Chapter 7: Infectious Diseases
7.6 Bloodborne Infections
7.6.1 Hepatitis B Virus (HBV)
188.8.131.52: Informing Public Health Authorities of Hepatitis B Virus (HBV) Cases
Staff members known to have acute or chronic hepatitis B virus (HBV) infection should not be restricted from work but should receive training on how to prevent transmission of bloodborne diseases. HBV infection is designated as a notifiable disease at the national level. Cases of acute HBV in any child or employee of a facility should be reported to the health department for determination of the need for further investigation or preventive measures (1).
RATIONALEThe risk of disease transmission from a HBV-carrier child or staff member with normal behavior and without generalized dermatitis or bleeding problems is considered to be rare. This extremely low risk does not justify exclusion of an HBV-carrier staff member from providing child care, nor does it justify the routine screening of staff as possible HBV carriers prior to admission to child care.
COMMENTSFor additional information regarding HBV infections, consult the current edition of the Red Book from the American Academy of Pediatrics (AAP).
TYPE OF FACILITYCenter, Large Family Child Care Home
RELATED STANDARDS184.108.40.206 Prevention of Exposure to Blood and Body Fluids
220.127.116.11 Notification of the Facility About Infectious Disease or Other Problems by Parents/Guardians
18.104.22.168 List of Excludable and Reportable Conditions for Parents/Guardians
Centers for Disease Control and Prevention. 2008. Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR 57 (RR08). http://www.cdc.gov/mmwr/preview/mmwrhtml/