infection control

I think most of our staff have finally stopped spitting in the bins, sinks and floor. It's estimated up to 10% of the population have TB so when I hear staff hoicking I run and yell NNNOOOOOOO. I've explained time after time that spitting spreads infection and it's better to swallow. 

Now I'm turning my attention to the patients. This week one boy was merrily peeing in a bin, one boy was merrily eating lychees during his consultation then spitting the pips on the floor and the final straw a family pulled a young boys pants down, he squatted and peed and pooed on the clinic floor. Dad then walked in it so I had a rant in English which he didn't understand,  the staff thought I was crazy when I asked them to explain infection control to him, instead they told me our cultures are different!