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

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Be sure that effective hand washing and cleaning procedures are being followed in the centre and at home. Treatment The person will not usually be infectious after being treated for several days. Ask parents to check with their doctor about treatment. It is not usually necessary to test or treat children who have no symptoms. Make sure the child has plenty to drink, see ‘Safe drinks’ on page 79. 83 Draft for Public Consultation
Norovirus Description Norovirus is a form of gastroenteritis caused by a group of viruses. Vomiting is usually the main symptom and can be violent and profuse. Other symptoms may include diarrhoea, nausea, stomach cramps, fever, headache and muscle aches. The illness is highly infectious and often occurs in outbreaks. It is highly infectious for several reasons. Vomit can contain one million virus particles per millilitre. Faeces are also very infectious. Because violent vomiting can produce aerosolised particles (particles suspended in the air) or can contaminate surfaces norovirus is easily spread. It only takes a small number of germs to cause an infection and the germs are fairly resistant to disinfectants. The viruses can spread in many different ways: • Person-to-person (eg. by germs from vomit or faeces getting on to hands then into someone else’s mouth). • Aerosols from projectile vomiting. • Food (for example, an infected person with germs on their hands can contaminate food, as can aerosols from vomiting). • Surfaces that become contaminated (eg. toilets). • Contaminated water. Incubation period About 15 to 48 hours. Infectious period While they have symptoms, and usually for 48 hours after symptoms have stopped. Some people are still infectious up to 10 days after symptoms have stopped. Exclusion period Children are to be excluded from the centre for at least 24 hours after symptoms have stopped. Staff who handle food should be excluded from food preparation, food handling and assisting others with feeding until at least 48 hours after the symptoms have stopped. Large outbreaks have occurred when food handlers have returned to preparing food while still infectious 61 . 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 will provide advice on how to prevent a large scale outbreak occurring. Responsibilities of parents Observe the exclusion period. 84 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.
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 and 84: with infectious diarrhoea should no
Page 85: Giardiasis Description Giardiasis i
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
Page 135 and 136: 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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