In central China's Henan Province, 18 children have died in the disease outbreak as of Monday with another 195 in severe conditions, said Henan Provincial Health Administration Tuesday.

East China's Zhejiang Province reported Wednesday its first death from the disease this year. A child in Cixi, Ningbo city died Sunday hours after he was admitted to hospital, according to Ningbo Municipal Health Bureau.

The disease, which is more common in summer and autumn, is not included in the routine reporting list of infectious diseases in China.

Hand-foot-mouth disease is a common childhood illness that mainly affects children under the age of 10. Symptoms include fever, sores in the mouth and a rash with blisters. It can sometimes be fatal if complications occur.

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Editor:Yang Jie