Global Alert and Response (GAR)

Key messages for health education: Hepatitis E

Cook your food – boil your water - wash your hands

Personal hygiene

  • Wash your hands with soap, ashes, or lime:
    • before cooking
    • before eating and before feeding your children
    • after using the latrine or cleaning your children after they have used the latrine.
  • Wash all parts of your hands - front, back, between the fingers, under nails.
  • Use the latrine to defecate.
  • Keep the latrine clean.

Food

  • Cook raw food thoroughly.
  • Eat cooked foods immediately.
  • Store cooked food carefully in refrigerator.
  • Reheat cooked food thoroughly.
  • Avoid contact between raw food and cooked food.
  • Eat fruit and vegetables you have peeled yourself.
  • Keep all kitchen surfaces clean.
  • Wash your cutting board especially well with soap and water.
  • Wash your utensils and dishes with soap and water.

Safe drinking-water

  • Even if it looks clear, water can contain cholera germs.
  • Boil or add drops of chlorine to the water before drinking.
  • Keep drinking-water in a clean, covered pot or bucket or other container with a small opening and a cover. It should be used within 24 hours of collection.
  • Pour the water from the container - do not dip a cup into the container.
  • If dipping into the water container cannot be avoided, use a cup or other utensil with a handle.

Wells

Cook it – peel it – or leave it

  • Do not defecate or urinate in or near a source of drinking-water.
  • Do not wash yourself, your clothes, or your pots and utensils in the source of drinking-water (stream, river, or water hole).
  • Open wells must be covered when not in use to avoid contamination.
  • The buckets used to collect water should be hung up when not in use - they must not be left on a dirty surface.
  • The area surrounding a well or a hand pump must be kept as clean as possible.
  • Get rid of refuse and stagnant water around a water source.

Pregnant women

  • Pregnant women are at greatest risk of death from HEV and should be sent to a hospital immediately if Hepatitis E is suspected : yellow eyes, lack of appetite, abdominal pain, nausea and vomiting and fever.

Taking care of patients

  • Wash your hands after taking care of patients, touching them, their stools, vomit, or clothes.
  • Avoid contaminating a water source by washing a patient's clothes in it.
  • Stools and vomit from a patient can be mixed with disinfectant (e.g. cresol).
  • Disinfect the patient's clothing and bedding with a solution of chlorine (0.05%) or by stirring them in boiling water or by drying them thoroughly in the sun before and after normal washing.
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