The average age of patients with the Coxsackie virus in Turkey is 3 years and 7 months, the laboratory of molecular diagnostics and epidemiology of intestinal infections of the Central Research Institute of Epidemiology Alexander Podkolzin. The sick child is a nine-month-old child who arrived with his parents from Turkey, where the family was on vacation.
Coxsackie is a group of enteroviruses that are one of the reasons for the development of meningitis. Infection with the virus, as a rule, occurs through water, contaminated food and household items, but airborne transmission is also possible, and therefore, during outbreaks of the disease in tourist places, it is not recommended to visit, for example, common pools.
During the disease, the functioning of the intestines is disrupted, diarrhea appears, general intoxication, sometimes the disease is accompanied by flaccid paralysis, damage to the meninges.
The Turkish authorities do not recognize that the Coxsackie virus epidemic is raging on the territory of the state. However, they treat every vacationer with trepidation, so with gladly accepted assistance from the Russian side in the struggle for purity.
Meanwhile, travel companies and government departments such as Rosturizm and Rospotrebnazdor have launched a discussion about the Coxsackie virus in Turkish resorts. According to Rospotrebnadzor, cases of the disease were reported in hotels in the cities of Side, Alanya, Belek, Kemer, Antalya and others. Most often, children under the age of 14 get sick. The hotline of the department received more than 500 complaints with complaints about deteriorating health during a vacation in Turkey.
And yet Russia is out of competition at prices for the velvet season. The cheapest ticket to Sochi is sold for 20 thousand rubles, Crimea starts at 16 thousand rubles, Anapa - from 23 thousand. At the same time, our country took second place in the ATOR autumn rating. Among the domestic resorts, the leaders are Sochi, Anapa, Gelendzhik, Yalta and Evpatoria.
The Russian Foreign Ministry is concerned about the growing number of cases of the Coxsackie virus during their holidays in Turkey.
Symptoms of the COKSAKI virus Turkey 2017 where to find out. All the latest information as of 23.08.2017
According to Popova, the Turkish government is not actively taking measures to prevent the spread of the Coxsackie virus. The head of Rospotrebnadzor added that 80% infected with the virus Russians are children. This virus is the causative agent of childhood diseases. At the same time, it is especially difficult to tolerate the disease caused by Coxsackie, namely children under the age of 14 years.
Aphthae are usually 1 to 6 mm in size, white or whitish-gray in color, with a red border around the edges. They can be very painful. The illness lasts for about a week.
This is a spontaneous disease, so whatever you prescribe, it will pass within the usual terms for it: in 3-7 days. Sometimes pediatricians foolishly prescribe antibiotics, antivirals, sorbents, antihistamines, etc. - but all this has no effect, except for the side effect, and is not recommended by modern clinical guidelines, writes Butriy.
The skin rash may resemble chickenpox (red spots / papules, and / or full watery blisters). A rash in the mouth may resemble herpetic stomatitis (it is important to distinguish them, because herpetic stomatitis is treated with acyclovir, but enterovirus is not).
The Coxsackie virus appeared in 1950, this is not a new disease that could cause panic. And yet, such an active discussion in the press makes many people postpone their vacation in Turkey.
Cyprus, Spain, Tunisia, Montenegro, Vietnam, Italy and Bulgaria are also on the list of top-selling resorts.
According to the organization, in July 2017, about 3.2 million lira VAT (about 915 thousand dollars). Of these, 2.2 million lire (572 thousand dollars) fell on the purchase of clothing. Tourists from Russia returned another 817 thousand lira (234 thousand dollars) for jewelry purchases, 61 thousand lira (17.5 thousand dollars) - for glass products.
KOKSAKI in Turkey 2017 than the Turkish vacation threatens. Latest events.
The Ministry of Health said that they have already sent out to the regions a preventive memo for the population on enterovirus infection. Infection symptoms: high fever, rash on hands, feet and face.
According to the source Federal agency news, the problem with enterovirus and Coxsackie virus appeared in hotels in Turkey at the beginning of this summer.
In the Ministry of Foreign Affairs of the Russian Federation viral infections residents of the country while on holiday in Turkey, reports TASS. The end of the disease with timely access to medical help and treatment is usually favorable.
