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Communicable Disease & Infection Control

Information for school, nursery & childcare settings

This document is to be used in conjunction with the national document ‘Infection Prevention and Control in Childcare Settings’ (Health Protection Scotland, 2011). Together they provide helpful advice for those working with children in a variety of settings to assist them in providing a safer environment. Information on a range of infections is given but is not intended to diagnose individual cases. This should only be done by an appropriately trained health professional from which advice should be sought if doubts exist about an unwell child. Readers are encouraged to refer to these guidelines before consulting NHS Borders Public Health Department for specific advice.

a) Contents (this document) Communicable Disease & Infection Control - information for school, nursery & childcare settings

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b) Contents (supporting national document) Infection Prevention and Control in Childcare Settings cìää=íÉñí=aî~áä~ÄäÉ=Ñêçã==ÜííéWLLïïïKÇçÅìãÉåíëKÜéëKëÅçíKåÜëKìâLÜ~áLáåÑÉÅíáçåJÅçåíêçäLÖìáÇÉäáåÉëLáåÑÉÅíáçåJéêÉîÉåíáçåJÅçåíêçäJÅÜáäÇÅ~êÉKéÇÑ==

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http://www.documents.hps.scot.nhs.uk/hai/infection-control/guidelines/infection-prevention-control-childcare.pdf

Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 1

