• 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, soleshfmd 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.