TAILIEUCHUNG - EnTEric anD DiarrHEal DiSEaSES

Anhui is an inland province located in the central part of Southeastern China. Fuyang City is located in the Northwest region of Anhui Province and has a total population of million. The city covers a total area of 9,700 km2 with one of the highest population densities in Mainland China (1,000 per square km). In Fuyang City, from March 1 to May 9, there have been 6,049 reported cases of HFMD of which 353 were severe and 22 were fatal (case fatality rate ). Retrospective case-finding identified 302 cases that occurred between March 1 and April. | BILL MELINDA Gates foundation ENTERIC AND DIARRHEAL DISEASES STRATEGY OVERVIEW OUR MISSION Guided by the belief that all lives have equal value the Bill Melinda Gates Foundation works to help all people lead healthy productive lives. Our Global Health Program supports this mission by harnessing advances in science and technology to save lives in poor countries. We focus on problems that have a major impact on people in the developing world but get too little attention and funding. Where proven tools exist we support sustainable ways to improve their delivery. Where they don t we invest in research and development of new interventions such as vaccines drugs and diagnostics. Our financial resources while significant represent a very small fraction of the overall funding needed to improve global health on a large scale. We therefore advocate for the policies and resources needed to provide people with greater access to health solutions. Strong partnerships are also essential to our success in making a difference and saving lives. THE OPPORTUNITY Diarrheal deaths have steadily dropped over the last 30 years due to advances in water and sanitation per-capita income antibiotics and vaccines. Though these improvements have largely been seen in developed countries the opportunity to prevent and treat enteric diseases in the developing world is greater than ever. Today there are established low-cost interventions such as oral rehydration therapy breastfeeding and good hygiene and new tools such as zinc therapy. Most promising there are now safe and effective vaccines for rotavirus cholera and typhoid. Unfortunately diarrheal diseases remain the second-leading cause of child death worldwide killing nearly million children annually and causing the hospitalization of Enteric and diarrheal diseases include infectious diarrhea and non-diarrheal enteric diseases such as typhoid Salmonella typhi Salmonella paratyphi hepatitis A and E geohelminths worms and a host of

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