Staying Healthy in Child Care - National Health and Medical ...

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Treatment A child with Hib will be treated in hospital with antibiotics. 127 Draft for Public Consultation
Hepatitis A Description Hepatitis A infection is caused by the hepatitis A virus. The virus grows within the liver, and passes into the intestines. The main way it is spread is through faeces, when the faeces gets onto the hands of other people, and then moved from hands to mouth. It can also be spread through contaminated water or food (when faeces gets into the water supply or onto food). Children under the age of 3 years rarely have symptoms 102 . Older children and adults are more likely to have symptoms lasting one to two weeks, or in severe cases, up to several months. Symptoms, when present, may include abdominal discomfort, loss of appetite, nausea, low-grade fever and tiredness, sometimes followed by yellow skin and eyes, dark urine and pale faeces. Incubation period 15–50 days, usually 28-30 days. Infectious period A person is most infectious in the two weeks before yellowing (jaundice) occurs, and then slightly infectious during the first week of having jaundice. Exclusion period Exclude until a medical certificate of recovery is received, but not before seven days after the onset of jaundice or illness. Responsibilities of child care providers/staff Report the infection to the director. The first sign of a hepatitis A outbreak is likely to be an ill parent or employee, not an ill child. The director should immediately notify and seek help from the local public health unit. Responsibilities of parents Observe exclusion period. Follow good personal hygiene practices, especially effective hand washing. Controlling the spread of infection It is important for the infected person to consult their doctor. The doctor may offer immunoglobulin to all people living in the same house as the infected person. If given within 14 days after exposure, immunoglobulin may prevent hepatitis A or lessen the severity of the symptoms 103 . The staff from the local public health unit will advise on the need for immunoglobulin for children and child care staff in the centre. Make sure that good hand washing and cleaning procedures are being followed in the centre and at home. Hepatitis A vaccine is recommended for child care workers, particularly those who care for children who are not toilet trained. 128 Draft for Public Consultation
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Staying Healthy in Child Care Preve
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Salmonella……………………
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How infections spread There are fou
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Blood Some infections are spread wh
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• Encourage parents to tell you w
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Sample report form for parent/docto
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Responsibilities of parents • Com
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Exclusion of sick children and staf
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for 24 hours Campylobacter Exclude
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Norovirus swelling goes down (which
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Hand washing Infections can be spre
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Cover your cough and stop the sprea
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the paper and do not reach the tabl
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Cleaning the centre Washing germs a
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Wear gloves when handling soiled li
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Dealing with spills of blood, faece
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Sandpits Sandpits can be great fun.
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Immunisation Childhood vaccination
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antibiotic (neomycin). Reactions to
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Meningococcal C immunisation A sing
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Vaccine Key Hepatitis B Hepatitis B
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Mumps - contagious virus spread by
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Parent Advice Sheet Commonly observ
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23vPPV 23-valent pneumococcal polys
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• Keep a non-mercury thermometer
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Occupational Health and Safety for
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Erythema infectiosum, also called p
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Part 2 Respiratory complaints Asthm
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Bronchiolitis Description Bronchiol
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Bronchitis Description Many childre
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Common cold Description The common
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Croup Description Croup is caused b
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Ear infections (otitis) Description
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Influenza Description Influenza is
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Pneumococcal disease Description Pn
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Runny noses (with green or yellow d
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Responsibilities of the parents Kee
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Treatment People with TB require an
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Controlling the spread of infection
Page 79 and 80: Controlling the spread of infection
Page 81 and 82: Make sure that effective hand washi
Page 83 and 84: with infectious diarrhoea should no
Page 85 and 86: Giardiasis Description Giardiasis i
Page 87 and 88: Norovirus Description Norovirus is
Page 89 and 90: Rotavirus Description Rotavirus is
Page 91 and 92: Salmonellosis Description Salmonell
Page 93 and 94: Shigellosis Description Shigellosis
Page 95 and 96: Worms: Pinworms Description There a
Page 97 and 98: Worms: Roundworm, hookworm and tape
Page 99 and 100: Chickenpox (varicella) Description
Page 101 and 102: Cold sores (herpes simplex) Descrip
Page 103 and 104: Parvovirus B19 (Erythema infectiosu
Page 105 and 106: Head lice (Pediculosis capitis) Des
Page 107 and 108: 7. Comb each section twice until yo
Page 109 and 110: Measles Description Measles is a hi
Page 111 and 112: Molluscum contagiosum Description A
Page 113 and 114: Responsibilities of parents Observe
Page 115 and 116: Rubella (german measles) Descriptio
Page 117 and 118: Scabies and other mites causing ski
Page 119 and 120: Scarlet fever Description Scarlet f
Page 121 and 122: Thrush (candida) Description Thrush
Page 123 and 124: Treatment Warts will usually go awa
Page 125 and 126: Responsibilities of child care prov
Page 127 and 128: • not kissing infants on the mout
Page 129: Haemophilus influenzae type b (Hib)
Page 133 and 134: Hepatitis B Description Hepatitis B
Page 135 and 136: Hepatitis C Description Hepatitis C
Page 137 and 138: HIV (Human immunodeficiency virus),
Page 139 and 140: Meningococcal infection Description
Page 141 and 142: Mumps Description Mumps is an infec
Page 143 and 144: Viral Meningitis Description Viral
Page 145 and 146: the invading organisms. Immunoglobu
Page 147 and 148: Useful Web Sites (Taken from Health
Page 149 and 150: References 1 You’ve got what? 200
Page 151 and 152: 38 Parenting and Child Health - Cro
Page 153 and 154: 79 You’ve got what? 2004. Fifth d
Page 155: 118 You’ve Got What? Meningococca
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