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Understanding Hand, Foot, and Mouth Disease in Children

As parents and caregivers, it's crucial to be aware of common illnesses that can affect our children, especially in environments like daycares where close contact can facilitate the spread of infections. One such illness is Hand, Foot, and Mouth Disease (HFMD). This blog post aims to provide a comprehensive understanding of HFMD, including its symptoms, prevention, treatment, and how daycares typically manage outbreaks.

What is HFMD?

Hand, Foot, and Mouth Disease is a contagious viral infection most commonly caused by the coxsackievirus. It primarily affects young children, especially those under five years old, but can occasionally affect older children and adults. HFMD is characterized by a distinctive rash and sores that appear on the hands, feet, and inside the mouth.

Symptoms of HFMD

The symptoms of HFMD usually begin with a fever, reduced appetite, sore throat, and a general feeling of being unwell. One to four days after the fever starts, painful sores can develop in the mouth. These sores can turn into blisters and often become ulcers. A skin rash may also appear on the hands, feet, and sometimes on the buttocks and legs. The rash is usually not itchy but can form painful blisters.

Key symptoms include:

- Fever

- Sore throat

- Painful mouth sores

- Skin rash with red spots and sometimes blisters on hands, feet, and buttocks

- Loss of appetite

- General discomfort or feeling unwell

Prophylaxis: Preventing HFMD

Prevention of HFMD involves good hygiene practices since the virus is spread through contact with an infected person's nose and throat secretions, blister fluid, and feces. Here are some effective preventive measures:

- Hand Hygiene: Regularly washing hands with soap and water, especially after using the toilet, changing diapers, and before eating.

- Cleaning and Disinfecting: Regularly cleaning and disinfecting frequently touched surfaces and objects, such as toys and doorknobs.

- Avoiding Close Contact: Keeping children home when they are sick to prevent spreading the virus to others.

- Educating Children: Teach children about good hygiene practices, such as covering their mouths when coughing or sneezing and avoiding close contact with others when they are sick.

Treatment for HFMD

There is no specific treatment for HFMD. Most cases are mild and resolve on their own within seven to ten days. However, symptom management can help keep your child comfortable:

- Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate fever and pain. Speak to a doctor before giving children any medication.

- Hydration: Encourage your child to drink plenty of fluids to stay hydrated. Cold foods and drinks can soothe mouth sores.

- Rest: Ensure your child gets plenty of rest to help their body fight the infection.

- Topical Treatments: Mouthwashes or sprays may be recommended by a doctor to reduce mouth sore pain. Speak to a doctor before giving children mouth washes.

How Daycares Handle HFMD

Daycares play a crucial role in managing the spread of HFMD. Here are common practices implemented by daycares:

- Isolation: If a child shows symptoms of HFMD, they are usually isolated from other children and sent home to prevent spreading the virus.

- Notification: Parents are often notified about potential HFMD cases in the daycare, and information about symptoms and preventive measures is provided.

- Cleaning Protocols: Enhanced cleaning and disinfecting protocols are put in place, focusing on sanitizing toys, surfaces, and common areas.

- Handwashing: Staff ensure that children frequently wash their hands, especially after using the bathroom and before meals.

- Monitoring: Daycare staff monitor children for symptoms and encourage parents to keep sick children at home until they are no longer contagious.


Hand, Foot, and Mouth Disease is a common viral illness in young children characterized by fever, mouth sores, and a skin rash. While HFMD usually resolves on its own, understanding its symptoms, preventive measures, and treatment options can help manage the illness effectively. Daycares play a vital role in controlling the spread of HFMD by implementing hygiene practices, and isolation protocols, and educating parents.

Awareness and proactive measures are key to preventing and managing HFMD. While the disease can be uncomfortable, it is typically mild and manageable with proper care. As always, consult with your healthcare provider for personalized advice and treatment if your child shows symptoms of HFMD. Understanding and adhering to these guidelines will help ensure the health and well-being of all children in the community.

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