Emerging disease surveillance and response

Hand, Foot and Mouth Disease (HFMD)

Situation Updates (9 September 2014)

This surveillance summary includes countries where transmission of Hand, Foot, and Mouth disease occurs and there is regular periodic reporting of case numbers.

North Hemisphere

China monthly trend from May to July 2014 has decreased (Figure 1). As per 7 July 2014:
• Cumulative cases reported 2014: 321,477
• Cumulative deaths reported 2014: 73

Japan continues to experience a seasonal trend in HFMD cases similar to 2012, which is significantly lower than that experienced in 2013 (Figure 2).
• Cumulative cases reported 2014: 43,125
• Cumulative deaths reported 2014: NA
• Cases reported in the latest reporting period: 3,244

Countries in the tropical zone

Hong Kong (China) Hong Kong the current situation is part of the seasonal trend. This is significantly lower compared with number of cases in the same period for 2013. (Graph 3), As of 21 August:
• Cumulative cases reported 2014: 260
• Cumulative deaths reported 2014: NA
• Cases reported in the latest reporting period: 5

Macao (China) has seen a sharp decline in HFMD cases since May. The number of new HFMD cases continued its downtrend till week 32 where there was slight increase in number of cases reported. (Graph 4)
• Cumulative cases reported 2014: 2,394
• Cumulative deaths reported 2014: NA
• Cases reported in the latest reporting period: 141

Singaporecontinues to experience a seasonal trend in HFMD cases. However, the numbers of cases during recent weeks is lower than 2013 (Graph 5). As of 23 August 2014,
• Cumulative cases reported 2014: 14,925
• Cumulative deaths reported 2014: NA
• Cases reported in the latest reporting period: 523


Mekong area

Trend of HFMD cases in Vietnam, follows a seasonal pattern similar to 2013. The number of reported cases during last 2 weeks was slightly lower compare to cases reported in 2013 (Graph 6). As of 1 September 2014:
• Cumulative cases reported 2014: 49,767
• Cumulative deaths reported 2014: 5
• Cases reported in the latest reporting period: 1,446

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