The HFMD: Hand, Foot and Mouth Disease. In Malaysia.

HFMD

Hand, foot, and mouth disease is a contagious viral illness. It commonly affects infants and young children. There is no vaccine to prevent the disease.

Symptoms usually begin with a fever, reduced appetite, sore throat, and a feeling of being unwell.

A day or two after the fever starts, painful sores can develop in the mouth.

A skin rash with flat red spots may also develop on the palms of the hands and soles of the feet.

Sometimes a rash also occurs on the knees, elbows, and buttocks. This rash may blister but won’t itch.

Not everyone will get all of these symptoms but if they have the virus, they can still pass it on to others.

(http://www.cdc.gov/features/handfootmouthdisease/)

The virus is spread through saliva, blisters and faeces of those infected, with an incubation period of three to five days.

The 2018 Epidemic

28 July 2018

24 July 2018

GEORGE TOWN (THE STAR/ASIA NEWS NETWORK) – Malaysian health inspectors investigating the spread of the hand, foot and mouth disease (HFMD) in Penang have narrowed it down to the supermarket trolley.

The HFMD virus was found on the handlebars of the trolleys and on child ride equipment in supermarkets.

Last week, the State Health Department directed shopping malls here to sanitise their trolleys, child rides and public benches.

https://www.straitstimes.com/asia/se-asia/hfmd-virus-found-on-penang-supermarket-trolleys

22 July 2018

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Malacca recorded an increase of almost 50 per cent in the number of hand, foot and mouth disease (HFMD) cases, totalling 1,446 since Jan 1 until last Wednesday, from 795 cases during the corresponding period last year.

State Health Committee chairman Low Chee Leong said despite the increasing trend and with a few schools and child centres ordered to close, the outbreak of the disease was still under control.

Various initiatives had been taken by the Health Department to contain the spread of the disease, as well as enhance public awareness on HFMD, he told a press conference after launching the state-level World’s Blood Donors Day in Malacca today.

Also present were Melaka Health director Dr Ghazali Othman and Melaka Hospital Blood Bank unit head Dr Noramiza Mat Amin.

Meanwhile, Dr Ghazali advised the public to emphasise on cleanliness and hygiene to curb the spread of HFMD.

“Parents or guardians who have children having symptoms of HFMD should not send the kids to school and take them to public places,” he added.

In another development, Dr Noramiza said the Department of Transfusion Medicine was targeting to collect 30,000 bags of blood through blood donation campaigns organised by government agencies, private sector and non-governmental organisations this year.

https://www.malaysiakini.com/news/435337

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19 July 2018

https://twitter.com/SumishaCNA/status/1019959668330803201

The 2015 Epidemic

Malay Mail Online

School reopens after HFMD scare

By Aizyl Azlee
.

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The Parent Teacher Association of Lick Hung got together to clean the classrooms after a few students were suspected of hand, foot and mouth disease cases. — Pictures by Azneal Ishak

SUBANG JAYA, April 29 — SJK(C) Lick Hung has reopened its doors to students after a hand foot and mouth disease (HFMD) scare.

However, eight classrooms remain closed and the affected students advised to stay home and be monitored for symptoms.

The primary school, which was instructed to close two days ago by the Petaling District Health Department, completed the bulk of the cleaning process of all classrooms yesterday.

Classrooms that remain closed are those where students suspected of contracting HFMD were taught.

The school’s Parent Teacher Association chairman, Lim Kok Sang, said they had not confirmed the number of HFMD cases yet and that the classrooms involved will remain closed until further notice.

He also said previous reports of 16 students being suspected of HFMD were only an estimate.

“There was a sudden rise in students calling in sick.

“There were a few cases of HFMD but there was no confirmation on the nature of their illnesses,” Lim said.

Lim, who has three children in the school, said all his children had contracted HFMD.

However, his children’s cases were the only ones he could confirm.

– See more at: http://www.themalaymailonline.com/malaysia/article/school-reopens-after-hfmd-scare?utm_medium=twitter&utm_source=twitterfeed#sthash.Tsawcd4H.dpuf

SJKC Lick Hung was ordered closed due to HMFD.

多名小學生疑患手足口症
雪州力行關10天

(吉隆坡27日訊)疑多名學生患上手足口症,雪州衛生局諭令力行華小關閉10天,即從4月25日起至5月4日。

詳細報導翻閱明日《中國報》
http://www.chinapress.com.my/node/617701

(本報劉金富攝)

 …

Star

Monday April 27, 2015 MYT 10:43:34 PM

Subang Jaya school closed over HFMD fears

PETALING JAYA: SJKC Lick Hung was ordered closed after about 16 students were suspected to be infected with the hand, foot and mouth disease.

