The female lays her eggs on the skin around the anus. Next, within a few hours, they become capable of infecting someone else. Extreme itching causes scratching can transfer eggs to the hands. Without proper hygiene and washing, eggs transfer back to the mouth. This causes a further infestation. The cycle continues without good hygiene. Treatment with medication is not good enough alone. Strict hygiene measures are necessary to prevent re-infection. Shower and change underwear daily to remove eggs. Launder night clothes, towels and bedding in hot water. Don’t share towels. Wash hands frequently and scrubs fingernails. Discourage nail biting and scratching.

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