The Dreadful Hand-Foot-Mouth Disease

There is an outbreak of Hand-Foot-Mouth Disease (HFMD) recently at my twins childcare centre. 5 cases were reported in the last two weeks. And it seems that country wide Singapore had reported about over 700 cases of HFMD last month, mainly infected by pre-schoolers and young kids under the age of five. It is definitely a viral season.

Am I afraid? Certainly. Though my twins had unluckily contacted HFMD last September, they are not immune to the next infection.

What's so terrible about it?

The young children will usually have the following symptoms :

• mouth ulcers,
• Rashes (flat or raised red spots, some with blisters) on their palms, soles or buttocks;
• maybe some fever for 2-3 days, sore throat and runny noses.
• Vomiting and diarrhoea
• Poor appetite (mainly due to mouth ulcers)
• Tiredness and weakness

There is no treatment for HFMD, except medications to relieve symptoms which takes about 10 days to retreat. And in severe cases, if the young children are infected with a enterovirus-71(EV71) strains, it can cause neurological diseases like encephalitis and meningitis.

I remembered about 7 deaths of young pre-schoolers reported in Singapore over the peak virus outbreak of the HFMD EV71 in year 2000 and 2001. The island wide childcare centres had to be shut down for two weeks to stop the strain of virus from spreading. And parents at that time were more than happy to keep their children at home.

Last September, I was cursing and swearing at the odd chances of my twins getting HFMD though it was the milder coxsackie virus (CA16). Apparently, HFMD never sparred anyone, even adults could get it.

At that time, my twin girl, Gwyneth got HFMD first, but I did not notice any symptoms except her poor appetite; which I mistakenly thought it was due to her picky eating habit. Then her childcare teacher called to inform me that Gwyneth had a fever and she discovered some light red spots on her hands on the second day. That was when I started to find several mouth ulcers deep in her throat which were not easily visible unless you shine a torchlight in it.

I actually refused to believe Gwyneth got HFMD until the paediatrician confirmed the diagnosis. By then, on the third day, my twin boy, Asher was also infected with HFMD due to his supposedly contact with contaminated articles by Gwyneth; not surprisingly for twins with such close relationship.

My twins were not allowed to attend pre-school for at least 10 days until all symptoms are cleared. The most difficult part was the kids' diet, they basically did not feel like eating anything due to the pain coming from the ulcers. And I certainly do not wish to go through the same cycle again. God Bless.