1. By: Alexis Turner & Jaime Puls

2. Are you feeling sore in your mouth? Do you see a rash on your hands or feet?  HFMD is characterized by sores in the mouth and a rash on the hands and feet.  The most common cause of hand-foot-and-mouth disease is infection with the coxsackievirus A16.  Other types of enteroviruses sometimes cause hand- foot-and-mouth disease. HFMD is a common viral infection that most often begins in the throat. https://www.google.com/search?q=Hand+foot+and+mouth+disease&complete=0&biw=1366&bih=673& site=webhp&source=lnms&tbm=isch&sa=X&ei=HZItVO3- MM6lyAT4roGQBQ&ved=0CAYQ_AUoAQ#facrc=_&imgdii=_&imgrc=W- vNWZ9hf3x3rM%253A%3BAU8zalW3eykduM%3Bhttp%253A%252F%252Fupload.wikimedia.org%252Fwikipe dia%252Fcommons%252F5%252F5f%252FHand_Foot_Mouth_Disease_Adult_36Years.jpg%3Bhttp%253A%2 52F%252Fen.wikipedia.org%252Fwiki%252FHand%252C_foot_and_mouth_disease%3B3123%3B1969

3.  Do you have a fever or sore throat?  It may look red and blister-like lessions on the tongue gums and inside of the cheeks.  Infants and young children may be irritable and may have a loss of appetite.  You may want to see a doctor if you have mouth sores or a sore throat. Also if it is keeping your child from drinking fluids or if symptoms worsen.  Symptoms start to occur after 3-7 days.  Fever lasting 24-48 hours. https://www.google.com/search?q=Hand+foot+and+mouth+disease&complete=0&biw=1366&bih=673&site=webhp&source=lnms &tbm=isch&sa=X&ei=HZItVO3- MM6lyAT4roGQBQ&ved=0CAYQ_AUoAQ#complete=0&tbm=isch&q=Hand+foot+and+mouth+disease+symptoms&facrc=_&imgdii=_ &imgrc=f2v9rxg3k74ITM%253A%3BcCyT5O85G2gWmM%3Bhttp%253A%252F%252Fwww.intelligentdental.com%252Fwp- content%252Fuploads%252F2009%252F11%252FHFMD- 1.jpg%3Bhttp%253A%252F%252Fwww.intelligentdental.com%252F2009%252F11%252F18%252Fhand-foot-and-mouth- disease%252F%3B400%3B300

4.  The causes are:  Coxsaklevuris A16  Contact with someone with the disease  Nasal secretions or throat discharge  Saliva  Fluid from blisters  Respiratory droplets in air after a cough/sneeze. https://www.google.com/search?q=Hand+foot+and+mouth+disease&complete=0&biw=1366& bih=673&site=webhp&source=lnms&tbm=isch&sa=X&ei=HZItVO3- MM6lyAT4roGQBQ&ved=0CAYQ_AUoAQ#complete=0&tbm=isch&q=Hand+foot+and+mouth+dise ase+causes&facrc=_&imgdii=_&imgrc=SDjtM6wcDX0FaM%253A%3BSwiuV6- YVOQfIM%3Bhttp%253A%252F%252F3.bp.blogspot.com%252F-wY2rEoMNS-Y%252FTtU9- 9EQLTI%252FAAAAAAAAAVE%252FxNSuIv2Eupc%252Fs400%252F09-0438- F1.jpg%3Bhttp%253A%252F%252Fucpeds.blogspot.com%252F2009%252F09%252Fblog- post.html%3B400%3B300

5.  How to prevent:  There is no vaccine for HFMD You can lower you chance of getting HFMD by:  Washing your hands  Disinfecting and cleaning frequently touched surfaces  Avoid contact with people who have the disease https://www.google.com/search?q=Hand+foot+and+mouth+disease&complete =0&biw=1366&bih=673&site=webhp&source=lnms&tbm=isch&sa=X&ei=HZItVO3 - MM6lyAT4roGQBQ&ved=0CAYQ_AUoAQ#complete=0&tbm=isch&q=Hand+foot+a nd+mouth+disease+prevention&facrc=_&imgdii=_&imgrc=z8AtsOE0crJw9M%253 A%3BNlfUTDCLRuCVcM%3Bhttp%253A%252F%252Fkidshealth.org%252Fparent%2 52Finfections%252Fskin%252Fheaders_98304%252FHand_Foot_Mouth_Dis.jpg%3 Bhttp%253A%252F%252Fkidshealth.org%252Fparent%252Finfections%252Fskin%2 52Fhfm.html%3B436%3B158

