医師の一分

アクセスカウンタ

zoom RSS 中国東部で手足口病流行 子ども22人死亡/腸管ウイルス感染

<<   作成日時 : 2008/05/03 11:50   >>

ブログ気持玉 0 / トラックバック 0 / コメント 0

 中国安徽省の貧困地域で3600人が発症、22人死亡。死亡者は肺などの合併症で、6才以下ほとんどは2才以下。エンテロウイルス71 EV-71による感染が、3月初めからの中国東部、フーヤン市(阜陽市)で流行している。
 発熱、口内炎をおこし、手足口に水疱をつくるため、手足口病として知られる。家畜の口蹄疫とは関連はない。ほとんどは1週間で回復するが、脳浮腫や麻痺を起こし死亡する場合がある。
 阜陽市では970人以上が入院中で、48人は重症である。近隣の3地域にも感染波及し340人が発症した。第2人民病院で200人の子どもが入院中。
 4年前、阜陽市は粉ミルクスキャンダルの震源地だった。200人が発症し、13人が死亡した。
(安徽省 阜陽市 人口930万人)
---------------------------------------
Virus Kills 22 Children in Eastern China
http://www.nytimes.com/2008/05/03/world/asia/03china.html?ref=health

By ANDREW JACOBS
Published: May 3, 2008

BEIJING ― A fast-spreading viral outbreak in China has killed 22 children, sickened nearly 3,600 others and caused panic among parents in an impoverished corner of Anhui Province, government health officials said Friday.

画像A child, possibly infected with an intestinal virus, in China's Anhui province on Tuesday.
Enlarge This Image
Reuters
A sick child in Fuyang in Anhui province on Friday.

All of the fatalities, from lung problems and other complications, have been in children younger than 6, with the majority of them under 2.

The outbreak, caused by a particularly strong intestinal virus, enterovirus 71 or EV-71, has been spreading in the city of Fuyang, in east-central China, since early March. Provincial health officials, however, announced the outbreak only this week, raising questions about whether they had been trying to conceal it.

画像In recent days, the Chinese media have heavily criticized the local government response, offering comparisons to the SARS epidemic of 2003, which drew widespread attention to China’s shaky public health system and official attempts to cover up the outbreak. Xinhua, the official news agency, published the latest figures on Friday.

On Thursday, the World Health Organization warned that the disease, which thrives in warm weather and passes easily among children, could spread in the coming summer months. It advised child-care centers and schools in the city and surrounding region to stay closed until the spread was curtailed.

The virus begins with a fever and often leads to mouth ulcers and to blisters on the hands, feet and buttocks. Commonly known as hand, foot and mouth disease, it has no relation to the foot-and-mouth disease that infects livestock.

There is no vaccine or cure, but most patients recover in a week without treatment. In severe cases, brain swelling can lead to paralysis or death. Cleaning surfaces with bleach and washing hands significantly reduces the spread of the pathogen.

Health officials in Fuyang said more than 970 children remained hospitalized, 48 of them in critical condition. Health officials said the disease also spread to three adjacent provinces, with the bulk of them ― 340 cases ― in Hubei.

Although the number of infected children has been steadily climbing, the fatality rate has dropped substantially in recent weeks, falling to 0.2 percent from 11 percent in March, World Health Organization officials say.

Anxious parents have been overwhelming local hospitals in Fuyang. In a telephone interview, a doctor at No. 2 People’s Hospital said 200 sick children were being treated there. He said there had not been any fatalities in the past five days at the hospital. “I think the disease itself can be controlled, but it is hard to treat if there are complications,” said the doctor, who would give only his surname, Li.

Among parents, though, there is still widespread concern and confusion. Reached by phone, the father of a 1-year-old boy from a town outside Fuyang said misinformation was rife. The current rumor, he said, suggested that a local river was the source of the infection. The man, a truck driver named Wang, said that schools had been closed and that local health officials were instructing parents to frequently wash their children’s hands. “We really hope journalists can come and report more on this,” he said.

Since early April, teachers at the Dongfanghong kindergarten in Fuyang have been assiduously keeping the children clean and spraying the classrooms with a disinfectant daily. Still, by Tuesday, when the authorities closed the school, nearly 100 of the school’s 500 students were being kept home by their parents. “A lot of parents are concerned about the contagiousness,” said Xu Yanyan, the headmistress.

Four years ago, Fuyang was the epicenter of a powdered milk scandal. Fake formula lacking nutritional value sickened 200 infants, and 13 of them starved to death.

The Chinese media have not been shy about criticizing local officials who suppress information about infectious diseases and other kinds of bad news. In mid-April, several media outlets noted, authorities in Fuyang who were confronted by reporters denied that there was a problem. Two weeks later, after more than a dozen children had died, they were forced to acknowledge the outbreak.

In an editorial headlined “Tragic Costs of Delay,” China Daily, the official English-language newspaper, cited the SARS epidemic and the powdered milk scandal and chastised government for its sluggish response to the most recent health crisis. “The memory of the last tragedy only adds to the bitterness of the new one,” it said.

During the SARS outbreak, Chinese officials withheld information from the World Health Organization, restricted media reporting and undercounted the cases of those stricken. After the disease spread beyond China’s borders and provoked worldwide panic, the government pledged to confront future health emergencies with greater openness.

Huang Yuanxi contributed research.

--------------------------------------------
手足口病1万2千人に 中国、死者26人
http://www.tokyo-np.co.jp/s/article/2008050501000628.html
2008年5月6日 01時35分
 【北京6日共同】5日の新華社電は、中国安徽省などで猛威を振るう手足口病の感染者が同日までに、全国で1万1905人に達したと伝えた。死者は26人となり、感染は拡大の勢いを見せている。
 新華社によると、死者の多くは安徽省阜陽市に集中し、22人が死亡した。ただし、感染は全国に広がり、北京では5日までに1482人が、隣接する河北省でも206人が感染。江蘇、湖南、湖北の各省などにも拡大している。
 ロイター通信によると、世界保健機関(WHO)の北京代表は感染がピークを迎えたかどうかは不明としつつも「五輪への影響はないと思う」としている。
 手足口病は3月上旬から安徽省で広がりが確認された。5歳以下の子供の感染が多く、肺水腫を併発するなどして死亡することがある。北京では感染者のうち818人が幼稚園内で感染した。

テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
中国東部で手足口病流行 子ども22人死亡/腸管ウイルス感染 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる