Alert! Hand Foot And Mouth Disease

Lately hand foot and mouth disease broke out in many different countries,

including in Asia. In Indonesia, some cases are already treated in some

hospital.

In China, in March 2009 this disease has claimed the lives of 18 people and children

killed 34 children in the province Ahui, China, and also infect 24,932 other children

in May 2008. In 1998 in Taiwan, this disease also causes 78 deaths

in infants and children.

The disease is now in a period of strict supervision and if any incident should be immediately

reported, because there is the possibility of an epidemic or outbreak.

What is the disease's hand, foot and mouth?

Diseases hand, foot and mouth that appears now there is no relation to

hands and mouth disease suffered by animals, both caused by viruses

different. In general, this disease attacks children under five years of age.

Diseases hand, foot and mouth outbreak is caused by enterovirus 71

(EV71). In general, infants and children. Previously, this disease is

a disease that rarely appears but in recent years, often

cause outbreaks (outbreaks or epidemics). EV71 can cause

paralysis (paralysis) is usually at the age under age 2 years, and resulted in

meningitis at the age of 2-5 years.

Historical events

EV71 was first isolated in California in 1969. EV71 is closely related

with coxsackie virus A 16 (CA 16) or echovirus which can also cause

hand disease, foot and mouth. However, EV71, in addition to causing disease in

hand, foot and mouth also attack the brain. EV71 is the most current virus of 68 types

enteroviruses commonly infect children.

Outbreaks of EV71 is known in 2 versions. The first version of the patients who died

rare and the second version with a high number of deaths.

Symptoms of disease

This disease symptoms similar to flu fever which then followed with

appearance of vesicles and rash on the hands, feet and mouth (tongue, gums and inner cheek

in) which then blistered and sometimes accompanied by diarrhea. Vesicles break easily and

into sores in the mouth such as thrush which causes the child refused to eat. And

can occur in some children high fever, meningitis, encephalitis and paralysis

or paralysis.

The incubation period or period of contact with the virus until the appearance of symptoms

estimated 3-5 days. After the fever usually appear 1-3 days later occur

meningitis and paralysis can occur after 10-30 hours of symptom onset. During the 2

month the virus will be in the stool of patients after symptom onset.

EV71 entry into the human body through the digestive tract, multiply in

oropharinx or esophagus and is usually detected in the stool or feces of patients.

Enterovirus can develop in pencernaa and respiratory tract. After

This virus infects the lining of blood vessels it will spread and infect

tissues and organs other organs and cause various diseases

Treatment and Prevention

Basically, the treatment for the virus does not yet exist. So that the cure is a symptom

that appears.

Tips to avoid this disease is to look at cleanliness. Because

virus present in the stool, then after the toilet we have to wash your hands with soap

and water then wiped or dried. After the toilet or after handling

various kinds of objects should wash your hands, especially if you want to want makan.pada

when sneezing and coughing should wear muzzles, separate cutlery, tools

personal hygiene, and patient clothing.

Management of hand foot and mouth disease point multiply and give it a rest

a lot of fluid intake, the treatment of patients such as treatment of other viral infections.

Need to watch out for signs of dehydration and indication of when the need of hospitalization,

because patients are usually difficult to eat and drink because of the large lesions in the mouth and

tongue other than that there are at the foot and hands.

Apart from personal hygiene, children should also avoid crowds and places

public places, because usually a lot of people so it can be a source of transmission

Disease patients hand, foot and mouth should be separated from other healthy family. Taken from http://dinkes.okukab.go.id