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Parents, Stop The Spread Of Diseases In Your Child's Daycare

Day care also involves health risks. The CDC (U.S. Centers for Disease Control) speaks of a growing need for controlling infectious diseases that frequently affect children in day care. Disease is often the result of clustering small children who tend to put everything in their mouths and who are untrained in proper toilet habits. A good center, though, takes health precautions seriously, by teaching the children to wash their hands after using their toilet. A good daycare centre does not accept sick children knowingly. If a child becomes sick during the day, they often call the parents and tell them to take the child home. Additionally regular medical exams of staff and children are also important precautionary measures. However parents have a very big role too, in stopping diseases in their child's daycare center
How do diseases spread?

Many common childhood diseases are contagious. That is, they spread from one person to another. Everyone knows that some illnesses (like chicken pox) can spread from one person to another but many people don't know that diseases like diarrhea, hepatitis, and impetigo can also spread.

Contagious diseases are spread by germs. Germs are so small that you cannot see them without a microscope. Yet just a few germs on a hand or on a toy may be enough to spread a disease.

Germs spread through body secretions. Intestinal tract infections spread through stool. Respiratory tract infections spread through coughs, sneezes, and runny noses. Other diseases spread through direct contact.

People can spread germs without being sick themselves. A person with a disease is often contagious before he develops symptoms. Sometimes people, especially young children, spread disease germs to their families and caregivers without ever getting sick themselves. This means that steps to prevent diseases must be followed ALWAYS, not just when the person is obviously sick. It is inevitable: children will get sick. They will get sick whether or not they are in day care. But in a day care center diseases can spread easily because large numbers of children from different families spend hours together in one place every day. The special problems of day care staff involve keeping ONE child's illness from spreading through the center to the other children, their families, and staff.

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To prevent disease and plan ahead:
  • • Exchange important information with your day care center director when you register your child for day care. Be sure to include where the child's parent(s) can be reached during the day, your family physician and hospital of choice, and a person to contact in the case of an emergency in case you can't be reached (a relative, a neighbor, or other dependable adult).
  • • Provide the Center Director with any special information he or she should have about your child's medical history. For example: Has your child had any serious illnesses? Is your child taking any medication? Does your child have any allergies that you know of?
  • • Provide the Center Director with a copy of your child's immunization record. Have the Director keep this record in your child's permanent folder.
  • • If your child has had the measles or mumps, give your Center Director a note from your physician indicating the date of this illness.

Be sure your child receives all immunizations on schedule. Several diseases that used to be terrible problems for adults and children can now be prevented by immunization. This group includes measles, mumps, German measles (rubella or 3-day measles), polio, diphtheria, tetanus, whooping cough (pertussis), Haemophilus Influenza Type B (Hib) and Hepatitis B. Some people think these diseases no longer exist or are no longer problems. THIS IS NOT TRUE. Cases still occur. The reason these diseases are no longer widespread problems is that people are being IMMUNIZED. If people stopped getting these protective shots for themselves and their children, these diseases would once again become common problems.

Because young children in child care groups are likely targets for disease, ALL children in day care centers need to have ALL recommended immunizations to protect themselves, their families, the other children, and the center staff.

Your Child's Age Immunization He or She Should Have Received
Vaccine Type Birth 2 Mo(s) 4 Mo(s) 6 Mo(s) 12 Mo(s) 15 Mo(s) 4-6 Yrs
Polio vaccine(OPV/IPV)
X (IPV) X (IPV) X X*
(OPV)

X (OPV)
Diphtheria TetanusAcellular Pertussis (DTaP)
X X X
X X
Haemophilus InfluenzaeType b (Hib)
X X X
X
Hepatitis B(Hep B) X X
X


Measles/Mumps/Rubella(MMR)



X
X
Varicella (Chicken Pox) (VAR)



X*

* 12-18 months

Alternative Schedules for Hib and Hep B
Vaccine Type Birth 2 Mo(s) 4 Mo(s) 6 Mo(s) 12 Mo(s) 15 Mo(s) 4-6 Yrs
Haemophilus InfluenzaeType b (PRP-OMP)
X X
X

Hepatitis B(Hep B)
X X X**


** 6-18 months

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Arrange to take your children to the doctor to receive these immunizations on schedule. Also inform your Day Care Director when your child has received an immunization so his record can be updated. Your child cannot attend school, according to most city laws in the US, unless his or her immunization history is up to date, or in progress.

