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Archive Number 20020409.3910
Published Date 09-APR-2002
Subject PRO/EDR> Hand, foot & mouth disease - Malaysia

HAND, FOOT & MOUTH DISEASE - MALAYSIA
***************************************
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[see also:
Hand, foot & mouth disease - Taiwan                  20020405.3883
2001
----
Hand, foot & mouth disease - Malaysia                20010531.1069
Hand, foot & mouth disease - Singapore & Malaysia    20010105.0042
Hand, foot & mouth disease - Singapore               20010105.0037
Hand, foot & mouth disease - Singapore (04)          20010226.0379
2000
----
Hand, foot & mouth disease, epidemiology             20000729.1256
Hand, foot & mouth disease - Malaysia                20000325.0433
Hand, foot & mouth disease - Malaysia (05)           20001013.1754
Hand, foot & mouth disease - Malaysia & Singapore    20000920.1626
Hand, foot & mouth disease - Malaysia & Singapore (06) 20001025.1849
Hand, foot & mouth disease - Singapore               20000913.1562
Hand, foot & mouth disease - Singapore (09)          20001023.1834
Hand, foot & mouth disease - Taiwan: 1998-1999       20000203.0163
1998
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Hand, foot & mouth disease, fatal - Singapore        19980628.1200]


[1]
Date: Sun 7 Apr 2002
From: ProMED-mail <promed@promedmail.org>
Source: The Star Online, Sun 7 Apr 2002 [edited]
<http://www.thestar.com.my/news/story.asp?file=/2002/4/7/nation/klghfm&sec=nation>


Selangor: Outbreak of Hand, Foot and Mouth Disease
--------------------------------------------------
SHAH ALAM: Over the past 2 weeks, 35 children, aged between 3 and 5 
years, have been struck down by hand, foot and mouth disease (HFMD) 
in Selangor. However, only 4 have been [admitted to hospital], 
whereas the others were given outpatient treatment.

The HFMD cases were detected despite precautionary measures taken by 
the state government since last year when 195 cases were reported. 
Selangor Health Committee chairman Datuk Tang See Hang said all the 
relevant health authorities have been instructed to report HFMD cases 
to the state Health Department, and government hospitals have been 
advised to be on the alert for such cases and to conduct a thorough 
check-up on patients referred to them. "Parents need not be alarmed 
over the outbreak but they must ensure that their children be 
referred for a thorough health screening," he said.

Tang said the [virus responsible for the outbreak] is Coxsackie virus 
A16, [which is associated with] a mild form of the disease where 
patients recover without medical treatment within 7 to 10 days. "We 
have not [detected cases of Enterovirus 71 (EV71) infection], which 
[may] cause inflammation of the brain membrane and brain inflammation 
which may be fatal," he said. [Currently, EV71 is associated with an 
outbreak of HFMD in Taiwan. See reference above. - Mod.CP]

So far this year, 35 cases were reported in January, 37 in February, 
and 35 in March. "There were no complication in any of the cases but 
our Health Department is monitoring the situation," he said. Tang 
said private clinics are required to refer such cases to the 
hospitals as clinical diagnosis alone is not sufficient to verify the 
ailment. He said the disease is spread mainly through food and water 
that is contaminated with faeces, or [via air-borne] secretions 
produced from the mouth or nose of patients. The symptoms of HFMD 
include fever, sore throat, and sometimes blistering rashes on the 
hands and feet.

--
ProMED-mail
<promed@promedmail.org>

******
[2]
Date: Mon 8 Apr 2002
From: ProMED-mail <promed@promedmail.org>
Source: The Star Online, Mon 8 Apr 2002 [edited]
<http://www.thestar.com.my/news/story.asp?file=/2002/4/8/nation/mlkhfm2&sec=nation>


Children Admitted to Hospital with Suspected Hand, Foot & Mouth Disease
---------------------------------------------------------------------------
MALACCA: So far 10 children below the age of 7 have come down with 
suspected hand, foot and mouth disease (HFMD) in the state in the 
past week. State Human Resource, Health and Consumer Affairs 
Committee chairman Datuk Seah Kwi Tong said they were admitted to 
private and government hospitals for 1 to 2 days for observation 
before being discharged. He said the situation here was not alarming 
and the state was closely monitoring every suspected case.

It was reported yesterday that 35 children, aged between 3 and 5 
years, had also been struck by HFMD in Selangor over the past 2 
weeks. [see part 1 above.]

Attributing the current outbreak to the prolonged dry spell, Seah 
said none of the reported cases was very serious.

--
ProMED-mail
<promed@promedmail.org>
....................mpp/cp/pg/lm
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