1. Introduction =qÜáë=ÇçÅìãÉåí=ëÜçìäÇ=ÄÉ=êÉ~Ç=áå=ÅçåàìåÅíáçå=ïáíÜ=íÜÉ=å~íáçå~ä=ÇçÅìãÉåí=ÚfåÑÉÅíáçå=mêÉîÉåíáçå=~åÇ=`çåíêçä=áå=`ÜáäÇÅ~êÉ=pÉííáåÖëÛ=EeÉ~äíÜ=mêçíÉÅíáçå=pÅçíä~åÇI=OMNNFK=qÜÉ=ä~ííÉê=éêçîáÇÉë=ÜÉäéÑìä=ÖÉåÉêáÅ=áåÑçêã~íáçå=íç=éêÉîÉåíI=çê=Åçåíêçä=íÜÉ=ëéêÉ~Ç=çÑ=áåÑÉÅíáçå=~åÇ=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉ=ïáíÜáå=a~ó=`~êÉ=~åÇ=`ÜáäÇãáåÇáåÖ=ëÉííáåÖë=~åÇ=ëÉíë=çìí=éêçÅÉÇìêÉë=íç=ÑçääçïI=ëÜçìäÇ=ëìÅÜ=~å=áåÑÉÅíáçìë=ÇáëÉ~ëÉ=áåÅáÇÉåí=çÅÅìêK=fí=ÇçÉë=åçí=ëéÉÅáÑáÅ~ääó=~ÇÇêÉëë=ëÅÜççäëI=ÅÜáäÇêÉåÛë=êÉëáÇÉåíá~ä=ëÉííáåÖë=çê=çìíÇççê=åìêëÉêáÉëK=pçãÉ=ÖÉåÉê~ä=éêáåÅáéäÉë=ïáää=ÜçïÉîÉê=ÄÉ=çÑ=áåíÉêÉëí=íç=íÜçëÉ=ïçêâáåÖ=áå=íÜÉëÉ=éä~ÅÉëK==mêáã~êáäóI=ÄçíÜ=å~íáçå~ä=~åÇ=äçÅ~ä=ÇçÅìãÉåíë=~êÉ=ïêáííÉå=Ñçê=éÉçéäÉ=ïÜç=ïçêâ=ïáíÜ=ÅÜáäÇêÉå=áå=~=î~êáÉíó=çÑ=ÉÇìÅ~íáçå~ä=~åÇ=Åçããìåáíó=Å~êÉ=ëÉííáåÖëK===qÜÉ=áããìåÉ=ëóëíÉãë=çÑ=ÅÜáäÇêÉå=~êÉ=ëíáää=ìåÇÉê=ÇÉîÉäçéãÉåí=~åÇ=íÜÉêÉÑçêÉ=íÜÉó=Å~å=ÄÉ=îìäåÉê~ÄäÉ=íç=ëçãÉ=áåÑÉÅíáçìë=ÇáëÉ~ëÉëK=qÜÉ=çééçêíìåáíó=íç=ëéêÉ~Ç=áåÑÉÅíáçå=áë=ÖêÉ~íÉê=áå=ëÉííáåÖë=ïÜÉêÉ=ÅÜáäÇêÉå=Ü~îÉ=êÉÖìä~ê=~åÇ=ÑêÉèìÉåí=Åçåí~Åí=ïáíÜ=çíÜÉêëK=lìíÄêÉ~âë=Å~å=~åÇ=Çç=çÅÅìê=~åÇ=~=ëïáÑí=êÉëéçåëÉ=áë=åÉÉÇÉÇ=íç=éêÉîÉåí=ÑìêíÜÉê=ëéêÉ~ÇK===e~îáåÖ=~=ÅÜáäÇI=çê=ãÉãÄÉê=çÑ=ëí~ÑÑI=çå=íÜÉ=éêÉãáëÉë=ïÜç=áë=ëìÑÑÉêáåÖ=Ñêçã=~=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉ=Å~å=éçëÉ=~=íÜêÉ~í=íç=íÜÉ=ÜÉ~äíÜ=çÑ=çíÜÉêë=íÜÉó=Ü~îÉ=ÅäçëÉ=Åçåí~Åí=ïáíÜK=m~êÉåíë=ëÜçìäÇ=ÄÉ=ÉåÅçìê~ÖÉÇ=íç=áåÑçêã=ãÉãÄÉêë=çÑ=ëí~ÑÑ=áÑ=íÜÉáê=ÅÜáäÇ=Ü~ë=ÄÉÉå=ìåïÉääI=íç=Éå~ÄäÉ=~ééêçéêá~íÉ=~Åíáçå=íç=ÄÉ=í~âÉå=~åÇ=ëìêîÉáää~åÅÉ=çÑ=íÜÉ=êÉã~áåáåÖ=Öêçìé=íç=í~âÉ=éä~ÅÉK=páãáä~êäóI=áåÑÉÅíÉÇ=ëí~ÑÑ=Ü~îÉ=~=Çìíó=çÑ=Å~êÉ=íç=Ñçääçï=çÅÅìé~íáçå~ä=ÜÉ~äíÜ=ÖìáÇÉäáåÉë=ïÜÉå=ÇÉÅáÇáåÖ=íÜÉáê=ÑáíåÉëë=íç=ïçêâK===oáëâë=Å~å=ÄÉ=ëáÖåáÑáÅ~åíäó=êÉÇìÅÉÇ=Äó=íÜÉ=ÑçääçïáåÖ=ãÉ~ëìêÉëW=

