases of HFMD reported including two deaths:

one in Dong Thap and one in Hau Giang. Compared to the same period in 2014, the number of cases reported has fallen by 18.7%. For the period 23 February to 1 March 2015, 595 cases and no deaths were reported in 46 of the 63 provinces, an increase of 300 cases compared to the previous week.

Cumulative cases reported in 2015: 6,489

Cumulative deaths reported in 2015: 2

Figure 6: HFMD cases and deaths reported per week 2014-2015, the General Department of Preventive Medicine (GDPM), Ministry of Health, Viet Nam

0 200 400 600 800 1000 1200 1400 1600 1800

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

Number of cases

Week

2012 2013 2014 2015