Hand, Foot, and Mouth Disease (HFMD) is a highly contagious viral illness that primarily affects children under five years old. In Singapore, HFMD cases are closely monitored, with over 20,000 cases reported annually on average. In certain years, such as during outbreaks, these numbers can soar to over 40,000 cases, significantly impacting families and childcare systems.
While our previous article focused on recognising symptoms, prevention, and treatment, this follow-up delves into what parents can do after their child recovers and how to better prevent future infections.
What to Expect After HFMD Recovery
Most children recover from HFMD within 7 to 10 days. However, the virus can still be shed in faeces for up to 12 weeks, meaning it remains contagious during this time. Post-recovery, parents should remain vigilant to ensure their child’s health and reduce the risk of reinfection.
Common Post-Recovery Concerns
Skin Peeling
Children may experience mild peeling on their hands and feet where rashes were present. This is a normal part of the healing process and does not require special treatment.
Peeling skin on a child's foot following hand, foot, and mouth disease recovery. Source: babycenter community Nail Changes
Temporary nail shedding or deformities, known as Beau’s lines, can appear weeks after recovery but resolve naturally.
Nail changes observed post-recovery from hand, foot, and mouth disease. Source: the hospitalist Fatigue
It’s common for children to feel tired post-recovery. To aid recovery, ensure they get adequate rest and consume a nutritious, balanced diet.
Preventing Future HFMD Outbreaks
While HFMD immunity is strain-specific, children can still contract the disease from other enterovirus strains. Here are some measures to reduce the risk:
At Home
Maintain Good Hygiene
Regular hand washing with soap and water after using the toilet, changing nappies, and before meals. According to a study by the Singapore Ministry of Health, proper hand hygiene can reduce HFMD transmission by up to 50%.
Disinfect Surfaces
Clean toys, high-touch surfaces, and shared items with diluted bleach or a disinfectant solution. Studies have shown that disinfecting surfaces in childcare environments can cut HFMD cases by nearly 40%.
In Childcare Settings
Ensure Proper Cleaning Protocols
Confirm that your childcare centre follows strict hygiene practices, such as disinfecting play areas daily.
Educate Children
Teach them to avoid sharing utensils, cups, or personal items to minimise exposure to potential viruses.
Boost Overall Health
Provide a Balanced Diet
Incorporate fruits, vegetables, and sufficient protein to strengthen your child’s immune system.
Stay Updated on Vaccinations
Ensure your child receives routine vaccinations to maintain overall health and reduce vulnerability to infections.
Dr. Jacquelyn Melody, Senior Family Physician at Oaklife Family Clinic, emphasises: “HFMD recovery doesn’t end with symptom resolution. Proper hygiene and continued care at home are key to ensuring your child’s full recovery and preventing reinfection.”
HFMD may be a common illness among children, but its impact can be minimised with the right post-recovery care and preventative measures. By staying informed and practising good hygiene, parents can help their children recover fully and protect them from future infections.
For more child health tips and updates, follow Oaklife Family Clinic on Instagram or book an appointment today. Your child’s health is our priority.
FAQs on HFMD Prevention and Care
Q: Can HFMD reoccur in my child?
A: Yes, HFMD can reoccur if exposed to a different strain of the virus. Practising good hygiene and avoiding contact with infected individuals significantly reduces the risk of reinfection.
Q: Should I isolate my child after recovery?
A: Although your child may return to school once certified fit, continue practising strict hygiene for 12 weeks post-recovery. This helps prevent spreading the virus, as it can remain in faeces for an extended period.
Q: Are there long-term effects of HFMD?
A: Most children recover fully without any lasting effects. Temporary nail changes, such as Beau’s lines, and fatigue are normal and will resolve over time without intervention.
Q: Can my child go swimming after HFMD?
A: It’s best to wait until all rashes and blisters have completely healed. This ensures no risk of exposing others to the virus.
Q: How do I know if my child’s immunity is low post-recovery?
A: Signs of low immunity include persistent fatigue, frequent illnesses, or slow healing of blisters. To support recovery, provide a nutrient-rich diet, ensure plenty of sleep, and consult a doctor if you notice prolonged issues.