Most often, young children become infected with the virus, in the case of the manifestation of the type A virus, they develop rashes and blisters on the palms and feet, in the nasal and oral cavitywhich makes eating difficult, high temperature and headache... The type B virus, in turn, can infect the heart and liver, cause hepatitis and myocarditis (inflammation of the heart muscle), death is not excluded, mainly in the case of meningitis or encephalitis.
The Kursk Office of Rospotrebnadzor reports that according to preliminary latest information from the Federal Service for Supervision of the Protection of Buyers' Rights and Human Wellbeing, 832 complaints were received from tourists arriving from Turkey for the deterioration of health - at least 77% victims are children. Children under 10 years of age are most ill.
Professor of the Department of Infectious Diseases and Epidemiology, Moscow State Medical University A.I. Evdokimova Irina Shestakova in an interview with correspondent of the Federal the news agency told everything that an ordinary citizen should know about Coxsackie viruses, and how they are dangerous.
We will remind that the Federal Tourism Agency and Rospotrebnadzor called the presence of residents of the Russian Federation in Antalya dangerous - the supervisory agencies received up to a thousand appeals from fellow citizens vacationing in this region.
Coxsackie virus in Turkey 2017 symptoms in children and adults treatment and prevention how not to get infected. Breaking news today 23.08.2017
Coxsackie is a group of enteroviruses that are one of the causes of meningitis. Infection with the virus, as a rule, occurs through water, contaminated food and household items, but airborne transmission is also possible, and therefore, during outbreaks of the disease in tourist places, it is not recommended to visit, for example, common pools.
Anesthesia. Nurofen (ibuprofen) or Efferalgan (paracetamol) in the first days of illness is best given in a course, every 6 hours, regardless of the height of the fever. This will relieve discomfort and dull pain when swallowing. This will generally make the child feel better.
At the very beginning of the year, 110 cases of EVI were registered in the Angara region, of which 105 were children. When treatment is started on time, the improvement of the condition occurs already on the 3-4 day, and full recovery occurs on the 7-10th day. Its first symptoms are high fever and a rash all over the body. The virus infects young children very productively when a small dose is ingested with water or food. It turned out that the media did not cover the spread of this virus at all.
Despite the rather clearly defined framework for the incubation period of the disease, domestic doctors mention a number of possible complications that should be taken into account in advance. Often, they can be more dangerous than the disease itself. For example, an infected child may suffer from damage to the lining of the brain. Other complications are flaccid paralysis, which also threaten patients.
So, the Ministry of Health requires that patients be hospitalized enterovirus infection and persons with suspected disease who have symptoms of serous meningitis, meningoencephalitis, viral encephalitis and myelitis, and in addition, patients with uveitis, hemorrhagic conjunctivitis and myocarditis. "Rospotrebnadzor has proved the legal position on the inadmissibility of withholding monetary fines and penalties from tourists upon termination or amendment of the relevant contract in cases of announcement of the presence of a threat to the safety of tourists in the state of temporary stay," the website says.
The department held a meeting with the largest tour operators working in the Turkish direction. Every year, the Coxsackie virus is isolated among the pathogens. The head of Rospotrebnadzor added that 80% of Russian citizens infected with the virus are children.
For a long time, the Coxsackie virus has been widely discussed on the Internet, which was found in some holidaymakers in Turkey. The Russians were no exception, which caused a general panic in the hearts of tourists who hastily refuse to visit Turkey.
Coxsackie virus infection in Turkey 2017 latest news. Breaking news today 23.08.2017
Posted Wed, 23/08/2017 - 07:06 by Marina TARANTSOVA
23/08/2017 - 07:06
The Coxsackie virus haunts those tourists who will travel to Turkey at the end of August or September. Families with children are especially worried about the situation with the Coxsackie virus. Is it so scary to go there today, and is it worth doing it at all? About this in the material site
What is the situation in Turkey for tourists now (end of August)?
In fact, Rospotrebnadzor a couple of weeks ago he took personal control of the Coxsackie outbreak in Turkey and controls the incidence of this infection in Russia.
As the department notes, cases of infection appear and appear. At the same time, a situation arose when the failed tourists wanted to return the vouchers, but they were denied in travel companies. Be aware that these are illegal actions on the part of agency specialists. As for the cities in which there is currently Koksaki, Rospotrebnadzor indicates the following:
"The regions most at risk of the spread of the disease have been identified - the cities of Side, Antalya, Alanya, Kemer and Belek."
