User:Cpham3/sandbox

Outbreaks
Since 2008, the Coxsackievirus A6 (CVA6) strain has been linked to hand, foot and mouth disease (HFMD) outbreaks worldwide. In Finland, the initial HFMD case caused by the CVA6 lead to its identification of responsible pathogen of the outbreaks in Europe, North America, and Asia.

Outbreaks are more commonly seen amongst children (those seven and younger) compared to outbreaks rates amongst adults. Due to this, there are outbreaks within daycares, summer camps, and early autumn.

Pregnancy
Serious pregnancy complications due to hand, foot, and mouth disease are rare. However, HFMD is a reason for concern if the mother contracts the virus near the end of her pregnancy. Contraction of the coxsackievirus B are not associated with a higher risk of spontaneous abortions. Although, complications at the end of the pregnancy carries an increased risk of stillbirth or HFMD in the child. There have been reports of congenital heart defects and urogenital anomalies within the newborns of women who seroconverted to the group B coxsackievirus (CVB) during pregnancy. CVB is responsible for up to half of all clinical cases of pediatric myocarditis.