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    EXCLUSION OF SICK CHILDREN FROM CHILD CARE CENTRE

    Dr. Medhat Abu Shaaban MD FAAP
    Consultant Pediatrics & Allergy


    Children should be excluded from the child care setting for the following reasons:

    1. Illness that prevents the child from participating comfortably in program activities.
    2. Illness that results in a greater need for care than the staff can provide without compromising the health and safety of other children.
    3. The child has any of the following conditions :
    Fever, lethargy, irritability, persistent crying, difficulty breathing or other manifestations of possible severe illness.
    4. Diarrhea or stools containing blood or mucus.
    5. Vomiting two or more times during the previous 24 hours, unless the vomiting is not caused by infection and the child is not in danger of dehydration.
    6. Mouth sores associated with drooling, unless the child’s pediatrician indicates that the child is not infectious.
    7. Rash with fever or behavioral change, until the pediatrician has determined the illness is not a communicable disease.
    8. Eye infections: when the eye is pink or red with white or yellow eye discharge until examined by the pediatrician and readmission is approved with treatment.
    9. Impetigo (skin infection) until 24 hours after treatment has been started.
    10. Streptococcal pharyngitis or tonsillitis until 24 hours after treatment has started.
    11. Chicken pox until all lesions have dried and crusted (usually 6 days).




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