Situation Information

Hand, foot, and mouth disease is a common viral illness in infants and children, although adults can become infected also. Since the beginning of 2010, an increasing number of hand, foot, and mouth disease (HFMD) cases have been reported throughout various regions in Asia, including China. Travelers to all countries in Asia should take precautions to help reduce their risk of contracting HFMD.

As of May 13, 2010, the China Ministry of Health reported more than 77,000 cases and 40 deaths. Consistent data on the most recent cases is not available however HFMD outbreaks are expected to continue through the coming months.

Advice for Travelers

Hand, foot, and mouth disease is caused by certain viruses, which are common worldwide. The disease is very contagious and is spread through contact with the body fluids of an infected person — such as droplets from coughs and sneezes, saliva, blister fluid, or stool.

Travelers can protect themselves from HFMD by practicing healthy personal hygiene. If you are traveling to areas where HFMD has been reported, follow these tips for good health:

• Wash your hands often with soap and water, especially before you eat, after you cough or sneeze, and after you use the bathroom. If soap and water are not available, use an alcohol-based hand gel (with at least 60% alcohol). Consider packing alcohol-based hand gel in your luggage to ensure you have it when needed.
• Do not share eating utensils, such as forks, spoons, and cups.
• Avoid close contact with persons with HFMD.

Adults should help child travelers to follow these recommendations. Infants, children, and adolescents are more susceptible to HFMD.

Symptoms and Treatment

People who are sick with HFMD often experience symptoms such as—

• fever, poor appetite, general feeling of being sick, and sore throat
• sores in the mouth, usually on the tongue, gums, and insides of the cheek
• skin rash, occasionally with blisters. The rash is typically found on the palms of hands, soles of feet, and buttocks.

Most cases of HFMD are mild, do not need medical attention, and resolve without complications. However, in rare cases, HFMD may lead to serious complications, including swelling of the brain (encephalitis).

No vaccine is available to prevent HFMD. There is no specific treatment for people who are sick with this disease other than treating symptoms, such as fever.

More Information

• Hand, Foot, and Mouth Disease (CDC Fact Sheet)
• Traveling with Children: Resources (CDC Travelers’ Health website)