(6) Exchanging information and disseminating best practices related
to preparedness, response and management of HFMD, particularly in
outbreak conditions
There is currently no network specific to HFMD. Mechanisms for information exchange
should be promoted, including networks, meetings, exchange groups and multilateral
or bilateral collaborations. In many countries, enterovirus laboratory capacity is built
on to existing networks for polio and influenza. A regional network that builds on
existing networks could be initiated. Regional clinical networks as well as subregional
networks, such as ASEAN plus 3, have recently been formed, and could be utilized as a
platform for information and knowledge exchange.
(7) Providing the necessary administrative framework to national
agencies/bodies to support the implementation and management of
prevention and control options, including:
• The delegation of powers to act to key ministries, including through
supportive legislation
Legislation can facilitate the implementation of public health interventions. For
example, legislation on “EV71 Control Policies” in Taiwan (China) enabled public
health authorities to take action to improve public health control and upgrade the
medical service preparedness and response to EV71.
Many countries affected by HFMD have passed legislation on mandatory notification,
requiring medical practitioners to notify the Ministry of Health of all clinical cases
of HFMD within 24 hours of diagnosis.
• Mechanisms to establish and support interagency/intersectoral collaboration
Effective control of HFMD outbreaks often requires the participation of multiple
agencies, such as the health and education ministries. Pro-actively determining
mechanisms for intersectoral discussion and action, such as a task force or crisismanagement
group, is important to facilitate such collaboration.
• Coordinated risk communication
One challenge presented by HFMD has been the demand for greater and improved
public health communication, primarily during outbreaks. There is growing
awareness of the importance of accurate and consistent messages to the general
public as well as to the media. Information resulting from clinical, laboratory and
epidemiological investigations must be communicated to those directly involved in
the outbreak response to further strengthen surveillance, control and preventive
actions. Other stakeholders, such as public officials and health providers, also need
timely information.
The main objectives of risk communication during an emergency are:
- to provide, accurate, timely and consistent information as well as essential
coordination;