This fall, multiple states including Maryland, Virginia, Tennessee and Wisconsin have reported outbreaks of hand, foot and mouth disease, a contagious virus that commonly infects children under 5 but can also cause symptoms in older kids and adults, too.
“This year, [cases seem] to be out of control,” said Dr. Allison Agwu, a professor of adult and pediatric infectious diseases at Johns Hopkins University School of Medicine in Baltimore. For example, in Agwu’s state of Maryland, cases are at “four to five times what they saw this time last year,” she said.
Dr. Matthew Thomas, a pediatric infectious diseases specialist at WVU Medicine Golisano Children’s in West Virginia, said spikes typically happen in cycles. “Some years you’ll see a lot of cases, like we’re seeing this year, and then it kind of fades away, where you don’t hear about it for a while,” Thomas said.
With cases higher than normal, it’s important to know the signs of the virus and what to do if you (or your kids) get sick. Here’s what to know:



Ukraine’s army said on Saturday it struck a Russian oil refinery in the Ryazan region near Moscow, as “part of efforts to reduce the enemy’s ability to launch missile and bomb strikes”. Explosions and a large fire were observed at the site, said the military. Ryazan is located about 200km (125 miles) south-east of Moscow.
The world's largest aircraft carrier, the USS Gerald R. Ford, will arrive in the northern Caribbean on Sunday as tensions with Venezuela grow, according to a U.S. military official. The carrier will join 15,000 service members, including 2,000 Marines aboard an amphibious assault ship.
This week several dozen Venezuelan nationals were transferred from a U.S. immigration detention center in south Texas and boarded a deportation flight to their home country.





























