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 due to its limited data. However, HFMD is concerning if the mother contracts the virus at the end of her pregnancy. CVA16 infection has been associated with third trimester massive perivillous fibrin deposition leading to intrauterine death. It has also led to first trimester spontaneous abortions. Overall, there is limited information about the Coxsackievirus A strain in pregnant women. On the other hand, there has been some reports of the Coxsackievirus B (CVB) with regards to pregnant women. Contraction of the CVB 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 CVB during pregnancy. CVB is responsible for up to half of all individuals with pediatric myocarditis. In the past, it has been stated that newborns who have contracted CVB have a 75% mortality from myocarditis. Transmission The Coxsackie A Virus is a highly contagious virus that commonly causes the mild hand, foot, and mouth disease but complications may lead to more serious diseases that can affect the heart, lungs, muscles, and more. The modes of transmission of the Coxsackie virus is primarily through contact between people, respiratory droplets (fluid from coughing and sneezing), and contaminated surfaces. All age groups can become infected with the Coxsackie virus, however it occurs most frequently in young children under the age of 10 and in who have a weakened immune system. The main ways the Coxsackie Virus spreads are: By direct transmission (when an infected person coughs or sneezes into any mucous membranes of the face i.e. eyes, nose, and mouth) Fecal-oral transmission (virus in the fecal matter of an infected individual end up in the mouth of another person) Via surface contact (when an infected person touches their face then a surface, the surface is contaminated with that virus. The next person comes along and touches the same surface then touches their face) Via airborne transmission (when an uninfected person inhales respiratory droplets of an infected person) Although adults are less susceptible to infection, it is still possible