Make provisions for alternate day care when your child is sick. Sooner or later all children get sick. This causes changes in plans and expectations, and makes life complicated, especially for working parents. The best way to be prepared for these unavoidable sick days is to plan ahead. Think ahead of time what your choices will be:

  • • If you work during the day, find out your employer's sick leave policies.
  • • If it is difficult for you to take time away from work, find an alternative caregiver. This might be a relative, a neighbor, a friend, or other dependable adult you could call when your child is too sick to be at the day care center.

When illness occurs:

  • • Inform the Day Care Center Director if your child has been exposed to any contagious diseases. This includes the following the diseases: bacterial meningitis, chicken pox, diarrheal diseases (shigella, campylobacter, salmonella, giardia), diphtheria, hepatitis A, measles, mumps, pertussis (whooping cough), pneumonia, epiglottitis, or acute infectious arthritis, and rubella (German measles). If the Day Care Center staff knows that your child has been exposed to a measures to prevent spread of the disease. For example, if the child is exposed to a confirmed case of Hepatitis A, the Department of Health and Mental Hygiene may suggest a type of medication for close contacts who were exposed.
  • • Keep your child at home if he or she develops any symptoms of contagious diseases. You may also want to consult a physician.

Symptoms:

If your child develops:

  • • Diarrhea (diarrheal diseases spread very easily among young children. If parents keep children with diarrhea at home, all children will get diarrhea less often).
  • • Severe coughing (to the point where the child gets red or blue in the face and/or makes a high pitched croupy or whooping sound after he coughs).
  • • Difficult or rapid breathing (this is especially important in an infant under 6 months old).
  • Yellowish skin or eyes (these may be signs of hepatitis).
  • • Pinkeye (tears, redness of eyelid lining, irritation followed by swelling and discharge of pus).

Keep him home until:

  • • the symptoms disappear.
  • • your physician decides that he can return to the center without danger to himself or to the other children and staff.

If your child develops:

  • • unusual spots or rashes
  • • sore throat or trouble swallowing
  • • infected skin patches (crusty, bright yellow, dry, or gummy areas of skin)
  • • unusually dark, tea colored urine
  • • grey or white stool
  • • headache or stiff neck
  • • vomiting
  • • unusual behavior (less active or cranky, cries more than usual, in general discomfort)
  • loss of appetite
  • • severe itching of body or scalp or scratching of scalp
  • • fever (100 degrees F or 37.8 degrees C or above for oral thermometer and 101 degrees F or 38.3 degrees C or above for rectal thermometer)

Keep him at home until:

  • • the symptoms disappear
  • • your physician decides he can return to the center without danger to himself or to the other children and staff.
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Keep your child at home if he or she is diagnosed as having any of the following contagious diseases. Some of the diseases on this list are common, others are rare among children who stay in day care or at home. The uncommon infections are included in this list so that information will be available should a case occur in your child's center.

Disease When the Child Can Safely Return to the Center
Bacterial Meningitis When the Health Department indicates it is safe.
Chicken Pox One week after the rash begins, or when all chicken pox are scabbed over.
Diarrhea When he or she no longer has diarrhea.
Shigella, Giardia, Campylobacter, Salmonella When your physician or the Health Department says it is safe.
Diphtheria When your physician tells you it is safe.
Hepatitis A 1 week after the illness begins.
Measles 5 days after the rash appears.
Mumps After the swelling subsides (or 9 days after the swelling begins)
Pertussis (whooping cough) 4 week after intense coughing begins, or 5 days after antibiotic treatment begins.
Pneumonia or epiglottitis orinfectious acute arthritis If not due to H-Flu, when your physician tells you it is safe.If due to H-Flu, when the Health Department tells you it is safe.
Rubella (German measles) 5 days after rash begins.

