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13 July 2012 – The ysis into the illnesses and deaths in Cambodia, which mainly afflicted actual adolescent children, assured that a astringent anatomy of hand, bottom and aperture ache (HFMD) was the account in the majority of cases appear to the Ministry of Health.

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Samples from a absolute of 31 patients were acquired and activated for a cardinal of bacilli by Institut Pasteur du Cambodge. Best of these samples activated absolute for enterovirus 71 (EV-71) which causes HFMD. A baby admeasurement of samples additionally activated absolute for added bacilli including Haemophilus Influenzae blazon B and Streptococcus suis. It was not accessible to ysis all the patients as some of them died afore adapted samples could be taken.

The ysis included:

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A absolute of 78 cases were identified. These included the antecedent 62 cases appear by Kantha Bopha hospital, and cases appear from added hospitals. Of these, the ysis focused on 61 cases that adapted a specific belief (the case definition), and of which 54 had died.

The ysis appear that best of the cases were beneath 3 years of age, from 14 altered provinces, with some adversity from abiding conditions. A cogent cardinal of cases had been advised with steroids at some point during their illness. Steroid use has been apparent to aggravate the action of patients with EV-71.

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The Ministry of Health, with abutment from WHO and partners, which included Institut Pasteur du Cambodge and the US Centers for Ache Control and Prevention, conducted the ysis afterward letters from Kantha Bopha Children’s hospital of abnormal numbers of affliction and deaths amid accouchement hospitalised back April 2012.

In acknowledgment to this event, bloom centers accept been instructed by the Ministry of Bloom to address all patients with HFMD. In addition, the Ministry of Health, assisted by WHO, has amorphous added surveillance for neuro-respiratory syndrome, a key affection empiric amid patients with astringent HFMD acquired by EV-71. It is accepted that the added surveillance will yze casual new cases of the astringent anatomy of the ache in the advancing months.

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In addition, the Ministry of Bloom is developing guidelines and training courses for agents to administer patients with balmy and astringent forms of HFMD. A attack to accession acquaintance on the prevention, identification and affliction of accouchement with HFMD is underway.

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