Childcare centres urged to intensify screenings amid over 1,400 HFMD cases in one week

Johor has seen a sharp 20.5% rise in Hand, Foot and Mouth Disease (HFMD) cases in a single week, with Johor Bahru leading in infections and health authorities issuing urgent alerts to control the spread.

Cases Climb Over 1,400 in a Week

According to Johor State Health and Environment Executive Councillor Ling Tian Soon, HFMD cases rose to 1,441 during the 17th epidemiological week (April 21–27), compared to 1,196 cases in the previous week. Johor Bahru district topped the list with 386 infections, followed by Batu Pahat (254), Kluang (192), and Kota Tinggi (140), as reported by Bernama on April 29. The state-wide increase has prompted swift action from local health authorities.

Children Under Six Most Affected

The majority of cases were reported among children aged 0 to 6 years, with a cumulative total of 8,085 cases, while the 7 to 12 age group recorded 1,512 cases. These statistics underscore the urgent need for stronger health safeguards, especially in facilities that care for young children.

Cluster Infections Across Childcare Centres

There are currently 74 active HFMD clusters in Johor. Of these, 24 clusters emerged in kindergartens, 19 in preschools, 17 in nurseries, 12 in daycare centres, and isolated cases occurred in a primary school and a private residence. These outbreaks are largely concentrated in shared child facilities, amplifying the risk of rapid transmission.

To address the spike, the Johor Health Department (JKNJ) issued two official alert letters. One was sent to hospital directors and district health officers, while the other was directed to the Johor Education Department, KEMAS (Community Development Department), and the National Unity and Integration Department (JPNIN). These letters serve as a preemptive measure to strengthen monitoring and contain infection within institutional settings.

Educators and caretakers have been instructed to enhance screening for symptoms such as fever, mouth ulcers, and skin rashes. Children showing signs of HFMD must be isolated and sent home immediately. Facilities are also required to report any suspected cases to the nearest district health office for prompt intervention.

Urgency as Infections Continue to Spread

The state’s proactive stance indicates growing concern over the trajectory of infections. With cases spreading rapidly among young children and communal care environments, Johor authorities are intensifying surveillance to curb a larger outbreak. Public cooperation remains critical in ensuring early detection and limiting further transmission.

The HFMD surge in Johor signals a pressing public health concern, especially in districts like Johor Bahru where young children are highly vulnerable. With strict measures now in place, Malaysian families and educators—particularly those near border towns and travel hubs—must remain vigilant to protect their communities. Cross-border awareness, especially with Singapore, is also vital as daily interactions increase the risk of transmission.

Sources: Malay Mail (2025), Bernama (2025)

Keywords: HFMD Cases, Johor Bahru, Childcare Infection, Health Department Alert, Malaysia Disease Spike