How are most Diseases spread at Day Care Centers?

Shigellosis is another disease kids risk contracting in day care centers and passing on to their families.

In 1991 there was an outbreak of Shigella sonnei infection in Lexington-Fayette County, Kentucky, that involved 14 licensed day care centers, making a lot of people sick but, every cloud has a silver lining, giving researchers a chance to test some epidemiological hypotheses. They discovered some useful information.

Day care centers that had outbreaks were more likely to have a food handler who also changed diapers and provided transportation for children from their homes to the center. These centers also had a higher toddler-to-toilet ratio, so there were more kids using the same bathroom.

In most families with shigellosis, the first person with diarrhea was a child younger than six. And, perhaps most interesting, the community-wide promotion of hand washing was identified as the most likely factor in getting the outbreak under control.