In 2012, a virus that causes HFMD may have killed dozens of kids in Asia

There are more than 200,000 cases of HFMD annually, and there's no cure

The highly contagious disease is caused by several viruses and it primarily affects little kids. It causes red spots in and around the mouth, hands, feet, and even the buttocks. They often become painful water-filled blisters that can burst and cause small ulcers. Eating and drinking is uncomfortable for about a week so patients need to be careful not to become dehydrated.

Environmental conditions, shifting immunity, and viral strain could help explain 2025 spike

The surge in HFMD in the summer and early fall of 2025 in the mid-Atlantic could be the result of a confluence of factors, including a more virulent strain of disease-causing virus, good environmental conditions for the virus to spread—hot, humd—and a potential immunity gap among kids due to milder HFMD outbreaks the previous year.

Adults usually have some immunity to HFM Disease—but can still spread it

In 2025, certain eastern states including Virginia and West Virginia reported a sizable uptick in their HFMD cases, particularly in their schools and daycare centers, though the reason for the larger outbreaks remains unknown. When adults or teens get the disease, their symptoms are usually mild or even asymptomatic. Still, they may pass the disease between people, too. (Some users may encounter a paywall.)

See Virginia's spike in HFMD cases in 2025

The state's own tracking showed a significant jump in HFMD cases in July 2025 as compared to the prior few years, and that more people were visiting the emergency room and urgent care centers for the disease, but epidemiologists could not explain why the numbers were so high.

'Tomato flu' outbreak in India turned out to be HFMD

An illness initially dubbed "tomato flu" in 2022 that sickened children in Kerala, India, with symptoms typical of hand, foot, and mouth disease turned out to be that—not a new ailment. A letter published in the prestigious journal The Lancet had initially described the illness as "a new virus" but at least some of the children ultimately tested positive for one of the viruses that causes HFMD, so it wasn't a new condition after all. (Some users may encounter a paywall.)

Although rare, HFMD can spreads in pools due to poor bathroom hygiene

In pools with inadequate levels of chlorine, this disease can spread via the poop-to-mouth route, though this isn't one of the most common ways the disease is transmitted. People can become infected by swallowing contaminated pool water after little kids (or their parents) don't do an adequate job removing virus-laden feces from the child before the child enters the water.

HFMD was first reported in 1957 in New Zealand

The first clinical report involved eight kids with the characteristic sores in New Zealand, and then in the years that followed there were dozens more cases there and also reports of outbreaks in England and Scotland, among other settings, including the US.

HFMD symptoms typically begin to show up 3-6 days after exposure

Fever is often the first symptom and then painful sores may develop a day or two later. Coxsackie A16 is currently the most common enterovirus that leads to the disease, though there are several other enteroviruses that can cause it as well.

At least 7 eastern college campuses experienced surprisingly large HFMD outbreaks in 2018

The outbreaks at the college level caused a particularly nasty set of symptoms, including the usual blisters in the mouth and on the hands and feet—but also affected the genitals. They surprised health officials who weren't sure why so many young adults were being sickened, including more than 120 kids at Johns Hopkins University. The disease also caused outbreaks at campuses including Princeton, Dartmouth, West Virginia University, Lehigh University, Wesleyan University in Connecticut, and Mars Hill University in North Carolina.

CDC does not require docs to report hand, foot, and mouth cases which makes tracking difficult

Mid-Atlantic states saw a surge of hand, foot, and mouth disease in 2025 for as-yet unknown reasons. Virginia, Maryland, and New Jersey, reported elevated outbreak numbers in 2025 as compared to other recent years, but since the US Centers for Disease Control and Prevention does not require mandatory reporting of positive HFMD cases—unlike strictly notifiable diseases like measles—it's hard to truly know the extent of the outbreaks and how significant the caseload is as compared to prior years across the region or country.

Hand, Foot, and Mouth Disease is part of the same virus family as polio

These viral infections are both caused by enteroviruses, which are a group of single-stranded, non-enveloped RNA viruses. Several different enteroviruses are known to cause this condition, including Coxsackie virus A16, Enterovirus 71, and Coxsackie virus A6.

Hand, foot, and mouth is usually seasonal—peaking in summer—but not always

This painful, contagious disease most commonly has outbreaks in summer and early fall in the US because the enteroviruses that cause disease can most readily survive and be transmitted in warmer, humid conditions. It can still show up throughout the year, however.

