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Saturday, February 4, 2023

Spain will stop surveillance of hepatitis of unknown origin in children as there is no increase in cases

01/02/2023 at 15:02

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Health has reported 61 cases since the United Kingdom detected 10 cases of severe acute hepatitis of unknown cause in children.

The Ministry of Health has informed about this “Now there will be no routine monitoring of cases hepatitis of unknown origin in children, since, in Spain “a common cause has not been found, nor has a higher than expected increase been observed”; However they clarify that “the study of the associated etiology will continue to be an area of ​​research”.

“In Spain, from the 17th week of 2022, trends are stable without observing any escalation or any other relevant event in relation to this alert detected in the United Kingdom,” they emphasize.

Last is stored like this disease data report in spain, WHEREAS it is detailed that, as of December 23, 2022, 61 cases of hepatitis of unknown origin in children have been detected in this country, which means two more cases than those reported in the previous report (59); More cases have been released. Last 14 November.

detected by CCAA 4 cases in Andalusia; 1 in Aragon; 8 in the Balearic Islands (there were 7 in November); 2 in the Valencian Community; 1 in the Canary Islands; 3 in Castilla y León; 3 in Castile-La Macha; 9 in Catalonia; 6 in Galicia; 18 in Madrid; 5 in Murcia (there were 4 in November) and 1 in the Basque Country.

Of 61, 49 of them aged 10 years or less. The mean age of the cases under investigation was 5.4 years (standard deviation 5.0 years) and the median age was 4 years (range 0 months–16 years). By gender, 36 cases were girls (59%) and 25 were boys (41%), with a higher proportion of girls, especially in the 0 to 5 year group.

No epidemiologically linked cases have been detected and the cases under investigation are residents of 12 CCAA. As noted in both this report and the November report, three cases underwent transplantation, two of them died post-transplant, while the third transplant patient had a favorable evolution. In addition, there was a third death that had not been transplanted.

At the National Center for Autonomous Communities and MicrobiologyMicrobiological and metagenomic investigations and detected 11 positive cases for herpes virus and 18 out of 42 analyzed (42.8%) were positive for adenovirus.

The main reason is around hypothesis iadenovirus infectionSignificantly associated with cases in the United Kingdom and a significant percentage of cases detected in the rest of the world.

In cases where information about symptoms is available, the most commonly reported were: Vomiting (35 cases; 60 of those who were aware of this symptom), malaise (34 cases; 65%), fever (33 cases; 60%), jaundice (26 cases; 48%), and abdominal pain ( 26 cases); 46%). Diarrhea was reported in 18 cases (33%), respiratory symptoms in 17 cases (32%), and rash in 11 cases (22%).

On April 5, 2022, the United Kingdom notified the World Health Organization The alert has been issued after 10 cases of severe acute hepatitis of unknown cause were detected in children. In Spain, monitoring of this unit began from that moment on. As of 24 November, 572 cases had been reported in 22 countries in Europe, of which 280 were from the United Kingdom. Of the 320 cases for which this information is available, 24 (7.5%) had a liver transplant.

World Nation News Desk
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