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... There were 197 emergency department visits related to the disease in September, primarily among children younger than 5, according to the District of Columbia Health Department.

The Virginia Department of Health is also reporting significant increases in emergency department and urgent care visits for hand, foot and mouth disease.

Compared with previous years, in Virginia and West Virginia, there has been a notable increase in reported outbreaks, with schools and day care centers accounting for the majority of outbreaks. ...