HFMD is a common childhood infection that is generally mild and can resolve on its own without treatment. It is easily spread from one person to another by droplet, saliva as well as by coming in contact with fluid from inside the blisters.

HFMD cases can be expected in preschools from time to time as young children are still developing their immunity. The majority of children (90%) are infected by 12 years of age, many without symptoms. As children without symptoms can also be infectious, it is difficult to prevent infection completely.

The key to controlling the spread of HFMD lies in early detection and isolation of cases, as well as good personal and environmental hygiene. This includes practices such as washing hands with soap before eating and after going to the toilet; covering one’s mouth and nose with a tissue when coughing or sneezing and throwing the tissue away into a bin immediately; not sharing food or drinks, eating utensils, toothbrushes or towels with others; and disinfecting articles such as toys or appliances contaminated by oral or nasal secretions.

Keeping preschools safe is a collective responsibility. Parents should inform the preschool if their child has displayed unwell symptoms and bring their child to see a doctor. Parents should also have their child rest at home and return to preschool only when he/she has fully recovered.