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3. Roles & responsibilities within Infection Control: School, nursery and other childcare settings ===

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4. Immunisation qÜÉ=êçìíáåÉ=ÅÜáäÇÜççÇ=áããìåáë~íáçå=ëÅÜÉÇìäÉ=áå=pÅçíä~åÇ=áë=ÖáîÉå=ÄÉäçïK=====

WHEN TO IMMUNISE

WHAT IS GIVEN HOW IT IS GIVEN

2 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + pneumococcal conjugate vaccine (Prevenar®)

Two injections

3 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + Men C

Two injections

4 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + Men C + pneumococcal conjugate vaccine

Three injections

12/13 monthsHib/MenC, Measles, mumps and rubella (MMR) + pneumococcal conjugate vaccine

Three injections

3 years 4 months to 5 years old

Diphtheria, tetanus, pertussis and polio (dTaP/IPV or DTaP/IPV)

Measles, mumps and rubella (MMR)

Two injections

Around 12/13 years(girls only)

Human papillomavirus (HPV) Three injections

13 to 18 years old Diphtheria, tetanus, polio (Td/IPV) One injection

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5. Infections …. at a glance!

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ot a

nd m

outh

(C

oxsa

ckie

viru

s)

Dur

ing

acut

e st

ages

of

illne

ss

Unt

il ch

ild fe

els w

ell

Non

e

Viru

s can

be

pres

ent f

or w

eeks

afte

r rec

over

y in

fa

eces

. Car

e ne

eded

with

hyg

iene

Hea

d an

d bo

dy li

ce

Unt

il ‘B

ug B

ustin

g (m

anua

l rem

oval

te

chni

que)

’ or 2

ch

emic

al tr

eatm

ents

7

days

apa

rt

Non

e

Non

e

Che

ck a

ll co

ntac

ts a

nd tr

eat o

nly

thos

e w

ith

evid

ence

of l

ive

lice

Ver

sion

: Fin

al 8

th N

ov 2

011

NH

S B

orde

rs H

ealth

Pro

tect

ion

Rev

iew

Nov

201

4

P

age

11

A-Z

of i

nfec

tions

In

fect

ions

In

fect

ious

Per

iod

E

xclu

sion

Per

iod

of C

ase

Exc

lusi

on o

f Con

tact

s Sp

ecifi

c A

dvic

e or

Info

rmat

ion

H

epat

itis A

2

wee

ks b

efor

e un

til 7

da

ys a

fter o

nset

of

jaun

dice

or s

ympt

oms

Unt

il 7

days

afte

r ons

et o

f jau

ndic

e or

sy

mpt

oms a

nd th

e ch

ild fe

els w

ell

Non

e

Hou

seho

ld c

onta

cts s

houl

d se

ek a

dvic

e fr

om

GP.

Con

tact

Hea

lth P

rote

ctio

n if

ther

e is

an

outb

reak

H

epat

itis B

and

C

Not

infe

ctio

us u

nder

no

rmal

scho

ol

cond

ition

s

Non

e

Non

e

Each

cas

e sh

ould

be

disc

usse

d w

ith C

PHM

Her

pes s

impl

ex

(col

d so

res)

Unt

il le

sion

s are

hea

led

N

one

N

one

A

void

kis

sing

whe

n so

re is

pre

sent

HIV

infe

ctio

n

Not

infe

ctio

us u

nder

no

rmal

scho

ol

cond

ition

s

Non

e

Non

e

Each

cas

e sh

ould

be

disc

usse

d w

ith C

PHM

Impe

tigo

A

s lon

g as

sept

ic sp

ots

are

disc

harg

ing

pus

Unt

il sp

ots h

ave

crus

ted

over

or a

fter 2

day

s of

ant

ibio

tics

Non

e

Influ

enza

3-

5 da

ys a

fter s

tart

of

sym

ptom

s, up

to 9

day

s in

chi

ldre

n

Unt

il th

e ch

ild fe

els w

ell

Non

e

Mea

sles

5

days

bef

ore

sym

ptom

s un

til 5

day

s afte

r ons

et

of ra

sh

Unt

il 5

days

afte

r ons

et o

f ras

h an

d th

e ch

ild

feel

s wel

l N

one

If

con

tact

is p

regn

ant o

r im

mun

e co

mpr

omis

ed,

seek

adv

ice

from

GP

Men

ingi

tis d

ue to

m

enin

goco

ccal

dis

ease

W

hils

t org

anis

m is

pr

esen

t in

naso

phar

ynx

but n

ot in

fect

ious

und

er

norm

al sc

hool

co

nditi

ons

Unt

il th

e ch

ild fe

els w

ell

Non

e

Con

tact

Hea

lth P

rote

ctio

n im

med

iate

ly fo

r ad

vice

A

ntib

iotic

s for

con

tact

s giv

en o

nly

on a

dvic

e of

H

PNS/

CPH

M

Mol

lusc

um

cont

agio

sum

As l

ong

as ra

sh p

ersi

sts

Non

e

Non

e

MR

SA

Not

infe

ctio

us u

nder

no

rmal

scho

ol

cond

ition

s

Non

e N

one

G

ood

hand

hyg

iene

nee

ded

Mum

ps

7 da

ys b

efor

e an

d up

to

9 da

ys a

fter o

nset

of

swel

ling

9 da

ys fr

om o

nset

of s

wol

len

glan

ds a

nd th

e ch

ild fe

els w

ell

Non

e

If c

onta

ct is

pre

gnan

t, se

ek a

dvic

e fr

om G

P

Rin

gwor

m -

scal

p or

bo

dy

(see

als

o A

thle

tes f

oot)

