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Section 2. Recommendations for Care of Children in Special Circumstances
CHILDREN IN OUT-OF-HOME CHILD CARE
Recommendations for Inclusion or Exclusion
Mild illness is common among children. Most children will not need to be excluded from their usual source of care for mild respiratory tract illnesses, because transmission is likely to have occurred before symptoms developed in the child. Disease may occur as a result of contact with children with asymptomatic infection. The risk of illness can be decreased by following common-sense hygienic practices.
Exclusion of sick children and adults from out-of-home child care settings has been recommended when such exclusion could decrease the likelihood of secondary cases. In many situations, the expertise of the program’s medical consultant and that of the responsible local and state public health authorities are helpful for determining the benefits and risks of excluding children from their usual care program. Most states have laws about isolation of people with specific communicable diseases. Local or state health departments should be contacted about
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