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At least 240 people, mainly children younger than 5, died from hand, foot and mouth disease from January to May, as China enters a peak season for the epidemic, the Ministry of Health said.

The peak will last until October, but the infection commonly seen among toddlers can be easily prevented and treated with early detection and intervention, said Xiao Donglou, a division director of the ministry's disease prevention and control bureau.

According to official statistics, the infection claimed more than 240 lives on the mainland in the first five months of the year.

The epidemic appeared to hit harder this year in terms of scale and severity, Xiao said.

From January to June last year, 132 deaths were reported.

An official tally showed China reported nearly 1.62 million cases in 2011, including 509 deaths.

"The infection is expected to maintain a relatively high prevalence this year and children attending nurseries, kindergartens and elementary schools are most vulnerable to the disease," he said.

In response, the ministry has devised clinical guidelines to help with a timely diagnosis and proper treatment of the disease, particularly at grassroots-level health institutions.

The ministry has distributed information and training materials, mainly at kindergartens, to help better track the infection and get timely medical intervention. Kindergartens and elementary schools are required to increase monitoring and preventive measures with morning checks and routine disinfecting.

Kindergartens must report any cases upon detection to local health authorities, to help avert the risk of secondary infections. Kindergartens with outbreaks could be closed temporarily.

Pang Xinghuo, deputy director of the Beijing Center for Diseases Control and Prevention, said several kindergartens in the capital had been temporarily closed after outbreaks were detected.

The capital has reported three deaths, all children under 5, from the infection, she said.

"All of them were diagnosed at the late stage and sent to small private clinics, and their deaths could have been avoided," she said.

According to medical experts, children younger than 3 are at greatest risk of the disease, and the infection usually starts with a light fever followed by blisters and ulcers in the mouth and rashes on the hands and feet.

The virus spreads via the digestive and respiratory systems and through close contact.

There is no vaccine to specifically target the infection, so good hygiene practices should be applied to prevent the disease, Pang said. Adults could get infected but usually show no symptoms.

Questions:

1. How many people died from hand, foot and mouth disease in China this year?

2. Who is most vulnerable?

3. How is the disease spread?

Answers:

1. At least 240.

2. Toddlers.

3. The virus spreads via the digestive and respiratory systems and through close contact..

（中國(guó)日?qǐng)?bào)網(wǎng)英語(yǔ)點(diǎn)津 Helen 編輯）

About the broadcaster:

Nelly Min is an editor at China Daily with more than 10 years of experience as a newspaper editor and photographer. She has worked at major newspapers in the U.S., including the Los Angeles Times and the Detroit Free Press. She is also fluent in Korean.