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8/8/2019 Hand, Foot & Mouth Hfmd
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Name:Parvinder Singh A/L Harjit Singh
ID Num:02-200805-00141IC Num:901011-08-5985
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What is HFMD?y is a common illness of infants and children caused by a
virusy most often occurs in children under 10 years oldy characterized by;
fever
sores/ulcers in the mouthrash with blister
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What causes HFMD?y most common causes of Hand, Foot and Mouth
disease are;Coxsackie virus A16Enterovirus 71 (EV71)other enteroviruses (ex; polioviruses, coxsackieviruses,
echoviruses,etc)
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When and where does HFMDoccur?
y more frequently in summer and early autumn (intemperate countries)
y major outbreaks of attributable to enterovirus EV71have been reported in Malaysia in 1997 and in Taiwanin 1998
y is endemic in Malaysia and occurs every year
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Is HFMD serious?y HFMD caused by coxsackie virus A16 infection is a
mild diseasey Complications are uncommony HFMD caused by Enterovirus EV71 may be associated
with;aseptic meningitis and encephalitis
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Is HFMD contagious?y HFMD is moderately contagiousy
The virus can be transmitted from person to person viadirect contact with;nose and throat dischargessaliva
fluid from blistersstool of infected personsy not transmitted to or from pets or other animals.
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Cl inica l Signs and Symptomsy begins with a mild fever, poor appetite, malaise
("feeling sick"), and frequently a sore throaty one or 2 days after the fever begins, painful sores
develop in the mouthy skin rash develops over 1 to 2 days
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How is hand, foot and mouth
disease diagnosed?
y
based on a complete history and physical examinationof childy suspected on the appearance of;
blister-like rash on hands, feet and mouth in children
with a mild febrile illness
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y doctor can distinguish between HFMD and othercauses of mouth sores based on;
age of the patientpattern of symptoms reportedappearance of the rash and sores
y throat and/or blister swab collected preferably within2 days of onset of HFMD may be sent to a laboratory
to determine which enterovirus caused the illness
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Treatmenty no specific effective antivirul drugs and vaccine
availabley
Symptomatic treatment is given to provide relief fromfever, aches, or pain from the mouth ulcersy parents are advised to;
dress their children in light, thin clothingdo tepid sponging with water (room temperature)expose them under the fanmonitor their body temperatureGive them enough liquid(water)
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Who is at risk for HFMD?y occurs mainly in children under 10 years old, but may
also occur in adults tooy not everyone who is infected becomes illy infants, children, and adolescents are more likely to be
susceptible to infection and illness from these viruses
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R isks to pregnant women exposed
to chi ldren with HFMD
y risk of infection is higher for pregnant womeny most enterovirus infections during pregnancy cause
mild or no illness in the mothery mothers infected shortly before delivery may pass the
virus to the newborny good hygienic practices by the pregnant woman might
help to decrease the risk of infection
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P revention
y specific prevention for HFMD or other non-polioenterovirus infections is not available
y risk of infection can be lowered by g ood hy g ienicpractices
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P reventive measures
Frequent hand washing
Maintaincleanliness
Parents are advisednot to bring young
children to crowdedpublic places
Bring children tothe nearest clinic if they show signs &
symptoms
Avoidance of closecontact with
children havingHFMD
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