State health department director Dr Zaini Hussin said the majority of the cases involved children aged six and below (4,006 cases), followed by those aged seven to 12 (516 cases), and 73 cases among those above 12 years old.

“To date, 68 HFMD outbreaks have been reported statewide, with three districts recording the highest numbers, namely Kota Bharu (21), Pasir Mas (11) and Kuala Krai (nine),” he told reporters after an Aidilfitri celebration and Meet the Customer Day event.

Of the total outbreaks, 46 occurred in childcare-related facilities such as nurseries, kindergartens, and preschools. The remaining 22 were traced to private homes.

Zaini said most patients only experienced mild symptoms such as fever and rashes on the hands, feet, mouth and tongue, and nearly all recovered without needing specialised treatment.

“Only two cases developed serious complications, but neither required intensive care,” he added.

Zaini said 4,800 childcare premises across the state had been inspected, with 46 ordered to close temporarily for sanitation.

He urged the public to maintain good hygiene and keep young children away from crowded places like swimming pools, shopping malls, and night markets.

“Childcare centre operators are also urged to conduct health screenings at the entrance, carry out regular sanitation and prevent the sharing of personal items among children,” he said.

Separately, Zaini said 47 firecracker-related injury cases were recorded during Ramadan and the festive season this year, with 16 victims hospitalised and two sustaining serious injuries.

“Most of the victims were children, and we were informed that the firecrackers used had been modified and were not legally sold,” he added.