In fact, there are slightly more cities where the Coxsackie virus is present. Based on the reviews of tourists who were vacationing in the Republic of Turkey in August, we have compiled an estimated list of hotels in Turkey, which currently has the Coxsackie virus and there is no talk of a decline in its outbreak.
Coxsackie virus in Turkey 2017: list of hotels
When will the Coxsackie virus outbreak in Turkey end?
It is impossible to answer this question unambiguously, since a peak situation is observed at this time. This means that over the next 2-3 weeks, new cases of the disease will still arise. Well, all the same, if you make a forecast, then the decline in infection should occur in the second half of September.
Recall that the main ways of infection of Coxsackie are two: 1) airborne; 2) contact and household. That is why you must understand how important it is to maintain basic personal hygiene and even in a more thorough manner.
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Rospotrebnadzor has tightened control - due to reports of the Coxsackie virus in Turkish resorts. The Union of Travel Industry said that the first refusals of vouchers went. But the infection had already been brought to Russia: groups of injured tourists returned home, and this whole scandal began with them.
The Russians began to contact travel agencies with a request to cancel their booked trips to Turkey due to news about the Coxsackie virus in the country.
“Agencies refuse, and on legal grounds, since there is no official confirmation of the epidemic, including from Rospotrebnadzor or Rosturizm,” said Irina Tyurina, press secretary of the Russian Union of Travel Industry (RST).
She recalled that in this case, travelers will be required to pay a penalty for canceling the tour on their own initiative. According to her, the closer the departure date, the higher the penalty will be.
“And already now those who have to travel in the coming days are facing almost a 100 percent fine,” Tyurina said.
Rospotrebnadzor last week sent a request to the Turkish health authorities about a possible outbreak of enterovirus infection, according to the website of the Russian department.
Earlier, the media wrote that the number of tourists infected with the Coxsackie virus is growing in Turkey, and dozens of vacationers were allegedly forced to interrupt their vacation ahead of schedule. Ibrahim Adjar, head of the Antalya Province Culture and Tourism Directorate, told RIA Novosti that this information is not true.
Rospotrebnadzor notes that the Turkish Ministry of Health has not yet reported on the complication of the epidemiological situation in the country. However, the Russian department sent an inquiry to Ankara about the number of cases of the disease, places of distribution and measures taken.
The situation is under the control of Rospotrebnadzor, the report emphasizes.
According to Sergey Tolchin, director of sales for the tour operator company NTK Intourist, Coxsackie's disease lives in the minds of alarmist tourists, and it is spread there by Internet hackers. “This is 100% stuffing. We have tourists there now resting, employees on vacation - not a single complaint. This is beneficial either to competitors of the direction, or to those who gather audiences at high-profile posts for their groups, ”said Sergey.
By the way, the position of the representative of "NTK Intourist" was supported by other experienced workers of the tourist business, noting that the post "Hand over the vouchers to Turkey" was circulated on the net last year. So don't get fooled, don't give up.
Rospotrebnadzor has opened an electronic hotline in connection with a possible outbreak of enterovirus infection in Turkish resorts, according to the agency's website.
“Rospotrebnadzor has sent a request to the health authorities of the Republic of Turkey about the epidemiological situation, so far no response has been provided. To assess the situation in Rospotrebnadzor, an electronic hotline has been organized, "the message says.
The agency asks to indicate in the appeal the period of stay in Turkey, the date of deterioration of health, symptoms of the disease, contact information, the place of rest and the name of the hotel, the date of return to the Russian Federation (or the intended return), the state of health after return.
Rospotrebnadzor also asks Russians to indicate whether they applied for medical care during their vacation or upon their return, the name of the tour operator and the insurance company. As the department notes, hot lines operate in the territorial bodies to receive telephone calls at the place of residence. The department emphasizes that if your health worsens during rest or upon returning to the Russian Federation, you should immediately apply for medical care, especially in case of illness of children.
Nevertheless, the very fact that there is a possibility of catching the virus in Turkey cannot be disputed. A spokesman for one of the hotels in Side, who wished to remain anonymous, confirmed that there were indeed cases of the disease in children - about three weeks ago.