Be sure to follow your center's policies for special disease control needs. Your Center Director will inform you if a case of one of the diseases on the chart above occurs in your child's day care center. You will be asked to:

  • • check for the symptoms of the disease in your child (your director will tell you what the symptoms are).
  • • take your child to the doctor if he or she develops symptoms.
  • • if he is diagnosed as having the disease, keep him at home until the doctor says it's safe.
  • • follow any special preventive measures your day care center recommends.
  • • report the reason for your child's absence from school as soon as possible.
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How To Choose A Licensed Day Care Program for Your Kids

A licensed group day care program allows children to learn and play in a healthy, secure, and friendly environment. Nevertheless, day-care centers are the focus of raging controversies, owing to the fact that, quality centers are not always the norm. Some are poorly maintained, poorly managed, poorly staffed, and pack children in like luggage. Some of the questions a parent should ask when looking for a licensed group day care program are:

  • • Is group day care what I really want for my child?
  • • Do I want it to be close to home or work?
  • • Do the hours fit my schedule?
  • • Would I feel comfortable leaving my child there?
  • • Can I afford it?
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Parents will answer these questions differently according to their situation and the needs of their child. However, there are some basics things that all parents should look for in a group day care program . The following document, prepared by the City Department of Health and Mental Hygiene, Bureau of Day Care, tells you what some of those things are and suggests how you can find them.

Start your search early:
  • • If possible, give yourself at least three months to find a good program.
  • • Call the City Department of Health and Mental Hygiene, Bureau of Day Care for names of licensed centers.
  • • Call the Administration for Children's Services (ACS) Vacancy Information number to find out if you are eligible for publicly funded day care services.
  • • Talk to relatives, friends, and neighbors. They may be able to recommend day care centers or tell you which to avoid, based on their own experiences.
Compare your choices:
  • • Always visit a center before enrolling your child, no matter how highly the center was recommended.
  • • Visit more than one center so that you can compare the types and quality of services provided.
  • • Visit each center before enrollment.
  • • Talk to the director, look at the center, and visit all classes, especially the ones your child will be in.
Yes No Questions to ask during your visit:
Is the center licensed? All out of home day care programs for seven or more children under 6 years of age must be licensed by the City Department of Health and Mental Hygiene, Bureau of Day Care.
Can you drop in to see your child without calling first? According to the City and State laws, parents must be able to see their children or take them out of the center at anytime.
Do the director and group teachers have experience and training in child care? In order to best help the children learn and grow, the director and teaching staff of licensed centers must have special training and degrees in teaching young children.
Is there enough staff to give the children the attention they need? There should be at least one teacher and one assistant for each group of 10 two year olds, 15 three year olds, 20 four year olds, and 25 five year olds.
Is the staff available for parental conferences? The staff should keep parents informed about their children's progress and problems. Parents should have a chance to discuss the policies and operations of the center.
Is there a variety of activities to help the children develop and learn? Children should be involved in different learning activities during the day, such as: playing with blocks, painting, cutting and pasting, drawing, coloring, molding with dough, storytelling dramatic play, music, outdoor play, etc.
Does the center provide meals? All centers should provide time for a mid-morning and mid-afternoon snack. Some centers also serve breakfast and lunch. If lunch and snack are not served, parents must provide home-packed lunches and snacks and the center must have a refrigerator for storing them.
Do the children get a rest period during the day? Children attending full-day programs must have quiet, relaxed period of about one hour a day. The center must provide separate cots, cribs or mats for each child to rest.
Are special health exams required for the children and staff? According to the City Department of Health and Mental Hygiene, the center must require that children be up to date with their immunization and have regular health exams. The staff must have yearly health exams and TB test (PPD).
Are sick children properly cared for? The center must give parents specific instructions about when a sick child must be kept at home. The center must have a plan for separating sick children from the other children until the parents can pick them up.

