TAILIEUCHUNG - Informational Guidelines for Directors, Caregivers, and Parents

Chickenpox or Shingles (Varicella Virus)--First-time exposure to this virus during pregnancy may cause miscarriage, multiple birth defects, and severe disease in newborns. Chickenpox can be a serious illness in adults. Most people (90% to 95% of adults) were exposed to chickenpox as children and are immune. For women who do not know if they had chickenpox as a child, a blood test can verify if they are immune. If they are not immune, a chickenpox vaccine is now available. Vaccination against chickenpox before you get pregnant may reduce the risk of passing the virus to your fetus should you. | INFECTIOUS DISEASES IN CHILDCARE SETTINGS Informational Guidelines for Directors Caregivers and Parents Second Edition January 2006 Department of Health and Social Services Delaware Division of Public Health Health Information and Epidemiology Jesse Cooper Building 417 Federal Street Dover Delaware 19901 302-744-4541 888-295-5156 Healthy Child Care Delaware Delaware Childcare Licensing Website http kids occl Childcare Manual Table of Contents Page About this book 5 Chapter 1. Introduction Keeping Children Healthy 6 Chapter 2. Health History and Immunizations for Children 7-8 Health History and Immunizations for Caregivers 9 Immunization Schedule 10 Ten Things You Need to Know about Immunizations 11-12 Chapter 3. Infection Overview 13 Infection Spread by Direct Contact with People or Objects 13 Infection Spread by the Fecal-Oral Route 13 Infection Spread by the Respiratory Route 13 Infection Spread through Blood Urine and Saliva 14 Chapter 4. Infection Control Measures Sanitation and Disinfection 15 Washing and Disinfecting Bathrooms and other Surfaces 16 Washing and Disinfecting Diaper Changing Areas 16 Washing Potty Chairs and Toilets 16-17 Washing and Disinfecting Clothing Linen and Furnishings 17 W ashing and Disinfecting Toys 17-18 Cleaning up Body Fluids 18 Hand Washing 19 Hand Washing Steps and Diagram 20-21 Diaper Changing Steps 22-23 Food Safety and Sanitation 24-25 Breast Milk and HIV Exposure 26 Pets in the Childcare Setting 27 Chapter 5. Caregiver Teacher Health 28 Health Appraisals 28 Health Limitations of Staff 28 Health Risks for Pregnant Childcare Providers 29 Chapter 6. Recognizing the Ill Child Daily Health Assessment Check 30 When to get Immediate Medical Help 30 Exclusion Criteria 31 Provider Exclusion Re-admittance Criteria 32 Preparing for Managing Illness 33 Delaware Reportable Diseases 34 Chapter 7. Oral Health Diseases Early Childhood Caries ECC 35 Acute Herpetic Gingivostomatitis 35 Avulsion Tooth Loss by Trauma .

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