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

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.

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.)

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.

We can get food poisoning from spending time in swimming pools, lakes, rivers, and ponds

Some of the same pathogens that may sicken us in food or water may also sicken us in recreational swimming environments. Bacteria can rub off of people’s (or animal’s) bodies or contaminate the water through a diarrheal episode. Washing your hands for at least 20 seconds before eating food if you are at the beach, pool, or other similar environments and being sure not to swallow the water are ways to help keep safe.

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

More than 50 young children in Cambodia died in spring 2012 for unknown reasons, but laboratory testing of samples available from a limited number of those children came back positive for Enterovirus 71. That virus, which can cause HFMD, is known to cause severe complications among some people who contract the disease. But health officials concluded that poor baseline health and then incorrect treatment using steroids helped exacerbate their condition, helping lead to the deaths.

Polio commonly spreads when virus-laden feces gets into our mouths

This highly infectious disease is transmitted from one person to another, mainly when we eat virus-laden poop particles. Less frequently, contaminated food or water can transmit the virus, or people can be infected via respiratory droplets (from coughing or sneezing).

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).

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.

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.

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.

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.

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.

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.

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.

1 in 4 people around the world don't have access to clean water

Poor water sanitation puts people at risk of acquiring this diarrheal infection. Cholera infections are on the rise due to extreme weather events and conflict. In recent years there have been cholera outbreaks in locations that hadn't seen the disease in many years, including Haiti.

Swimmer's ear is not contagious

Though a lot of people may have symptoms of swimmer's ear at the same time at the same pool, that's because they are all swimming and the moisture is remaining in their ears—not because they are passing this bacterial or fungal-caused infection to each other. People of any age swimming in a pool, lake, or other body of water are all at risk, though children are considered particularly vulnerable.

'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.)

About 20% of people infected with cholera have severe symptoms

That's according to studies from outbreaks in Bangladesh. Most people who contract the disease have mild or moderate symptoms, or none at all. Yet anyone infected with the disease-causing bacteria can shed the pathogens in their feces for a few days, or even up to around 10, seeding the environment with bacteria.

Foot-and-mouth disease, which affects animals, has been eradicated in many locations

The disease, which causes fevers and painful blistering in the mouth, muzzle, snout, teats, and feet—somewhat similar to hand, foot, and mouth disease in people—is transmitted via contact with infected animals or their fluids or eating infected foods or meat. Though it primarily affects cloven-hoofed animals, it's also been known to sicken camels and even elephants.

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.

Swimmer's ear is America's most common waterborne illness, accounting for about 65% of annual waterborne illnesses and 20% of hospitalizations in that category.

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.

Flu spreads through droplets in the air and on surfaces

Influenza passes mainly through tiny droplets released when sick people cough, sneeze or talk. The virus can also survive briefly on surfaces, allowing it to spread when others touch contaminated objects.

Norovirus is the leading cause of food poisoning in the US

The illness is typically transmitted when virus-laden feces gets into another person’s mouth. That occurs when people do not properly wash their hands, contaminating food or surfaces.

Children are at increased risk of contracting swimmer's ear

Kids may be more likely to spend time at the pool so they have that water exposure. They also tend to have narrow ear canals, a prime location for water to get trapped. Frequently wearing earbuds or excessively trying to rid ears of earwax, however, can also increase the chances of painful swimmer's ear infections at any age.

Learn about swimmer's ear, which sickens 1 in 10 Americans

This outer ear infection—in the tube leading from the ear opening to the eardrum—is usually caused by bacteria. Formally called otitis externa, this condition is commonly called swimmer's ear because microbes can enter the ear canal while swimming.

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.

Learn how cholera bacteria sicken humans

Once a person has ingested large amounts of the bacteria, typically through contaminated water, cholera bacteria begin producing and releasing a toxin inside their host. It attacks the mucosal lining of the intestine, making it hard to absorb liquids. This process leads to cholera's characteristic symptoms, like voluminous, watery diarrhea.

Maryland required cholera researchers to fly a yellow warning flag—signifying quarantine dangers in the 1970s

University of Maryland Hospital researchers intentionally infected volunteers with the cholera bacterium in the late 1970s to further their understanding of the disease. They proceeded with this work following the recommendation of a US government panel. (Some users may encounter a paywall.)

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.

Approximately 70% of all polio infections in children are asymptomatic

Most polio infections are asymptomatic or appear with only flu-like symptoms. Infected individuals can still shed the virus in their stool and mucus for days or weeks

One in six Americans contracts food poisoning each year.

