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2-06: Functional knowledge of health and safety issues
4-22: Exclusion from school for illness or injury
5-02: Standards for food service equipment, practices
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National Center for Infectious Diseases (CDC)
Access to division of Vector-Borne Infectious Diseases and of Bacterial and Mycotic Diseases. Brochures and resources for the public and professionals include tips on disease prevention through management of the physical environment, such as preventing accumulation of standing water and taking caution with animal feces.
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6-16 - Hand washing

Encourage frequent hand washing with warm water and soap for students and staff in order to prevent or reduce the spread of communicable diseases.


Thorough hand washing with warm water and soap is the most effective way to prevent and avoid communicable disease.


Students and staff should be encouraged to wash their hands with soap and warm water before consuming any food and after the use of the toilet or assisting others with toilet needs. To help prevent disease transmission, health services staff should educate students and staff on the importance of hand washing after nose-wiping, before preparing foods, before eating, and after using the toilet.

Schools should be equipped with adequate facilities and supplies. Adequate facilities for hand washing include warm water, soap, waste receptacles, and posted signs to instruct on hand washing technique. Schools with automatic shutoff water faucets should ensure that water runs for at least 30 seconds to provide adequate time for effective hand washing. Soap dispensers and towel dispensers should be checked daily or more often to be certain they are replenished and functioning.

Waterless hand cleaner should be used when running water is not available, but not to replace soap and water when running water is available.


Grosse SJ. Educating Children and Youth To Prevent Contagious Disease. Washington, DC: ERIC Clearinghouse on Teaching and Teacher Education; 1999.

National Center for Infectious Diseases. An Ounce of Prevention: Keeps the Germs Away. Available at:

Rodriguez S. The importance of school-based handwashing programs. J Sch Nurs. 2002 Oct;Suppl:19-22.

White CG, Shinder FS, Shinder AL, Dyer DL. Reduction of illness absenteeism in elementary schools using an alcohol-free instant hand sanitizer. J Sch Nurs. 2001 Oct;17(5):258-65.

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