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      Human enterovirus 71 and hand, foot and mouth disease.

      Epidemiology and Infection
      Asia, epidemiology, Disease Outbreaks, Enterovirus A, Human, genetics, pathogenicity, physiology, Hand, Foot and Mouth Disease, virology, Humans, Pacific Islands

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          Abstract

          Hand, foot and mouth disease (HFMD) is generally a benign febrile exanthematous childhood disease caused by human enteroviruses. The route of transmission is postulated to be faeco-oral in developing areas but attributed more to respiratory droplet in developed areas. Transmission is facilitated by the prolonged environmental survival of these viruses and their greater resistance to biocides. Serious outbreaks with neurological and cardiopulmonary complications caused by human enterovirus 71 (HEV-71) seem to be commoner in the Asian Pacific region than elsewhere in the world. This geographical predilection is unexplained but could be related to the frequency of intra- and inter-typic genetic recombinations of the virus, the host populations' genetic predisposition, environmental hygiene, and standard of healthcare. Vaccine development could be hampered by the general mildness of the illness and rapid genetic evolution of the virus. Antivirals are not readily available; the role of intravenous immunoglobulin in the treatment of serious complications should be investigated. Monitoring of this disease and its epidemiology in the densely populated Asia Pacific epicentre is important for the detection of emerging epidemics due to enteroviruses.

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          Author and article information

          Journal
          20056019
          10.1017/S0950268809991555

          Chemistry
          Asia,epidemiology,Disease Outbreaks,Enterovirus A, Human,genetics,pathogenicity,physiology,Hand, Foot and Mouth Disease,virology,Humans,Pacific Islands

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