Dr. Rudy Kotula, M.D.
For those of you who may be traveling over the holidays the Centers for Disease Control and the Vietnamese Ministry of Health have announced a travel alert for hand, foot and mouth disease (HFMD).
At this time, the concern is focused on the southern region of Vietnam, particularly Ho Chi Minh City, Dong Nai, Binh Duong, Long An, Ba Ria-Vung Tau, Bac Lieu, Dong Tap, Tien Giang, and Quang Ngai.
Since mid-October, officials have reported 80,000 cases and over 130 deaths.
What is HFMD?
HFMD is a disease that typically impacts children and infants and is caused by a virus, and will present itself, initially as a notable rash. Followed by:
- Small, blister-like bumps in the mouth
- The rash will appear on hands and feet
- A rash can also surface in the diaper area and on the legs and arms
- The bumps most often can be found on the tongue, the cheek area and close to the throat
- A mild fever can also surface
Spreading of the disease occurs following direct contact with someone carrying HFMD. The spreading can occur through saliva, nasal secretions or fluid from the blisters. Transmission can also occur when objects touched by someone carrying HFMD are touched by others.
What to do?
- If traveling to this region over the holidays, make sure you wash your hands, especially before eating.
- Good hand washing is also important after using the restroom or changing a diaper.
- If soap and water are not available, a good alcohol-based hand sanitizer is recommended.
- Be wary of soiled surfaces or items.
- If you encounter or are made aware that someone has HFMD, avoid kissing, hugging or sharing items with that person.
Treatment options
While there isn’t a lot that can be done, a person can at least treat the symptoms:
- An over-the-counter medication can help with symptoms associated with any pain or fever.
- A mouthwash or a spray can help with pain that can occur in the mouth.
- If mouth sores become a problem, it is important to stay hydrated. In some instances, sores can make it difficult to swallow, so medical treatment may become necessary.
