Enterovirus 71 outbreaks, Taiwan: Occurrence and recognition

Tzou Yien Lin, Shiing Jer Twu, Mei Shang Ho, Luan Yin Chang, Chin Yun Lee

Research output: Contribution to journalShort surveypeer-review

190 Citations (Scopus)


Enterovirus 71 (EV71) caused a large outbreak in Taiwan in 1998 with 78 deaths, and smaller outbreaks recurred in 2000 and 2001. The outbreak was recognized because of a large number of hand, foot, and mouth disease cases and the rapid deaths of children with the disease. Virologic and pathologic studies indicated that EV71 was the most important agent related to severe and fatal cases and that a neurogenic inflammatory response was involved in the pathogenesis of cardiopulmonary collapse resulting from fulminant EV71 infection. Seroepidemiologic study suggested that EV71 had circulated for at least 16 years and that the accumulation of susceptible hosts might have triggered the 1998 outbreak. However, a change in EV71 neurovirulence and host genetic susceptibility may also have affected the clinical outcome. The Taiwan outbreak shows that worldwide attention should be paid to such outbreaks, new antiviral drugs should be developed, and that vaccination of children under 5 years of age may be warranted.

Original languageEnglish
Pages (from-to)291-293
Number of pages3
JournalEmerging Infectious Diseases
Issue number3
Publication statusPublished - Mar 1 2003
Externally publishedYes

ASJC Scopus subject areas

  • Microbiology (medical)


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