S.H.
At my daughter's school, public school... they as a matter of routine, ALL go to the bathroom AND wash hands before lunch, and after the playground etc.
Beyond that, the kids use the bathroom when they need to, and wash hands (hopefully), as they are reminded....BUT as you know, not all kids wash hands, but they will say they did....and I have seen kids do this with my own eyes.
In light of the Swine Flu... yes, the schools has been sending out, per the State Health Department, notices about it and on prevention and how to keep your kids home if sick etc.
Beyond that, myself speaking, I have voluntarily provided my daughter's classroom with big pump bottles of hand sanitizer (both alcohol and non-alcohol based types)... AND spoken to the Principal about it, in a casual manner. (The Principal is a very cool guy and responsive/responsible to concerns), lots of parents talk to him. Some schools... in light of the Flu... have THUS installed hand-santizer dispensers around campus & in public areas, AND motion triggered paper-towel dispensers/faucets (to reduce hand touching/germs on hand knobs etc).
-I ALSO... have kindly suggested to my daughter's Teacher, that they NEED to wash hands more frequently, in relation to my "donation" of hand sanitizers.
- And another Mom in my daughter's classroom... has VOLUNTEERED to wipe down all the desks/chairs/tables in the classroom with diluted Clorax and Lysol wipes... in the mornings. (the Teacher lets her into the classroom about 15 minutes before school starts). So, this was that Parents "solution" and her own way to help.
You as a Mom, can volunteer in some way, for your child's classroom, in a like manner.
Ultimately.... you should/can express your concerns to your Child's Teacher. Simply ask "how" the kids are reminded about hygiene/sanitation habits... and IF the Teacher will "enforce" more frequent hand-washing and bathroom visits.
I would, kindly ask your kids Teacher that they go and wash hands... before/after lunch, and before/after recess. I don't think that is too much to ask. And "reminding" students of how to sneeze in your elbow.
BUT, keep in mind, that all the reminding and germ-policing a Teacher does.... does not eradicate germ spreading... as child habits are just that... and many kids simply do NOT think about sneezing in their elbow nor do they care about washing hands... nor using a tissue for their nose. I see it all the time in my daughter's school- kids NOT doing these habits. It just human nature. And kids are forgetful. My daughter as well, will tell me that not all kids wash their hands EVEN THOUGH the Teacher talks to them about it and there are posters in their room & the bathroom about it. AND my girl tells me that MOST kids just sneeze IN their hands... and they don't know how to sneeze in their elbow, or they pick their nose, and wipe their noses with their hands or clothing. Or they wipe their noses with their hands and then wipe their hand on their desk, on purpose. So... being kids, they do these things. A school can do as much as they can.... but kids don't always "follow" hygiene practices themselves.
The best you can do, is make sure YOUR child, knows HOW to protect themselves against germs and are clean/washed hands.
All the best,
Susan