Hand, Foot, and Mouth Disease – Coxsackie Virus A

CAUSE:

Enterovirus group of the family Picornavirus

SIGNS AND SYMPTOMS:

A highly contagious viral disease characterized by sore throat, low-grade fever of 101°F, painful ulcers of the mouth and mucous membranes and a skin rash on the palms of the hands and soles of the feet. Students will have nausea and vomiting, fatigue, abdominal pain, and headaches. It usually occurs in the summer and early autumn in children younger than 10 years old.

INCUBATION PERIOD:

3 to 5 days. Period of communicability is during the acute stage of the illness while fever or lesions exist. The virus persists in stools for several weeks

MODE OF TRANSMISSION:

Direct contact with nose and throat secretions or feces of infected persons, and by respiratory droplets from infected persons

PREVENTIVE MEASURES:

Use of Universal/Standard Precautions, especially hand washing and good personal hygiene, following toileting. Properly dispose of soiled tissues and disinfect classroom equipment with the school district’s recommended disinfectant detergent.

IMPLICATIONS FOR SCHOOL:

Report to Coordinated Student Health Services, 754-321-1575. Exclude from school for fever and until lesions are gone.