Measles is one of the most contagious preventable diseases—it was eliminated in the US in 2000, but it is now making a resurgence due to declining vaccination rates.

Swimming boosts the risk of contracting swimmer's ear by fivefold

The term swimmer's ear is a bit of a misnomer since other factors including scratches to your ear from Q tips, trapped perspiration inside the ear when you sweat, and living in tropical climates can elevate the risk of contracting this outer ear infection. But swimming poses the greatest risk: widely cited research has found that swimming elevates the risk of contracting this infection fivefold.

Extreme weather conditions heighten cholera risks in settings like refugee camps

Runoff from sewage—exacerbated by situations like flooding or extreme rains—heightens this threat. Increasing temperatures also create the ideal conditions for the bacteria to reproduce, increasing transmission risks.

See how cholera spreads in a community

This animated video offers a comprehensive look at how cholera spreads. It makes clear why it's so difficult to stamp out this disease in communities around the world. It also details what steps can help control cholera.

More than 20 mosquito-borne and tick-borne diseases are found in the US

Children, older adults, and people with compromised immune systems are at particular risk of poorer health outcomes from these diseases. But dog owners and outdoor enthusiasts are among those at particular risk of contracting these illnesses, which include Lyme disease, Zika, and the condition Alpha-gal Syndrome.

Cholera can persist in the environment, unlike smallpox, which needs a human host

Vibrio cholerae is the pathogen that causes cholera. It can reproduce in the environment without a human host, which means it's formally called a facultative pathogen. Obligate pathogens need a host to reproduce. Examples of obligate-based diseases include leprosy and smallpox.

Ear infections can arise from chlorinated water, too

Any water remaining in the ear can lead to swimmer's ear. Chlorinated water, however, can also strip the skin of the oils and wax that would otherwise protect the ear.

The 'kissing bug disease' occurs when a bug's parasite-laden poop gets into your blood

Chagas disease transmission can occur when triatomine bugs bite someone infected with a Trypanosoma cruzi parasite and then bite someone else, passing on the pathogen, though the parasite can also be transmitted in other ways, including via food, congenitally, and through blood transfusions. The bugs tend to feed at night and can bite anywhere on the body, but their reputation for biting people around the mouth and eyes created the idea that the bugs were "kissing" humans. Recent research suggests the disease may be endemic in the US.

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

Legionnaires' disease is a serious lung infection caused by Legionella bacteria, and it's often contracted from inhaling contaminated mist or water.

Legionnaires' disease is named after a 1976 outbreak at a state convention of the American Legion in Philadelphia.

'Sloth fever' is an emerging health threat, especially to pregnant women

This disease, caused by the Oropouche virus, is found in animals including sloths, primates, and birds. It primarily spreads through the bite of midges—insects commonly called "no-see-ums." It's endemic to the Amazon region, but US travelers are increasingly contracting it internationally.

Food poisoning can sometimes cause serious long-term health issues

Although foodborne illness can be relatively mild and cause short-term discomfort, more rarely it can also cause long-term severe health consequences, depending on your individual risk factors, the severity of your sickness, and the care you receive. Kidney failure is one serious complication associated with certain types of food poisoning. Meningitis, hepatitis, arthritis, and pancreatitis are also rare and serious foodborne illness complications. If a pregnant person gets food poisoning, it can cause health issues for the fetus.

Watch how viruses like Ebola can spill over from animals to humans—and vice-versa.

Horses can—rarely—get West Nile, too

The animals can contract the virus via infected mosquito bites, but for horses there are four vaccines available. Though West Nile's often asymptomatic or mild in horses, the disease can sometimes be deadly, killing via severe neurological inflammation. There are no reported instances of people becoming sickened by infected horses or vice-versa.

A malaria case in Maryland stumped doctors in 2023—leading to the wrong treatment and underscoring the challenge of physicians being mindful of tropical diseases in our interconnected world.

Cryptococcus neoformans, a growing threat, causes infections in the brain and lungs

This inhalable, microscopic pathogen is found worldwide. It rarely causes illness, but it can take root in those with compromised immune systems, including people with advanced HIV/AIDS. Symptoms of cryptococcal infection—such as a stiff neck, vomiting, and confusion—can begin weeks or months after breathing in spores, though sometimes symptoms won’t appear for years. There are no known cases of transmission between people or between people and animals.

In 1892, two scientists purposefully infected themselves with cholera bacteria

When they became ill—one with mild diarrhea and the other with severe cholera—researchers pointed to that as proof that the pathogen caused the disease.