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Monday, May 05, 2008


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An epidemic enteroviral (EV-71) outbreak, causing the syndrome: Hand, foot and mouth disease (HFMD), happened in the Chinese provinces of Anhui, Hubei and Shaanxi, comes affecting until the moment to 5150 Chinese smaller than 6 years (usually smaller than 2), having caused 25 deaths in the last 2 months. The illness of quick installation (4 days), is characterized by the presence of ulcers in the gastrointestinal tract, fever and rashes in hands and feet. If affected children develop brain, lung or heart complications the course can be lethal. Reports of some cases coming from Vietnam and Singapore exist. Before the possible threat of affecting the realization of the Olympic Games, Chinese health authorities, have emphasized 2 preventive aspects. I) Vaccine against the virus, doesn't exist II) Therefore preventive aspects are worked: dispersion of people that live in crowded conditions, strict control of entrance and exit of China, of children with symptoms of this affection, closing of schools and quarantine in cities with great numbers of cases (Anhui, etc.), frequent washing of hands after changing diapers, or going to the bathroom, as long as the transmission is oral/rectal, disinfection of polluted surfaces with bleach (20 ml/un liter of water), control of quality of water, etc.


Un brote epidémico enteroviral (EV-71), causante del síndrome : Hand, foot and mouth disease (HFMD), ocurrido en las provincias chinas de Anhui, Hubei and Shaanxi, viene afectando hasta el momento a 5150 chinos menores de 6 años (usualmente menores de 2), habiendo causado 25 muertes en los últimos 2 meses. La enfermedad de instalación rápida (4 dias), se caracteriza por la presencia de úlceras en el tracto gastrointestinal, fiebre y rashes en manos y pies. Si ocurren complicaciones cerebrales, pulmonares o cardiacas el curso puede ser letal. Existen reportes de algunos casos procedentes de Vietnam y Singapur. Ante la posible amenaza de afectar la realización de los Juegos Olimpicos, las autoridades sanitarias chinas, han enfatizado 2 aspectos preventivos. I) No existe vacuna, contra el virus. II) Por lo tanto se trabajan aspectos preventivos: dispersión de personas que viven en condiciones de hacinamiento, control estricto de entrada y salida de niños de China, con sintomas sugerentes de esta afeccion, cierre de escuelas y cuarentena en ciudades con mayor numero de casos : Anhui, etc., lavado frecuente de manos después de cambiar pañales, o ir al baño, en tanto la transmision es oral/rectal, desinfeccion de superficies contaminadas con lejía (20 ml/un litro de agua), control de calidad del agua,etc.



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