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Section 2. Recommendations for Care of Children in Special Circumstances
SCHOOL HEALTH
Other Infections Spread by the Respiratory Route
Some pathogens that cause severe lower respiratory tract disease in infants and toddlers, such as respiratory syncytial virus, are of less concern in healthy school-aged children. Respiratory tract viruses, however, are associated with exacerbations of reactive airway disease and an increase in the incidence of otitis media and can cause significant complications for children with chronic respiratory tract disease, such as cystic fibrosis, or for children who are immunocompromised.
Although influenza virus infection is a common cause of febrile respiratory tract disease and school absenteeism, mandatory exclusion of children with suspected influenza infection from school is not warranted. Annual influenza immunization should be given to recommended age groups and to targeted high-risk groups (see Influenza Vaccine, p 405).
Mycoplasma pneumoniae causes upper
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