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Wednesday, April 23, 2014         

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Potent form of common child illness deadly in Asia

By Margie Mason

AP Medical Writer

POSTED:


HANOI, Vietnam >> Tran Minh Giang has spent more than a third of his young life in a Vietnamese hospital, and it could be many months more before he can go home. All for a disease that in Asia is as common as chicken pox, and usually about as severe.

The 20-month-old boy was sickened by a particularly menacing form of hand, foot and mouth disease that has killed hundreds of young children across the region. They sometimes suffer high fever, brain swelling, paralysis and respiratory shutdown, even though they may have been infected by people with few or no symptoms.

When the strain hit Cambodia recently, doctors there had no idea what it was, and even now experts don't fully understand why it can be so devastating. Seven months after becoming sick, Giang still breathes using a ventilator connected to a hole in his tiny throat.

"It may take time, maybe years, before he can recover. When he sleeps, his lungs don't work," his father, Tran Nam Trung, said Thursday while fanning the toddler. "When he first got a high fever, I didn't think that he would be in a situation like this."

The enterovirus 71 strain, or EV-71, raised fears earlier this week when it was detected in some lab samples taken after 52 of 59 Cambodian children died suddenly from a mystery illness that sparked international alarm. The World Health Organization said via Twitter on Thursday that its investigation has found most cases were caused by the disease.

An expert at the U.N. health agency earlier said it's the first time EV-71 had been identified in the country, but it's a well-known pathogen elsewhere in Asia. In the first half of this year alone, 356 people in China and 33 in Vietnam have died from it.







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