Hand washing is the best way to prevent the spread of infections.

Ottawa Public Health. (2025). Chain of infection.
The World Health Organization (WHO, 2025) recommends regular handwashing with soap and water as the single most effective way to prevent the spread of germs that cause respiratory and gastrointestinal illnesses.
Handwashing, and the promotion of handwashing activities, is particularly important in childcare centres, as it has been shown to reduce diarrhea episodes by about 30% (Cochrane Database of Systematic Reviews, 2021, 6;12(1):CD004265).
Childcare centres play an important role in helping children learn healthy handwashing habits that can protect them, their families, and their communities.
Children begin learning about handwashing at an early age, but they need regular reminders and opportunities to practise these skills every day.
Educators help children develop lifelong healthy habits by modelling proper handwashing and making it part of the daily routine. Teaching children why, when and how to wash their hands helps reduce the spread of germs and creates a healthier learning environments and stronger, healthier communities.
The Healthy Hands: Hand Hygiene Resource Manual for Child Care Centres (initially developed in Winter 2020) has been updated to continue to support educators in teaching children about proper handwashing.
Easy-to-use lesson plans, activities, and educational materials are included to help children learn what germs are, how they spread, and how proper handwashing helps prevent illness. The activities are designed to fit naturally into daily routines, making handwashing a regular part of each child's day.
By encouraging good handwashing habits early in life, childcare centres can help reduce the spread of illness and support the health and well-being of children, staff, and families.

Ottawa Public Health. (2025). Chain of infection.

Canadian Pediatric Society. (2015). Well Beings: A Guide to Health in Child Care. Ottawa, Ontario, p. 148-249.
Help children wash their hands

Canadian Pediatric Society. (2015). Well Beings: A Guide to Health in Child Care. Ottawa, Ontario, p. 148-149.


1- 2 hours or multiple lessons
(Adapted with permission from GOJO Industries, Inc., creators of PURELL Instant Hand Sanitizer, www.gojo.com, 2013)
Children will learn that germs are tiny living things that can make us sick. As part of the learning objective, review the Gratitude Statement.
20-30 minutes
Children will learn that germs can make us sick and washing hands helps to keep us healthy. As part of the learning objective, review the Gratitude Statement.
Note: Fun shapes using different colours of paper for “germs” can be cut out in advance for younger children.
15-20 minutes
Children will learn that germs can spread on our hands and that soap helps to remove germs. As part of the learning objective, review the Gratitude Statement.
25-30 Minutes
Children will learn that washing hands helps to keep us healthy. As part of the learning objective, review the Gratitude Statement.
Note: Germ sensory bags can be prepared in advance for younger children.
15-30 minutes
The children will learn that washing their hands with soap and water gets rid of germs. As part of the learning objective, review the Gratitude Statement.
(Adapted with permission from Ottawa Public Health, 2013)
The children will recognize that germs can be on their hands even though they cannot be seen and that hand washing can remove germs from hands. As part of the learning objective, review the Gratitude Statement.
Materials:
15-20 minutes
The children will learn more about where germs come from and how they are spread. As part of the learning objective, review the Gratitude Statement.
Some additional activities are available for school-age children. Help Sick Simon navigate the maze and get rid of bad germs.
15-30 minutes
The children will learn the proper moments for hand washing. As part of the learning objective, review the Gratitude Statement.
Note: Some of the activities may require handwashing “BEFORE” and “AFTER”. See the answer key page.
| Activity | Before | After |
| Girl petting dog | X | |
| Playground | X | |
| Going to the washroom | X | |
| Eating | X | |
| Playing sports | X | |
| Play table (sensory table) | X | |
| Dirty hands | X | |
| Blowing nose | X |


(Adapted with permission from Ottawa Public Health, 2013)
Children will learn how easily germs are spread, and how hand washing can prevent the spread of germs. As part of the learning objective, review the Gratitude Statement.
20-40 minutes
(Adapted with permission from Ottawa Public Health, 2013)
Children will learn songs to help them wash their hands for the proper amount of time (20 seconds). As part of the learning objective, review the Gratitude Statement.
15-30 minutes
The children will learn how to properly wash their hands. As part of the learning objective, review the Gratitude Statement.