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 Disease Form 2008

Arkansas Reportable Diseases 2008-2025 Form

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Hand, foot and mouth disease is a common viral  infection that affects mostly infants and young   children. Infection is characterized by a rash  on the hands and feet, and painful blisters   inside the mouth. Outbreaks typically occur in  daycare setting, during summer and early fall.  Most cases are caused by coxsackievirus A,  serotype 16, but other enteroviruses can also   be the cause. Notably, enterovirus 71, EV-71, is  responsible for a more severe form of the disease.   The viruses are non-enveloped, and  contain a single plus-strand RNA.  An infected person may shed virus in respiratory  droplets, oral and nasal secretions, blister   fluid, and stool. The disease can spread through  direct or indirect contacts with the infected.   Patients are most contagious during the first  week of illness, but can remain infectious for   several weeks, even without symptoms. After being inhaled or ingested,   the virus replicates in the throat, tonsils,  and lym

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