(2006/06) June 2006 MTB


actually ladies, shipping to sg direct! u'll have to ship to me!!
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Please email me ur orders!
 
What is hand, foot, and mouth disease?

Hand, foot, and mouth disease (HFMD) is a common illness of infants and children. It is characterized by fever, sores in the mouth, and a rash with blisters. HFMD begins with a mild fever, poor appetite, malaise ("feeling sick"), and frequently a sore throat. One or 2 days after the fever begins, painful sores develop in the mouth. They begin as small red spots that blister and then often become ulcers. They are usually located on the tongue, gums, and inside of the cheeks. The skin rash develops over 1 to 2 days with flat or raised red spots, some with blisters. The rash does not itch, and it is usually located on the palms of the hands and soles of the feet. It may also appear on the buttocks. A person with HFMD may have only the rash or the mouth ulcers.


Is HFMD the same as foot-and-mouth disease?

No. HFMD is often confused with foot-and-mouth disease of cattle, sheep, and swine. Although the names are similar, the two diseases are not related at all and are caused by different viruses. For information on foot-and-mouth disease, please visit the web site of the US Department of Agriculture.

What causes HFMD?

Viruses from the group called enteroviruses cause HFMD. The most common cause is coxsackievirus A16; sometimes, HFMD is caused by enterovirus 71 or other enteroviruses. The enterovirus group includes polioviruses, coxsackieviruses, echoviruses and other enteroviruses.


Is HFMD serious?

Usually not. HFMD caused by coxsackievirus A16 infection is a mild disease and nearly all patients recover without medical treatment in 7 to 10 days. Complications are uncommon. Rarely, the patient with coxsackievirus A16 infection may also develop "aseptic" or viral meningitis, in which the person has fever, headache, stiff neck, or back pain, and may need to be hospitalized for a few days. Another cause of HFMD, EV71 may also cause viral meningitis and, rarely, more serious diseases, such as encephalitis, or a poliomyelitis-like paralysis. EV71 encephalitis may be fatal. Cases of fatal encephalitis occurred during outbreaks of HFMD in Malaysia in 1997 and in Taiwan in 1998.


Is HFMD contagious?

Yes, HFMD is moderately contagious. Infection is spread from person to person by direct contact with nose and throat discharges, saliva, fluid from blisters, or the stool of infected persons. A person is most contagious during the first week of the illness. HFMD is not transmitted to or from pets or other animals.


How soon will someone become ill after getting infected?

The usual period from infection to onset of symptoms ("incubation period") is 3 to 7 days. Fever is often the first symptom of HFMD.


Who is at risk for HFMD?

HFMD occurs mainly in children under 10 years old, but may also occur in adults too. Everyone is at risk of infection, but not everyone who is infected becomes ill. Infants, children, and adolescents are more likely to be susceptible to infection and illness from these viruses, because they are less likely than adults to have antibodies and be immune from previous exposures to them. Infection results in immunity to the specific virus, but a second episode may occur following infection with a different member of the enterovirus group.


What are the risks to pregnant women exposed to children with HFMD?

Because enteroviruses, including those causing HFMD, are very common, pregnant women are frequently exposed to them, especially during summer and fall months. As for any other adults, the risk of infection is higher for pregnant women who do not have antibodies from earlier exposures to these viruses, and who are exposed to young children - the primary spreaders of enteroviruses.

Most enterovirus infections during pregnancy cause mild or no illness in the mother. Although the available information is limited, currently there is no clear evidence that maternal enteroviral infection causes adverse outcomes of pregnancy such as abortion, stillbirth, or congenital defects. However, mothers infected shortly before delivery may pass the virus to the newborn. Babies born to mothers who have symptoms of enteroviral illness around the time of delivery are more likely to be infected. Most newborns infected with an enterovirus have mild illness, but, in rare cases, they may develop an overwhelming infection of many organs, including liver and heart, and die from the infection. The risk of this severe illness in newborns is higher during the first two weeks of life.

Strict adherence to generally recommended good hygienic practices by the pregnant woman (see "Can HFMD be prevented?" below) may help to decrease the risk of infection during pregnancy and around the time of delivery.

When and where does HFMD occur?

Individual cases and outbreaks of HFMD occur worldwide, more frequently in summer and early autumn. In the recent past, major outbreaks of HFMD attributable to enterovirus 71 have been reported in some South East Asian countries (Malaysia, 1997; Taiwan, 1998).


How is HFMD diagnosed?

HFMD is one of many infections that result in mouth sores. Another common cause is oral herpesvirus infection, which produces an inflammation of the mouth and gums (sometimes called stomatitis). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination. A throat swab or stool specimen may be sent to a laboratory to determine which enterovirus caused the illness. Since the testing often takes 2 to 4 weeks to obtain a final answer, the physician usually does not order these tests.


How is HFMD treated?

