How do we handle hand foot mouth and when can kids return to daycare?




How to Handle Hand Foot Mouth Disease and When Kids Can Return to Daycare

Every parent knows the dread that comes with receiving a call from daycare about their child being sick. Hand foot mouth disease (HFMD) is a common illness in children, causing discomfort and inconvenience. Understanding HFMD, its implications, and when your child can safely return to daycare is crucial for maintaining not only their health but also the wellbeing of other children.

Understanding Hand Foot Mouth Disease

Hand foot mouth disease, often shortened as HFMD, is an infectious illness caused by several types of viruses. Predominantly affecting children under five years old, it’s characterized by sores in the mouth and rashes on the hands and feet. Despite its alarming symptoms, it’s generally a mild condition that resolves itself within a week or two.

The relevance of understanding HFMD lies in its high contagiousness. It spreads through direct contact with nose discharges, saliva, fluid from blisters, or stool of an infected person. This makes daycare centers a prime location for transmission due to shared toys and close interactions among children.

The Importance of Early Detection

Detecting HFMD early can help prevent spreading the disease further while ensuring your child gets appropriate care promptly. The initial symptoms include fever, reduced appetite, sore throat followed by painful sores in the mouth appearing 1-2 days after fever starts. A skin rash on palms of hands and soles of feet may develop over 1-2 days which may blister but is usually not itchy.

Your role as a parent extends beyond caring for your own child; you also have responsibility towards other kids at daycare who could be affected if exposed to HFMD. If your child exhibits these symptoms, it’s essential to keep them home from daycare and consult a healthcare provider.

Managing Hand Foot Mouth Disease at Home

While there’s no specific treatment for HFMD, you can manage the symptoms to make your child more comfortable as their body fights off the virus. This includes:

  1. Offering plenty of fluids: To prevent dehydration from fever, encourage your child to drink water or fruit juice frequently.
  2. Maintaining good hygiene: Regular hand washing can reduce the spread of the virus within your home.
  3. Soothing sores: Cold foods like ice cream or popsicles can help numb mouth sores and provide relief.

The Return Policy: When Can Kids Go Back to Daycare?

A common question among parents is when their child can safely return to daycare. The Centers for Disease Control and Prevention (CDC) recommends that children stay home while they have fever or feel unwell. Once these signs are gone, they can generally go back even if they still have spots or a rash as long as they feel well enough to participate in activities.

However, policies vary by daycare centers. Some may require a doctor’s note confirming that the child is no longer contagious before allowing them back. It’s crucial to communicate with your daycare provider about their specific policy regarding HFMD.

Navigating Common Missteps

In managing HFMD and its fallout, parents often stumble over several common pitfalls. A frequent mistake is sending a child back to daycare too soon which risks further spreading of the disease. Another pitfall is inadequate hydration during illness which may lead to complications like dehydration.

By being aware of these potential missteps, you can ensure that your child recovers fully and safely from HFMD without posing a risk to others.

Taking a Deeper Dive: Long-term Prevention Strategies

While it’s not always possible to prevent HFMD, incorporating certain habits into your daily routine can reduce the chances of your child contracting the disease. This includes teaching your child about proper hand hygiene, discouraging the sharing of utensils and drinking cups at daycare, and regular cleaning of toys and surfaces.

Your Questions Answered

  1. Can adults get HFMD?
    Yes, while it’s more common in children, adults can contract HFMD too but they often have milder symptoms.
  2. Is there a vaccine for HFMD?
    No. Since several different viruses cause HFMD, there’s currently no available vaccine for prevention.
  3. Can my child get HFMD again?
    Yes. A person who has had the disease can develop it again if exposed to different viruses causing HFMD.

Navigating through illnesses like hand foot mouth disease is part of parenthood journey. With understanding and conscientious action, you can ensure your child’s swift recovery and safe return to daycare without compromising the wellbeing of others.

This article does not replace professional medical advice and is intended for educational purposes only. Always consult with a healthcare provider for medical concerns.

Futher Reading:

  • Centers for Disease Control and Prevention: Hand Foot Mouth Disease
  • American Academy Pediatrics: Hand Foot Mouth Disease Information
  • The Mayo Clinic: Hand Foot Mouth Disease Overview


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