HFMD deaths revelation: an epidemiological study is very important - hand, foot and mouth disease, epidemic - the pharmaceutical industry

HFMD deaths revelation: an epidemiological study is very important - hand

, foot and mouth disease, epidemic - the pharmaceutical industry

In the May 6 meeting of the National Ministry of Health, HFMD prevention and control of video and telephone conference, Health Minister Chen Zhu particular reference to the province, Foshan City, Guangdong Province and in dealing with the death of HFMD cases in practice. He said the initiative of local active case search, investigation of close contacts, strict medical observation system at home, epidemiological investigation and meticulous, thorough.

Control HFMD prevention and control of the Ministry of Health leadership team that, Foshan City, Guangdong Province and in dealing with the hand, foot and mouth disease deaths in the work of the practice is worth learning.

"Processing in infectious diseases, epidemiological investigation is very important." Guangdong Provincial Centre for Disease Control and Prevention, an expert involved in the investigation, said cases, meticulous, thorough epidemiological investigation, not only helps clear pathogens , provide a reference for clinical treatment, but also found in epidemic mode of transmission, risk factors for infection in order to develop targeted prevention and control measures.

Flow adjustment to restore the chain of transmission of disease

According to reports, 2 May morning, the Guangdong Provincial Health Department received reports of deaths, the same morning, the province's expert guidance that is rushed to the scene, Foshan City, hand, foot and mouth disease prevention and control. Night, collected by the Guangdong Provincial Center for Disease Control of the rapid detection of samples, cases of cerebrospinal fluid, serum and intestinal virus EV71 negative rectal swabs, stool test positive for enterovirus EV71 nucleic acids. According to the Ministry of Health released the same evening, "Hand, Foot and Mouth Disease Control and Prevention Guide (2008 edition)," The case was diagnosed as intestinal virus EV71 HFMD cases.

Rapid detection of pathogenic culprit, while detailed epidemiological investigation started immediately. According to the Guangdong Provincial Center for Disease Control led the person in charge, the group arrived at the scene, two-pronged. A group of people in the hospital, morbidity and major case investigations Clinical Treatment. At that time, the patient's family emotions, experts continued to do work, get the understanding of family, death in children Xiaohua (a pseudonym) is the basic clear course of evolution. Xiaohua April 27 began low heat (maximum temperature of 37.8 ), rash and other symptoms, maternal and child health in the District Court and has a municipal hospital, the clinical diagnosis of hand, foot and mouth disease are. After symptomatic treatment, symptoms. May 1, children in hospital out-patient intravenous fluids when vomiting. Admissions doctors have asked their hospitalization, were the parents refused. Physician for intravenous metoclopramide antiemetic, symptoms. Early morning of May 2, Xiaohua condition suddenly worsened after she died. The Group then on the two hospitals out of hospitalized pediatric patients hospitalized cases, out-patient diagnosis of HFMD conducted a survey of medical registration, made clear the local Recently the incidence of hand, foot and mouth disease.

Another group arrived at the patients residence, recent close contacts of the children investigated, and cases of patients around the house search. According to the situation before and after onset Xiaohua, the Group has carefully drawn road map, including admissions to the medical institution medical staff, patients and family members to play with children and other recent epidemiological survey conducted 30. Found during a very important message: There is in kindergarten children with relatives Kobayashi (a pseudonym), the two often play together. Xiaohua before the onset, Kobayashi kindergartens where children have been suffering from hand, foot and mouth disease occurred absenteeism. Expert analysis, Xiaohua of transmission in direct contact with the possibility of infection, it is not ruled out the possibility of indirect contact infection. The main basis is Xiaohua Kobayashi close contacts of patients with hand, foot and mouth contact history, there is close contact by the nursery deaths in the possibility of direct contact transmission. Group then line up according to the symptoms of contact analysis, the proposed home observation of asymptomatic, symptomatic contacts suggested hospitalization. Inspiration from a survey

cases Experts surveyed believe that the case promptly after the death of treatment for the disease after treatment of similar experience gained. At the same time, careful, thorough survey also found that the current HFMD prevention and control face a number of weak links.

First, the death of the child's erratic course of evolution, starting mild and then suddenly overlook the weight to the last rapid deterioration. On admissions to primary medical staff, it faces a double difficulty: if the child home observation of mild treatment is recommended, then face the risk of treatment may be delayed; If the proposed patient and do not meet the admission symptoms, and increases cross-infection risk. Therefore, the authorities should step up research efforts to hand, foot and mouth disease, especially through the study of death cases, as soon as possible to map out this epidemic of HFMD typical symptoms, "to draw a disease like", and to develop hand, foot and mouth in patients hospitalized standards, discharge standards to guide the basic science, and accurate treatment.

Second, the public need to improve disease prevention knowledge, relevant preventive measures must implement. Kobayashi nursery where the patients had HFMD. He followed HFMD patients had close contact with the child the parents are not aware of it. Although HFMD is a disease of children, but parents also preventive focus. Some of the virus in adults who do not work, but to-child transmission;

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