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Another Country - Unidentified Children Mystery Illness 
By Patty Doyle
12-12-10
 
Hello Jeff -- So far we saw Uganda begin a mystery illness that began in children, Egypt has also had an unidentified mystery disease, more flu-like, and now Fiji has a disease that sounds a lot like Hand Foot and Mouth Disease yet has not been confirmed.
 
Egypt has not ruled out Avian Flu or Swine Flu. It will be interesting to see what Fiji test results show.  
 
Patty
 
******
 
Date: Fri 10 Dec 2010
Source: Radio Fiji, FBS [edited]
http://www.radiofiji.com.fj/fullstory.php?id=32903
 
 
Mystery Illness Attacks Children
 
A mystery illness targeting children has prompted the Health Ministry to warn parents and guardians to be extra careful and seek medical help if their children are sick. The viral infection which has hospitalised up to 30 children per month since October this year [2010] shows similar symptoms to chicken pox and scabies.
 
According to the Health Ministry, children generally get high fever, rashes or blisters on the palm of their hands, soles of their feet and around the mouth, with seizures in severe cases. Health spokesperson Peni Namotu says the illness is spread from person to person through direct contact. "Viral illness can be mistaken for chicken pox or scabies but parents need to seek medical attention if their children experience high fever with the peculiar rash especially if seizures or fits occur." Namotu is advising the general public to take preventative measures and visit the nearest health centre if any of the symptoms present themselves.
 
By Shereel Patel
 
-- Communicated by Thomas James Allen <mailto:tjallen@pipeline.com>tjallen@pipeline.com
 
****** [2] Date: Sat 11 Dec 2010 Source: The Fiji Times online [edited] <http://www.fijitimes.com/story.aspx?id=161680>http://www.fijitimes.com/story.aspx?id=161680
 
Malaga [?] illness
 
---------------
 
Mr Namotu [Health Spokesperson] said one or 2 days after the fever onset, "painful sores develop in the mouth as small red spots that blister and often become ulcers." He said the sores were usually located on the tongue, gums, and inside of the cheeks accompanied by a non-itchy skin rash. "The rash has flat or raised red spots, sometimes with blisters and is usually located on the palms of the hands and soles of the feet, the buttocks and/or genitalia. There may only be a rash on the mouth in some cases," he said.
 
Symptoms of the illness could be mistaken for chicken pox and scabies and parents are urged to seek medical attention if their children suffer high fever, a peculiar rash and seizures. Communicable Diseases national adviser, Dr Eric Rafai, said he did not know how serious the illness was as they were awaiting test results. The World Health Organisation offered to help pay for the transporting and testing of the virus at one of its reference laboratories in Melbourne [Australia].
 
"Experts suspect it is spread from person to person by direct contact. The virus is found in the nose and throat secretions, saliva, blister fluid, and stool of infected persons and is most often spread by persons with unwashed, virus-contaminated hands and by contact with virus-contaminated surfaces," he said.
 
Increased fluid intake is recommended to prevent dehydration including proper hygiene practices and isolation of victims to lower
 
infection risks.
 
--
 
Communicated by Thomas James Allen <mailto:tjallen@pipeline.com>tjallen@pipeline.com
 
[The symptoms of this so far undiagnosed illness resemble closely those associated with hand, foot and mouth disease (HFMD). HFMD is a common illness of infants and children. It is characterised by fever, sores in the mouth, and a rash with blisters. HFMD begins with a mild fever, poor appetite, malaise and frequently a sore throat. One or 2 days after the fever begins, painful sores develop in the mouth. They begin as small red spots that blister and then often become ulcers. They are usually located on the tongue, gums, and inside of the cheeks. The skin rash develops over 1 to 2 days with flat or raised red spots, some with blisters.
 
HFMD may be caused by several different enteroviruses, coxsackievirus A16 being one of the most common. Rarely, a child with coxsackievirus A16 infection may also develop aseptic meningitis, in which the child has fever, headache, stiff neck, or back pain, and may need to be hospitalized for a few days. Over the past few years enterovirus 71 (EV71) has been the predominant cause of HFMD in several South-east Asian countries. EV71 may also cause viral meningitis and, rarely, more serious diseases, such as encephalitis, or a poliomyelitis-like paralysis. EV71 encephalitis may be fatal.
 
HFMD occurs mainly in children under 10 years old, but may also occur in non-immune adults. Everyone is at risk of infection, but not everyone who is infected becomes ill. Infants, children, and adolescents are more likely to be susceptible to infection and illness from these viruses, because they are less likely than adults to be immune from previous exposures to them. Specific prevention for HFMD or other non-polio enterovirus infections is not available, but the risk of infection can be lowered by good hygienic practices.
 
The outcome of the diagnostic testing at the WHO reference laboratory in Melbourne is awaited.
 
The HealthMap/ProMED-mail interactive map of Fiji can is available at: <http://healthmap.org/r/0iMw>http://healthmap.org/r/0iMw . - Mod.CP
  
 
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