Yes No Things to look for during your visit:
Is the current license posted where you can see it easily? Look for the date and the number and ages of the children the center is authorized to care for.
Do the children seem to be enjoying the activities they are involved in?
Is the staff warm and friendly to the children?
Does the staff talk to the children with respect and listen to them with interest?
Are the children permitted to express their feelings?
Does the staff discipline the children in an appropriate way? If the staff "puts children down" in front of others, ridicules, spanks, or doesn't give meals as a way of disciplining, mark NO. And avoid the center!!
Are there toys and equipment such as blocks, puzzles, books, clay, or musical instruments, that allow the children to learn and use their imagination?
Do the classroom materials, books, and pictures include examples of the different ethnic and racial groups in the community?
Is there an opportunity for the children to choose their own activities at some time during the day?
Does the staff eat with the children? Do they encourage relaxed conversation during mealtime.
Are weekly menus posted in the centers that serve meals? Are fruit and vegetables, bread, milk, and meat, fish, chicken, or cheese served daily?
Are the toys and other play equipment clean, in good repair, and within easy reach of the children?
Is there enough space indoors and outdoors for the children to move freely and safely?
Are the children supervised at all times both indoors and outdoors?
Do the windows have window guards on them?
Are emergency numbers of the following agencies posted near the telephone: Fire Department, local police precinct, Poison Control, local hospital, Child Abuse Registry, and Health Department?
Does the center have good air circulation and is it at a comfortable temperature for the children?
Are all child care areas at the center free of cigarette smoke?
Is the center clean and uncluttered? Check the classrooms, toilets, kitchen, backyard, etc.
Are the walls, furniture, and equipment free of peeling paint and other safety hazards?
Is there at least one toilet and one sink for every fifteen children?
Are there separate toilet facilities for adults?

Make a decision:
  • • After your visit, go home and think about what you saw.
  • • Visit other centers and compare what you saw at each of them.
  • • Think about your feelings when you visited each center.
  • • Call the center director or the Bureau of Day Care again if you have further questions.
  • • Be sure that the center you choose has a current license and meets your needs for location, hours, and cost.
  • • Go over the checklist for each center you visited before making the choice.
  • • Ask yourself: Would I feel comfortable leaving my child at the center.
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Should The Government Tell The People What To Eat?

Roberto Carlos Alvarez-galloso

Since when did the Government have a right to dictate what to eat, drink, wear, or even smoke? At the present time, we are living in a federal republic, which is eroding into a communist state with trappings of a medieval absolute monarchy. Instead of a Thought Police or a Block Committee, the Television and the Government is there to dictate what should be eaten, worn, or how to live.

The State should withdraw from regulating what the citizen eats. It is the citizen and not the government that recognises what is convenient for the individual. If people want to eat healthy, that is their choice. If a person wants to gradually die from clogged arteries, clogged veins, and other diseases associated with eating unhealthy food that is his/her choice.

The State has no moral right to dictate what is good or bad, when students of public schools have meals that are anti nutritious and downright toxic. The same applies to astronauts in space or the member of the armed force serving in Korea, the Middle East, or any other place.

The individuals, and not the State, should be the protagonists of their health and their healthy relationship with their physician, nurse, and social worker, without the excess interference of a state that prides itself in gluttony (excessive taxes, excessive regulations, and excessive gossiping).

If the State cannot protect personal information, it cannot dictate food. If the State insists on passing repetitive laws on immigration with TPS (Temporary Protective Status), instead of obeying laws already in place (or reducing the duplicate, triplicate, quadruplicate laws), it has no right to dictate food.

In closing, the state reminds me of a Basque legend called Gargantua, which ate and ate until excessive obesity arrived. The cure became a great ball of flatulence and manure. The State in its present form will end up in a great ball of flatulence and manure, which would make the Kyoto Protocol cringe.

Five Most Expensive Junk Foods






Jessica Dickler
CNNMoney.com Staff Writer

With the finest ingredients and astronomical prices, these ordinarily 'cheap' eats are anything but.
1. Macaroni and cheese with white truffles

Price: $95

Kraft may be the cheesiest, but the macaroni and cheese at LA's Mélisse restaurant is definitely the priciest. That's because chef Josiah Citrin spares no expense grating a hefty portion of white truffles over his fresh tagliatelle, smothered in parmesan cheese and brown butter truffle froth.

