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

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Blood<br />

Some <strong>in</strong>fections are spread when blood from an <strong>in</strong>fected person comes <strong>in</strong>to direct contact<br />

through broken or abraded sk<strong>in</strong> or with the mucous membranes of another person. The<br />

transmission of these <strong>in</strong>fections is extremely unlikely <strong>in</strong> the child care sett<strong>in</strong>g.<br />

Examples…<br />

• Hepatitis B • Hepatitis C<br />

• Human Immunodeficiency Virus (HIV)<br />

4. The next person becomes <strong>in</strong>fected<br />

When the germ has reached the next person it must f<strong>in</strong>d a way to enter the body. It can<br />

enter through the mouth, <strong>in</strong>test<strong>in</strong>al tract, nose, lungs, mucosa of eyes, genitals or through<br />

a sore or broken <strong>and</strong> abraded sk<strong>in</strong>. Whether a person develops illness after this germ has<br />

entered the body depends on both the germ <strong>and</strong> the person’s immunity. We can prevent<br />

illness at this stage by prevent<strong>in</strong>g entry to the body (for example, by mak<strong>in</strong>g sure all toys<br />

that children put <strong>in</strong> their mouths are clean, wash<strong>in</strong>g children’s h<strong>and</strong>s, cover<strong>in</strong>g wounds)<br />

<strong>and</strong> by immunisation.<br />

How easily are diseases spread <strong>in</strong> a child care centre<br />

Some viruses such as measles <strong>and</strong> norovirus are very <strong>in</strong>fectious <strong>and</strong> will very easily<br />

<strong>in</strong>fect non-immune people. Measles virus can rema<strong>in</strong> airborne for up to 2 hours after a<br />

person has left a room so that further people are exposed. Norovirus is a very common<br />

cause of diarrhoea <strong>and</strong> can <strong>in</strong>fect 50% or more of people <strong>in</strong> a group.<br />

At the other end of the extreme, hepatitis B, hepatitis C <strong>and</strong> HIV are very difficult to<br />

spread <strong>in</strong> a child care sett<strong>in</strong>g.<br />

4<br />

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