The order, from the state Health Department, stated that the school in Subang Jaya would be closed from April 25 to May 4.

Selangor Education Department director Zainuren Mohd Nor said he believed the 16 students were from different classes.

“The school have to be ordered closed as the department feared the disease would spread,” he told The Star when contacted.

http://www.thestar.com.my/News/Nation/2015/04/27/subang-jaya-school-close-over-hfmd-fears/?utm_source=dlvr.it&utm_medium=twitter

Malay Mail Online

Subang school takes no chances after HFMD case

By Ida Nadirah

SUBANG JAYA, April 23 — A school in Putra Heights, Subang Jaya, reopens today after it was closed when a student was infected by the hand, foot and mouth disease (HFMD).

“Even though we shut down the school, the staff continued to work and our students carried on with their lessons from home as we did not want to lose time.”

Lee said the school played its role as part of the community to ensure its students did not contract the disease.

She said although it was highly unlikely the student had contracted the disease from school, it was important the welfare of the other students was looked after.

“The school had just reopened after the term break so the student may have contracted the disease somewhere else. This is a contagious disease. We even provide sanitizers in every classroom to promote the practice of hygiene and cleanliness,” she said.

Selangor Health director Dr S. Balachandran said he would provide details about the school’s closure and statistics on HFMD in the state today.

– See more at: http://www.themalaymailonline.com/malaysia/article/subang-school-takes-no-chances-after-hfmd-case#sthash.7gnIN7KJ.dpuf

Rakyat Post

Kingsley International School reopens after case of hand, foot and mouth disease

By:
MICHAEL MURTY

KUALA LUMPUR, April 23, 2015: 

The Kingsley International School in Subang Jaya which was closed for two days after an isolated case of hand, foot and mouth disease (HFMD) has been reopened.

According to a report by The Malay Mail Online, the school principal Ellis S.P. Lee said that the affected six-year-old girl, had been diagnosed with HFMD, quarantined at home and was being monitored at present.

When the knowledge of the case reached Lee, he immediately sent an email via the school’s parent-teacher portal informing all parents that the school would be closed for two days, reportedly for sanitisation and cleaning works.

http://www.therakyatpost.com/news/2015/04/23/kingsley-international-school-reopens-after-case-of-hand-foot-and-mouth-disease/

Free Malaysia Today

HFMD: Subang school shuts down

April 23, 2015

We’re not taking any chances, says principal Ellis Lee as students work from home for two days.

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SUBANG JAYA: It has been a bother taking the students’ temperature daily and cleaning up the premises again but the Kingsley International School is not taking any chances with the hand, foot and mouth disease (HFMD).

A six-year-old pupil, who was ill when she came to school on Monday morning was sent to the clinic and sent home.

The parents informed school principal Ellis S.P. Lee later in the night that the child was down with HFMD. Lee immediately posted on the parent-teacher portal that the school would be closed for two days.

The school, located in the Putra Heights business area, was closed so that it could be cleaned again and sanitised. Bottles of sanitising liquid were also provided for every classroom.

Lee said she was not prepared to risk her students’ health.

It was no holiday for the children for the school had loaded them with homework during the two-day shutdown, For the teachers, it was work as usual for they had to follow up with the students who were doing their homework and checking on it with the parents.

http://www.freemalaysiatoday.com/category/nation/2015/04/23/hfmd-subang-school-shuts-down/

Star

Sunday April 19, 2015 MYT 7:19:12 PM

Year One pupil’s death in JB not due to HFMD

JOHOR BARU: Tests performed on blood samples of a Year One female student who died on April 11 did not show any strains of Enterovirus-71 (EV71), which causes the Hand-Foot-Mouth Disease (HFMD).

Johor Health and Environment Committee chairman Datuk Ayub Rahmat said the death of the pupil of SJKC Chien Chi, Plentong, here, cannot be associated with HFMD.

“The blood samples sent to the National Public Health Laboratory in Sungai Buloh last week found the victim tested negative for Enterovirus-71.

“This means, the victim did not die of HFMD …she may have suffered complications from another infection or from consuming certain medicine,” he told reporters after the launch of the Clean and Sustainable Johor 2015 programme in Taman Pelangi Indah, here

The seven-year-old pupil, name withheld, died last week due to septic shock and multiple organ failure after suffering symptoms of HFMD.

http://www.thestar.com.my/News/Nation/2015/04/19/johor-baru-year-one-student-death-not-due-to-hand-foot-mouth-disease/

Kenalpasti langkah-langkah pencegahan penyakit tangan, kaki dan mulut

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HFMD Statistics

Peak year 2012: 34,519 cases; one death
2014 January 1 – April 11: 7,368
2015 January 1 – April 11: 13,497 cases

Sarawak contributed the most HFMD cases with 6,333 cases, followed by Se­­langor (2,727), Johor (919), Kuala Lumpur (661), Perak (642) and Sabah (593). Other states had fewer than 400 cases.

