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

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Worms: Roundworm, hookworm <strong>and</strong> tapeworm<br />

Description<br />

Infection with roundworms, hookworms <strong>and</strong> tapeworms (<strong>in</strong>clud<strong>in</strong>g hydatid tapeworm<br />

page 90) is uncommon. However, it is still important to observe good personal<br />

cleanl<strong>in</strong>ess, as <strong>in</strong>fections with hydatid tapeworm or roundworms can have serious<br />

effects.<br />

Incubation period<br />

Eggs or larvae can beg<strong>in</strong> to be passed <strong>in</strong> the faeces several weeks after <strong>in</strong>fection,<br />

depend<strong>in</strong>g on the species of worm <strong>in</strong>volved. Symptoms may not be obvious until<br />

months or years after the <strong>in</strong>fection was acquired.<br />

Infectious period<br />

Transmission is possible throughout the period of <strong>in</strong>festation. Infection will cont<strong>in</strong>ue<br />

until the person is treated. Immunity does not occur. Both adults <strong>and</strong> children are<br />

susceptible.<br />

Exclusion period<br />

Nil.<br />

Responsibilities of child care providers/staff<br />

Signs of worm <strong>in</strong>fection should be reported to the director.<br />

Responsibilities of parents<br />

Observe the exclusion period.<br />

Controll<strong>in</strong>g the spread of <strong>in</strong>fection<br />

Make sure that effective h<strong>and</strong> wash<strong>in</strong>g <strong>and</strong> clean<strong>in</strong>g procedures are be<strong>in</strong>g followed <strong>in</strong><br />

the centre <strong>and</strong> at home.<br />

Dispose of animal faeces frequently (us<strong>in</strong>g gloves) <strong>and</strong> prevent children from eat<strong>in</strong>g<br />

dirt.<br />

Ensure that animals are wormed regularly with anti-parasitic preparations specific to<br />

the worms present <strong>in</strong> that area.<br />

Pregnant dogs should be treated for roundworms. Larvae which are dormant <strong>in</strong> the<br />

bitch’s body from a previous <strong>in</strong>fection may <strong>in</strong>fect the unborn puppies. Dogs should be<br />

re-treated 3–4 weeks after hav<strong>in</strong>g the puppies.<br />

Treatment<br />

Diagnos<strong>in</strong>g worm <strong>in</strong>fections requires laboratory tests. Seek medical advice. Treatment<br />

of worm <strong>in</strong>fections varies accord<strong>in</strong>g to the type of worm <strong>and</strong> the person’s symptoms.<br />

94<br />

Draft for Public Consultation

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