
HFMD case: Two Kinabatangan schools closed for a week
Published on: Thursday, April 24, 2025
Published on: Thu, Apr 24, 2025
By: Mardinah Jikur Text Size: Dalmansa said the situation remains under control with only one confirmed case and urged the public not to panic. KINABATANGAN: SK Kota Kinabatangan and SK Paris 3 have been temporarily closed for a week to undergo sanitisation after a pupil was confirmed to have contracted hand, foot, and mouth disease (HFMD). District Education Officer Dalmansa Tahil said the situation remains under control with only one confirmed case and urged the public not to panic. 'The closure was in line with advice from the Kinabatangan Area Health Office under the Prevention and Control of Infectious Diseases Act 1988,' he said on Wednesday. He also said during the closure, home-based teaching and learning would be implemented, and parents are advised to seek immediate treatment if their children show symptoms of HFMD.
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New Straits Times
8 hours ago
- New Straits Times
#HEALTH: Managing HFMD in children
BETWEEN April and May this year there was an alarming rise in Hand Foot and Mouth Disease (HFMD). Penang, for example, saw a 409 per cent increase in cases between Jan 1 and March 22 compared with the same period last year, while in Johor, since the beginning of the year, the number of infections exceeded the total cases recorded in both 2023 and 2024. In Sabah there were already 4,385 cases up till April 19. As is the usual pattern with this disease the most affected were children in daycare and kindergarten settings. What causes this sudden spike in cases every year and what can parents do to protect their children? The spike in cases during certain times could be related to environmental factors such as climate changes, the circulating virus type and the low population body immunity towards these viruses, says Pantai Hospital Klang paediatrician Dr Tay Chee Pin. HFMD is a mild contagious viral infection which is caused by the human enterovirus, for example, the Coxsackie virus A and B and enterovirus 71, he explains. The infection is commonly seen in young infants and toddlers aged less than 5 years. In Malaysia, Enterovirus 71 tends to occur in a cyclical pattern, roughly every 2 to 3 years, says Dr Tay. "Even though it is a mild viral infection, some individuals can develop neurological complications such as meningitis, encephalitis or paralysis." Early signs of HFMD are fever ( temperature which is more than 38 degrees celsius), oral ulcers and skin rashes at the hands and feet. Others symptoms include body fatigue, poor appetite, diarrhoea and headache "The rashes are flat , red spots, sometimes associated with blisters and they can extend up to the elbows, knees, buttocks or groin area. It rarely affects other body parts," says Dr Tay. Since this infection spreads through nose and throat secretions like saliva, nasal mucus and fluid from its blister or the faeces of the patient, isolation of infected children is important. Dr Tay says parents must prevent the infected child from indulging in close contact such as hugging, kissing, playing or sleeping together with other children. They must also not share food or utensils. Parents themselves must be extra careful with hand hygiene, especially after cleaning the infected child's faeces so they don't pass the virus to others. In addition, they should sanitise commonly touched surfaces at home such as furniture to prevent other children from coming into contact with these contaminated surfaces. "Frequent cleaning and sanitising of the home including floors, surfaces of furniture, toys, bedsheets and utensils are important to prevent the virus spreading within the household." Dr Tay adds that like with the common cold and flu, children can be reinfected with HFMD once their body immunity towards HFMD wanes. There are also chances that these children can be reinfected by other types of Coxsackie viruses that cause HFMD. However, older, schoolgoing children with a stronger body immunity would be able to fight off the virus and hence not show signs and symptoms of HFMD. MANAGING A CHILD WITH HFMD *Provide regular ( every 4 to 6 hourly) fever medicine (paracetamol is safe to be given to children to control the fever). *Conduct tepid sponging of the child with room temperature water. *Make the child wear thin and soft clothing. *Maintain hydration through small and frequent feeds of fluids. *Throat sprays or drops can be used. *A cold and soft diet is encouraged. *Body lotion can be used to soothe skin rashes.


Daily Express
a day ago
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Tuberculosis, leprosy sufferers told to seek treatment
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Focus Malaysia
6 days ago
- Focus Malaysia
Surge in HFMD cases in Malaysia: Key facts and prevention tips
AMID the excitement of school holidays, parents and caregivers should remain extra cautious as the recent surge in Hand, Foot, and Mouth Disease (HFMD) cases reported nationwide underscores the importance of remaining vigilant of the warning signs associated with the illness. Though it is common during this time of the year, Sunway Medical Centre, Sunway City (SMC) paediatric infectious disease consultant Dr Ch'ng Tong Wei said that the current scale of transmission is alarming, necessitating heightened awareness and preventive measures. 'As a paediatric infectious disease specialist, I have observed a rise in hospital referrals, concerned parental inquiries, and requests for guidance from preschools and kindergartens on outbreak management,' she said. Understanding HFMD HFMD is a highly contagious viral infection predominantly affecting children under five. The illness typically presents with: Fever Sore throat Reduced appetite Painful oral ulcers Rash on the hands, feet, and occasionally buttocks Most cases are mild, with recovery within 7–10 days. However, a small number of cases, usually linked to EV71 virus strain, may lead to complications such as: Viral meningitis Encephalitis (brain inflammation) Cardiopulmonary complications. The good news is that these complications remain very rare, she said. Current outbreak situation According to the Health Ministry, HFMD cases throughout sees a 266% increase in infections compared to the same period last year. The number of HFMD cases in Malaysia has risen to 99,601 as of the 17th epidemiological week this year, compared to 27,236 cases during the same period last year. No fatalities were reported linked to the disease. The ministry said 10,421 cases this year or 10% were outbreak-related, while 90% or 89,180 cases occurred sporadically. Prevention tips for parents and schools 'Since there is no specific treatment for HFMD, prevention and comfort care are essential,' she said. The measures to be taken into consideration are: Keep sick children at home Children with HFMD should remain at home until all blisters have dried and they are fever-free for at least 24 hours. This is the most effective way to stop the virus from spreading. Hand-washing is critical. Practice good hygiene Teach children to wash their hands thoroughly with soap, especially after using the toilet and before eating. Disinfect toys and surfaces regularly with chlorine-based or antiviral disinfectants. Avoid high-risk areas during outbreaks Temporarily limit visits to playgrounds, childcare centres, or crowded spaces during outbreaks where transmissions are more likely. Avoid sharing utensils, towels, or personal items. Provide comfort care for infected children Offer soft foods, cool drinks, and administer paracetamol if needed for fever or pain. Seeking medical attention According to Dr Ch'ng, most children recover without complications, but consulting a doctor is paramount if the child exhibits symptoms such as: Refusal to eat or drink (risk of dehydration) High fever (above 39°C) lasting more than 2 days Lethargy, irritability, or altered consciousness Severe cases may require hospitalisation for intravenous hydration, antipyretics, and close neurological monitoring, she added. Curbing HFMD outbreak is a shared responsibility The recent rise in cases across Selangor, Johor, Perak, and other states is a reminder that we must remain vigilant—not just in hospitals, but as a community. We are monitoring the situation closely with its paediatric teams, nurses, and infection control unit are working hand-in-hand to support parents and manage cases safely and efficiently. By staying informed and adopting preventive measures, Dr Ch'ng believes we can collectively reduce transmission and safeguard our children's health. 'Together, we can protect our children and reduce transmission by adhering to the guidelines. For further inquiries or medical advice, please consult a healthcare professional,' she added. ‒ June 4, 2025 Main image: Ovum Hospitals