What is it about?

Hand Foot Mouth Disease is a contagious viral disease commonly affecting under five years old children. HFMD is caused by two types viruses: human enteroviruses (EV71) and Coxsackievirus (CA16). Four signs & symptoms that predominate in HFMD cases, are: mild to moderate fever, papulo- vesicular rash on extremities, sole blisters and oral ulcers. The child refuses to take food when oral ulcers are present and gets frightened sole blisters are present and the child suddenly can not to walk/play freely.

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Why is it important?

Though HFMD is a self-limiting illness and majority recover spontaneously with symptomatic management, some cases may develop serious neurologic involvement that may further progress to potentially fatal cardio-pulmonary failure (in cases of EV71 infections much more). It is therefore crucial to have potential clinical insight to establish the diagnose of HFMD quite successfully particularly in resource constraint setting where access of standard/ virological laboratories either remain very limited or none.

Perspectives

Our first report on HFMD pocket outbreak in a district hospital heralds that HFMD has already emerged in Bangladesh and so, the local health care centers should be ready & well equipped to combat such upcoming small/pocket HFMD outbreaks particularly in densely populated poverty prone countries.

Azraf Hossain Khan

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This page is a summary of: Emerging Hand Foot Mouth Disease in Bangladeshi Children- First Report of Rapid Appraisal on Pocket Outbreak: Clinico-epidemiological Perspective Implicating Public Health Emergency, F1000Research, July 2018, Faculty of 1000, Ltd.,
DOI: 10.12688/f1000research.15170.1.
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