Warm reminder: Hand, foot and mouth disease will enter the peak of incidence!
Zhejiang Province is a province with a high incidence of hand-foot-mouth disease. According to previous monitoring results, Zhejiang has two incidence peaks. The first peak appears in April-July and the second peak appears in October-December. There may be slight differences in different regions and different years. At present, the epidemic situation in our province is in the rising stage, and will enter the first epidemic peak. 我省3月手足口病报告发病数比2月上升了137%。 Monitoring results show that the number of reported cases of hand-foot-mouth disease in March in our province increased by 137% compared with February.
What is hand, foot and mouth disease
Caused by a variety of enteroviruses, mainly infants and young children. It is mainly transmitted through contact with nasopharyngeal secretions, saliva, herpes fluid, feces, and contaminated toys, food and other items. 等部位的皮疹或疱疹为主要特征，一周左右可自愈。 Most patients have mild symptoms, characterized by fever and rashes or herpes on the hands, feet, mouth, and other parts, and can heal on their own in about a week. A small number of patients may develop aseptic meningitis, encephalitis, acute flaccid paralysis, respiratory infections, and myocarditis. Individual severely ill children progress rapidly and may die.
Hand, Foot and Mouth Disease Situation
In recent years, the incidence of hand, foot and mouth disease has shown an increasing trend, severe illness and death have shown a downward trend, and morbidity, severe illness and death have a high incidence rate every other year. The main population was children aged 5 and under, and the deaths were mainly children aged 3 and under. Enterovirus 71 (EV71) infection is predominant in severe and death cases. ，不排除重症、 死亡有所增加的可能。 Affected by factors such as the accumulation of susceptible populations, combined with the high incidence of hand-foot-mouth disease every other year, it is expected that the overall epidemic intensity of hand-foot-mouth disease in 2018 will be higher than that in 2017, which does not rule out the possibility of increased severity and death.
Hand, Foot and Mouth Disease Prevention
Prevent and control key places
In key places such as childcare institutions and schools, it is recommended to carry out morning inspections, inspections, absence registration and reporting systems, and strengthen the daily disinfection of toys, classrooms, dormitories and other places.
Parents are advised to inoculate enterovirus 71 (EV71) inactivated vaccine for children aged 6 months to 5 years. Although hand, foot and mouth disease can be caused by multiple pathogens, vaccination has a positive effect on reducing the incidence of severe illness and death.
Child's appetite drops, fever
Parents need to be vigilant
Hand, foot and mouth disease belongs to the category C infectious disease, which belongs to the same category as influenza and mumps, and is a common disease.
"Most children with hand, foot and mouth disease have milder symptoms and have a good prognosis after symptomatic treatment. They usually recover within a week," said Dr. Chen Mingming, director of pediatrics at the provincial Tongde Hospital. Serious complications, such as encephalitis, myocarditis, meningitis, etc. "
"Hand, foot and mouth disease is mainly infected through three ways: the digestive system, such as eating unclean food; the respiratory system, such as in places with high air circulation, may be infected with the virus; and contact infections, such as touching the hands, feet, and mouth Patients with toys touched, etc. "said Dr. Wu Kangping, Department of Infectious Diseases, Children's Hospital of the City.
，摸摸孩子的身体、额头有没有发烧，看看孩子的手心、脚心、嘴巴有没有约1-2毫米大小的白色小点点，以便早期发现、早期诊断。 Dr. Wu reminded that you must pay close attention to your child, pay attention to "tap and see" , and touch the child's body and forehead to see if there is a fever, and see if the child's palms, feet, and mouth are about 1-2 mm white. Keep it small for early detection and early diagnosis.
，大部分家长只有当孩子的手心、脚心、口腔出现疱疹了才会意识到孩子可能患上了手足口病，其实，手足口病是有早期信号的，家长可以注意一下—— Hand, foot and mouth disease has an incubation period of 1-10 days . Most parents will realize that the child may have hand, foot and mouth disease only when herpes appear on the palms, feet, and mouth of the child. In fact, hand, foot and mouth disease has early signals. Parents can pay attention to--
1. The child is different from usual. For example, infants cry more often, drool more, eat abnormally, decrease appetite, refuse to eat, and be frightened, etc .; older children have drowsiness, vomiting, headache, hand shake, foot shake, unstable walking, and inability to stand. .
2. Fever. High fever above 39 ° C, and it will not go back for three days.
，以免传染给其他小孩。”市儿童医院感染科副主任邵启民主任医师说。 "Once the child has the above symptoms, especially if he has a history of contact with hand-foot-mouth disease, parents must be vigilant and take the child to the hospital in time. If the diagnosis of hand-foot-mouth disease is confirmed, the child should be isolated in time to prevent transmission to other children. "Said Shao Qimin, deputy director of the Department of Infectious Diseases of the Children's Hospital of the City.
Prevention of hand, foot and mouth disease
Remember 15 Word Tips
How to prevent hand, foot and mouth disease? 。 Dr. Shao Qimin has a 15-character formula— eat cooked food, drink boiling water, wash hands frequently, ventilate, and bask in the sun .
Eat cooked food:
Pay attention to oral hygiene. Rinse your mouth with normal saline or warm water before and after eating. Do not let your child eat cold food, try not to give your child leftovers, and do not expose cakes, biscuits and other food to the air for a long time. In addition, the tableware consumed by infants and young children should be fully washed and disinfected.
Drink boiling water:
Do not let children drink raw water.
Wash your hands frequently:
Wash your hands and cut your nails frequently before and after meals and after going home to reduce the chance of exposure to the virus and prevent "illness from the mouth." At the same time, parents should also pay attention to their own hand hygiene, it is best to wash their faces at the same time, so as not to infect their children when kissing their cheeks.
The home should be ventilated frequently. Do not bring children to public places where crowds gather and poor air circulation. Especially, try to avoid contact with other children with fever and rash, and reduce the chance of being infected.
Bask in the sun:
Hand, foot and mouth disease is caused by a variety of subtypes of enteroviruses. Among them, Coxsackie virus A16 and enterovirus 71 (EV71) are the most common. EV71 virus is most afraid of ultraviolet rays, and the sun can effectively eliminate the virus. Baby's diapers, children's clothes, etc. should also be cleaned and aired in time.
In addition, we must pay attention to keeping the children's toys clean, and correct the children's sucking fingers, picking nostrils, biting toys, and like to grab and eat with their hands.
浙江疾病预防控制（ zjjbyfkz ）、都市快报 ■ Source: Zhejiang Disease Prevention and Control ( zjjbyfkz ), City Express