Caring for Our Childen, 3rd Edition (CFOC3)

Chapter 3: Health Promotion and Protection

3.2 Hygiene

3.2.3 Exposure to Body Fluids Cough and Sneeze Etiquette

Staff members and children should be taught to cover their mouths and noses with a tissue when they cough or sneeze. Staff members and children should also be taught to cough or sneeze into their inner elbow/upper sleeve and to avoid covering the nose or mouth with bare hands. Hand hygiene, as specified in Standards and, should follow a cough or sneeze that could result in the spread of respiratory droplets to the skin.
Proper respiratory etiquette can prevent transmission of respiratory pathogens (1).
Multi-lingual videos, posters, and handouts should be part of an active educational effort of caregivers/teachers and children to reinforce this practice. For free downloadable posters and flyers in multiple languages, go to
Center, Large Family Child Care Home
RELATED STANDARDS Situations that Require Hand Hygiene Handwashing Procedure Assisting Children with Hand Hygiene Hand Sanitizers
  1. Centers for Disease Control and Prevention. 2010. Seasonal flu: Cover your cough.