Deputy Epidemiologist outlines hand foot and mouth disease management in Virgin Islands daycares

In a recent meeting of the Virgin Islands Legislature's Committee on Health, Hospital, and Human Services, officials addressed the rising cases of hand, foot, and mouth disease (HFMD) among children, particularly on Saint Thomas. The atmosphere was charged with concern as lawmakers sought clarity on the outbreak's implications for local daycares and schools.

Deputy Territorial Epidemiologist Lisa Ekpo provided a detailed overview of the protocol followed when a child is suspected of having HFMD. Daycare personnel or school nurses are the first line of defense, responsible for reporting symptoms to health authorities. Once a case is identified, the child is excluded from attendance until they are fever-free for at least 24 hours and any visible symptoms have resolved. Ekpo emphasized the importance of environmental cleaning in daycares to prevent further spread, advising on effective cleaning supplies and practices.

The discussion turned to the alarming statistics of 272 cases reported on Saint Thomas, raising questions about potential trends and the reasons behind the outbreak's prevalence. Ekpo noted that early identification of cases allowed for proactive measures in Saint Croix, where no cases had yet been reported. This foresight was crucial in implementing preventive strategies before the virus could spread.

Senator Nobel Francis inquired about the role of local laboratories in managing the outbreak. Ekpo clarified that testing for HFMD is not conducted locally due to the clear clinical presentation of the disease, which allows healthcare providers to identify cases based on symptoms alone. She described the typical symptoms, including fever and distinctive rashes or blisters, which usually manifest within days of the initial fever.

The meeting also touched on the broader implications of HFMD, with concerns raised about the potential for serious complications. While the disease primarily affects children, Ekpo confirmed that anyone can contract it, including adults. She reassured attendees that while there is no specific treatment for HFMD, symptom management is key, and the illness typically resolves within a week to ten days.

As the meeting concluded, the urgency of the situation was palpable. The Department of Health's proactive measures and clear communication with daycares and schools are vital in managing this outbreak. The community's awareness and adherence to health guidelines will be crucial in curbing the spread of HFMD and ensuring the safety of children across the Virgin Islands.