TAILIEUCHUNG - OUTBREAK OF HAND, FOOT AND MOUTH DISEASE IN BHUBANESWAR, ODISHA: EPIDEMIOLOGY AND CLINICAL FEATURES

The United States is pursuing a comprehensive, whole-of-government approach to global health through the Global Health Initiative (GHI). GHI seeks to achieve significant health improvements and foster sustainable effective, efficient and country-led public health programs that deliver essential health care. Through GHI the Obama Administration is committed to improving and saving lives by strengthening health systems. To achieve maximum impact, GHI has a special focus on improving the health of women, newborns and children by combating infectious disease, delivering clean water, and focusing on nutrition and maternal, newborn, and child health. GHI aims to make the most. | RESEARCH PAPER OUTBREAK OF HAND FOOT AND MOUTH DISEASE IN BHUBANESWAR ODISHA EPIDEMIOLOGY AND CLINICAL FEATURES BIKASH Ranjan Kar Bhagirathi Dwibedi and Shantanu Kumar Kar Hospital and From the Department of Dermatology Institute of Medical Scie RegionalMedical Research Centre Bhu Correspondence to Dr Bhagirathi Dwibedi Scientist C Regional Medical Research Centre Chandrasekhar Pur Bhubane ar 751 023 Odisha India Received July 22 eview August 29 2011 Accepted March 29 2012. PII S097475591100618 - 1 INDIAN Pediatrics June 10 2012 E-PUB ahead of print KAR et al. HAND Foot and Mouth Disease Abstract Objective To describe the epidemiology and clinical features of cases in a outbreak of Hand Foot and Mouth Disease HFMD Design Descriptive epidemiological study Setting Hospitals and community in urban areas of Bhubaneswar city Odisha. Methods Upon clinical suspicion of the first case as HFMD local pediatricians and dermatologists were sensitized for case referral to Dermatology department of Institute of Medical Science and sum hospital IMS SH for evaluation and follow up. Community survey was undertaken by household visit by the team from Regional Medical Research Centre Bhubaneswar in an outbreak area through hospital case tracing. Blood samples were tested for haematological counts and RT PCR assay done in a subset of samples for confirmation. Results Seventy eight cases of HFMD were detected between September 7 and November 6 2009. Mean age SD was years range 4 mo - 31 yrs and both sexes were equally affected. Fever and rash were the most common presenting symptoms with the rash distributed mostly over buttocks knees both surfaces of hands and oral mucosa . Lesions healed in 7 - 15 Mean SD days. Recovery was complete with minimal supportive treatment but nail shedding was noted in three children within 4- 5 weeks. CA16 was confirmed as the viral agent. Conclusion Children 5-14 yrs were majorly affected and complete recovery without .

• Sức khỏe trẻ em
• sales restrictions
• between heterogeneity
• Allergen Bioinformatics
• Recent Trends
• Developments
• Family Based Studies
• versus non Internet
• Manufacturing
• Mechanical Improvement
• Ramie Woven
• Reinforced Starch
• Pricing Functional
• Optimal Portfolios
• Equilibrium Pricing
• Diagrammatic Representation
• Contingent Claims