6.  1. If you feel sores developing in your throat and mouth it can make drinking and swallowing difficult, which can lead to dehydration.  It is important for you to drink plenty of fluids.  2. In rare cases HFMD can lead to viral meningitis. Viral meningitis is an infection of the membranes that cover the brain and spinal cord.  3. The most serious, but rarest, complication of HFMD is encephalitis which is an infection that causes the brain tissue to swell and become inflamed. https://www.google.com/search?q=Hand+foot+and+mouth+disease&complete=0&biw=1280&bih=929&site=webhp&source=lnms&tbm=isch&sa=X&ei=zrIyVMTvN8GgyQTbuoG4A Q&ved=0CAYQ_AUoAQ#complete=0&tbm=isch&q=Dehydration&facrc=_&imgdii=_&imgrc=0_RqvGwy1ngCAM%253A%3BdGnyXjYz7XxceM%3Bhttp%253A%252F%252Fkidshealth.org %252Fteen%252Fsafety%252Ffirst_aid%252Fheaders_93971%252FT_Dehydration_enHD_1.jpg%3Bhttp%253A%252F%252Fkidshealth.org%252Fteen%252Fsafety%252Ffirst_aid%252 Fdehydration.html%3B436%3B158

7.  Large outbreaks aren’t common in the United States.  Large outbreaks occur often in Asia.  You can get infected more than once. https://www.google.com/search?q=outbreaks+of+hfmd&complete=0&biw=837&bih=537&site=webhp&source=lnms&tbm=isch&sa= X&ei=DtkyVNGaB5WryATdmoDwDQ&ved=0CAcQ_AUoAg#facrc=_&imgdii=_&imgrc=u_f9c0NWAQgF2M%253A%3BmIW7CIOzXSH8HM%3 Bhttp%253A%252F%252Fgdb.voanews.com%252FE80C6A31-D83C-456B-9C2F- D3DD68550A0A_cx0_cy2_cw0_mw1024_mh1024_s.jpg%3Bhttp%253A%252F%252Fwww.voanews.com%252Fcontent%252Fhealth_wor kers_in_asia_scramble_to_contain_hand_foot_mouth_outbreak%252F1446523.html%3B1024%3B755

8.  Most recover fully from the illness.  Nearly all patients recover in 7-10 days.  Most Common Complication:  Dehydration: Intake of fluids is limited due to painful sores in the mouth.  Rare Complications:  Viral Meningitis: Person has fever, headache, stiff neck, or back pain. (May have to be hospitalized for a few days).  Severe Complications:  Neurological, cardiovascular and respiratory problems.

9.  Be a lot more cautious to prevent transmission.  Common in pregnant women.  Cause mild or no illness to pregnant women.  No clear evidence to maternal enterovirus infection. https://www.google.com/search?q=pregnant+women+with+hfmd&complete=0&biw=837&bih=537&site=webhp&source=lnms&tbm=is ch&sa=X&ei=btkyVLeAHYykyASz9YDQBQ&ved=0CAYQ_AUoAQ#facrc=_&imgdii=_&imgrc=VXFDQX-A-0uT-M%253A%3BdCReU- j9FFbX3M%3Bhttp%253A%252F%252Fimages.medicinenet.com%252Fimages%252Fimage_collection%252Fskin%252Fhand-foot-mouth- disease-mouth.jpg%3Bhttp%253A%252F%252Fwww.medicinenet.com%252Fhand-foot-and- mouth_syndrome%252Farticle.htm%3B493%3B335

10.  Information:  http://www.mayoclinic.org/diseases- conditions/hand-foot-and-mouth- disease/basics/definition/con-20032747 http://www.mayoclinic.org/diseases- conditions/hand-foot-and-mouth- disease/basics/definition/con-20032747  http://www.nlm.nih.gov/medlineplus/ency/ article/000965.htm http://www.nlm.nih.gov/medlineplus/ency/ article/000965.htm  https://www.google.com/webhp?complete=0 &gws_rd=ssl#complete=0&q=cause+of+hand+ foot+and+mouth+disease https://www.google.com/webhp?complete=0 &gws_rd=ssl#complete=0&q=cause+of+hand+ foot+and+mouth+disease  http://www.cdc.gov/hand-foot- mouth/about/prevention-treatment.html http://www.cdc.gov/hand-foot- mouth/about/prevention-treatment.html