No specific treatment is available for this or other enterovirus infections. Symptomatic treatment is given to provide relief from fever, aches, or pain from the mouth ulcers.


Can HFMD be prevented?

Specific prevention for HFMD or other non-polio enterovirus infections is not available, but the risk of infection can be lowered by good hygienic practices. Preventive measures include frequent handwashing, especially after diaper changes (see "Handwashing" in: An Ounce of Prevention: Keeps the Germs Away), cleaning of contaminated surfaces and soiled items first with soap and water, and then disinfecting them by diluted solution of chlorine-containing bleach (made by mixing approximately cup of bleach with 1 gallon of water. (See more about cleaning and disinfecting in general in CDC's Prevention Resources). Avoidance of close contact (kissing, hugging, sharing utensils, etc.) with children with HFMD may also help to reduce of the risk of infection to caregivers.

HMFD in the childcare setting

HFMD outbreaks in child care facilities occur most often in the summer and fall months, and usually coincide with an increased number of cases in the community.

CDC has no specific recommendations regarding the exclusion of children with HFMD from child care programs, schools, or other group settings. Children are often excluded from group settings during the first few days of the illness, which may reduce the spread of infection, but will not completely interrupt it. Exclusion of ill persons may not prevent additional cases since the virus may be excreted for weeks after the symptoms have disappeared. Also, some persons excreting the virus, including most adults, may have no symptoms. Some benefit may be gained, however, by excluding children who have blisters in their mouths and drool or who have weeping lesions on their hands.

If an outbreak occurs in the child care setting:


Make sure that all children and adults use good handwashing technique, especially after diaper changes.


Thoroughly wash and disinfect contaminated items and surfaces using diluted solution of chlorine-containing bleach.
 
Cutie,
She zzz already ... knocked out by running nose medication. She is still running a temperature but low grade one now ... whole body in rashes because of the earlier on high fever ... refused food and milk ... i think the mouth must be very painful.
 
DId PD say wat food can give to her if she refuse milk. Can she hv some cold stuff..but she down with running nose also rite...
Poor poor kell, all sickness come together, very heartache hor..
 
Cutie, she down with running nose and cough .. worst still, i think her molar is coming out cos she kept on pointing to her cheek. PD said never eat never mind ... most importantly, must drink and drink and drink.
 
Ya right, I hv a question. DO any of yr babe like to bite on people now, I think is due to teething....Zach keep biteing my bb sitter daughter and his sister...she keep complaining abt this. What should I do huh...my gal not like that when she was young le...
 
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<font color="ff6000"><font face="kristen ITC"><font size="+1">NOV/DEC WEEKDAY OUTING</font></font></font>
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<font color="0077aa"><font face="century">
mummies,
how about taking a day off on weekdays? Go check out the new plc MT found: www.toyrentalclub.com/? Or simply jalan jalan? Go birdpark? Zoo? High tea? Suggestions are welcome!

Date: Weekday (26 Nov onwards. TBC)

Pls add on list if interested.
1) Panda
2) Jacque
3) Kissbb??

(I can only check forum at nite. Anyone wants to help advertise this outing? Sunflower? hee...arrow shot! ) </font></font>
 
paula,

sorry to hear kelly got hfmd. If there is blister in her tongue or throat or mouth area, and she do not have appetite, can give cold yoghurt as the coldness will numb the pain. My PD even said can feed cooler milk.

adults can get hfmd too just that at times the manifest may not be similar. And you can get hfmd virus but manifest with just fever and no rashes. Do ensure you wash your hands the thorough way frequently to prevent the disease from spreading. The last time my kids got it, my hb got it too and it was spread by an entire extended family where majority fell sick with blisters in throat and they are all adults. Such a nightmare cos it was so painful, my hb could not sleep for 2 straight nites due to the pain... and he was taking strong painkillers.
 
MT: U blocked yr blog, nvr tell me n add me, please, please add me in, k?
my email: [email protected]

Pauline: u also.. can add me in too.. thanks ya

Any more mommies with blog? Can add me to your blog?



Many Thanks!
 
paula : poor kell ... give her momsicle ?? basically freeze milk in a stick form and let her suck on it - Kay likes it ! and it's fun too, so hope that will lift her spirit !!
 
Hi Paula, hope Kelly will recover soon.

Wei Wei fell sick after the GUG class too. I think the classrooms are a little too chilled.
 
Poohy,
Thanks! I have been deittoling my hands very frequently these days ... today, the red spots in her mouth turned into ulcers ... so many of them and she is very cranky. Fever hasn't gone off yet and it is day 3 ... heart breaking.

Shet, added lei.

K_Ong, thanks for the tip! Will try that tomorrow ...

Carebear, yea manz ... sigh! Have fun at GUG tomorrow ...
 