“Unfortunately, we cannot monitor the guests who come to us for the presence of diseases and we see these symptoms already upon arrival to us. Were urgently accepted preventive measures: guests were invited to cheer in their rooms, where we would provide them with everything they need; Shock disinfection of all hotel pools, detailed and deep disinfection in mini-clubs, additional to standard disinfection in the hotel kitchens were urgently performed, and after the departure of guests, detailed and global disinfection was carried out in the rooms where the sick people lived, "wrote a representative of one of the Turkish hotels ...
Other hoteliers, with whom the correspondent spoke, refrained from commenting. Representative of Rixos hotels, for example, that they do not have such a problem.
From July 1 to July 10, insurance employees registered 11 complaints of tourists about a rash on the body, mainly from the Nashira hotel (Side). Note that resorts such as Belek and Kemer, hotels Starlight, Limak Limra, Papillon belvill also appear in the messages of travel agents. A HotLine.travel article on the Coxsackie problem also mentioned a hotel in Side. However, tour operators believe that these are isolated cases and do not panic.
The Coxsackie virus belongs to the causative agents of childhood infections. It is mainly manifested by impaired bowel function, diarrhea, general intoxication and a characteristic rash. The course of the infectious process is generally favorable, but there are cases of complications.
Temperature under forty, rash and dehydration - these are the main symptoms of the Coxsackie virus disease. Transmission factors include water, vegetables, dirty hands, toys. The virus is also transmitted by airborne droplets.
The Coxsackie virus can cause herpes sore throat, blisters all over the body and in the mouth. The virus can also cause inflammation of the brain, ”says Vladislav Zhemchugov, Doctor of Medicine.
Rare but dangerous infection Anyone can get infected, and it is very easy - the virus is transmitted through the air.
The Coxsackie virus causes enteroviruses in the human stomach and intestines. The disease got its name from the city of the same name in the United States, where it was first discovered in the 1950s. At the moment, up to 30 types of the disease are known.
The virus is picked up by both adults and children under the age of ten. It is transmitted through shared dishes, dirty vegetables and fruits, unwashed hands, and unpurified drinking water.
As a rule, complications after the disease are rare, but very severe. In particular, they can lead to encephalitis, meningitis, paralysis and heart disease.
According to doctors, the Coxsackie virus is seasonal, and its outbreaks mainly occur during the warm season. It especially affects children between the ages of three and ten.
Typically, the disease is accompanied by fever, high fever, rash, and poor appetite. According to doctors, skin rashes resemble chickenpox, which can be confused with this disease.
Also, small tears, similar to ulcers, appear on the arms, legs and mouth in children. Because of them, doctors can mistakenly diagnose stomatitis. Tears for several days cause fever and make it difficult for the baby to feed. Sore throats cause babies to refuse to swallow milk, which can lead to dehydration.
Coxsackie virus treatment
Treatment for the Coxsackie virus provides symptomatic relief. In particular, they bring down the high temperature with antipyretic drugs. For this, infants from the age of two months are given children's paracetamol and ibuprofen. Before using, be sure to consult a doctor.
Tear pain in the mouth can be relieved with teething gel and throat sprays. After each meal, the patient needs to rinse his mouth.
The affected areas on the skin are treated with an antiseptic, and antihistamines are also used. At the same time, doctors advise drinking a lot of water in order to quickly remove toxins from the body and reduce the temperature. Improvement begins in three to five days, and the rash disappears after a week. The disease disappears within eight to ten days.
In 2017, the Coxsackie virus breaks records in discussions among lucky holders of trips to Turkey, Tunisia, Spain or Cyprus. What is this - anti-advertising to overseas resorts or a real threat to health? In any case, forewarned means forearmed: what are the symptoms, treatment and prevention of Coxsackie?
The Coxsackie virus is 98% contagious - when it comes to close contact with the patient or his belongings. The only exception can be the transfer of such an infection several years ago. After subsiding clinical manifestations dangerous particles are secreted with saliva and feces for some time, therefore, it is necessary to behave with extreme caution for the next 2 months after the sick child recovers.
