Monitoring the influence of hand, foot, and mouth disease: New guidelines on patient care during the 2011-2012 multiwaves and multivariant outbreak in Hai Phong City, Vietnam

Duy Nghia Ngu, Huong Le Thi Thanh, Ravel Patrice, Huong Le Thi Song, Dwivedi Ankit, Kister Guilhem, Gavotte Laurent, Devaux Christian A., Thiem Vu Dinh, Thanh Nguyen Thi Hien, Duong Tran Nhu, Hien Nguyen Tran, Cornillot Emmanuel, Frutos Roger. 2024. Monitoring the influence of hand, foot, and mouth disease: New guidelines on patient care during the 2011-2012 multiwaves and multivariant outbreak in Hai Phong City, Vietnam. Pathogens, 13 (9), n.spéc. Epidemiology of Infectious Diseases:777, 11 p.

https://doi.org/10.3390/pathogens13090777

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Résumé : From 2011 to 2012, Northern Vietnam suffered its first large-scale hand, foot, and mouth disease (HFMD) epidemic. Two sets of official guidelines were issued during the outbreak to handle the HFMD crisis. The city of Hai Phong was used as a model to analyze the impact of the released guidelines. A total of 9621 HFMD cases were reported in Hai Phong city from April 2011 to December 2012. Three distinct waves of HFMD occurred. Enterovirus A71 and Coxsackievirus A16 were successively associated with the epidemics. Two periods, before and after the guidelines' release, could be distinguished and characterized by different patient patterns. The time to admission and severity changed notably. Guideline publications help the health system refocus on the 0.5–3 years age group with the highest incidence of the disease. The three waves showed different special distribution, but the main routes of infection were rivers and local secondary roads, most likely through local trade and occupational movements of people.

Mots-clés Agrovoc : surveillance épidémiologique, épidémiologie, épidémie, santé publique, contrôle de maladies, distribution spatiale, maladie infectieuse, virologie, maladie de l'homme, santé humaine

Mots-clés géographiques Agrovoc : Viet Nam

Mots-clés complémentaires : Syndrome pieds-mains-bouche (HFMD)

Mots-clés libres : Virologie, HFMD, Epidemiologie, Vietnam

Classification Agris : S50 - Santé humaine

Champ stratégique Cirad : CTS 4 (2019-) - Santé des plantes, des animaux et des écosystèmes

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