– See more at: http://yourhealth.asiaone.com/content/rise-hfmd-malaysia-expected-year#sthash.IwMvcpx3.f30m02Yn.dpuf

A Year One girl suffered from fever and pain in the arms and mouth for five days before being admitted to Hospital Sultan Ismail in Johor Baru last Friday. She died the next day.

– See more at: http://yourhealth.asiaone.com/content/rise-hfmd-malaysia-expected-year#sthash.IwMvcpx3.f30m02Yn.dpuf

Free Malaysia Today

Stay calm, keep clean as HFMD cases peak

April 17, 2015

Health Ministry urges parents, schools, kindergartens to ensure hygiene.

KUALA LUMPUR: The Ministry of Health is expecting more hand, foot and mouth disease (HFMD) cases and has asked schools, kindergartens and parents to take the necessary precautions.

Parents, teachers and caregivers must ensure hygiene by washing hands with water and soap after going to the toilet, touching napkins, after touching or treating blisters and after washing children who had moved their bowels.

If the child shows symptoms, parents and guardians should send him or her to the hospital or clinic. The child should not be sent to school, kindergarten or nursery, and the parents or guardians should not take the child to public places like supermarkets and shopping malls.

The ministry’s concern followed the death of a Standard One girl in Johor. She suffered from fever and pain in the arms and mouth for five days before being admitted to Hospital Sultan Ismail in Johor Baru last Friday. She died the next day.

http://www.freemalaysiatoday.com/category/nation/2015/04/17/stay-calm-keep-clean-as-hfmd-cases-peak/

Rise in in Malaysia expected this year

Kindergarten students being taught how to recognise the symptoms of hand, foot, and mouth disease
Friday, Apr 17, 2015
The Star/Asia News Network
By Loh Foon Fong

PETALING JAYA – More hand, foot and mouth disease cases are expected this year but the Health Ministry has gi­­ven an assurance that the situation is under control.

And the public have been asked to take the necessary precautions.

From January to April 11, a total of 13,497 cases were reported nationwide, an average of 964 a week, a statement from minister Datuk Seri Dr S. Subramaniam said.

This was an increase of 83 per cent over the same period last year, at 7,368 cases, he said yesterday.

Health director-general Datuk Seri Dr Noor Hisham Abdullah said the ministry was concerned about the increase.

“However, the situation is still under control,” he said.

He said HFMD was endemic in Malaysia and occurred throughout the year, with one or two peaks a year.

“Based on our monitoring, a large peak occurs once every three years. The last large peak was in 2012 with 34,519 cases but only one death. We expect a large peak this year,” he said.

– See more at: http://yourhealth.asiaone.com/content/rise-hfmd-malaysia-expected-year#sthash.IwMvcpx3.f30m02Yn.dpuf

Not common for those with H1N1, HFMD to die: Malaysia Health Minister

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Not common for those with H1N1, HFMD to die: Malaysia Health Minister

Thursday, Apr 16, 2015
The Star/ANN

PUTRAJAYA – The deaths of two pupils who suffered from two common diseases – H1N1 and HFM (hand, foot and mouth) – have left the Health Ministry puzzled.

The cause of the deaths is yet to be confirmed, but Health Minister Datuk Seri Dr S. Subramaniam said it was unusual for those suffering from these diseases to die.

“H1N1 and HFM are two common diseases in the country. The viruses are always around us, but to have people who were suffering from the diseases to die is not common.

“I am not saying it cannot happen, but it is not common because there have been a lot of H1N1 or HFM cases in the country and those suffering from it recovered well and uneventfully,” he said before chairing his ministry’s post-Cabinet meeting here yesterday.

An 11-year-old boy, who was treated at the Malacca Hospital on April 9 and transferred to the intensive care unit of a private hospital the next day, died on Tuesday, while in Johor, a Year One girl suffered from fever and pain on her arms and mouth for five days before being admitted to the Hospital Sultan Ismail on Friday. She died on Saturday.

However, he said the public need not panic over the deaths as the two diseases were not known to be deadly, adding that the ministry was monitoring the situation.

