HFMD in Childcare Centres: What Should Parents Know?

HFMD in childcare centres

By Dr Mas Suhaila Isa


If you are a parent of toddlers or children soon entering childcare, you would likely have heard of Hand, Foot Mouth Disease (HFMD). Outbreaks of HFMD are common all year round in childcare centres and kindergartens across Singapore.

As parents, what should you be aware of before sending your child off to childcare?

Why do Kids in Childcare Get Sick More Easily?

Infectious diseases are common among young children, and childcare settings (e.g. infant care, nursery, kindergarten) are a hotbed for the spread of such diseases. In fact, young children in childcare settings are 2-3 times more likely to fall ill.


This is because young children have not yet been exposed to many common germs, thus have not built up resistance or immunity to them. Close contact between children for prolonged periods also increases exposure to these contagious diseases.


In addition, young children may have habits that promote spread of germs, such as putting their fingers, toys and other objects in their mouth.

What is Hand Foot Mouth Disease (HFMD)?

HFMD usually occurs in children under 10 years old and usually lasts between up to 7 to 10 days. The illness has an incubation period of 3 to 7 days from when a child is infected to when symptoms show.

Child with HFMD

Symptoms include:

  • Fever
  • Lethargy
  • Sore throat and/or drooling
  • Painful mouth sores located on the throat, gums and inside of cheeks. These are small red spots that blister and often become ulcers.
  • Non-itchy rashes on the hands, soles of the feet, buttocks and/or genitalia

HFMD is spread through contact with:

  • Nose and throat secretions (saliva, mucus, etc.)
  • Fluids from the blisters of an infected person.
  • Faeces


Adults can also contract HFMD but the illness is generally milder.


Read our Health Topics A-Z section for more information on Hand Foot Mouth Disease.

What Should I Do if My Child Has HFMD?

While medications for throat and fever can help alleviate symptoms, there is no specific anti-viral treatment for HFMD or vaccination to prevent it. It can take 1 to 2 weeks before your child can return to school, once all the symptoms have cleared up. Sufficient hydration and rest is key to recovery. If possible, isolate your child from family members and the public as HFMD is highly contagious.


Practice high standards of personal hygiene and inculcate these habits in your child at all times (regardless of whether your child is infected):

  • Washing hands with soap and water before and after eating, and after using the toilet
  • Cover his or her mouth with a tissue when coughing or sneezing
  • Avoid sharing food, drinks, utensils, towels and toothbrushes with others
  • Avoid touching the eyes, nose and mouth with unwashed hands
  • Disinfect toys and frequently touched surfaces


If your child is showing symptoms of HFMD, consult your doctor first for a thorough examination to make the diagnosis.

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Incorporated in 2005, Singapore Medical Group (SMG) is a private specialist and primary healthcare provider with a network of more than 20 medical specialties. The Group is committed to its promise of providing patient centred medical care and experience to every individual. SMG has 35 clinics and a growing network of SMG Associates all across the island.

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