The 1957 and 1968 influenza pandemics caused millions of deaths worldwide

The 1957 H2N2 pandemic spread from East Asia, killing more than 1M globally, while the 1968 H3N2 pandemic began in Hong Kong and caused a similar toll, with both strains rapidly moving across continents.

HFMD can survive on surfaces for days at a time

That's why the virus can be transmitted via fomites—surfaces that have virus on them like doorknobs, kids toys, etc. These viruses are resilient—they are often even resistant to freezing (and are frequently stored at freezing temperatures in lab settings).

Diphtheria was once a leading childhood killer before antibiotics and vaccines

In 18th- and 19th-century outbreaks, some New England families lost as many as eight children to diphtheria, and fatality rates in hospitals often topped 60%. The invention of antitoxins, penicillin, and vaccines dramatically reduced deaths.

Hand, foot, and mouth disease spreads easily—including via fomites

The common ailment spreads through respiratory droplets, touching infected secretions like poop, but also by touching virus-laden fomites, which are contaminated objects such as doorknobs or toys.

Secondary complications from measles in children range across the whole body.

A rare complication of measles is that, although a patient may appear to recover, the virus can linger in the body and continue to replicate, leading to a progressive and fatal breakdown of the central nervous system that occurs years or decades after initial infection.

Measles cases in the US reached a 35-year high in 2026 as vaccination rates dropped.

Explore this hantavirus cruise ship outbreak case map from May 2026

Assembled from case information from state and health agencies, this detailed mapping includes the last known locations of each confirmed, deceased, and suspected case and their status.

Measles attacks the body's immune system, leaving it vulnerable to secondary complications.

Ebola virus, with an average fatality rate of around 50%, has been responsible for more than 2,000 confirmed deaths during the 2026 outbreak in the Democratic Republic of the Congo and Uganda.

More than 4,000 people died from cholera in 2023

This global health threat sickened more than half a million people in 2023 and killed 4,007 people. That's a 71% increase in deaths as compared to a year earlier. (Report only offered in PDF format.)

Herpangina is a related disease that also has characteristic sores in the mouth and throat

This painful condition is also caused by several viruses in the enterovirus family. The condition typically has early symptoms including a fever and sore throat, in addition to the sores. Herpangina is often mistaken for strep throat, but there's no cure for herpangina and patients typically have symptoms for about a week.

A look at the 2025 measles outbreak in West Texas and surrounding areas

A measles outbreak in the summer of 2025 ultimately led to more than 900 cases and the deaths of two young children. The highly contagious virus requires vaccination rates near 95% to achieve herd immunity—the Texas outbreak spread through areas of significant mistrust of vaccines, including the area’s Mennonite community.

Improved 19th-century sanitation meant kids encountered polio later, with worse results

Almost all children likely used to contract poliovirus, but scientists suggest that when infants encountered it very early in life—due to poorer conditions and hygiene—they still had some maternal protection from pregnancy or through breastmilk, so the symptoms were more flu-like.

Watch an expert's take on the rare disease hantavirus—and why it's not of great concern to the general population

This rare zoonotic disease, transmitted to humans primarily through infected rodent droppings, urine, or saliva, is rarely spread between people. The disease was of particular concern in spring 2026, when an outbreak occurred on a 150-person cruise ship, prompting a flurry of action, including contact tracing for passengers in their home countries. The disease can be fatal. But early care—primarily oxygen support—can help patients survive.

Measles, eliminated in the US in 2000 but now making a resurgence, is one of the most contagious preventable diseases.

The measles vaccine has saved an estimated 94 million lives since its introduction.

The similarly named foot-and-mouth disease doesn't affect humans, unlike HFMD

Though the names are similar, foot-and-mouth disease—also known as hoof-and-mouth disease—exclusively affects animals, primarily those with hooves, such as cattle, sheep, pigs, goats, and even giraffes. It doesn't sicken humans, though both this disease and hand, foot, and mouth disease do come from the same family of viruses—Picornaviridae.

One in six Americans contracts food poisoning each year.

Explore a technical look at the measles virus and its toll on humanity through the ages.

Measles symptoms range from fever to pneumonia and encephalitis

While less common, most measles-related deaths come from secondary conditions such as pneumonia (one to six cases per 100 patients) and encephalitis (one case per 1,000 patients). Blindness, which is rare, may arise from corneal ulceration.

Mosquito-borne illnesses have killed two captive orcas at SeaWorld since they became water park attractions.

Marburg virus, related to Ebola, is also extremely deadly, and has no available vaccine.