– See more at: http://yourhealth.asiaone.com/content/not-common-those-h1n1-hfmd-die-malaysia-health-minister#sthash.nCToooHw.zWzJX1Y2.dpuf

Sister of HFMD victim shares grief online

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theSundaily

SJKC Chien Chi takes preventive measures against HFMD

JOHOR BARU: Sekolah Jenis Kebangsaan Cina (SJKC) Chien Chi in Plentong here is taking preventive measures after one of its pupils died, while 12 others were detected to have been showing symptoms of the hand, foot and mouth disease (HFMD).

Headmaster Peh Hun Kee said among the measures were cleaning up all the classrooms, toilets and canteen with the help of non-governmental organisation over the past two days.

“This school has 2,300 pupils and we have also instructed pupils to observe personal hygiene like washing their hands regularly,” he told reporters at the school today.

Peh said the school management was still waiting for the report from the Health Department about the incident.

He said 96% of the pupils attended school on Tuesday and it was hoped that parents would continue to allow their children to do so.

Last Friday, a Year One pupil from the school died, believed to be due to HFMD.

Johor Health Department director Datuk Dr Mohd Khairy Yakub said blood samples were taken from the seven-year-old girl and the result was expected within a week.

Currently, the cause of her death had been classified as septic shock with multiple organ failure.

On Tuesday, 12 of the 252 pupils screened were diagnosed with HFMD symptoms. — Bernama

http://www.thesundaily.my/news/1385959

Bernama.com

12 SJKC Chien Chi Students Detected With HFMD Symptoms – Johor Health Exco

JOHOR BAHARU, April 14 (Bernama) — Twelve pupils of Sekolah Jenis Kebangsaan Cina (SJKC) Chien Chi, Plentong, here, were diagnosed with hand, foot and mouth disease (HFMD) symptoms, based on screening conducted today.

State Health and Environment committee chairman Datuk Ayub Rahmat said they were among 252 pupils screened through the HFMD control and prevention initiative at the school.

“During the morning session, nine of the 143 pupils screened were detected with HFMD symptoms while three of 109 pupils in the afternoon session were detected,” he said via a short-messaging service (SMS) to Bernama Tuesday.

Ayub said the pupils were referred to the health clinic for clinical samples (swab ulcer) analysis and disinfecting activities at classrooms, canteen and toilets were performed in the afternoon.

Last Friday, a Year One pupil of the school had died, believed to be due to HFMD.

Johor Health Department Director Datuk Dr Mohd Khairy Yakub when contacted yesterday said blood samples were taken from the seven-year-old girl to analyse and the result was expected within a week.

According to Dr Mohd Khairy, currently the cause of her death has been classified as septic shock with multiple organ failure.

–BERNAMA

http://www.bernama.com/bernama/v8/ge/newsgeneral.php?id=1126239

HFMD PERATUSAN KEHADIRAN MURID MEROSOT [15 APRIL 2015]

Traveling to Singapore? More than 4K reports of HFMD in recent months, learn more

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What is the current situation?

According to the World Health Organization, Singapore has reported more than 4,000 cases of hand, foot, and mouth disease (HFMD) during January and February 2015.

CDC recommends that travelers to Singapore follow recommendations for hygiene and cleanliness to avoid HFMD.

What can travelers do to prevent HFMD?

No vaccine prevents HFMD. Travelers are advised to practice good hygiene, including handwashing, to lower the risk of getting sick.

Practice hygiene and cleanliness:

Learn more about HFMD.

  • Wash your hands often, especially before eating.
  • If soap and water aren’t available, clean your hands with hand sanitizer (containing at least 60% alcohol).
  • Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
  • Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
  • Try to avoid close contact, such as kissing, hugging, or sharing eating utensils or cups with people who are sick.

Disinfect dirty surfaces and soiled items:

  • If you are able, first wash the items with soap and water, then disinfect them with a solution of chlorine bleach (made by mixing 1 tablespoon of bleach with 4 cups of water) or a cleaning product that contains bleach.

If you develop mouth sores and think you have HFMD:

  • Take over-the-counter medications to relieve pain and fever. (Caution: Children should not take aspirin.)
  • Use mouthwashes or sprays that numb mouth pain.
  • Drink plenty of liquids to stay hydrated.
  • Seek medical care if you are unsure if you have HFMD or if you cannot swallow liquids to stay hydrated.
  • Talk to your doctor or nurse if you feel seriously ill, especially if you have a fever.
    • Tell them about your travel.
  • For more information about medical care abroad, see Getting Health Care Abroad
  • Avoid contact with other people while you are sick.

http://wwwnc.cdc.gov/travel/notices/watch/hand-foot-mouth-singapore

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