<\/o:p><\/SPAN><\/B><\/P> The World Health Organisation on Sunday dismissed claims that local authorities in China<\/st1:place><\/st1:country-region> had covered up the outbreak of an intestinal virus, as the death toll rose to 25. <\/o:p><\/SPAN><\/P> The virus, known as Enterovirus 71 or EV71, has already killed 22 children in the eastern province of Anhui and three others in southern Guangdong province, the state-run Xinhua news agency reported late Sunday. <\/o:p><\/SPAN><\/P> A total of 622 new cases were recorded in Anhui on Saturday alone, Xinhua quoted provincial health authorities as saying, raising the number of children infected there to more than 5,150. <\/o:p><\/SPAN><\/P> Dozens of other EV71 cases have been confirmed in at least four other Chinese provinces, while hundreds of children with symptoms of hand, foot and mouth disease were being tested for the virus, the report said. <\/o:p><\/SPAN><\/P> EV71, which can cause hand, foot and mouth disease, is highly contagious and spread through direct contact with the mucus, saliva or faeces of an infected person. Young children are most susceptible because of lower immune systems. <\/o:p><\/FONT><\/STRONG><\/SPAN><\/P> But the WHO’s China representative, Hans Troedsson, dismissed claims by Chinese media that local authorities in Anhui had tried to cover up the initial stages of the outbreak. <\/o:p><\/SPAN><\/P> \u00abThe reason why there was a delay in the reporting at the provincial level was that they didn’t know what the causes for these different cases were,\u00bb he said. <\/o:p><\/SPAN><\/P> The disease — which begins with fever, blisters, mouth ulcers and rashes — has spread in Anhui since early March, but the first reports about the epidemic only surfaced last week on Xinhua. <\/o:p><\/STRONG><\/FONT><\/SPAN><\/P> This led to accusations by Chinese press of a cover-up by local authorities — claims the authorities deny. <\/o:p><\/SPAN><\/P> Troedsson said the symptoms typically associated with hand, foot and mouth disease, caused by EV71, were absent — explaining the slow official reaction to the epidemic. <\/o:p><\/SPAN><\/P> \u00abThose severe cases did not have the typical symptoms of the disease. They didn’t have blisters and rashes on the hands, feet and buttocks,\u00bb he said. <\/o:p><\/SPAN><\/P> The WHO expert said it was unclear whether the outbreak of the disease, which has been seen before in China and other countries, had already peaked, or if the worst was yet to come. <\/o:p><\/SPAN><\/P> \u00abThe concern would be if we saw a continuous peak of the disease. At the same time, where I am cautiously positive is that we now know what is causing this outbreak, and that the government has taken action,\u00bb he said. <\/o:p><\/SPAN><\/P> He said China’s disease surveillance system had improved over the last few years, but still needed to be strengthened. <\/o:p><\/SPAN><\/P> \u00abWhere there still maybe needs some work to be done is to strengthen the reporting from the provinces up to the national level,\u00bb Troedsson said. <\/o:p><\/SPAN><\/P> <\/o:p><\/SPAN> <\/P> Consuelo Ib\u00e1\u00f1ez Mart\u00ed m\u00e9dico salubrista<\/o:p><\/SPAN><\/I><\/B><\/P><\/o:p><\/SPAN><\/p>\n","protected":false},"excerpt":{"rendered":"Estos d\u00edas los peri\u00f3dicos informan puntualmente de la evoluci\u00f3n de un brote, que en un primer momento defin\u00edan como \u201cfiebre aftosa humana\u201d, pero que realmente no tiene nada que ver con ella. Es la llamada Enfermedad Mano-pie-boca, enfermedad de la que ya hablaremos m\u00e1s extensamente.<\/p>\n","protected":false},"author":74,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[667,676,665,692],"tags":[],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":4}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/91172"}],"collection":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/users\/74"}],"replies":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/comments?post=91172"}],"version-history":[{"count":0,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/91172\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/media?parent=91172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/categories?post=91172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/tags?post=91172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
