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Sunday, July 22, 2012

Thailand-HFMD virus tested for mutation #EV71

PM and doctors warn against health panic

 
A sample of Enterovirus-71, or EV-71, is being tested for mutation after it was found in the body of a toddler suspected of being the first fatal case of hand, foot and mouth disease (HFMD) in Thailand this year.

Department of Medical Sciences spokesman Wattana U-wanich said the agency is testing for mutations of the virus as part of a normal procedure.

"The testing is a normal procedure because viruses are always changing and evolving. Significant changes may make it easier for a person to get infected," Dr Wattana said.

The two-and-a-half-year girl died on Wednesday at Bangkok's Nopparat Rajathanee Hospital.

A throat culture exhibited EV-71 but a lumbar puncture test and stool examination did not reveal the strain.

The results will be submitted to the Department of Disease Control (DDC), which will decide on the actions to be taken, Dr Wattana said.

Dr Wattana said EV-71 is not new to Thailand and a number of strains of HFMD are known to cause serious complications, including heart and respiratory problems.

EV-71 is one of the two most common causes of HFMD. The other virus is Coxsackie A.

The toddler had showed no related symptoms of the disease, such as blisters on the hands, feet and mouth or any rash. She suffered damage to her heart, lungs and brain.

Pornthep Siriwanarangsan, DDC's director general, said the cause of the girl's death will be discussed at a meeting on Wednesday.

He said that the media should not jump to any conclusions until the cause is clearly established.

He urged the media to focus news coverage on vigilance against HFMD and called on families to take children exhibiting symptoms to the hospital as soon as possible to avoid serious complications.

"One lesson learned from this case is that the sooner a patient sees a doctor, the better," he said.

Dr Pornthep also stressed that there was no need to panic following the girl's death.

Prime Minister Yingluck Shinawatra said the HFMD situation is under control.

Ms Yingluck said she was closely monitoring the outbreak of the disease and had received no report of HFMD-related fatalities.

Meanwhile, health authorities across the country are stepping up vigilance against an outbreak of the disease, especially at kindergartens and childcare centres.

In Chiang Rai's Mae Sai district, people entering the country from Myanmar are being screened for fever and advised to maintain personal hygiene to prevent spreading HFMD.

In Phichit, health officials are conducting spot checks for HFMD at childcare centres and kindergartens.

Children under five are being screened for fever and sent to the hospital if they have high temperature, even if they have no mouth sores or rash.

In Ubon Ratchathani, Na Tan hospital yesterday reported three suspected cases of HFMD.

Akaraphuchit Palanant, a doctor at the hospital, said the three children are under observation and will have to undergo further screenings.

He also warned of a possible outbreak of swine flu, saying it tends to occur during this time of the year.

Dr Akaraphuchit recommended following good hygiene practices such as frequently washing hands, saying this was a really simple step that reduced the risk of contracting the disease.