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I can't see how the herpes hotline could suggest that genital herpes has to have been caused by oral sex. If someone has a cold sore, touched it with their finger and then touched the babies bottom while diapering her, I would think that the virus could be transmitted that way. I can't see why transmission has to be through oral sex. Granted, it is probably the way it usually is transmitted, but people have had a cold sore and touched themself in the genital area and had an O/B of Herpes 1 in their own genital area therefore transmitting the virus from oral to genital.
With babies, there is always a concern of sexual abuse. Unfortunately, an 18 month old is unable to tell you what happened. I would watch for changes in her behaviour and possibly other signs such as vaginal or oral herpes. You might also want to ask some of the other parents who may have left their babies with the same caregivers if their baby has an "unusual rash", without disclosing that your daughter has herpes. Also keep your eyes open for someone who has a cold sore. But as much as sexual abuse is going to be on your mind, I will tell you that I have also seen people give a babies bottom a kiss (non sexual) just because they are so soft,
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