![](\"\/blogs\/salud_publica\/wp-content\/blogs.dir\/97\/files\/1178\/o_imagen%20ni\u00f1o%20china.jpg\")
<\/SPAN><\/P> ![ni\u00f1o en un centro de salud de China<\/A><\/STRONG><\/FONT><\/EM><\/SPAN><\/P> El virus que est\u00e1 asolando China ha provocado ya 26 muertes y unos 12.000 infectados<\/SPAN><\/B> por la mal llamada fiebre aftosa humana. El enterovirus 71<\/SPAN><\/B>, que s\u00f3lo afecta a ni\u00f1os, se ha registrado ya en varias provincias y municipios chinos entre ellos Pek\u00edn, la capital, sede de los pr\u00f3ximos Juegos Ol\u00edmpicos.<\/o:p><\/SPAN><\/P> La regi\u00f3n m\u00e1s afectada del pa\u00eds es Anhui, provincia del este, en la que viv\u00edan 22 de los 26 fallecidos y casi la mitad de los afectados. Los dem\u00e1s casos se reparten entre Cant\u00f3n, con tres muertos, Zhejiang, Hebei, Jiangsu, Jiangxi, Hunan, Shaanxi, Henan y el municipio de Chingqing.<\/o:p><\/SPAN><\/P> Casi 1.000 ni\u00f1os permanecen ingresados, 48 de ellos en estado cr\u00edtico, seg\u00fan las autoridades sanitarias de la ciudad de Fuyang.<\/o:p><\/SPAN><\/P> En cuanto a la capital, hasta ayer se hab\u00edan contabilizado 1.482 contagios, 818 de ellos en guarder\u00edas, algunas de las cuales han cerrado sus puertas. Seg\u00fan los expertos, el aumento dr\u00e1stico de las cifras de afectados se debe principalmente a la orden emitida el pasado viernes por el Ministerio de Sanidad chino de comunicar todos los casos de esta infecci\u00f3n.<\/o:p><\/SPAN><\/B><\/SPAN><\/P> <\/o:p><\/SPAN><\/B><\/P> Enfermedad Mano-pie-boca<\/o:p><\/SPAN><\/B><\/P> Esta enfermedad est\u00e1 causada por el EV-71 (enterovirus 71) y por otro tipo de pat\u00f3genos llamados virus Coxsackie.<\/SPAN><\/B> Aunque muchos la han denominado fiebre aftosa humana, los expertos consultados por elmundo.es coinciden en que esta denominaci\u00f3n no es correcta, ya que no tiene nada que ver con la fiebre aftosa que afecta a los animales, que adem\u00e1s recibe el apelativo de enfermedad boca-pie, pero cuyos agentes pat\u00f3genos son distintos a los del brote en China.<\/o:p><\/SPAN><\/P> La infecci\u00f3n aparecida en China se denomina m\u00e1s correctamente enfermedad mano-pie-boca, seg\u00fan ha explicado a elmundo.es Rogelio L\u00f3pez-V\u00e9lez. Suele comenzar con fiebre baja y despu\u00e9s aparecen \u00falceras (aftas) en la boca y llagas en manos y pies.<\/o:p><\/SPAN><\/B><\/P> Se trata de una viriasis leve que sufren ni\u00f1os de dos a seis a\u00f1os<\/SPAN><\/B> entre los que el virus se extiende r\u00e1pidamente. El tratamiento es exclusivamente sintom\u00e1tico y los pacientes, al cabo de tres o cinco d\u00edas, se recuperan sin problema.<\/SPAN><\/B><\/o:p><\/SPAN><\/P> \u00abS\u00f3lo en una peque\u00f1a proporci\u00f3n de los casos se dan complicaciones, como meningitis u otras afectaciones del sistema nervioso central<\/SPAN><\/B>. En el brote de China ha ocurrido lo mismo, lo que ocurre es que la gran extensi\u00f3n que ha tenido en esta ocasi\u00f3n da lugar en t\u00e9rminos estad\u00edsticos un gran n\u00famero de ni\u00f1os fallecidos\u00bb, explica Antoni Trilla, m\u00e9dico epidemi\u00f3logo del Hospital Cl\u00ednic de Barcelona.<\/o:p><\/SPAN><\/P> El EV-71 est\u00e1 presente a lo largo y ancho del globo terr\u00e1queo y suele aflorar a principios del verano y del oto\u00f1o. \u00abSe transmite a trav\u00e9s de las mucosidades, la saliva o las manos sucias\u00bb<\/SPAN><\/B>.<\/o:p><\/SPAN><\/P> Frente a esta infecci\u00f3n no existe ninguna terapia preventiva<\/SPAN><\/B>, la \u00fanica medida que Antoni Trilla aconseja tomar a quienes acudan a este pa\u00eds es mantener una higiene adecuada.