Infection can occur both outdoors and indoors. According to statistics, most often a child picks up an infection in kindergarten. However, you should not panic in vain, because quarantine is declared in the institution at the first diagnosed cases.
The incubation period of the Coxsackie virus is from 4 to 6 days - it is dangerous in autumn and summer, when the air is enriched with moisture. High humidity is a necessary condition for the viability of this microorganism.
You need to know a few facts about the virus to better understand its nature:
At normal temperatures, the infectious agent on objects does not die within a week;
The virus survives when treated with 70% alcohol;
Coxsackie is not afraid of the acidic environment of the stomach and a local solution of chloride acid;
The infectious agent can be destroyed by 0.3% formalin liquid, as well as by exposure to ultraviolet radiation, very high temperatures and radiation;
The virus multiplies in the human intestine, but manifestations of infection in the form of nausea and vomiting practically do not occur (can be observed in patients with initially diseased intestines);
Antibodies of breast milk neutralize the virus in the child's body, therefore, infection of breastfed babies is rare, and if it is observed, it is mild;
The first signs of Coxsackie infection can be confused with ARVI, influenza, chickenpox and allergies, so you need to know in advance the symptoms of Coxsackie infection.
The time from infection to the development of the first symptoms is 2 to 10 days. The onset of the disease is usually acute, with a rise in body temperature to 39 ° C, a sharp deterioration in general well-being, muscle pain and headache. Usually, such symptoms correspond to viremia - a massive release of viral particles into the systemic circulation. General intoxication in childhood characterizes almost all infectious diseases... Symptoms indicating the Coxsackie virus develop within a day from the onset of the disease, they include:
The appearance of small painful vesicles and ulcers (up to 2 mm in diameter) on the mucous membrane of the mouth, in the Coxsackie Virus - herpangina to a greater extent on the inner surface of the cheeks. It is also possible a throat disease with the appearance of bubbles on the tonsils.
Formation of small vesicles (bubbles with liquid) on the palms, plantar surfaces of the feet, between the toes. Such elements of the rash resemble chickenpox. Then they can appear in small quantities on the skin of the hands (forearms) and buttocks.
Itching on the skin during infection with the Coxsackie virus is absent.
The temperature remains for several days, then normalizes (subject to the classic course of the infection).
Dyspeptic syndrome - the development of diarrhea, vomiting. Diarrhea can be up to 5-10 times a day, while the stool is liquid, watery, without pathological impurities (blood, mucus or pus).
Such symptoms develop in most cases of the course of the infection.
Due to the development of a rash on the hands, feet and mouth of a child, an infection caused by the Coxsackie virus is also called a "hand-foot-mouth" infection.
Depending on the predominance of a symptom, several clinical forms of this disease are distinguished:
Herpangina is the predominant development of a rash on the oral mucosa and tonsils.
Epidemic myalgia - the leading symptom is the development of pain in all muscle groups.
Pathology of the nervous system - damage to the membranes of the brain (serous meningitis). A more severe form Rash on the palms with an infection caused by the Coxsackie virus infection with the development of severe headache, severe intoxication.
Some serotypes of the Coxsackie virus can lead to the development of temporary paralysis of the muscles of the legs (reminiscent of poliomyelitis).
Enteroviral fever - characterized by the absence of specific symptoms, there is only a rise in body temperature and poor general well-being of the child.
Enterovirus exanthema - the main manifestation of infection is the appearance of a rash on the skin.
The presence of certain symptoms of infection depends on the type of virus and the individual characteristics of the child.
With an increase in temperature and severe headache, it is imperative to check for the presence of a stiff neck, indicating meningitis. To do this, in the position of the child on his back, try to raise his head with your hand and tilt it forward as much as possible. If there is a stiff neck, there will be significant resistance to tilting the head.
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Recently, you can often hear that upon arrival in Turkey on vacation, children catch a Coxsackie infection. And the most unpleasant thing is that parents do not have the opportunity to prove in practice that the child, upon arrival in a foreign country, was not infected with the virus.
Coxsackie is an RNA virus. It was first isolated in the United States in 1950 from the feces of children. The Coxsackie virus is divided into 2 groups - virus A and B, each of which contains serogroups that differ in antigenic properties.
