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Background/Objectives: Numerous national programs have been launched to enhance public health in Saudi Arabia, primarily aiming to promote healthy lifestyles through regular physical activity and a balanced diet. However, there is a lack of studies assessing the effectiveness and utilization of these initiatives. This study aimed to evaluate the perceived effectiveness and utilization of health promotion initiatives and identify the associated factors. Methods: A population-based cross-sectional study was conducted among adults (aged > 18 years) in Saudi Arabia using an online questionnaire through a convenient sampling approach. The questionnaire comprised three sections: sociodemographic data, medical history, and health promotion initiatives. An adjusted analysis was conducted using ordinary least squares (OLS) regression. Results: A total of 999 participants completed the survey. Walking paths emerged as the most perceived effective initiative, while labeled caloric menus were the most utilized. Perceptions of walking paths varied by age and health status; individuals aged 25-44 and lower-income groups viewed them less favorably. In contrast, those in good health found them more effective. Perceptions of calorie-related information on menus differed according to health status. Saudis perceived taxes on soft drinks less favorably than non-Saudis. Regionally, the western region favored fresh juice options compared to the East. The utilization of walking paths was higher among married individuals and those without chronic conditions, while the consumption of soft drinks was significant among younger and extremely obese individuals. Conclusions: The study revealed diverse perceptions and utilization patterns regarding health promotion initiatives among various demographic and socioeconomic groups, emphasizing the need for tailored strategies to enhance their effectiveness across populations.

Hand, foot, and mouth disease (HFMD) is a viral illness that predominantly affects infants and children, causing blisters and sores on the hands, feet, and mouth. Recurrence is rare, but a case in a six-year-old girl in Saudi Arabia was reported. A six-year-old girl presented with a rash on her palms and soles, which was preceded by a mild sore throat and low-grade fever. She had been in contact with her two-year-old sister, who had similar symptoms but a different rash pattern.  During clinical examination, multiple erythematous deep-seated vesicles and papules were noted on the patient's palms and soles, with no involvement of mucous membranes or nails. The diagnosis of hand, foot, and mouth disease (HFMD) was made based on the characteristic clinical presentation, and the rash resolved within seven days without treatment or complications.  The patient had experienced a similar presentation six months ago, which was also diagnosed as HFMD, and the rash had resolved spontaneously within one week. In her second episode, the rash was less severe, with milder prodromal symptoms. In both episodes, the lesions were asymptomatic and had no mucosal involvement. The patient had experienced onychomadesis after her first episode, but no nail abnormalities were seen after her second episode. Although HFMD is rare to recur in children, outbreaks can lead to another episode. HFMD prevalence is underestimated in Saudi Arabia due to missed mild cases. Pediatricians and dermatologists should be aware of HFMD incidence and its complications, as early detection is vital in preventing outbreaks and transmission., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Alakrash et al.)