<\/SPAN><\/B><\/o:p><\/SPAN><\/P> <\/o:p><\/SPAN><\/P> <\/o:p><\/SPAN><\/P> En Terradayly nos informan: <\/SPAN><\/B>Virus kills 25 in China, WHO says no cover-up<\/FONT><\/SPAN><\/A><\/SPAN><\/B><\/o:p><\/SPAN><\/B><\/P> The World Health Organisation on Sunday dismissed claims that local authorities in China<\/st1:place><\/st1:country-region> had covered up the outbreak of an intestinal virus, as the death toll rose to 25. <\/o:p><\/SPAN><\/P> The virus, known as Enterovirus 71 or EV71, has already killed 22 children in the eastern province of Anhui and three others in southern Guangdong province, the state-run Xinhua news agency reported late Sunday. <\/o:p><\/SPAN><\/P> A total of 622 new cases were recorded in Anhui on Saturday alone, Xinhua quoted provincial health authorities as saying, raising the number of children infected there to more than 5,150. <\/o:p><\/SPAN><\/P> Dozens of other EV71 cases have been confirmed in at least four other Chinese provinces, while hundreds of children with symptoms of hand, foot and mouth disease were being tested for the virus, the report said. <\/o:p><\/SPAN><\/P> EV71, which can cause hand, foot and mouth disease, is highly contagious and spread through direct contact with the mucus, saliva or faeces of an infected person. Young children are most susceptible because of lower immune systems. <\/o:p><\/FONT><\/STRONG><\/SPAN><\/P> But the WHO’s China representative, Hans Troedsson, dismissed claims by Chinese media that local authorities in Anhui had tried to cover up the initial stages of the outbreak. <\/o:p><\/SPAN><\/P> \u00abThe reason why there was a delay in the reporting at the provincial level was that they didn’t know what the causes for these different cases were,\u00bb he said. <\/o:p><\/SPAN><\/P> The disease — which begins with fever, blisters, mouth ulcers and rashes — has spread in Anhui since early March, but the first reports about the epidemic only surfaced last week on Xinhua. <\/o:p><\/STRONG><\/FONT><\/SPAN><\/P> This led to accusations by Chinese press of a cover-up by local authorities — claims the authorities deny. <\/o:p><\/SPAN><\/P> Troedsson said the symptoms typically associated with hand, foot and mouth disease, caused by EV71, were absent — explaining the slow official reaction to the epidemic. <\/o:p><\/SPAN><\/P> \u00abThose severe cases did not have the typical symptoms of the disease. They didn’t have blisters and rashes on the hands, feet and buttocks,\u00bb he said. <\/o:p><\/SPAN><\/P> The WHO expert said it was unclear whether the outbreak of the disease, which has been seen before in China and other countries, had already peaked, or if the worst was yet to come. <\/o:p><\/SPAN><\/P> \u00abThe concern would be if we saw a continuous peak of the disease. At the same time, where I am cautiously positive is that we now know what is causing this outbreak, and that the government has taken action,\u00bb he said. <\/o:p><\/SPAN><\/P> He said China’s disease surveillance system had improved over the last few years, but still needed to be strengthened. <\/o:p><\/SPAN><\/P> \u00abWhere there still maybe needs some work to be done is to strengthen the reporting from the provinces up to the national level,\u00bb Troedsson said. <\/o:p><\/SPAN><\/P> <\/o:p><\/SPAN> <\/P> Consuelo Ib\u00e1\u00f1ez Mart\u00ed m\u00e9dico salubrista<\/o:p><\/SPAN><\/I><\/B><\/P><\/o:p><\/SPAN><\/p>\n","protected":false},"excerpt":{"rendered":"Estos d\u00edas los peri\u00f3dicos informan puntualmente de la evoluci\u00f3n de un brote, que en un primer momento defin\u00edan como \u201cfiebre aftosa humana\u201d, pero que realmente no tiene nada que ver con ella. Es la llamada Enfermedad Mano-pie-boca, enfermedad de la que ya hablaremos m\u00e1s extensamente.<\/p>\n","protected":false},"author":74,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[667,676,665,692],"tags":[],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":4}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/91172"}],"collection":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/users\/74"}],"replies":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/comments?post=91172"}],"version-history":[{"count":0,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/91172\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/media?parent=91172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/categories?post=91172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/tags?post=91172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}](\"http:\/\/file.shanghaidaily.com\/News\/Image\/\/2008\/2008-05\/2008-05-06\/20080506_358468_01.jpg){kind=link}