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Common Childhood Illnesses in Singapore: HFMD, Dengue, and Flu

Children in Singapore are generally healthy, but some infectious diseases are more common in our local environment. Knowing the signs and when to seek care can help parents respond quickly and prevent complications.

Here’s what every parent should know about Hand, Foot and Mouth Disease (HFMD), Dengue, and the seasonal Flu.

šŸ¤’ Hand, Foot and Mouth Disease (HFMD)

What is it?
HFMD is a viral illness common among young children, especially those under 5. It spreads easily in childcare centres, schools, and playgrounds.

Symptoms:

  • Fever

  • Painful mouth ulcers

  • Red spots or blisters on hands, feet, and buttocks

  • Loss of appetite, irritability

How it spreads:
Through saliva, mucus, or fluid from blisters. It’s highly contagious.

What to do:

  • Keep your child home until fully recovered

  • Offer plenty of fluids and soft foods

  • Monitor for dehydration or worsening symptoms

When to see a doctor:
If your child is unable to eat or drink, has a high fever for more than 3 days, or seems very lethargic.

🦟 Dengue Fever

What is it?
Dengue is a mosquito-borne illness caused by the Aedes mosquito, common in Singapore’s tropical climate. Children can be particularly vulnerable.

Symptoms:

  • Sudden high fever

  • Severe headache

  • Pain behind the eyes

  • Muscle and joint pain (ā€œbreakbone feverā€)

  • Skin rash

Watch for:
Warning signs of Dengue Hemorrhagic Fever, such as vomiting, bleeding gums, or abdominal pain.

What to do:

  • Ensure your child rests and stays well-hydrated

  • Avoid aspirin or NSAIDs (e.g., ibuprofen), which can increase bleeding risk

  • Seek medical attention early

Prevention tips:

  • Use mosquito repellents

  • Wear protective clothing

  • Remove stagnant water around the home

🦠 Seasonal Influenza (Flu)

What is it?
The flu is a contagious respiratory illness caused by influenza viruses. It can spread rapidly in schools and preschools.

Symptoms:

  • Fever

  • Cough and sore throat

  • Body aches

  • Fatigue

  • Runny nose

Why it matters:
Flu can lead to complications like ear infections or pneumonia, especially in young children or those with chronic conditions.

What to do:

  • Keep your child home until at least 24 hours after fever subsides

  • Offer fluids and rest

  • Encourage good hygiene (handwashing, covering coughs)

Flu vaccine:
Recommended yearly for children aged 6 months and older, especially during flu season.

When to Seek Help

Always consult a doctor if your child:

  • Has persistent high fever

  • Is vomiting or refusing to eat/drink

  • Shows signs of dehydration (dry lips, sunken eyes)

  • Becomes unusually sleepy or unresponsive

Early intervention can prevent complications and reduce spread to others.

Singapore’s climate and lifestyle make certain illnesses more common in children. But with early recognition, good hygiene habits, and timely care, most kids recover well.

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