Editing Coxsackie A virus (section)

== Outbreaks ==
Since 2008, coxsackievirus A6 (CVA6) has been associated with several worldwide outbreaks of hand, foot and mouth disease (HFMD).<ref>{{cite journal | vauthors = Ramirez-Fort MK, Downing C, Doan HQ, Benoist F, Oberste MS, Khan F, Tyring SK | title = Coxsackievirus A6 associated hand, foot and mouth disease in adults: clinical presentation and review of the literature | journal = Journal of Clinical Virology | volume = 60 | issue = 4 | pages = 381–6 | date = August 2014 | pmid = 24932735 | doi = 10.1016/j.jcv.2014.04.023 }}</ref> In Finland, the initial HFMD case caused by the CVA6 lead to its identification of being the responsible pathogen of the outbreaks in Europe, North America, and Asia.<ref>{{cite journal | vauthors = Bian L, Wang Y, Yao X, Mao Q, Xu M, Liang Z | title = Coxsackievirus A6: a new emerging pathogen causing hand, foot and mouth disease outbreaks worldwide | journal = Expert Review of Anti-Infective Therapy | volume = 13 | issue = 9 | pages = 1061–71 | date = 2015 | pmid = 26112307 | doi = 10.1586/14787210.2015.1058156 | s2cid = 31843865 }}</ref> Coxsackievirus A16 (CVA16) has also been linked to HFMD.<ref name=":1">{{cite journal | vauthors = Deeb M, Beach RA, Kim S | title = Onychomadesis following hand, foot, and mouth disease in a pregnant woman: A case report | journal = SAGE Open Medical Case Reports | volume = 7 | pages = 2050313X19845202 | date = 2019 | pmid = 31080597 | pmc = 6498765 | doi = 10.1177/2050313X19845202 }}</ref>

Outbreaks are more commonly seen amongst children (those seven and younger) compared to outbreaks rates amongst adults. Due to this, there are outbreaks within daycares, summer camps, and early autumn.<ref>{{cite web | vauthors = Guerra AM, Orille E, Waseem M | title = Hand Foot And Mouth Disease | year= 2020 | pmid = 28613736 |publisher=StatPearls |url=https://www.ncbi.nlm.nih.gov/books/NBK431082/ |access-date=11 January 2021}}</ref>