Hand, Foot, and Mouth Disease
Oct 3, 2016
Hand, foot, and mouth disease, or HFMD, is a contagious illness that is caused by different viruses. It is common in infants and children younger than 5 years old, because they do not yet have immunity (protection) to the viruses that cause HFMD. However, older children and adults can also get HFMD. In the United States it is more common for people to get HFMD during spring, summer, and fall.
HFMD outbreaks in NJ affecting mostly high school students and athletes have been reported lately. Nicole Mulvaney Kirgan, a communications officer from the New Jersey Department of Health, said in a statement released to NJ Advance Media that HFMD is “common in summer and early fall.” “It is a contagious disease that is spread among people, particularly when going back to school,” the statement continued. “It is not unexpected to see this in school settings. Outbreaks frequently occur among groups of children.” "The disease could be spreading more through sports because of the frequent touching from bumping, jostling or slapping hands."
What Are the Symptoms of HFMD?
Symptoms of hand, foot, and mouth disease often include the following:
- Reduced appetite
- Sore throat
- A feeling of being unwell
- Painful sores in the mouth that usually begin as flat red spots
- A rash of flat red spots that may blister on the palms of the hands, soles of the feet, and sometimes the knees, elbows, buttocks, and/or genital area.
These symptoms usually appear in stages, not all at once. Also, not everyone will get all of these symptoms. Some people may show no symptoms at all, but they can still pass the virus to others.
Is HFMD Serious?
HFMD is usually not serious. The illness is typically mild, and nearly all people recover in 7 to 10 days without medical treatment. Complications are uncommon.
Rarely, an infected person can develop viral meningitis (characterized by fever, headache, stiff neck, lack of energy, sleepiness, or trouble waking up from sleep) and may need to be hospitalized for a few days. Other even more rare complications can include polio-like paralysis, or encephalitis (brain inflammation) which can be fatal.
Is HFMD Contagious?
Yes. The viruses that cause HFMD can be found in an infected person's:
- Nose and throat secretions (such as saliva, sputum, or nasal mucus)
- Blister fluid
- Feces (poop)
HFMD spreads from an infected person to others through:
- Close contact, such as kissing, hugging, or sharing cups and eating utensils
- Coughing and sneezing
- Contact with feces, for example when changing a diaper
- Contact with blister fluid
- Touching objects or surfaces that have the virus on them
People with HFMD are most contagious during the first week of their illness. However, they may sometimes remain contagious for weeks after symptoms go away. Some people, especially adults, may not develop any symptoms, but they can still spread the viruses to others. This is why you should always try to maintain good hygiene, like washing hands often with soap and water, so you can minimize your chance of getting and spreading infections.
Can HFMD Be Treated?
There is no specific treatment for HFMD. Fever and pain can be managed with over-the-counter fever reducers and pain relievers, such as acetaminophen or ibuprofen. It is important for people with HFMD to drink enough fluids to prevent dehydration (loss of body fluids).
Can HFMD Be Prevented?
There is no vaccine to protect against HFMD. However, you can reduce the risk of getting infected with the viruses that cause HFMD by following a few simple steps:
- Wash your hands often with soap and water for 20 seconds
- Avoid touching your eyes, nose and mouth with unwashed hands
- Avoid close contact such as kissing, hugging, and sharing cups and eating utensils with people who have HFMD
- Disinfect frequently touched surfaces and objects, such as toys and doorknobs, especially if someone is sick
If you have these symptoms, Call Us immediately and we can evaluate you on the phone or at the Health Services. HFMD is very contagious. You will need to be isolated from others to stop spread of the infection.
NJ Department of Health: HFMD