The source of infection is a sick person or a carrier of the virus. The main mechanism of transmission of the virus is airborne or alimentary infection. That is, the infection can be picked up through shared dishes, contaminated water, unwashed hands, vegetables or fruits.
Coxsackie virus - which hotels are banned
An outbreak of the incidence of Coxsackie enterovirus infection in Turkey was noted by the ERV insurance company. The specialists of the organization told about this to the TourDom.ru correspondent on July 14. At the same time, they stressed that, according to their information, there is no epidemic in the country.
According to ERV, during the period from May to June 2017, 260 requests from tourists infected with the Coxsackie virus were recorded. The company clarified that as a percentage of all insured events at the beginning of the 2017 season, such calls are no more than 4%. However, for the entire 2015, their number was only 80.
“Thus, there is a trend towards an increase in the number of cases of the Coxsackie virus in Turkey in 2017 compared to 2015. However, there is no need to talk about the excess of the epidemiological threshold and the increased danger, ”says Yulia Alcheeva, executive director of ERV.
From July 1 to July 10, insurance employees registered 11 complaints of tourists about a rash on the body, mainly from the Nashira hotel (Side). Note that resorts such as Belek and Kemer, hotels Starlight, Limak Limra, Papillon belvill also appear in the messages of travel agents. A HotLine.travel article on the Coxsackie problem also mentioned a hotel in Side. However, tour operators believe that these are isolated cases and do not panic.
Experts, in turn, argue that it is possible to catch the disease in the hot season in any hotel where many children live at the same time, that is, in the so-called "children's" hotels.
Coxsackie virus - the first symptoms
Symptoms indicative of the Coxsackie virus develop within a day after the onset of the disease. The presence of certain symptoms of infection depends on the type of virus and the individual characteristics of the child.
The symptoms of the disease are:
Feeling unwell and fever up to 38 ° C
Nausea and vomiting
The appearance of small painful vesicles and ulcers (up to 2 mm in diameter) on the mucous membrane of the mouth and tonsils, as well as vesicles with fluid on the palms, feet, between the fingers.
The most susceptible to infection are children aged 3 to 10 years. After the transferred infection, stable immunity is not formed.
With this disease, the temperature remains for several days, then returns to normal. Dyspeptic syndrome is also possible - the development of diarrhea, vomiting.
Note that the treatment of the virus is mostly symptomatic.
At the same time, there are no specific drugs and remedies in the pharmacy against Coxsackie, but if you diagnose the problem comprehensively, you can pick up a number of effective drugs.
How to care for a sick child
Children will need three to five days to feel better after being infected with the Coxsackie virus, and in about a week, all spots will disappear to one. During this time, there are things you can do to help your child feel comfortable.
Children's paracetamol and ibuprofen will help reduce pain and fever from the virus. Give medication if the baby is over 2 months old. Ibuprofen can be given from three months and over 5 kg. Check the label on the package or ask your doctor or pharmacist for help to determine the dosage of Coxsackie medicines. Teething gel will ease the pain in your mouth. Apply some gel to your gums, tongue, and the inner mucous sides of your cheeks, wherever you notice ulcers. Do not give an adult oral care product to a baby.
Treatment for children includes:
Bed rest for the entire period of intoxication
A diet with enough fluids and vitamins
Drinking plenty of fluids
In case of severe diarrhea and vomiting, take rehydration solutions.
The series is also used medicines - local antiseptics, antihistamines and anti-inflammatories to reduce headaches and fever. The skin rash is treated with fucarcinum or brilliant green solution (brilliant green). Antiviral agents used only for severe infections.
How not to get sick - disease prevention
In places where the virus is widespread, it is worth taking preventive precautions: wash hands and fruits before eating, do not swallow pool water, be less in a large company of children, and drink only special drinking water from clean dishes.
Adults are often immune to the virus, and even if they catch an infection, the disease goes away without complications. However, if a woman is pregnant there is a small risk of bad luck that you will get Coxsackie.
If a pregnant woman contracted the Coxsackie virus in the third semester, then there is a chance that you will transmit the infection to the fetus. But don't worry, because even if the baby is born with symptoms, infectious disease should be easy and fast. Pregnant women should avoid people with the slightest sign of the virus. If a woman has been in contact with infected, then all areas of the body (especially the hands) must be thoroughly disinfected.