Health Authorities Warn of Rising Hand, Foot and Mouth Disease Cases in Schools and Childcare Centers

DH urges members of public to maintain hygiene amid high level of activity of hand, foot and mouth disease

The Centre for Health Protection (CHP) of the Department of Health (DH) today (November 21) issued another letter to doctors and schools, updating them on the latest situation regarding hand, foot and mouth disease (HFMD) and reminding them to watch for related symptoms among schoolchildren as the localactivity of HFMD has increased in recent days. Schools shouldreportany HFMD outbreak to the CHP immediately.

The CHP's latest surveillance data showed that the number of HFMD outbreaks in institutions/schools recordedhas gradually increased, from 17 outbreaks affecting 50 persons in the week between October 26 and November 1, to 20 outbreaks (affecting 53 persons) and 25 outbreaks (affecting 61 persons) per week in the recent two weeks (i.e. November 2 to 8 and November 9 to 15 respectively). During the first five days of this week (November 16 to 20), 16 outbreaks affecting 40 persons have been reported. Among the 78 HFMD outbreaks recorded from October 26 to November 20, 82 per cent (64 outbreaks) occurred in child care centres/kindergartens (CCC/KG) and primary schools.

Additionally, the CHP's sentinel surveillance based atCCC/KGandprivate medical practitioner clinicsrevealed that the HFMD consultation rates have remained high since late October of this year. There was also an upsurge in consultation rates for HFMD in the Accident and Emergency Departments of public hospitals last week.

"HFMD is a common disease in children caused by enteroviruses (EVs) such as Coxsackie virus and EV71. HFMD occurs year-round in Hong Kong, with peak seasons generally occurring from May to July and from October to December. Given that the activity of HFMD remains at a high level, parents should stay alert to the health conditions of their young children. While most HFMD patients have mild symptoms, three cases of severe paediatric enterovirus infection have been recorded so far this year, requiring hospitalisation. While all patients have recovered and been discharged, I hope that the public will not take this disease lightly," said the Controller of the CHP, Dr Edwin Tsui.

"Schools and institutions have a higher chance of encountering outbreaks as HFMD can spread more easily among young children who have closer contact with each other. Schools are reminded to follow theGuidelines on Prevention of Communicable Diseaseson preventive and control measures as well as management of outbreaks, which should be reported to the CHP for prompt follow-up. Management of venues with play facilities should also refer to the CHP'sPublic Health Advice for Play Facilitieson appropriate infection control in activities involving young children under6 during the peak season of HFMD," he added.

HFMD patients usually experience fever, poor appetite, tiredness and sore throat in the early stages of the illness. One to two days after the onset of fever, painful sores may develop in the mouth and often become ulcers. Most patients recover on their own within seven to 10 days.

Dr Tsui stressed that alcohol does not effectively kill some viruses causing HFMD, for example, EV71. Therefore, alcohol-based handrubs should not be a substitute for washing hands with liquid soap and water.

To prevent HFMD, members of the public (especially those in the management of schools and institutions) should take heed of the following preventive measures:

• Maintain good air circulation;

• Keep hands clean and wash hands properly. Wash hands before meals, after going to the toilet, when they are soiled by respiratory secretions, such as after sneezing, or after handling diapers or other stool-soiled materials;

• Cover the nose and mouth while sneezing or coughing and dispose of nasal and oral discharges properly;

• Regularly clean and disinfect frequently touched surfaces such as furniture, toys and commonly shared items with 1:99 diluted household bleach (mixing one part of household bleach containing 5.25 per cent sodium hypochlorite with 99 parts of water), leave for 15 to 30 minutes, and then rinse with water and keep dry;

• Use absorbent disposable towels to wipe away obvious contaminants such as respiratory secretions, vomitus or excreta, and then disinfect the surface and neighbouring areas with 1:49 diluted household bleach (mixing one part of bleach containing 5.25 per cent sodium hypochlorite with 49 parts of water), leave for 15 to 30 minutes and then rinse with water and keep dry;

• Avoid going to overcrowded places;

• Children who are ill should be kept out of school until their fever and rashes have subsided and all vesicles have dried and crusted; and

• Parents should maintain close communication with schools to let them know the latest situation of sick children.

