Basics of hand, foot and mouth disease

  1.What is hand, foot and mouth disease? What are the manifestations after getting the disease?  Hand, foot and mouth disease is a common and frequent infectious disease, mainly in infants and young children, a variety of enteroviruses can cause, generally occur throughout the year, May – July is the high incidence period.  The symptoms of HFMD are generally mild, and most patients often develop fever first, maculopapular and herpetic rashes on the palms of the hands and feet, herpes and/or ulcers on the oral mucosa, and significant pain. Some patients may have a cough, runny nose, loss of appetite, nausea, vomiting and headache. A few patients are more seriously ill and can be complicated by encephalitis, meningitis, myocarditis and pneumonia, which can be life-threatening if left untreated.  2.How is HFMD transmitted? Is there a vaccine?  Hand, foot and mouth disease is transmitted in many ways, mainly through close contact with the patient’s stool, herpes fluid and respiratory secretions (such as sneezing droplets, etc.) and contaminated hands, towels, handkerchiefs, tooth cups, toys, tableware, bottles, bedding and other infections. There is no vaccine for hand, foot and mouth disease, but as long as early detection and early treatment, is completely preventable and curable.  3.Who is susceptible to HFMD?  Infants and children are commonly affected, and infants and children under 3 years old are more likely to get the disease. Because adults have a better immune system, adults generally do not develop the disease once infected and do not have any symptoms. However, the infection will spread the virus, so adults also need to do a good job of protection to avoid infecting children.  4.Is hand, foot and mouth disease a new infectious disease?  Hand, foot and mouth disease is not a new infectious disease, it is a global infectious disease, first recognized and named in 1957, cases occur every year in countries around the world. Hand, foot and mouth disease was discovered in 1981 in China, and people have been sick every year.  5.Can HFMD be cured?  If you have hand, foot and mouth disease, in most cases 7 – 10 days can be cured on their own, will not leave sequelae, the skin will not leave scars. According to the past incidence and cure, only a few severe patients may develop meningitis, pneumonia, etc. As long as they actively cooperate with the doctor, most of them can be cured.  6.What should I do if my child has suspicious symptoms?  If your child develops fever, rash and other symptoms, go to a medical institution promptly and observe closely at the same time. Do not go to kindergartens or public places where people gather and avoid playing with other children. Once there is a sudden high fever or confusion, lethargy, muscle or body twitching, difficulty in breathing, etc., send your child to the hospital immediately.  7.How to prevent in general families?  The key to preventing HFMD is to pay attention to the hygiene of the family and the surrounding environment, and to pay attention to personal hygiene. Wash your hands with soap or hand sanitizer before and after meals and after going out; do not drink raw water and do not eat cold food; ventilate your living room frequently; and dry your clothes and blankets regularly. During the epidemic period, do not take children to crowded public places with poor air circulation, and avoid contact with sick children.  8.What do I need to pay special attention to if a child is infected at home?  Be careful not to let sick children come into contact with other children; children’s saliva, sputum and other secretions should be wrapped in toilet paper and thrown into the trash; children’s feces should be collected, disinfected and thrown into the toilet, not thrown away at will, and the potty should be disinfected; caregivers should wash their hands before touching children, after changing diapers or after handling children’s feces; sick children’s clothes, toys, tableware, pillows and bedding should be kept hygienic, and children’s The child’s clothes, toys, dishes, pillows, bedding, etc. should be kept hygienic and the child’s daily utensils should be disinfected. If a child in kindergarten gets sick, tell the teacher as soon as possible and do not rush the child to kindergarten, but go back a week after all symptoms have disappeared to prevent infecting other children. Generally, there is no need to hospitalize children with mild symptoms, but just treat them at home and pay attention to rest to reduce cross-infection.  9.How can I disinfect my daily necessities?  If there is no child with HFMD at home, the general family prevention method can be used without disinfectant.  If a child has HFMD, the following methods can be used to disinfect: soak pacifiers, bottles, tableware, towels and other items in hot water above 50 degrees Celsius for 30 minutes or boil them for 3 minutes; wash contaminated toys, tables, chairs and clothes with chlorine disinfectant (84 disinfectant or bleach) every day according to the instructions; pour an appropriate amount of disinfectant into children’s sputum, saliva, feces, wiping paper, etc. Stir and disinfect before throwing into the toilet.  10. Why are there so many people reported to have contracted HFMD recently?  According to the health department’s surveillance, experts have compared the number of HFMD cases reported so far with the number of cases in previous years and concluded that the epidemic has come earlier this year, but it is still epidemic. Since reporting was not required in the past, and in addition there were patients who did not seek medical attention due to mild symptoms, some cases were not detected or not reported in the past. It is reasonable that the number of reports has increased somewhat after the requirement to report according to the law.  Since HFMD is a common and frequent infectious disease, there is a possibility of widespread morbidity. The health department reminds all parts of the country, especially areas with fewer cases at present or fewer incidences in previous years, to strengthen prevention and surveillance to prevent and control the outbreak.