Hand, Foot, and Mouth Disease Situation Update 24 February 215 Hand, Foot, and Mouth Disease surveillance summary 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 The monthly trend of HFMD cases in China follows the seasonal pattern (Figure 1). Table 1: Reported number of HMFD cases in China as of January 215 Cumulative cases reported in 215 57,763 Cumulative deaths reported in 215 7 Cases reported in the latest reporting period 57,763 Japan Figure 1: HFMD cases reported monthly, China 212-215 (Source: National Notifiable Infectious Diseases, China) The number of HFMD cases reported in Japan by sentinel sites follows the seasonal pattern. However, it is slightly elevated compared to the number reported in the previous three years (Figure 2). Table 2: Reported number of HMFD cases in Japan as of week 6, 215 Cumulative cases reported in 215 5,212 Cumulative deaths reported in 215 NA Cases reported in the latest reporting period 2,26 Hand, Foot, and Mouth Disease Situation Update Number 455 1
3 25 212 213 Number of cases 2 15 1 5 214 215 1 4 7 1 13 16 19 22 25 28 31 34 37 4 43 46 49 52 Figure 2: HFMD cases reported weekly by sentinel sites, Japan 212-215 (Source: National Institute of Infectious Diseases, Japan) Countries/regions in the tropical zone Hong Kong (China) The weekly numbers of hospital admissions reported by hospital authority follows the seasonal pattern, but they are slightly lower than the number reported in 214 (Figure 3). Table 3: Reported number of hospital admissions due to HFMD 215, Hong Kong 212-215, as of 14 February 215 Cumulative cases reported in 215 15 Cumulative deaths reported in 215 NA Cases reported in the latest reporting period 1 Hand, Foot, and Mouth Disease Situation Update Number 456 2
Number of cases 8 7 6 5 4 3 2 1 212 213 214 215 Figure 3: HFMD cases admitted to hospital reported weekly by sentinel sites 212-215 (Source: Hong Kong Center for Health Protection) Macao (China) The number of HFMD cases reported in Macao follows the seasonal pattern (Figure 4). Table 4: Reported HFMD cases in Macao 215, as of February 24, 215 Cumulative cases reported in 215 231 Cumulative deaths reported in 215 NA Cases reported in the latest reporting period 28 25 2 C A S E S 15 1 5 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 29 21 211 212 213 214 215 Figure 4: HFMD cases reported weekly, Macao 212-215 (Source: Macao Center for Disease Control and Prevention) Hand, Foot, and Mouth Disease Situation Update Number 456 3
Singapore The number of cases reported is similar to the number in 212, but higher than the number reported during the same period in 213 and 214 (Figure 5). Table 5: Reported HFMD cases in Singapore 215, as of 14 February 215 Cumulative cases reported in 215 1,97 Cumulative deaths reported in 215 NA Cases reported in the latest reporting period 3,152 Number of cases 18 16 14 12 1 8 6 4 2 1 4 7 1 13 16 19 22 25 28 31 34 37 4 Figure 5: HFMD cases reported per week, Singapore 212-215 (Source: Ministry of Health, Singapore) 43 46 212 213 214 215 49 52 Mekong area Viet Nam (No updates) As of 1 Feb 215--The General Department of Preventive Medicine (GDPM) in Viet Nam's MoH has confirmed that in week 5 ( from 26 Jan to 1 February) 215, there were 754 new cases of Hand Foot and Mouth Disease (HFMD) decreased 19 cases (8.2%) compared to the previous week. Since beginning 215, the number of cases were 4,265 cases, including two deaths (Dong Thap 1; Hau Giang 1 reported from the previous week) increased 9.1% compared to the same period of 214. 72.8 % of cases were reported from the south with 1 leading provinces on the number of case per 1, populations: Bac Lieu 17.1; Da Nang 36.8; Dong Thap 14.4; Ba ria Vung Tau 14; Ben Tre 13.5; Dong Nai 11.6; Long An 11; Vinh Long 9.1; Ca Mau 8.2; and Phu Yen 6.9 (Figure 6). Table 6: Reported HFMD cases in Vietnam 215, as of 1 February 215 Cumulative cases reported in 215: 4,265 Cumulative deaths reported in 215: 2 Cases reported in the latest reporting period: 754 Hand, Foot, and Mouth Disease Situation Update Number 456 4
Figure 6: HFMD cases and deaths reported per week, Viet Nam 214-215 (Source: Ministry of Health, Viet Nam) Hand, Foot, and Mouth Disease Situation Update Number 456 5