Transcript Number of Participants per Session

Infectious Disease in
Child Care Settings
Editors: LaShonda Y. Brown, Kim Kofron, Norma Neal and
Cindy Rojas Rodriguez
NTI Trainers
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
The Impact
Impact of Child Care-Associated Illness
Community
Ill
Child
Child Care Group
Families
(Reprinted with permission from Cordell RL, Centers for Disease Control and Prevention. Sanitation issues in child care:
practical approaches to solving tough problems in the child care environment. Keynote address to Healthy Child Care
North Carolina Invitational Conference; March 12, 2002; Chapel Hill, NC.)
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Training Objectives
At the end of this training session,
participants will be able to do the
following within child care facilities:
• Identify the types of documented
infectious diseases
• Describe patterns of occurrence
of infectious diseases
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Training Objectives
• Identify modes of transmission of
the most prevalent infectious
diseases
• Identify preventive measures
to reduce the spread of
infectious disease
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Training Objectives
• Develop policies addressing how to
prevent the spread of infectious
disease
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
5
Advancing to Next Section…
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course
• Follow this procedure for each
subsequent section
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Disease Prevention
Responsibilities of the CCHC
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•
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Policy Development
Education
Resource and Referral
Here are the challenges
• Increase awareness
• Communicate effectively
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Documented Infectious
Diseases
What infectious diseases have
been documented in children
and/or adult staff in out-of-home
child care programs?
CDC/Janice Carr, 2007
Handout: Infectious Diseases Associated
with Out-of-Home Child Care
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Patterns of Occurrence
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Detection and prevention of
infectious disease is complicated.
Patterns of occurrence are not the
same.
There are four patterns of infectious
disease in child care facilities.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Pattern #1
Many respiratory and GI tract diseases
are “equal opportunity infections.”
Copyright 2007 SPG Media Limited. All
rights reserved.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
J. Vilenski, 1999-2003
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Pattern #2
Infection is not apparent in children,
but may be apparent in child care
staff and/or parents.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Pattern #3
Infection is apparent in the children,
but not in older siblings or adults.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Pattern #4
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Infection is mild or not apparent in
children, staff or families.
But, it may seriously affect the fetus
of previously uninfected pregnant
staff or parents.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Modes of Transmission
1.
2.
3.
4.
5.
Respiratory
Fecal-oral
Skin-to-skin
Blood, urine, saliva
Arthropod borne
Handout: Modes of Transportation
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Prevention of Infectious
Disease in Child Care Settings
VACCINATIONS
Preschool-aged children currently
have the highest age-specific
incidence of many vaccinepreventable diseases.
Activity: Reporting
Infectious Disease
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Prevention of Infectious
Disease in Child Care Settings
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DISEASE MANAGEMENT
Improve the level of
hygienic conditions
REVIEW
1. Handwashing and
2. Diapering Procedures
3. Cleaning vs. Sanitizing
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Prevention of Infectious
Disease in Child Care Settings
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DISEASE MANAGEMENT
Avoid combining infants/young
toddler with older children
Reduce group size
Maintain low staff:child ratio
Follow consistent reporting
procedures
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Recommended Prevention
Practices (CFOC, 2nd ed., 2002)
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Staff training
Environmental sanitation policies
Systematic screening of staff
Continuous monitoring of the
health of ALL
Infectious control policies
Reporting policies
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
18
Policy Development/ Implementation
(CFOC, 2nd ed., 2002)
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Disease prevention is reflected in
policies addressing:
Physical environment
Protocol for hygienic practices
Protocol for exclusion/isolation
of sick children
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Policy Development/ Implementation
(CFOC, 2nd ed., 2002)
Policies should be readily accessible
to staff and parents/guardians, and
reviewed regularly.
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Action Items for the CCHC
The CCHC should:
Prepare health education materials
for providers and parents/guardians
Communicate information about
infectious disease transmission
so it is easily understood
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
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Action Items for the CCHC
The CCHC should:
Assist providers in identifying
factors that can be modified to
reduce disease transmission
Assist providers in writing
policies that minimize the
spread of disease
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
22
Action Items for the CCHC
The CCHC should:
Be familiar with community
resources for responding to
infectious disease
Healthy Child Care Texas adapted from © The National Training Institute for
Child Care Health Consultants
23
Conclusion
• This concludes the informational
portion of the course
• Please click on the “Next Section”
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Child Care Health Consultants
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