Epidemiological shifts in coxsackievirus A-induced hand, foot, and mouth disease in China, 2008–2024

Post-vaccination, EV-A71 incidence declined markedly, while CV-A6, CV-A10, CV-A16, and CV-A4 gradually became predominant, exhibiting distinct geographic and seasonal distributions. These findings underscore the evolving HFMD epidemiology in China and highlight the need for multivalent vaccines and sustained surveillance to effectively control HFMD.

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Publication Details

Journal
Expert Review of Vaccines
Published
2026-03-28
DOI
https://doi.org/10.1080/14760584.2026.2652927
Primary Topic
Viral Infections and Immunology Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Epidemiological shifts in coxsackievirus A-induced hand, foot, and mouth disease in China, 2008–2024

Lu Liu, Xinyu Zhao, Lan Yu, Dandan Li et al.
Expert Review of Vaccines
Viral Infections and Immunology Research
article

Epidemiological shifts in coxsackievirus A-induced hand, foot, and mouth disease in China, 2008–2024

Lu Liu, Xinyu Zhao, Lan Yu, Dandan Li, H Z Zhao, Haijing Shi, Yun Liao, Jingjing Wang, Huiwen Zheng, Heng Li, Jun Li
article en

Abstract

Post-vaccination, EV-A71 incidence declined markedly, while CV-A6, CV-A10, CV-A16, and CV-A4 gradually became predominant, exhibiting distinct geographic and seasonal distributions. These findings underscore the evolving HFMD epidemiology in China and highlight the need for multivalent vaccines and sustained surveillance to effectively control HFMD.

Expert Review of Vaccines
Academy of Medical Sciences (GB), Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Peking Union Medical College Hospital (CN), Institut de Recherche Vaccinale (FR)
Good health and well-being
Openalex Percentile: Top 3%
Viral Infections and Immunology Research
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