ALEXTOYS 50% OFF!!

vivi, anything u want, u coming tw in dec right...can help u buy 1st n u pick them up then...
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paula, u want mil's milk to make momsicle?? my fren gave her son popsicle when he had hfmd, cold, relieves pain. pc, can apply calomile to ease the itch?

me busy shopping for her 'dowry' so tat when she gets better, Bren n her can play 2gether!! i got this for her!!
http://www.alextoys.us/catalog/productdetail.asp?t_dept_id=5000&dept_id=5004&pfid=708W&large_image=5000_large.gif&small_image=5000_small.gif&tiny_image=5000_tiny.gif

cute hor...
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mtdt
read the news...feel like crying. A few months back, my fren also lost her baby. i cried & feel so sad for her..why so unfair. Some hv bb then throw them away, some want bb so desp but didn't get....
 
Mummies,
A few of us visited Sarah at the hospital yesterday James and her mum are with her . Saw a pic of Sean and he looked as lovely as Sabie. Like Sabie, he had displayed the same set of resilience; he had put up a very strong and brave battle during the last few months or so.

It is emotionally daunting for the couple but knowing Sarah and James, they are such strong personalities and I know they will continue to march on in life. Sarah is home sweet home now.
 
Mich,
Muacks ... I am sure she will like that ... she loves the pinic bag that we brought the last time ... hey, wat other things on sale? I pass u my shopping list can?

BTW, Kell's not getting better ... today, refused food, water and sleep completely. Just managed to rock her to sleep ... many times today, felt of sending her to hospital but worried that she will feel traumatized lei ... see how tonite and tomorrow ... get bren to pray that she recover fast hor!
 
not much left for the Alex toys sale...
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but if u are into art & craft, it'll be a pretty good time to stock up!

items left & prices in ntd before discount (divide by 20)

1) GO! play mat $1,200ntd
2) swim float + ball $380ntd
3) shake a face band $950ntd
4) rainbow rollers $1950ntd
5) fingerprint kits $480ntd
6) lemonade stand $4800ntd
7) pushcart $6400ntd
8) my 1st desk $3250ntd
9) toy tote $950ntd
10) sand creatures $960ntd
11) butterfly mobile $650ntd
12) sand art $380ntd
13) loop & curl $350ntd
14) fabric markers $280ntd
15) paper mache $370ntd & $1,150ntd
16) PAINT A PET TENT $650ntd
17) paint a dream light $700ntd
18) SCRAPBOOK $480
19) my scrapbook $960ntd
20) my flower press $690ntd (2 styles)
21) wrist watch $600ntd
22) card craft $950ntd
23) pottery wheel $2500ntd
24) many clay stuff $200-$690ntd
25) travel toy tote $960ntd
26) CAR VALET $1,400NTD
27) art on wheels $2,100ntd
28) art book to go $700ntd
29) LAP DOODLE BOARD $650ntd
30) ART TO GO PORTFOLIO $950ntd
31) ART BOX $2350ntd
32) color changers $250ntd- $580
33) color number $380ntd
34) wall easel $2500ntd
35) multi color crayon $160ntd
36) pencil by number $380ntd
37) FISH CHALKBOARD $960ntd
38) dinosaur chalkboard $960ntd
39) my art spinner $960ntd
40) various writing/art pads $350-550ntd
41) face paint $450ntd
42) body art studio $750ntd
43) poster painter activity set $950ntd
44) dino shapes $160ntd
45) assorted brushes $280-350ntd
46) safe in tub $380ntd
47) duck thermometer $160ntd
48) artist in teh tub $990ntd
49) mirror for the tub $350ntd
50) tub islands $680ntd
51) various bath books $280ntd
52) hopscotch $1250ntd

WAH!! i very eng hor... now cross eyes liao!!

pc, let me know wat u want ok... *hugs* & *kisses* to kelly!! hope she gets better soon... give her popsicle? MUST get fluid into her!!
 
forgot to add, my fren goin back to sg in nov, she'll be willing to lug back some of ur stuff BUT pls pls pick up from her hse!! she stays in sengkang.
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paula,
sorry to hear about kelly, hope she'll be well very soon. it must be very tough on u too, do take care too.

mtdt,
my heart goes to Sarah and baby Sean..
 
Morning mummies.
Me become Panda liao, sleep for less the 5hrs for the pass 3days. Zach was down with runing noise and cough, whole nite coughing and want to carry for the pass 3days. Don know will drag for how long...sleepy sleepy...now.
 
Mich,
Why not u send everything over and watashi wa pay for freight? It's okay lah ... dun need to trouble ur plane ... or charter the new boeing A380 flight for Kell's dowry?
 

Paula
Oh dear, did the PD prescribe any cream/medicine to soothe the ulcers? Maybe can give kelly some cooled sweetened syrup like ribena etc...need to make sure she doesnt get dehydrated leh....
 

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