How Soon Can Kids Share Meals After Hand, Foot, and Mouth Disease? - Pediatrics

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How long does communal eating last?


Hello Doctor: My child has been diagnosed with enterovirus, but the throat ulcer has healed (it took exactly 8 days from the onset of the illness to healing).
I would like to ask how long we should wait before sharing meals at the table and also about sharing food.
Thank you.

Hua, 30~39 year old female. Ask Date: 2024/01/22

Dr. Xiao Kaiwen reply Pediatrics


The infectiousness of enterovirus through respiratory droplets typically lasts for about 7 days, and it does not exceed 10 days.
However, the virus can be shed in feces for up to a month, so patients should wash their hands thoroughly after using the restroom.

Reply Date: 2024/01/22

More Info


After a child has been diagnosed with Hand, Foot, and Mouth Disease (HFMD), it is crucial to consider both their recovery and the potential for spreading the virus to others. HFMD is primarily caused by enteroviruses, most commonly coxsackievirus, and is highly contagious, especially during the acute phase of the illness.

Typically, the contagious period for HFMD lasts from the onset of symptoms until the sores have healed and the fever has resolved. In most cases, this can take about 7 to 10 days. Since you mentioned that your child’s throat sores have healed after 8 days, this is a positive sign. However, it is essential to ensure that your child is completely symptom-free before reintroducing them to communal meals.

Here are some guidelines to consider before allowing your child to share meals with others:
1. Symptom Resolution: Ensure that your child is free of fever and any other symptoms associated with HFMD, such as mouth sores or skin rashes. If they are still experiencing any symptoms, it is advisable to wait until they have fully recovered.

2. Hygiene Practices: Reinforce good hygiene practices, such as frequent handwashing with soap and water, especially before meals. This is crucial in preventing the spread of the virus, even if your child is no longer symptomatic.

3. Avoid Sharing Utensils: Initially, it may be wise to avoid sharing utensils, cups, or plates until you are confident that the risk of transmission is minimal. This precaution helps to prevent any potential spread of the virus, especially in a communal eating setting.

4. Consult Healthcare Provider: If you have any doubts or if your child has underlying health conditions that may complicate their recovery, it is always best to consult with your pediatrician. They can provide personalized advice based on your child's health history and current condition.

5. Gradual Reintroduction: Once your child is symptom-free for a couple of days and has been cleared by a healthcare professional, you can gradually reintroduce them to shared meals. Start with smaller gatherings to monitor how they interact with others and ensure that they are comfortable.

In summary, while your child may be on the mend, it is essential to prioritize their health and the health of others. Waiting a few extra days after the resolution of symptoms and ensuring good hygiene practices will help create a safe environment for shared meals. Always consult with your healthcare provider for tailored advice, especially if there are any lingering concerns regarding your child's health or recovery.

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