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Shigellosis in Florida

Resources for County Health Departments:

Recommendations for County Health Departments:

Below are steps that your county health department (CHD) can take now to help prevent cases and facilitate early reporting of outbreaks from child care facilities (including summer camps). 

  • Contact your county's Environmental Health Unit and encourage them to look for evidence of gastrointestinal illness outbreaks when inspecting child care facilities.

  • Coordinate with your county's Environmental Health Unit to send a notice to child care facilities to inform them of the increased shigellosis activity and advise them on prevention measures and steps to be taken in the event of an outbreak, including early reporting of cases to the CHD (see sample letter to child care facilities).

  • Send a notice to healthcare providers in your county to inform them of the increased shigellosis activity and remind them of reporting requirements.  Remind healthcare providers that antibiotic resistance patterns change over time and geography.  Community-specific antibiograms are useful in determining treatment.

  • Review additional information on recommendations and Guidelines for Control of Outbreaks of Enteric Disease in Child Care Settings

Prevention Measures for Shigellosis:

  • Hand washing is to be done after bathroom visits, diaper changes, play time, and handling of pets or soil and before food preparation and eating.  Wash hands for at least 20 seconds and use soap and running water to lather and rinse the palms, backs of hands, between fingers, under fingernails, and around wrists.

  • Hand washing among children should be frequent and supervised by an adult in child care facilities and homes with children who have not been fully toilet trained.

  • Everyone who changes any child's diapers should be sure the diapers are disposed of properly in a closed-lid garbage can, and should wash his or her hands and the child's hands carefully with soap and warm water immediately after changing the diapers.  This is particularly important when the child has diarrhea.

  • Clean and disinfect bathrooms, diaper changing areas, and soiled toys on a routine basis.

  • People with diarrhea should not prepare food or drinks for others.

  • Practice basic food and water safety precautions.

  • Clean: wash hands often and clean kitchen utensils, plates, cutting boards, and counter surfaces during and after food preparation.

  • Cook: cook meat and eggs thoroughly.

  • Wash: raw fruits and vegetables.

  • Chill: refrigerate promptly.

  • Separate: don't cross contaminate.

  • Drink only safe water supplies, or boil water.

  • Simple precautions taken while traveling to the developing world can prevent enteric diseases.

  • Drink only treated or boiled water.

  • Eat only cooked hot foods or fruits you peel yourself.

  • Prevention measures specific to child care facilities.

  • Child care facilities should keep the food preparation area separate from the diapering area, diaper-changers should not prepare foods, and water for formula or juices should not come from the bathroom or hand washing faucet.

  • Child care facilities should not provide water play areas.

  • Sick children should be excluded from child care facilities.

  • Sick staff should stay home until their illness has cleared. 

For additional information on shigellosis, please see the Centers for Disease Control and Prevention website

 

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Page Revised: Jul-12

This page was last modified on: 07/27/2012 02:54:45