Rise in HFMD Cases: A Guide for Healthcare Providers

Young children and infants are especially vulnerable to Hand, Foot and Mouth Disease (HFMD) as their immune system is still developing. They also often come into contact with unclean surfaces and may frequently put their hands or objects into their mouths.

While we can’t prevent every exposure, early symptom recognition is key to seeking timely HFMD treatment and preventing complications.

For the first 3-5 days after contracting HFMD, you will be able to notice:

• • Fever (often the first symptom to appear)

• Sore throat

• • Eating or drinking less

• Irritability or fussiness

In the following days, you’ll start to see:

• Mouth sores (often start as red spots on the tongue or insides of the mouth)
• Skin rash on the hands and feet (commonly referred to as an HMFD rash)

These HFMD symptoms in children and infants can often lead to complications, such as dehydration due to eating and drinking less. Spotting these symptoms and giving an accurate diagnosis will prevent further escalation and spread of the disease. On top of that, although HFMD in adults may show mild symptoms or be asymptomatic, they can still contract and spread the virus if not properly identified and treated.

Clinics are often the first point of contact for HFMD treatments, making it essential for healthcare teams to be well-equipped not just with medical supplies but also with awareness and procedures to manage the situation effectively. Proactive preparation can help reduce the spread, improve early intervention, and reassure concerned parents and caregivers.

1. Increase Diagnostic Vigilance

• Train frontline staff to recognise early HFMD symptoms during consultations.
• Encourage fast triage for children showing signs like fever, rashes, or mouth ulcers.

2. Strengthen Infection Control Practices

• Disinfect high-touch areas such as reception counters, door handles, and children’s play items regularly.
• Set up dedicated seating areas or signage to guide symptomatic patients and reduce exposure risk in waiting areas.

3. Improve Communication with Parents

• Offer guidance on when HFMD can be managed at home and when it requires escalation to hospital care.
• Provide practical tips for hydration, symptom monitoring, and home hygiene to reduce transmission and optimize HFMD treatments.

4. Ensure Sufficient Medical Supplies

During HFMD surges, clinics should stay well-stocked with key items to handle both symptom relief and infection control efficiently. This includes:

• Fever and pain relief: Paracetamol or ibuprofen (age-appropriate).
• Oral soothing medication: Gels or sprays for mouth ulcers.
• Hydration aids: Oral rehydration solutions (ORS) and electrolyte drinks.
• Immune support: Kid-safe multivitamins or supplements.
• Rash medication: Topical creams to soothe rashes and reduce skin irritation or scratching.

Proactive stocking ensures timely treatment and helps ease the burden on caregivers during outbreaks. Pharmacies, as an added layer of community support, should also ensure these items are readily available over-the-counter (OTC).

By combining early detection with clear communication and safe clinic practices, healthcare providers can help manage HFMD cases and treatments more effectively, protecting both their patients and the broader community.