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

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Comments Children with diarrhoea, who vomit or who refuse extra fluids should see a doctor. In severe cases hospitalisation may be needed. The parent and doctor will need to know the details of the child’s illness while at the centre. Photocopy the letter on page 8 and fill in the details. 81 Draft for Public Consultation
Giardiasis Description Giardiasis is a form of gastroenteritis caused by a parasite called Giardia lamblia which lives in the bowel. Giardia parasites are also found in wild animals, pets and farm animals. Untreated water that comes directly from lakes and rivers may also contain Giardia parasites. Symptoms include diarrhoea, foul-smelling faeces, cramping, excessive gas or bloating, fatigue, nausea, and sometimes vomiting or weight loss. Fever and bloody faeces are not usually symptoms of Giardia infections. Many infected people and animals have no symptoms. In child care centres, children and adults may be well and not have diarrhoea but still be infected with the parasite. This makes their faeces potentially infectious to others. A person with active diarrhoea is more likely to spread the disease than one who doesn’t have diarrhoea but still has infectious organisms in their faeces. Giardia infections are spread when: • Infected people do not wash their hands effectively after going to the toilet. Contaminated hands can then spread the parasites to food that may be eaten by others and surfaces that may be touched by others. • Hands become contaminated while handling infected animals or changing the nappy of an infected infant. • People drink contaminated water. Incubation period Commonly 6 – 9 days but may range from 5–15 days. Infectious period For as long as the organism is in the person’s faeces, whether or not the person has symptoms. Exclusion period Exclude until diarrhoea has stopped for at least 24 hours. Responsibilities of child care providers/staff Report the infection to the director. Contact your local health authority if several children in one group are ill. Public health workers may be able to help identify how the infectious agent has spread through the centre and prevent further infection. Responsibilities of parents Observe the exclusion period. Controlling the spread of infection Exclude a person with infectious diarrhoea from the centre until diarrhoea has stopped for at least 24 hours. 82 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
Page 33 and 34: Sandpits Sandpits can be great fun.
Page 35 and 36: Immunisation Childhood vaccination
Page 37 and 38: antibiotic (neomycin). Reactions to
Page 39 and 40: Meningococcal C immunisation A sing
Page 41 and 42: Vaccine Key Hepatitis B Hepatitis B
Page 43 and 44: Mumps - contagious virus spread by
Page 45 and 46: Parent Advice Sheet Commonly observ
Page 47 and 48: 23vPPV 23-valent pneumococcal polys
Page 49 and 50: • Keep a non-mercury thermometer
Page 51 and 52: Occupational Health and Safety for
Page 53 and 54: Erythema infectiosum, also called p
Page 55 and 56: Part 2 Respiratory complaints Asthm
Page 57 and 58: Bronchiolitis Description Bronchiol
Page 59 and 60: Bronchitis Description Many childre
Page 61 and 62: Common cold Description The common
Page 63 and 64: Croup Description Croup is caused b
Page 65 and 66: Ear infections (otitis) Description
Page 67 and 68: Influenza Description Influenza is
Page 69 and 70: Pneumococcal disease Description Pn
Page 71 and 72: Runny noses (with green or yellow d
Page 73 and 74: Responsibilities of the parents Kee
Page 75 and 76: Treatment People with TB require an
Page 77 and 78: 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: with infectious diarrhoea should no
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 and 130: Haemophilus influenzae type b (Hib)
Page 131 and 132: Hepatitis A Description Hepatitis A
Page 133 and 134: Hepatitis B Description Hepatitis B
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Hepatitis C Description Hepatitis C
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HIV (Human immunodeficiency virus),
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Meningococcal infection Description
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Mumps Description Mumps is an infec
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Viral Meningitis Description Viral
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the invading organisms. Immunoglobu
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Useful Web Sites (Taken from Health
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References 1 You’ve got what? 200
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38 Parenting and Child Health - Cro
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79 You’ve got what? 2004. Fifth d
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118 You’ve Got What? Meningococca
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