This glorified version of the kids classic can't be found on the children's menu, or among the restaurant's standard fare for that matter. Mélisse only makes it available during the white truffle season, which is October through December.


2. Philly cheesesteak

Price: $100

It may not end the war between Geno's and Pat's but cheesesteak lovers will want to sample another local favorite, from the Philadelphia steakhouse Barclay Prime. In this upscale take on the classic, Kobe beef is substituted for top-round chuck and accompanied with butter poached lobster and shaved French black truffles.

As for the cheese, or "whiz wit," as they say in Philadelphia, that's melted Taleggio imported from Italy, a far cry from the standard provolone. The sandwich is served on a homemade brioche bun finished with house-made mustard, along with a small bottle of Veuve Clicquot champagne.

3. The DB "Royale" double truffle burger

Price: $120

Celebrity chef Daniel Bouloud gave this all-American dish a fancy French makeover and a couture price tag. His version of the classic ground beef burger is stuffed with red wine-braised short ribs (off the bone), foie gras, a mix of root vegetables and preserved black truffle. Hold the ketchup though, the pièce de résistance is a double helping of fresh black truffles on top.

This burger, if you can call it that, is served on a homemade toasted parmesan and poppy seed bun with a touch of fresh horseradish, oven roasted tomato confit, fresh tomato, red onions and frisée lettuce. And, of course it comes with a side of French fries -- or pillows of pommes soufflé if you prefer.

Foodies should note that the Royale is only served at DB Bistro Moderne in New York City and at the Daniel Boulud Brasserie in Las Vegas during the black truffle season, which usually runs from late December through the end of March.


4. Golden Opulence sundae

Price: $1,000

First dates looking to impress or sweet-sixteens in search of something special strike gold, quite literally, at Serendipity 3, the legendary New York City eatery where celebs are often spotted. The restaurant's golden opulence sundae is covered in 23-carat edible gold leaf and is also rich in flavor thanks to Tahitian vanilla ice cream infused with Madagascar vanilla beans and chunks of rare Chuao chocolate from Venezuela.

In lieu of Hershey's syrup and a maraschino cherry, this sundae is drizzled with one of the world's most expensive chocolates, from Amedei Porcelana, and then adorned with candied fruits, gold covered almonds, chocolate truffles and marzipan cherries.

The dish also features a dollop of sweet Grande Passion caviar served with a mother of pearl spoon and a gilded sugar flower. The whole shebang looks as good as it tastes, served in a Baccarat crystal goblet (yours to keep) with an 18-carat gold spoon (not included).


5. Nino's pizza with caviar

Price: $1,000

There's no pepperoni or mushrooms (not even of the truffle variety) on the world's most expensive pizza, but this personal 12-inch pie is topped with four different types of caviar, including black Russian Royal Sevruga, as well as thinly sliced lobster tail, creme fraiche and chives.

New York City restaurant owner Nino Selimaj began proffering this slice of heaven at his Italian namesake restaurant six months ago, and has since sold several of them at his Upper East Side establishment. Be sure to call ahead if you want to try one too.

France Ready For England During Saturday's World Cup Semi-Final


France will be at full strength for Saturday's World Cup semi-final against England at the Stade de France, team manager Jo Maso says.

The only player in the squad who is not fully fit is scrumhalf Pierre Mignoni but he will be before the end of the week, Maso told reporters at France's training camp outside Paris.

Mignoni, who missed Saturday's 20-18 quarter-final win over favourites New Zealand in Cardiff because of a torn right thigh muscle, is France's second choice at scrumhalf behind Jean-Baptiste Elissalde.

Flanker Serge Betsen, who left the Cardiff pitch early in the first half after being knocked out, is able to resume training.

Prop Olivier Milloud, who was substituted at halftime on Saturday with a sore neck, will be back in training on Wednesday.

"It was a very physical match against New Zealand," Maso said. "The bodies are bruised but the souls are not. It's always easier to recuperate after a victory." Captain Raphael Ibanez confirmed France were ready to confront England.

"In training this morning I didn't hear a single player complain that he was tired or hurt," the hooker said.

France will name their team on Wednesday.