Saturday, September 8, 2012

Lindsay Chase blog 2: Cambodian outbreak tests International Health Regulations

http://www.lancet.com/journals/laninf/article/PIIS1473-3099(12)70178-0/fulltext

In Cambodia an outbreak occurs of an unknown fatal illness that has killed around 60 children within the past three months. This event shows that International Health Regulations need to be implemented more and stronger than they have been, but also that they do some what function. The effected children varied in age between three months to eleven years old. With most of them being younger than three years old. Eventually the Ministry of Health in Cambodia Notified WHO when the outbreak fit the criteria for the IHR. It fit the notification of "any event where the uderlying agent of disease or mode of transmission is not formally identified." The ministry of health began working with many programs including the US center for disease control and prevention. There was limited samples available for testing but the twenty-four samples available showed that the children were positive for the entrovirus71. The disease is know as HFMD, meaning hand foot and mouth disease. It is limited to mainly children who have blisters and ulcers but sometimes can have neurological and respitory systems, and occasionally resulting in death. Many deaths all over the world have been reported thanks to the entrovirus71. If the cause of this disease is found then they will consider it a success for the IHR. Thanks to this outbreak many countries are now required to develop and to have a set of public health capacities. Many countries have not set any new regulations, perhaps because of the the strian economically on budgets. There are many capacities required for countries to fit in the IHR. Some are national legislation, ploicy, financing, preparedness, and etc.

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