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Leishmaniasis, Scabies and Onchocericiasis, which affect the skin so distinctively; the

               whole range of ulcers of  the skin; and the serious effects on the skin of protein
               malnutrition.  Therefore this particular chapter concentrates on the general preventive

               and control methods of skin infections that are important to be implemented by the
               health extension package workers.



               7.12.1. Prevention and control of Bacterial skin diseases
               Personal hygiene is the most effective methods for prevention and control of bacterial

               infections. The following points illustrate the possible preventive methods for bacterial
               skin infections:

                   ª  Washing of hands with warm water and soap before touching broken skin.

                   ª  Washing the body with warm water and soap preferably everyday to remove dust
                       and dirt.

                   ª  Wearing the right size and type of clothes to suit local weather conditions.
                   ª  After washing clothes, if possible, iron it before wearing

                   ª  Regular exposure of the skin to air and sunlight is beneficial.
                   ª  It is also important to clear the bacteria colonizing the nostrils and under the

                       fingernails with either antibiotic ointment or petroleum jelly several times daily for

                       one week of each month.


               7.12.2. Personal Hygiene

               Many health problems are due to poor hygiene behavior. The benefits of safe water
               supply and sanitation efforts in a given community can easily be lost if the communities

               still carry on with the poor personal hygiene  behavior.  Health related programs,

               therefore, should consider  carefully the changes in hygiene practices needed to
               complement improved water and sanitation facilities. To achieve these goals, hygiene

               education plays a central role and has to be applied on sustainable way. For detailed
               explanation on personal hygiene the reader is advised to refer the lecture notes on

               personal hygiene prepared by the carter centre for Ethiopian Health centre team.









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