Dr. Yuri Tomilin, associate professor in the department of infectious diseases and epidemiology at the Institute of Clinical Medicine of Pirogov University, noted that an unusually long warm period in autumn may help explain the spread of Coxsackie virus. He pointed out that seasonal conditions in the fall can influence how people interact and how easily viruses pass from one person to another. This observation reflects the perspective shared by experts at the Institute of Clinical Medicine.
Beyond weather factors, the main mode of transmission remains airborne, but the virus can also spread through fecal-oral routes, direct contact, and vertical transmission from mother to child. The virus is stable in the external environment and can persist on surfaces for a time. Masks should be worn wherever feasible, and personal hygiene should be prioritized, including thorough hand washing and regular cleaning of touched surfaces. In the current context, adults are less frequently affected than children, who are more likely to become ill. Isolation of sick individuals is advised, with a suggested period of up to 20 days.
Clinicians typically look for a rash that involves the mouth, palms, and soles, with possible lesions on the sides of the body. There is no specific antiviral treatment for Coxsackie virus yet, so particular attention is given to patients with low immunity. This includes individuals living with HIV infection and those who have undergone organ or tissue transplantation. Abdominal discomfort may accompany the infection in some cases and can indicate involvement beyond the skin.
There is no single curative option at this time, so monitoring and supportive care are important. Medical teams emphasize keeping immunocompromised patients closely monitored and ensuring they stay hydrated and comfortable while the illness runs its course.
Overall, the clinical picture centers on a characteristic rash pattern and a spectrum of possible symptoms, with emphasis on infection control, hygiene, and appropriate isolation when needed. Medical guidance stresses that people with weakened immune systems should seek medical advice promptly if symptoms worsen or new signs appear, especially if there are abdominal complaints or signs of dehydration.
In summary, fall conditions may influence spread, but the focus remains on recognizing rash symptoms, understanding transmission routes, maintaining hygiene, and seeking timely care when risk factors such as immune suppression are present. This approach helps reduce transmission and supports affected individuals through careful, evidence-based care.