Hand, Foot and Mouth Disease
(Coxsackie Virus)

Your child is required to remain home.

Cause/Symptoms

• Virus
  
• Sudden onset of fever, sore throat, rash on palms of hands, fingers, and on soles of feet with or without painful sores inside the mouth
  
• Usually occurs in children, particularly in the summer months
  

Transmission

• Person to person by direct contact with fluid from sores, respiratory secretions and fecal-oral route
  
• Although most common in young children, asymptomatic adults can also spread infection
  

Incubation

• Usually 3 to 5 days
  

Period of Communicability

• Most infectious during the first week of illness while experiencing symptoms
  
• Transmission via stools and throat secretions may persist for several weeks
  

We can discuss your child's return to daycare once all the following criteria has been met:

• All sores/blisters are dried up, including the ones hidden under clothing and diapers
  
• Your child can participate in all activities
  
• Your child is eating and drinking normally
  
• All symptoms are done and your child is no longer contagious
  
• The daycare fever policy has been followed
  
• The daycare runny nose policy has been followed
  
• The daycare sore throat policy has been followed
  
• Your child is no longer in any pain
  
• At least 7 days have passed since the onset of symptoms/diagnosis
  
  

Your child is required to remain home for at least seven (7) days, if not longer.