One Room ESL lesson plans are designed for mixed grade and age level classes in grades K-12. This is an elementary level reading, health and science support lesson using the book Germs, Germs, Germs by Bobbi Katz published by Scholastic Books. It includes a directed listening/reading and thinking portion and a poster project for grades K-6 at all levels of English proficiency. It focuses on spoken rhyme and rhythm, hygiene vocabulary and actions, imperative sentences and VERB+ER noun forms. Alternative versions of some activities are included as well as a list of online resources for teacher research or student computer use.