Download HONG KONG—A Chinese health expert has suggested that hand

HONG KONG—A Chinese health expert has suggested that hand, foot, and
mouth disease could spread further in China, despite government
assurances that all measures were in place to stop the highly contagious
disease.
“We have taken all the necessary measures to control this disease,” Qi
Xiaoqiu, director of the Disease Control Bureau at China’s Ministry of
Health, said.
“Of course there is a likelihood that there will be further developments,
because we are in the most infectious season. And the virus has mutated
somewhat in recent years," Qi said in an interview.
Qi also said local health authorities lacked expertise.
“We have to ask why we get this disease occurring in the same place every
year. It's not easy to diagnose it at the local level—you need the help
of an epidemiologist—and they lack such resources.”
China's health minister on Wednesday dismissed reports in China’s
official media of a cover-up but acknowledged problems exist in systems
for reporting health threats.
Poor systems
Health Minister Chen Zhu on Wednesday blamed low-quality medical systems
for the inability to spot some health threats.
The state-run Xinhua news agency said that as of Friday, officials had
reported 41,846 cases of hand, foot, and mouth disease, which breaks out
early each year in China.
Last year's toll was unusually high, with 128 deaths reported through the
first 11 months of 2008.
The health ministry said 94 percent of those suffering from the disease
in this year's outbreak were under three years of age.
“Effective teams need to be dispatched as soon as the disease is detected
to confirm exactly what it is, and the source of the infection,” Fang
Guodong, an expert who advises the U.S. Food and Drug Administration,
said in an interview.
“As soon as you know that, then you must take the appropriate measures
immediately to insure that children, who succumb most easily to
infection, don't get the opportunity. Third, you need to administer
effective treatment to children who are already infected, or whom you
suspect may already be infected.”
In a statement, the Heze municipal government in China’s eastern Shandong
province said emergency health teams from the Health Ministry in Beijing
would be working in more than 600 villages around the city, as hand,
foot, and mouth disease is most virulent in spring.
The government was taking every possible measure to ensure the disease
spread no further, it said.
Symptoms of hand, foot, and mouth disease include fever and sores. It can
be fatal in children because of their less-developed immune systems.
Lu Jun, an adviser to the non-government health charity Yirenping Center,
said the main factor behind the hand, foot, and mouth epidemic was a bid
by local officials to cover up the extent of the problem.
“Some of the children died because they were left untreated, but the
government wouldn't enter their deaths into the official report. There
was nothing to be done about it,” he said.
Conflicting pressures
AIDS activist Wan Yanhai said Chinese authorities faced conflicting
pressures.
“On the one hand, the government understands that any information
regarding infectious diseases should be made openly available, but on the
other they are afraid of causing panic,” Wan said.
“Local officials are afraid that such a disease will affect their
performance statistics.”
Wan said China still lacked a culture of political accountability for the
management of public health threats.
Original reporting by Tang Qiwei for RFA’s Mandarin service. Mandarin
service director: Jennifer Chou. Translated by Luisetta Mudie. Written
and produced in English by Sarah Jackson-Han.