This article reports the results of a survey of 168 New Zealand early childhood workers and describes their health status, behaviours and concerns. The respondents included 73 childcare teachers, 58 kindergarten teachers and 37 home-based educators. Although 92 per cent of respondents reported that they had good or excellent health, statistically significant differences were found between the groups for days absent because of illness, accidental injuries, job-related stress and ergonomic aspects of their work. All groups reported an increase in various physical symptoms since working with children, in particular backaches, muscle strain and fatigue. One-quarter of respondents experienced an illness related to their work with children during the past year, most commonly respiratory and gastrointestinal illnesses. The study alerts early childhood education employers to the importance of managing health issues such as workload and stress, occupational injuries, the provision of an ergonomically healthy work environment and adequate conditions of employment. (Contains 3 tables.)