Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam

How to cite: Duy, N. N.; Huong, L. T. T.; Ravel, P.; Huong, L. T. S.; Dwivedi, A.; Kister, G.; Gavotte, L.; Devaux, C. A.; Thien, V. D.; Thanh, N. T. H.; Duong, T. N.; Hien Nguyen, T.; Cornillot, E.; Frutos, R. Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam. Preprints 2024, 2024070817. https://doi.org/10.20944/preprints202407.0817.v1 Duy, N. N.; Huong, L. T. T.; Ravel, P.; Huong, L. T. S.; Dwivedi, A.; Kister, G.; Gavotte, L.; Devaux, C. A.; Thien, V. D.; Thanh, N. T. H.; Duong, T. N.; Hien Nguyen, T.; Cornillot, E.; Frutos, R. Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam. Preprints 2024, 2024070817. https://doi.org/10.20944/preprints202407.0817.v1

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MDPI and ACS Style

Duy, N. N.; Huong, L. T. T.; Ravel, P.; Huong, L. T. S.; Dwivedi, A.; Kister, G.; Gavotte, L.; Devaux, C. A.; Thien, V. D.; Thanh, N. T. H.; Duong, T. N.; Hien Nguyen, T.; Cornillot, E.; Frutos, R. Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam. Preprints 2024, 2024070817. https://doi.org/10.20944/preprints202407.0817.v1

APA Style

Duy, N. N., Huong, L. T. T., Ravel, P., Huong, L. T. S., Dwivedi, A., Kister, G., Gavotte, L., Devaux, C. A., Thien, V. D., Thanh, N. T. H., Duong, T. N., Hien Nguyen, T., Cornillot, E., & Frutos, R. (2024). Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam. Preprints. https://doi.org/10.20944/preprints202407.0817.v1

Chicago/Turabian Style

Duy, N. N., Emmanuel Cornillot and Roger Frutos. 2024 "Monitoring Influence of Hand, Foot and Mouth Disease New Guidelines on Patients Care during the 2011–2012 Multiwaves and Multivariants Outbreak in Hai Phong City, Vietnam" Preprints. https://doi.org/10.20944/preprints202407.0817.v1

Abstract

In 2011-2012, 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 therefore used as a model to analyze the impact of the guidelines release. 9621 HFMD cases were reported in Hai Phong city from April 2011 to December 2012. Three distinct waves of HFMD occurred. Enterovirus A71 and Coxackievirus A16 were successively associated to the epidemics. Two periods, before and after guidelines realease, could be distinguished which were characterized by different patient patterns Time to admission and severity changed notably. Guideline publication help the health system refocusing on the 0.5-3 years age group with highest incidence of the disease. The three waves showed different special distribution but main routes of infection were rivers and local secondary roads most likely through local trade and occupational movements of people.

Keywords

HFMD; Enterovirus; Coxakievirus; EV-A71; CV-A6; CV-A16; Hai Phong; Vietnam

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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