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October 4, 2000

Hand, Foot and Mouth Disease Prompts Singapore Playground Closure


SINGAPORE (Reuters) - Singapore widened its closure of child play areas from Monday after two children's deaths were suspected to be related to Hand, Foot and Mouth Disease (HFMD), the environment ministry said on Sunday.

The government said on Sunday that fast-food restaurants must shut their children's play areas and said public and private wading pools should be closed. On Saturday it said kindergartens and childcare centers must shut.

It said all schools, including foreign system schools, that cater to children aged five and below are to suspend classes.

An Environment Ministry official told Reuters the closure would be for at least seven to 10 days.

``We are taking these precautionary measures to break the chain of transmission,'' the ministry said in a statement.

HFMD can be spread through contact with nasal discharge, saliva, feces and fluid from blisters, and indirect contact with items used by an infected individual.

Two children, a brother and sister aged two and 14 died on Saturday, after being admitted to a local hospital on Thursday exhibiting fever, rash and vomiting. A five-year-old brother was also admitted and remained in hospital in stable condition.

The government has classified HFMD as a legally notifiable disease from Sunday which means physicians must report all new cases to the authorities. Since September 12 there have been 363 reported cases believed linked to the disease in Singapore, a ministry spokeswoman said.

The government said the average weekly cases of HFMD cases number doubled this year (up to mid-September) to 58 from 27 and 26 in 1999 and 1998, respectively.

 

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