As l

ong

as u

ntre

ated

le

sion

s are

pre

sent

N

one

once

trea

tmen

t sta

rted

N

one

th N

ov 2

011

NH

S B

orde

rs H

ealth

Pro

tect

ion

Rev

iew

Nov

201

4

P

age

12

A-Z

of i

nfec

tions

In

fect

ions

In

fect

ious

Per

iod

E

xclu

sion

Per

iod

of C

ase

Exc

lusi

on o

f Con

tact

s Sp

ecifi

c A

dvic

e or

Info

rmat

ion

R

oseo

la in

fant

um

W

hils

t fev

eris

h an

d un

wel

l U

ntil

the

child

feel

s wel

l N

one

D

ram

atic

impr

ovem

ent o

n da

y 4/

5 of

rash

. O

ften

mis

take

n fo

r mea

sles

R

ubel

la

(Ger

man

Mea

sles

) 7

days

bef

ore

and

at

leas

t 4 d

ays a

fter o

nset

of

rash

Unt

il 5

days

from

ons

et o

f ras

h an

d th

e ch

ild

feel

s wel

l N

one

If

con

tact

is p

regn

ant,

seek

adv

ice

from

GP

Scab

ies

Unt

il tre

ated

. 2

treat

men

ts 7

day

s apa

rt

Afte

r 1st tr

eatm

ent

Non

e

All

hous

ehol

d co

ntac

ts sh

ould

be

treat

ed a

t sam

e tim

e

Scar

let f

ever

Fr

om st

art o

f sor

e th

roat

un

til 2

4 ho

urs a

fter

antib

iotic

s sta

rted

Unt

il cl

inic

ally

reco

vere

d or

min

imum

of 1

da

y an

tibio

tics.

Cou

ld b

e as

long

as 5

day

s. N

one

R

isk

asse

ssm

ent n

eede

d. L

onge

r exc

lusi

on m

ay

be a

ppro

pria

te in

pre

-sch

ool s

ettin

gs b

ut sh

orte

r in

mild

er c

ases

in o

lder

chi

ldre

n Sh

ingl

es

(Her

pes z

oste

r viru

s)

2 da

ys b

efor

e to

5 d

ays

afte

r spo

ts d

evel

op

Non

e if

expo

sed

lesi

ons c

an b

e co

vere

d w

hils

t wee

ping

N

one

If

con

tact

is p

regn

ant o

r im

mun

e co

mpr

omis

ed,

seek

adv

ice

from

GP

Th

read

wor

ms

Whe

n eg

gs a

re sh

ed in

th

e fa

eces

(sto

ols)

N

one

once

trea

ted

N

one

H

ouse

hold

con

tact

s sho

uld

be tr

eate

d at

sam

e tim

e

Tube

rcul

osis

(TB

) D

epen

ds o

n si

te o

f in

fect

ion

U

ntil

the

child

feel

s wel

l but

usu

ally

at l

east

2

wee

ks a

fter s

tarti

ng tr

eatm

ent

Non

e

Seek

adv

ice

from

HPT

. M

anag

emen

t of c

ase

and

cont

acts

is c

o-or

dina

ted

by th

e H

PNS

Avo

id d

irect

con

tact

with

lesi

ons.

It is

of v

alue

to

kee

p th

e le

sion

cov

ered

whe

n ta

king

par

t in

P.E.

, sw

imm

ing,

or o

ther

com

mun

al sp

ortin

g ac

tiviti

es.

War

ts a

nd v

erru

cae

A

s lon

g as

war

ts a

re

pres

ent.

