HAND, FOOT AND MOUTH DISEASE (HFMD)
INFECTIOUS AGENT: primarily, coxsackievirus, A-16 enterovirus 71 (EV71)
INCUBATION: Usually 3-7 days
SYMPTOMS: Generally, mild fever, malaise, mouth ulcers and a rash, often blisters, located on palms, soles and buttocks. Fever begins first, then 1-2 days later mouth ulcers and rash appear.
METHODS OF SPREAD: Direct person to person contact with nose and throat secretions and feces of infected people.
MINIMUM CONTROL MEASURES:
- Period of Communicability: At the time of acute illness phase. The viruses may persist in feces for several weeks.
- Control: Enteric precautions should be observed and good personal hygiene, including thorough handwashing practiced. Disinfect contaminated surfaces and wash soiled clothing. Exclude from school if ill.