2. THIS IS CONTAGIOUS!
•HAND, FOOT, AND MOUTH DISEASE
IS CAUSED BY VIRUSES.
•A PERSON INFECTED WITH ONE OF
THESE VIRUSES IS CONTAGIOUS,
WHICH MEANS THAT THEY CAN
PASS THE VIRUS TO OTHER PEOPLE
3. THE VIRUS CAN SPREAD TO OTHERS
THROUGH AN INFECTED PERSON’S
•NOSE AND THROAT SECRETIONS, SUCH
AS SALIVA, DROOL OR NASAL MUCUS.
•FLUID FROM BLISTERS OR SCABS
•FECES (POOP)
4. • PEOPLE WITH HFMD ARE USUALLY MOST
CONTAGIOUS DURING THE FIRST WEEK THAT
THEY ARE SICK.
• PEOPLE CAN SOMETIMES SPREAD THE
VIRUS TO OTHERS FOR DAYS OR WEEKS
AFTER SYMPTOMS GO AWAY OR IF THEY
HAVE NO SYMPTOMS AT ALL.
5. HFMD IS COMMON
• HFMD IS COMMON AND IN THE U.S. OCCURS MOSTLY IN
THE SUMMER AND FALL, BUT YOU CAN GET IT ANY TIME
OF THE YEAR.
BECAUSE IT IS COMMON AND USUALLY MILD,
CHILDREN CAN CONTINUE TO GO TO CHILD CARE AND
SCHOOLS AS LONG AS THEY:
• HAVE NO FEVER
• HAVE NO UNCONTROLLED DROOLING WITH MOUTH
SORES
• FEEL WELL ENOUGH TO PARTICIPATE IN CLASSROOM
ACTIVITIES
6. VIRUSES THAT CAUSE HFMD
• HAND, FOOT, AND MOUTH DISEASE IS
CAUSED BY VIRUSES THAT BELONG TO THE
ENTEROVIRUS FAMILY.
• COXSACKIEVIRUS A16 IS TYPICALLY THE
MOST COMMON CAUSE OF HAND, FOOT, AND
MOUTH DISEASE IN THE UNITED STATES.
COXSACKIEVIRUS CAN ALSO CAUSE THE
ILLNESS
7. • ENTEROVIRUS 71(EV-A71) HAS BEEN
ASSOCIATED WITH CASES AND OUTBREAKS IN
EAST AND SOUTHEAST ASIA.
• ALTHOUGH RARE, EV-A71 HAS BEEN
ASSOCIATED WITH MORE SEVERE DISEASES
SUCH AS ENCEPHALITIS (SWELLING OF THE
BRAIN)
8. TRANSMISSION OF HFMD
HFMD SPREADS EASILY THROUGH
•PERSON-TO-PERSON CONTACT
•RESPIRATORY DROPLETS CONTAINING
VIRUS PARTICLES WHEN AN INFECTED
PERSON COUGHS OR SNEEZES
•CONTACT WITH CONTAMINATED
SURFACES AND OBJECTS.
9. SYMPTOMS AND DIAGNOSIS
• SYMPTOMS OF HFMD USUALLY INCLUDE FEVER,
MOUTH SORES AND SKIN RASH. THE RASH IS
COMMONLY FOUND ON THE HANDS AND FEET.
• HFMD IS COMMON IN INFANTS AND CHILDREN
YOUNGER THAN 5 YEARS OLD.
• MOST CHILDREN HAVE MILD SYMPTOMS FOR 7 TO
10 DAYS.
10. FEVER AND FLU-LIKE SYMPTOMS
CHILDREN OFTEN GET A FEVER AND OTHER FLU-LIKE SYMPTOMS 3 TO 5
DAYS AFTER THEY CATCH THE VIRUS. SYMPTOMS CAN INCLUDE:
Fever
Eating or drinking less
Sore throat
• Feeling unwell
11. MOUTH SORES
Your child can get painful mouth sores. These sores
usually start as small red spots, often on the tongue
and insides of the mouth, that blister and can become
painful.
Signs that swallowing might be painful for your child:
Not eating or drinking
Drooling more than usual
Only wanting to drink cold fluids
12. SKIN RASH
• Your child can get a skin rash on the palms of the hands
and soles of the feet. It can also show up on the buttocks,
legs, and arms.
• The rash usually is not itchy and looks like flat or
slightly raised red spots, sometimes with blisters that
have an area of redness at their base. Fluid in the blister
and the resulting scab that forms as the blister heals can
contain the virus that causes hand, foot, and mouth
disease.
• Keep blisters clean and avoid touching them.
13.
14. WHEN TO SEE A HEALTHCARE PROVIDER
Your child is not able to drink normally and you’re
worried they might be getting dehydrated.
Your child is not alert and responsive.
Your child’s fever lasts longer than 3 days.
Symptoms do not improve after 10 days.
Your child has a weakened immune system (body’s
ability to fight germs and sickness).
Symptoms are severe.
Your child is very young, especially younger than 6
months.
15. PREVENTION
1. Wash your hands
• Wash your hands often with soap and water for at least 20
seconds. If soap and water are not available, use
an alcohol-based hand sanitizer.
• Always wash your hands:
After changing diapers
After using the toilet
After blowing your nose, coughing, or sneezing
Before and after caring for someone who is sick
Help children wash their hands. Teach them how to wash
their hands and make sure they wash them often.
16. CLEAN AND DISINFECT
•Clean and disinfect frequently touched
surfaces and shared items, including toys
and doorknobs.
17. AVOID TOUCHING YOUR EYES, NOSE, AND
MOUTH
• You can get infected with hand, foot, and mouth
disease if you have the virus on your hands and then
touch your eyes, nose, or mouth. To lessen your
chance of getting sick, don’t touch your eyes, nose,
and mouth with unwashed hands.
18. AVOID CLOSE CONTACT WITH SICK PEOPLE
• Avoid touching someone who has hand, foot,
and mouth disease, such as hugging or
kissing them.
19. TREATMENT
• Most people with hand, foot, and mouth
disease get better on their own in 7 to 10 days.
• There is no specific medical treatment for
hand, foot, and mouth disease.
• You can take steps to relieve symptoms and
prevent dehydration while you or your child are
sick.
20. TREATMENT
• Treat symptoms and prevent dehydration
• Take over-the-counter medications to relieve fever
and pain caused by mouth sores. Never give
aspirin to children.
• Drink enough liquids. Mouth sores can make it
painful to swallow, so your child may not want to
drink much. Make sure they drink enough to stay
hydrated