N

one

N

one

Vul

nera

ble

clos

e co

ntac

ts m

ay n

eed

treat

men

t W

hoop

ing

coug

h (p

ertu

ssis

) Fo

r 7 d

ays b

efor

e bu

t re

duci

ng se

vera

l wee

ks

afte

r sta

rt of

cou

ghin

g

For 5

day

s if t

reat

ed w

ith a

ntib

iotic

s, or

21

days

from

ons

et o

f illn

ess i

f not

trea

ted

N

one

Ver

sion

: Fin

al 8


6. Notifiable Diseases =^äíÜçìÖÜ=ÇÉ~íÜë=Ñêçã=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉë=áå=_êáí~áå=~êÉ=êÉä~íáîÉäó=ê~êÉ=íÜÉëÉ=Ç~óëI=íÜÉó=ëíáää=çÅÅìêK= `çããìåáÅ~ÄäÉ= ÇáëÉ~ëÉë= Çç= åçí= êÉëéÉÅí= ÖÉçÖê~éÜáÅ= çê= ~Çãáåáëíê~íáîÉ= ÄçìåÇ~êáÉë= ~åÇ=ÉÑÑçêíë= íç= éêÉîÉåíI= Åçåíêçä= ~åÇ= íêÉ~í= íÜÉã= ÇÉéÉåÇ= çå= ~= î~êáÉíó= çÑ= äçÅ~äI= å~íáçå~ä= ~åÇ=áåíÉêå~íáçå~ä=~ÖÉåÅáÉëK=kçíáÑáÅ~íáçå=Ç~í~= áë=~=âÉó=ëçìêÅÉ=çÑ= áåÑçêã~íáçå=~Äçìí= íÜÉ= áåÅáÇÉåÅÉ=çÑ=ÅÉêí~áå=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉë=áå=íÜÉ=éçéìä~íáçåK==qÜÉ=äÉÖáëä~íáçå=ÚmìÄäáÅ=eÉ~äíÜ=ÉíÅK=EpÅçíä~åÇF=^Åí=OMMUW=åçíáÑá~ÄäÉ=ÇáëÉ~ëÉëI=çêÖ~åáëãë=~åÇ=ÜÉ~äíÜ=êáëâ=ëí~íÉëÛ=éä~ÅÉë=~=äÉÖ~ä=Çìíó=êÉëíë=çå=~ää=êÉÖáëíÉêÉÇ=ãÉÇáÅ~ä=éê~ÅíáíáçåÉêë=ïÜç=~êÉ=~ííÉåÇáåÖ=éÉçéäÉ=ëìëéÉÅíÉÇ=çÑ=Ü~îáåÖ=ÅÉêí~áå=ëéÉÅáÑáÉÇ=áåÑÉÅíáçìë=ÇáëÉ~ëÉë=íç=åçíáÑó=íÜÉ=å~ãÉë=~åÇ=~ÇÇêÉëëÉë=çÑ=íÜÉëÉ=é~íáÉåíëK=kçíáÑáÅ~íáçå=ëÜçìäÇ=í~âÉ=éä~ÅÉ=çå=íÜÉ=Ä~ëáë=çÑ=ÅäáåáÅ~ä=ëìëéáÅáçåX=~=Çá~Öåçëáë=ÇçÉë=åçí=Ü~îÉ=íç=ÄÉ=ä~Äçê~íçêó=ÅçåÑáêãÉÇ=Ñçê=åçíáÑáÅ~íáçå=íç=í~âÉ=éä~ÅÉK=qÜÉ=éìêéçëÉ=çÑ=åçíáÑáÅ~íáçå=áë=íç=~ääçï=éìÄäáÅ=ÜÉ~äíÜ=~Åíáçå=íç=ÄÉ=í~âÉå=ïáíÜáå=íÜÉ=áåÅìÄ~íáçå=éÉêáçÇ=çÑ=íÜÉ=ÇáëÉ~ëÉ=áå=èìÉëíáçåK=t~áíáåÖ=~=ÅçìéäÉ=çÑ=Ç~óë=Ñçê=Çá~Öåçëáë=íç=ÄÉ=ä~Äçê~íçêó=ÅçåÑáêãÉÇ=ãáÖÜí=ãÉ~å=íÜ~í=ëÉÅçåÇ~êó=ëéêÉ~Ç=Ü~ë=~äêÉ~Çó=í~âÉå=éä~ÅÉK==kçíáÑáÅ~íáçåë=~êÉ= ëÉåí= íç= íÜÉ=aÉé~êíãÉåí=çÑ=mìÄäáÅ=eÉ~äíÜ=~í=_çêÇÉêë=kep=_ç~êÇK=kçíáÑáÅ~íáçå=Ç~í~= áå= pÅçíä~åÇ= áë= Åçää~íÉÇ= Äó= íÜÉ= fåÑçêã~íáçå= ~åÇ= pí~íáëíáÅë= aáîáëáçå= EfpaF= çÑ= íÜÉ= `çããçå=pÉêîáÅÉë= ^ÖÉåÅó= E`p^FI= ~åÇ= éìÄäáëÜÉÇ= áå= ~= ïÉÉâäó= êÉéçêí= éêçÇìÅÉÇ= Äó= eÉ~äíÜ= mêçíÉÅíáçå=pÅçíä~åÇ=EempFK==qÜÉ= äáëí= çÑ= åçíáÑá~ÄäÉ= ÇáëÉ~ëÉë= áå= pÅçíä~åÇ= ÇáÑÑÉêë= Ñêçã= íÜ~í= áå= íÜÉ= êÉëí= çÑ= íÜÉ= rhK= kçíáÑá~ÄäÉ=ÇáëÉ~ëÉë=áå=pÅçíä~åÇ=~êÉW====^åíÜê~ñ=_çíìäáëã=_êìÅÉääçëáë=`ÜçäÉê~=`äáåáÅ~ä=ëóåÇêçãÉ=ÇìÉ=íç=bKÅçäá=lNRT======áåÑÉÅíáçå=aáéÜíÜÉêá~=e~ÉãçäóíáÅ=rê~ÉãáÅ=póåÇêçãÉ=EerpF=e~ÉãçéÜáäìë=áåÑäìÉåò~É=íóéÉ=Ä=EeáÄF=jÉ~ëäÉë=jÉåáåÖçÅçÅÅ~ä=ÇáëÉ~ëÉ=jìãéë===kÉÅêçíáòáåÖ=Ñ~ëÅááíáë=m~ê~íóéÜçáÇ= = = =mÉêíìëëáë=

