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Hand-foot-and-mouth disease
Hand-foot-and-mouth 
disease 
is a mild, but highly contagious viral infection common 
in young children. 
HFMD occurs mai...
Cause 
HFMD is caused by Enterovirus 71 (EV-71) . This 
group of viruses includes polioviruses, 
coxsackieviruses, echovi...
How is it spread? 
The virus spreads 
through the air 
The droplets from 
coughs and 
sneezes of infected 
people
How is it spread? 
The virus is most often spread by persons with 
unwashed, virus-contaminated hands and by 
contact with...
SIGNS AND SYMPTOMS 
FEVER Sore throat 
The disease usually begins with a fever, 
A fever of 38-39°C may be present for 24-...
SIGNS AND SYMPTOMS 
LOSS OF APPETITE FATIGUE
SIGNS AND SYMPTOMS 
One or two days after fever onset, painful sores usually 
develop in the mouth. They begin as small r...
SIGNS AND SYMPTOMS 
A non-itchy skin rash 
develops over 1–2 days. The rash 
has flat or raised red spots, 
sometimes wit...
SIGNS AND SYMPTOMS 
Irritability in infants and 
toddlers 
Headache
Contagious Period 
-Infected persons are most contagious during the first week 
of the illness. 
- The viruses that cause ...
Treatment and Medical Management 
There is no specific treatment for HFMD. 
Symptoms can be treated to provide relief fr...
Prevention 
Washing hands 
frequently and 
correctly and 
especially after 
changing diapers and 
after using the toilet ...
Prevention 
Cleaning dirty surfaces 
and soiled items, 
including toys, first with 
soap and water and then, 
disinfecting...
Prevention 
• Isolate contagious or 
suspected students: 
If you notice any of the signs 
and symptoms above, please 
sent...
Demonstrate 
Physical Examination 
for HFMD
4 Check to ensure the student is 
fit to school: 
Check for fever 
(to take temperature). 
Check for blisters on hands 
...
Please help us in protecting the student 
from Hand, Foot, and Mouth Disease. 
Thank you for your kind cooperation. 
* RIS...
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Hand Foot and Mouth Disease (HFMD) - RIS Clinic

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Get a brief overview of how to identify and prevent the spread of HFMD.

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Hand Foot and Mouth Disease (HFMD) - RIS Clinic

  1. 1. Hand-foot-and-mouth disease
  2. 2. Hand-foot-and-mouth disease is a mild, but highly contagious viral infection common in young children. HFMD occurs mainly in children under 10 years old but can also occur in adults. Children are more likely to be at risk for infection and illness because they are less likely than adults to have antibodies to protect them.
  3. 3. Cause HFMD is caused by Enterovirus 71 (EV-71) . This group of viruses includes polioviruses, coxsackieviruses, echoviruses, and enteroviruses.
  4. 4. How is it spread? The virus spreads through the air The droplets from coughs and sneezes of infected people
  5. 5. How is it spread? The virus is most often spread by persons with unwashed, virus-contaminated hands and by contact with virus-contaminated surfaces.
  6. 6. SIGNS AND SYMPTOMS FEVER Sore throat The disease usually begins with a fever, A fever of 38-39°C may be present for 24-48 hours, poor appetite, malaise (feeling vaguely unwell), and often with a sore throat
  7. 7. SIGNS AND SYMPTOMS LOSS OF APPETITE FATIGUE
  8. 8. SIGNS AND SYMPTOMS One or two days after fever onset, painful sores usually develop in the mouth. They begin as small red spots that blister and then often become ulcers. The sores are usually located on the tongue, gums, and inside of the cheeks.
  9. 9. SIGNS AND SYMPTOMS A non-itchy skin rash develops over 1–2 days. The rash has flat or raised red spots, sometimes with blisters. The rash is usually located on the palms of the hands and soles of the feet; it may also appear on the buttocks and/or genitalia. A person with HFMD may have only the rash or only the mouth sores.
  10. 10. SIGNS AND SYMPTOMS Irritability in infants and toddlers Headache
  11. 11. Contagious Period -Infected persons are most contagious during the first week of the illness. - The viruses that cause HFMD can remain in the body for weeks after a patient's symptoms have gone away. This means that the infected student can still pass the infection to other people even though he/she appears well.. - HFMD is not transmitted to or from pets or other animals. - Students who get HFMD need to absent the school and submit medical certificate. Once they’re completely heal, they need to show medical certificate which mention that they’re fit for school
  12. 12. Treatment and Medical Management There is no specific treatment for HFMD. Symptoms can be treated to provide relief from pain from mouth sores and from fever and aches. Fluid intake should be enough to prevent dehydration (lack of body fluids). If moderate-to-severe dehydration develops, it can be treated medically by giving fluids through the veins.
  13. 13. Prevention Washing hands frequently and correctly and especially after changing diapers and after using the toilet , before preparing food and eating and after playing
  14. 14. Prevention Cleaning dirty surfaces and soiled items, including toys, first with soap and water and then, disinfecting them
  15. 15. Prevention • Isolate contagious or suspected students: If you notice any of the signs and symptoms above, please sent the student to clinic. •If there are at least 2 students who get HFMD in one class room, will close and clean that section and common area where that student have used together with other
  16. 16. Demonstrate Physical Examination for HFMD
  17. 17. 4 Check to ensure the student is fit to school: Check for fever (to take temperature). Check for blisters on hands and arms. Check for mouth ulcers. Check for blisters on soles of feet, legs and/ or buttocks
  18. 18. Please help us in protecting the student from Hand, Foot, and Mouth Disease. Thank you for your kind cooperation. * RIS School Clinic*

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