Frequently Asked Questions About Hand Foot Mouth Disease

What is Hand, Foot and Mouth Disease? (HFMD)?paracetamol syrup for fever and pain, and soothing gel
HFMD is an infectious disease caused by certainfor the mouth ulcers.
viruses. It is a common disease which has beenIn most cases, your child's immune system will
around for many years.overcome the infection in time and he will recover.
Who does it Affect?Is HFMD Serious?
It affects all age groups, but young children, under theIn most cases, HFMD is mild. However, a few children
age of 5 years are likely to be infected.who are infected with the EV71 strain of the virus can
How does it Spread?become very ill, with signs and symptoms such as:
HFMD is spread through direct contact with saliva,1. Disorientation, drowsiness and/or irritability
nasal discharge, faeces or the fluid from the blisters of2. Fits
an infected person. It can also be spread indirectly3. Sever headache, giddiness or neck stiffness
through articles contaminated by these secretions.4. Breathlessness or turning blue
Outbreaks can occur in child care centres,5. Dehydration - this can happen due to continuous
kindergartens and schools. Some infected people mayvomiting, diarrhoea or poor fluid intake as a result of
not have obvious symptoms or signs. They can alsopainful mouth ulcers. The child is very tired, has a dry
spread the virus.tongue and may pass very little urine.
How do you know if your child has HFMD?If you notice any of the above, bring your child to the
A child with HFMD usually presents with the followingEmergency Department of the nearest hospital
symptoms:immediately.
1. Fever for 2-3 daysWhat can you do to prevent the Spread of HFMD?
2. Sore throat and runny noseHFMD is highly contagious. Your child is also
3. Rashes (flat or raised red spots, some with blisters)susceptible to getting other infections when he has
on the hands (especially the palms), feet andHFMD.
occasionally on the buttocks, arms and legsHere is what you should do to prevent spreading if
4. Mouth ulcersyour child has HFMD:
5. Poor appetite1. Keep your child away from public places
6. Vomiting and diarrhoea2. Get everyone at home to wash their hands
7. Tiredness and weaknessfrequently with soap
A child is infectious throughout the duration of the3. Keep his toys, books, eating utensils, towels and
illness.clothes separate from others
What should you do if your child has HFMD?4. Inform the school, kindergarten or child care centre
1. Bring your child to your family doctor or nearest clinicas soon as possible, as they can monitor other children
2. Encourage your child to drink plenty of fluids. Youclosely and take additional precautions to prevent the
may need to give small amounts (eg 30ml) frequentlyspread of HFMD
(eg half hourly)5. Keep your child at home until he is fully recovered,
3. Change to a soft diet such as mashed potatoes,after the expiry of the medical certificate given by the
porridge or pureed fruitsfamily doctor
4. Give medications prescribed by the doctor, such as6.