The CHP's weekly publication, EV SCAN, is issued every Friday to report the latest local situation of HFMD. Members of the public may also visit the CHP's page for more information onHFMD and EV71 infection.

Source: AI-found images

Re-launch of Reporting Scheme for Unauthorised Building Works in New Territories Exempted Houses

Following the direction of earlier proposals, the Buildings Department (BD) announced today (April 1) the re-launch of the Reporting Scheme for Unauthorised Building Works (UBWs) in New Territories Exempted Houses (NTEHs). The reporting period will last for one year from April 1, 2026 to March 31, 2027.

"In view of the history and unique circumstances of the NTEHs (commonly known as village houses), the Government launched a one-off administrative reporting scheme in 2012 as a special arrangement. Under the scheme, owners could report to the BD about UBWs that were erected before June 28, 2011, posed lower risks or constituted less serious contravention of the law. The reporting period ended in December 2012. The Development Bureau (DEVB) put forward proposals to amend the Buildings Ordinance in December 2024, which included rationalising the policy for handling UBWs. The DEVB also pointed out that in response to the views of villagers and Legislative Council members that the reporting period was too short, the Government prepared to re-launch the Reporting Scheme to allow owners who at that time did not report their UBWs to do so," a spokesman for the BD said.

Relevant stakeholders and Legislative Council members generally considered the above proposals practical and feasible, and they welcomed the proposals. The DEVB and the BD have also consulted Heung Yee Kuk on the relevant implementation arrangements.

The re-launched Reporting Scheme will maintain the original criteria, including:

(1) The types of UBWs that can be reported and their erection dates are the same as the original Reporting Scheme, meaning that only UBWs erected before June 28, 2011, posed lower risks or constituted less serious contravention of the law and were not the First Round Targets (Note) are eligible. Examples include signboards projecting from the external walls of village houses; enclosed rooftop structures with a coverage of not more than 50 per cent of the roofed-over area of the main building.

(2) Same as the original Reporting Scheme, owners are required to conduct safety inspections on the reported UBWs every five years.

"The BD will not require the immediate removal of the reported UBWs unless their structures become obviously dangerous. Regarding UBWs in village houses, the BD is prioritising the handling of First Round Targets. If any relevant UBWs remain not reported after the application deadline of March 31, 2027, the BD will, after dealing with the First Round Targets, take priority enforcement action against the non-reported UBWs. The BD will formulate enforcement strategy for the reported UBWs at a later stage in accordance with the risks and the actual situation," the spokesman added.

To enhance the efficiency of processing applications, reports must be submitted via the electronic platform on the BD's website by technically competent persons or registered professional engineers appointed by owners. In accordance with the user-pays principle, an administrative fee of $600 is payable for each application. Upon successful reports, owners must also pay the relevant administrative fee when conducting safety inspections of the reported UBWs every five years.

Details of the re-launched Reporting Scheme are available on the BD's website at https://www.bd.gov.hk/en/safety-inspection/ubw/UBW-in-new-territories-exempted-houses/index_relaunch_reporting_scheme.html; Villagers who wish to report can call 2626 1616 for enquiry. The BD will also use different channels such as distributing leaflets and posters to Rural Committees to enable villagers to know more about the re-launch of the Reporting Scheme.

Owners who had successfully participated in the Reporting Scheme in 2012 are not required to submit reports again. However, they must continue to comply with the requirements of the original Reporting Scheme, including conducting safety inspections of the reported UBWs every five years, submitting safety certificates and paying administrative fees to the BD.

Note: The First Round Targets refer to UBWs with higher potential risks and more serious nature, such as village houses of four storeys or more, and enclosed rooftop structures covering more than 50 per cent of the roofed-over area.

Source: AI-found images