DEMOGRAPHIC DATA

1. Age of the mother.

A) 18 to 20 year
B) 20 to 22 year
C) 24 to 28 year
D) 30 to 33 year
2. Educational status.
A) Illiterate
B) Secondary
C) Primary
D) Graduate
3. Socio-economic status.
A) Below 3000 Rs./ month
B) 3000-6000 Rs./month
C) 6000-9000 Rs./month
D) Higher than 9000 Rs./month
4. Source of information regarding worm infestation
A) Television
B) Magazine
C) Newspaper
D) Family member
5. Number of children in family.
A) 1
B) 2
C) 3
D) 4
6. Occupation of mothers.
A) Labour
B) House wife
C) Farmer
D) None of above
7. Marital status
A) Married
B) Separated
C) Divorced
D) Widow
8. Type of house
A) Kaccha
B) Pakka
C) Semipakka
D) None
9. Pet animals
A) Dog
B) Cat
 C) Monkey
D) None

KNOWLEDGE

1. Worm infestation
A) Watery stool
B) Frequent vomiting
C) Stomach pain
D) A & C both
2. Select the correct statement
A) Worm infestation leads to decrease weight or malnutrition
B) Worm infestation leads to stomach pain
C) Worm infestation leads to anemia
D) None of the above
3. Worm infestation are more common in
A) Infant
B) Toddler
C) Preschooler
D) All above age group
4. Important risk factor of worm infestation
A) Hygienic environment
B) Unhygienic environment
C) Rainy
D) Hot Environment
5. Diagnostic investigation of worm infestation
A) Blood test
B) Stool culture
C) Monteux test
D) Urine test
6. Physical symptoms occurs due to
A) Malnourishment
B) Overweight
C) Decreased weight
D) None of above
7. What pharmacological treatment should be given to relive the symptoms of worm infestation.
A) Wormicidal
B) Diuretics
C) Antibiotics
D) Antifungal
8. What kind of food should be given during worm infestation ?
A) Balance diet
B) Spicy and sweet food
C) Iron rich food
 D) Above all
9. How can we prevent worm infestation ?
A) By maintaining proper hygiene
B) By taking proper food
C) By preventing open air defecation
D) All of the above
10. The main cause of worm infestation ?
A) Contaminated food
B) Noise pollution
C) Infected soil
D) A & C both
11. The worm infestation is a .?
A) Curable
B) Incurable
C) Uncontrollable
D) None of the above
12. If mother is not treating worm infestation properly then which type of the complication arises
A) Dehydration
B) Malnutrition
C) Death
D) A & B both
13. Which type of worm causes
A) Round worm
B) Hook worm
C) Tape worm
D) All of above
14. What is the commonest sign and symptoms of worm infestation?
A) Loss of body weight
B) Stomach pain
C) Cold and cough
D) All of above
15. What should be done to prevent worm infestation ?
A) Personnel hygienic practice
B) Toilet training
C) Periodic nail cutting
D) All of the above
16. If worm infestation occur then what will the mother do ?
A) Contact to physician
B) Home remedies
C) All of the above
17. Ingestion of the dust can leads to /
A) Diarrhea
B) Worm infestation
C) Vomiting
D) All of the above
18. Sources of the worm infestation ?
A) Human feaces
B) Animal feaces
C) All of the above
19. Which organ is affected in worm infestation?
A) Lungs
B) Kidney
C) Small intestine
D) Heart
20. Who is the host of the worm infestation?
A) Human
B) Mosquitoes
C) Goat
D) none
 PRACTICE check list

No. Statement Yes No

1. Are you maintaining child personal hygiene?

2. Are you performing hand washing after defecation?

3. How often are you washing vegetables before cooking ?

4. Are you discarding the waste material properly?

5. How often do you prepare food hygienically?

6. Do you we pork meat as a food ?

7. Are you cutting child nail clearly ?

8. Does child use open air defecation ?

9. Does child used to play in soil?

10. Does child used to keep things to mouth?

 STRUCTURE TEACHING PROGRAMME
Worms - including symptoms, treatment and prevention
Worldwide, there are many worms that can infest the bowels of people, but most of them are not problems in
Australia because of our climate and very good sanitation. Worms causing infection in people are parasites that
live and breed mostly in the bowel (intestine). The most common worm in Australian children is the
threadworm, Enterobius vermicularis, sometimes called the pinworm. Infection with other worms such as
roundworms, hookworms and tapeworms is less common.
Threadworms are small, white, thread-like worms 2 to 13 mm long. They are most common in children, but
anyone of any age can be affected. They are not fussy about who they infect and having them does not reflect
on the hygiene of a childs home.
How worms are spread ?

Threadworms are caught when someone swallows the worms eggs. The eggs hatch inside the bowel, where
they live, then travel out through the anus (back passage) to lay their eggs on the skin there at night time. The
eggs may be picked up on the fingers and transferred to the mouth if the child scratches their bottom or doesnt
wash their hands after going to the toilet. However, the eggs may fall off into bedding or clothing, or be wafted
into the air, settling on many surfaces in the home or school. They can survive for up to 2 weeks in the
environment and can easily be picked up and cause infection in other people. Domestic pets are not a source of
infection.
Signs and symptoms

Symptoms of threadworm infection may include an itchy bottom, irritability and behavioural changes, but
most people have no symptoms.
Diagnosis

Occasionally, with heavy infections, the thin adult threadworms may be seen on the surface of freshly passed
faeces. Sometimes the worms can be seen around the childs anus, if examined with a torch at night time.
However, the best method of diagnosis is by the sticky tape test. To do this, press some clear sticky tape onto
the skin around the anus first thing in the morning, before wiping or bathing. Then place the tape onto a glass
slide or put it in a specimen container, so that your doctor can have it examined with a microscope to see if any
eggs have been picked up by the sticky tape.
Incubation period

(time between becoming infected and developing symptoms)

Symptoms of infection are associated with high worm numbers resulting from repeated infections and may not
occur until several months after initial infection, if at all.
Infectious period

(time during which an infected person can infect others)

Spread is possible as long as worms are present.
Treatment

A single dose therapy is usually effective and is given to the infected person and each family member at the
same time. You can buy worm treatment from pharmacies, without a prescription. It is not necessary to treat
children on a regular basis, just in case they have worms.
Prevention

Exclusion of people with worms from childcare, preschool, school and work is usually not necessary. If
there are loose bowel motions, exclusion should be for 24 hours after the diarrhoea has ceased.
Make sure children wash their hands after using the toilet and before eating.
Parents should seek medical treatment for infected children.
Change bed linen and underwear daily for several days after treatment. Normal hot water washing of
clothes and bed linen will kill threadworm eggs.
Clean toilet seats and potties regularly.
Keep childrens fingernails short.