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The ‘tomato flu’ outbreak and the Centre’s advisory

The ‘tomato flu’ outbreak and the Centre’s advisory

  • The Health Ministry recently issued an advisory asking States to take measures to prevent spread of the “new virus known as tomato flu”.

Tomato flu

  • A probable variant of the hand, foot and mouth disease, or HFMD.
  • Commonly occurs in children under 10 years of age and can also infect adults.
  • India recorded around 100 cases of ‘tomato flu’ in children below 9 years of age in less than three months.
  • A “highly contagious” yet “non-life-threatening viral” disease.

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Features

  • Named so because of the “eruption of red and painful blisters throughout the body that gradually enlarge to the size of a tomato.”
  • A mild viral illness commonly affecting young children typically below age 10.
  • Usually caused by a Coxsackie virus.

Advisory

  • The virus is not related to SARS-CoV-2, monkeypox, dengue, or chikungunya despite similar symptoms.
  • The disease is a clinical variant of the hand, foot and mouth disease (HFMD) common in school-going children.
  • Infants and young children are also prone to this infection through the use of nappies, touching unclean surfaces as well as putting things directly into the mouth.
  • It is a self-limiting illness and no specific medication exists for its treatment yet.

Symptoms

  • Fever, rashes and pain in joints.
  • Illness usually begins with a mild fever, poor appetite, malaise, and occasionally, a sore throat.
  • Small red blisters appear one or two days after the fever
  • Usually located on the tongue, gums, inside of the cheeks, palms and soles.
  • Sometimes, fatigue, nausea, vomiting, diarrhoea, dehydration, swelling of joints, body ache, and common influenza-like symptoms are noted.

Treatment and Precautions

  • Isolation for 5-7 days from the onset of any symptom
  • Supportive therapy of paracetamol for fever and body ache
  • Other symptomatic treatments
  • A nutrition-rich, balanced diet to boost immunity
  • Rest, plenty of fluids
  • A hot water sponge to provide relief from irritation and rashes etc.

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