A study in BMCPublicHealth finds that after the implementation of preventive measures, the incidence of enterovirus A71 and fatalities in Taiwan decreased significantly from 1998 to 2020. Surveillance and control policies are still needed in the future.
]. Taiwan established multiple diseases surveillance systems for enteroviruses and a medical network for managing children with enterovirus infections with severe complications after the first large EV A71 outbreak in 1998. Several preventive measures, including suspension of classes, patient isolation, and public health education, have been promoted in Taiwan.
There is a viral laboratory surveillance system that includes a contract laboratory for viral isolation and a laboratory automated reporting system. The Taiwan CDC integrated viral contract laboratories in March 1999 for enterovirus isolation, contributing to the understanding of serotype distribution and epidemic changes in enterovirus in the community. The laboratory automated reporting system was established to collect more real-time data in 2013.
To prevent transmission and clusters in preschool educational institutions, children must stay at home for one to 2 weeks if they have HFMD or herpangina. Taiwan also implemented isolation measures such as droplet and contact isolation in medical institutions to prevent nosocomial infections if the patients were hospitalized.
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