mä~ÖìÉ==mçäáçãóÉäáíáë=o~ÄáÉë=oìÄÉää~=pÉîÉêÉ=^ÅìíÉ=oÉëéáê~íçêó=póåÇêçãÉ=====Ep^opF=pã~ääéçñ==qÉí~åìë=qìÄÉêÅìäçëáë=EêÉëéáê~íçêó=çê=====åçåJêÉëéáê~íçêóF=qìä~êÉãá~==qóéÜçáÇ=sáê~ä=Ü~ÉãçêêÜ~ÖáÅ=ÑÉîÉêë=tÉëí=káäÉ=ÑÉîÉê==vÉääçï=cÉîÉê=

=

=================

==

^ééÉåÇáÅÉë

=National standards for toothbrushing programmes qççíÜÄêìëÜáåÖ=ïáíÜ=~=ëìáí~ÄäÉ=ëíêÉåÖíÜ=ÑäìçêáÇÉ=íççíÜé~ëíÉ=áë=~å=ÉÑÑÉÅíáîÉ=ï~ó=çÑ=ÜÉäéáåÖ=íç=éêÉîÉåí=íççíÜ=ÇÉÅ~óK=qÜÉ=Éëí~ÄäáëÜãÉåí=çÑ=Ç~áäó=ëìéÉêîáëÉÇ=íççíÜÄêìëÜáåÖ=éêçÖê~ããÉë=áå==åìêëÉêó=~åÇ=ëÅÜççä=ëÉííáåÖë=áë=ÅÉåíê~ä=íç=íÜÉ=pÅçííáëÜ=dçîÉêåãÉåíÛë=çê~ä=ÜÉ~äíÜ=áåáíá~íáîÉë=Ñçê==ÅÜáäÇêÉåK==============================================

pí~åÇ~êÇ=NW=lêÖ~åáë~íáçå=

pí~íÉãÉåí=NE~F=

qÜÉêÉ=áë=~å=~êÉ~JïáÇÉ=íççíÜÄêìëÜáåÖ=éêçÖê~ããÉ=áå=éä~ÅÉ=ïÜáÅÜ=ãÉÉíë=å~íáçå~ä=êÉÅçããÉåÇ~íáçåë=~åÇ=Ü~ë=ÅäÉ~ê=êÉéçêíáåÖ=~åÇ=~ÅÅçìåí~Äáäáíó=~êê~åÖÉãÉåíë=

