How do you tell someone they're "lacking in hygiene"?

<p>All I can say is–good luck! Is weight an issue?–obese people often have trouble with BO because of all the bacteria in their skin-folds. Even if they bathe frequently, they can’t stop it from happening.
I have the same problem with a family I know. I don’t know how to tell them that their standards are just TOO low, and this is unacceptable. Kids are filthy–dirty hands, nails, faces, ears, clothes, etc. Their house is disgusting and I know people who won’t visit them because of it. (Trust me–I am not a clean freak or germophobe–I have seven kids myself, and have lived in other countries.)The mom has some physical (and mental, imo) health issues. They homeschool and I have suggested she put at least some of her kids in school, but I wonder if she could get them clean enough every day to send them to school. They’d probably get turned in. She is American, grew up here, even graduated from private high school and college. I just wonder if she ever notices how much cleaner other people’s kids and homes are, and if she sees that this is a serious problem. (She knows it is a problem, but thinks it is somehow normal or at least acceptable to live like this. People–including me-- have cleaned her house for her, but they completely trash it again within a couple days.)</p>