Dear SWR Families,

I am writing to inform you that several cases of Coxsackie (Hand, Foot and Mouth Disease) have been diagnosed in each of our elementary buildings. 
 
Coxsackie virus is a highly contagious virus which usually occurs in children under 10 years old, but occasionally can occur in young adults. Symptoms include fever, lethargy, red throat, and lesions in the back of the throat and sometimes on the gums, sides of the tongue, and inner cheeks, which eventually form ulcers. A bumpy rash may occur on the palms of hands and soles of the feet. Some children develop lesions on their hands, feet, and buttocks without developing oral lesions. The rash may persist for a week or longer.
Coxsackie virus is transmitted by direct contact with nose and throat secretions and feces of infected individuals. It can also be spread by inhaling respiratory droplets expelled by coughing or sneezing. The incubation period is 3-5 days. The virus is shed in stools for several weeks. Children who have had the disease can develop symptoms again from year to year.

If your child is sent home with suspected Coxsackie virus or any other communicable disease, you must consult with your child's physician for proper diagnosis and guidance. Please note that per District Policy 0151 (Communicable Diseases), a statement from a physician attesting to the status of the communicability is required before your child may return to school.

Please reinforce good hand washing techniques at home, and encourage your child to cough or sneeze into his/her elbow.

While our buildings are cleaned daily, a deep cleaning will be conducted in response to these cases in all of our buildings.

If you have any questions, please contact your child's school nurse.

Sincerely,
Gerard W. Poole Superintendent