pí~åÇ~êÇ=OW=bÑÑÉÅíáîÉ=éêÉîÉåíáîÉ=éê~ÅíáÅÉ=

pí~íÉãÉåí=OE~F=

`ÜáäÇêÉå=ìëÉ=~å=~ééêçéêá~íÉ=~åÇ=ÉÑÑÉÅíáîÉ=èì~åíáíó=çÑ=íççíÜé~ëíÉ=ïÜáäÉ=ãáåáãáëáåÖ=ÅêçëëJÅçåí~ãáå~íáçå=

pí~íÉãÉåí=OEÄF=

qççíÜÄêìëÜÉë=~åÇ=ÄêìëÜáåÖ=íÉÅÜåáèìÉë=~êÉ=~ééêçéêá~íÉ=~åÇ=~êÉ=~ÄäÉ=íç=ÄÉ=ìëÉÇ=ÉÑÑÉÅíáîÉäó=Äó=É~ÅÜ=ÅÜáäÇ=

pí~íÉãÉåí=OEÅF=

qççíÜÄêìëÜáåÖ=áë=çêÖ~åáëÉÇ=áå=~=ë~ÑÉ=~åÇ=ÉÑÑÉÅíáîÉ=ï~ó=ïÜáÅÜ=áë=áåíÉÖê~íÉÇ=ïáíÜ=åìêëÉêóI=ëÅÜççä=~åÇ=ÜçãÉ=êçìíáåÉë=

=

pí~åÇ~êÇ=PW=mêÉîÉåíáçå=~åÇ=Åçåíêçä=çÑ=áåÑÉÅíáçå=

pí~íÉãÉåí=PE~F=

qççíÜÄêìëÜ=ëíçê~ÖÉ=ëóëíÉãë=Åçãéäó=ïáíÜ=ÄÉëí=éê~ÅíáÅÉ=áå=íÜÉ=éêÉîÉåíáçå=çÑ=ÅêçëëJÅçåí~ãáå~íáçå=

pí~íÉãÉåí=PEÄF=

^ééêçéêá~íÉ=ÅäÉ~åáåÖ=éêçÅÉÇìêÉë=~êÉ=áå=éä~ÅÉ=íç=ÉåëìêÉ=íÜ~í=ÅêçëëJáåÑÉÅíáçå=êáëâë=~êÉ=ãáåáãáëÉÇ=

=

cìêíÜÉê=ÇÉí~áäë=çå=ê~íáçå~äÉ=~åÇ=ÅêáíÉêá~=Å~å=ÄÉ=ÑçìåÇ=~íW=

ÜííéWLLïïïKÅÜáäÇJëãáäÉKçêÖKìâLìéäç~ÇëLÇçÅìãÉåíëLNSNNNJqççíÜÄêìëÜáåÖpí~åÇ~êÇëKéÇÑ

http://www.child-smile.org.uk/uploads/documents/16111-ToothbrushingStandards.pdf

açïå=çå=íÜÉ=c~êãW==cìå=Äìí=p~ÑÉ= What should I do before the visit? Wear strong, comfortable shoes for

your day out. Wellingtons are perfect Keep cuts, grazes etc on hands covered

with a waterproof dressing Learn some important rules

- Don’t eat anything while you’re walking around the farm - Don’t climb on any walls or fences - And don’t make lots of noise and scare the animals - But most important of all – do have loads of fun!

What should I do on the visit? Always wash your hands after touching one of the animals. And never touch

one of the animals unless an adult says you can. Don’t kiss any of the animals, no matter how cute they look Always wash and dry your hands before eating and drinking anything and after

using the toilet Only have snacks and packed lunches in special, clean eating areas. You will be

told where these are Remember not to pick up or touch any tools which are lying around because

they may be dirty and dangerous What should I do after the visit? Make sure your shoes or wellington boots are as clean as you can get them –

taking special care to check for animal droppings. Ask an adult to check them for you.

Top tip! It’s always important to wash and dry your hands, but even more so when you’ve been around animals. Remember to wash your hands very carefully before you leave, using

plenty of warm soapy water.

communicable disease & infection controlchirnside.weebly.com/uploads/2/9/0/2/29022541/... ·...

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