From the Research
A child with hand, foot, and mouth disease (HFMD) can generally return to school once they have been fever-free for at least 24 hours without the use of fever-reducing medications and when they feel well enough to participate in activities. While blisters and sores may still be present, the disease is most contagious during the first week of illness, particularly in the early stages before the rash appears 1. There is no specific medication required for HFMD as it is a viral infection that typically resolves on its own within 7-10 days. During recovery, ensure the child stays hydrated, especially if mouth sores make drinking painful. Cold foods like popsicles or ice cream may help soothe mouth discomfort.
Some key points to consider when deciding if a child can return to school include:
- The child has been fever-free for at least 24 hours without the use of fever-reducing medications
- The child feels well enough to participate in activities
- Good hygiene practices are essential to prevent spread, including thorough handwashing after diaper changes or using the bathroom, and avoiding close contact like kissing, hugging, or sharing utensils 2
- Schools may have their own policies regarding return after HFMD, so it's advisable to check with your child's school administration for any specific requirements they may have in place
It's also important to note that HFMD can have severe complications, such as neurologic or cardiopulmonary complications, although these are rare 3. However, with proper care and hygiene practices, the risk of transmission can be minimized. As stated in a recent study, good personal hygiene and the implementation of a surveillance system can help stop the spread of the disease and prevent outbreaks 1.