Managing Infectious Diseases in Child Care and Schools

Dr Susan S. Aronson, MD, FAAP,  is a pediatric advisor for the Early Childhood Education Linkage System-Healthy Child Care Pennsylvania (ECELS) at the Pennsylvania Chapter of the American Academy of Pediatrics (PA AAP). ECELS is a statewide quality improvement program that Dr. Sue founded in 1989. She is the author of Model Child Care Health Policies, the PA AAP publication distributed by the AAP and available for free download on the ECELS website along with online curricula and resource materials for early educators about health and safety issues.  She is a contributor to the widely-used Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. Dr. Sue is the author and guest faculty for an online, 3-college-credit Child Care Health Advocate course for early educators.  Since 2007, the course has been offered fall and spring terms at Northampton Community College under a renewable agreement of the college with the PA AAP. Dr. Sue is the author/editor of Healthy Young Children, 5th Edition (2012), published by the National Association for the Education of Young Children. Her column "Ask Dr. Sue" was published in Exchange magazine for many years.  She is a retired clinical professor of pediatrics at the University of Pennsylvania and The Children’s Hospital of Philadelphia. Timothy R. Shope, MD, MPH, FAAP, is a professor of pediatrics at the UPMC Children’s Hospital of Pittsburgh. Dr Shope is a member of the American Academy of Pediatrics Council on Early Childhood. He served as a child care health consultant for the Navy and Department of Defense for over 11 years, an editor of a significant portion of Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd edition, and a co-author of several online curricula for educators about managing infectious diseases in early education and school settings.

Contents
Preface
About This Book
What Is New in This Edition?
Chapter 1 Overview of Managing Infectious Diseases in Child Care and Schools
Introduction
Keeping Children and Adults in Group Settings Healthy
The Role of the Health Advocate, Health Consultant, and School Health Personnel
Planning and Policies
Chapter 2 Reduce the Risk of Infection: Practice Prevention
Safe Food Preparation and Service
Hand Hygiene
Changing Diapers, Soiled Disposable Training Pants, and Soiled Underwear
Oral Health
Standard Precautions
Sanitation, Disinfection, and Maintenance
Heating, Ventilation, and Air-conditioning
Chapter 3 Health of Teachers/Caregivers and Other Staff Members
Introduction
Preemployment Requirements and Ongoing Adult Health Appraisals and Immunizations
Immunization With Recommended Vaccines
Oral Health
Health Limitations for Staff Members
Policies and Procedures Related to Caring for Staff and Children Who Are Ill
Staff Learn, Teach, and Practice Minimizing Infectious Diseases
Chapter 4 Recognizing the Ill Child: Inclusion/Exclusion Criteria
Daily Health Check
Elements to Observe and Information to Gather
Situations That Require Medical Attention Right Away
Conditions That Do Not Require Exclusion to Control Spread of Disease to Others
Conditions Requiring Temporary Exclusion
Procedures for a Child Who Requires Exclusion
Reportable/Notifiable Conditions
Preparing for Managing Illness
Chapter 5 Signs and Symptoms Chart
Chapter 6 Quick Reference Sheets
Bedbugs
Bites (Human and Animal)
Boil/Abscess/Cellulitis
Campylobacter
Chickenpox (Varicella-Zoster Infections)
Clostridium difficile (Also Called “C diff”)
Croup
Cryptosporidiosis
Cytomegalovirus (CMV) Infection
Dental Caries (Early Childhood Caries, Tooth Decay, or Cavities)
Diarrhea
Diarrhea Caused by Specific Types of E coli (Escherichia coli)
Ear Infection
Fever
Fifth Disease (Human Parvovirus B19)
Giardiasis
Haemophilus influenzae Type b (Hib)
Hand-Foot-and-Mouth Disease
Hepatitis A Infection
Hepatitis B Infection
Herpes Simplex (Cold Sores)
HIV/AIDS
Impetigo
Influenza
Lice (Pediculosis Capitis)
Lyme Disease (and Other Tick-borne Diseases)
Measles
Meningitis
Molluscum Contagiosum
Mononucleosis
Mosquito-borne Diseases
Mouth Sores
Mumps
Norovirus
Pinkeye (Conjunctivitis)
Pinworms
Pneumonia
Respiratory Syncytial Virus (RSV)
Ringworm
Roseola (Human Herpesvirus 6 and 7)
Rotavirus
Rubella (German Measles)
Salmonella
Scabies
Shigella
Shingles (Herpes Zoster)
Staphylococcus aureus (Methicillin-Resistant [MRSA] and Methicillin-Sensitive [MSSA])
Strep Throat (Streptococcal Pharyngitis) and Scarlet Fever
Sty
Thrush (Candidiasis)
Tuberculosis (TB)
Upper Respiratory Infection (Common Cold)
Urinary Tract Infection
Vomiting
Warts (Human Papillomavirus)
Whooping Cough (Pertussis)
Yeast Diaper Rash (Candidiasis)

Chapter 7 Infectious Disease Outbreaks, Epidemics, Pandemics, Bioterrorism and Environmental Health Emergencies
Why Children Are Especially Vulnerable
Planning
Types of Infectious Disease Emergencies
Closure of Group Care Facilities
Illness From Environmental Problems
Quick Communication and Initiation of Emergency Procedures
Symptom Records
Parent Notification
Tracking Procedure
Corrective Action
Chapter 8 Sample Letters, Forms, and Relevant Resources
Child Health Assessment Form
Special Care Plan Form
Medication Administration Packet
Letter to Staff About Occupational Health Risks
Refusal to Vaccinate Form
Staff Health Assessment Form
Routine Schedule for Cleaning, Sanitizing, and Disinfecting
Selecting an Appropriate Sanitizer or Disinfectant
Cleaning Up Body Fluids
Sample Health Information Consent Form
Sample Food Service Cleaning Schedule
Diapering Poster
Gloving
Symptom Record Form
Enrollment/Attendance/Symptom Record
Situations That Require Medical Attention Right Away
Sample Letter to Families About Exposure to Communicable Disease
Glossary
Index