Does a child with hand, foot, and mouth disease need isolation?

Patient's question:

At home, there are two children. One is a 4.5-year-old who has hand, foot, and mouth disease. The younger one is 2 years and 2 months old and has been vaccinated against EV71. Do they need to be isolated? Can proper sterilization in the same house be sufficient?

Doctor's answer:

Hand, foot, and mouth disease is spread through close contact. Living in the same room, even if proper sterilization is done in time, it is impossible to strictly isolate it. Moreover, the child is only two months old. Even if the EV71 vaccine is administered, it cannot prevent other types of hand, foot, and mouth disease. The child is at risk of hand, foot, and mouth disease, so parents must take the child to the hospital for timely medical treatment to prevent blind medication from alleviating symptoms. For parents, it is essential to closely observe changes in the child's symptoms and do their best to help the child receive timely medical treatment for the disease.

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