Chidlren attending day care are at a higher risk of getting hepatitis A. Hepatitis A is irritation and swelling (inflammation) of the liver caused by the hepatitis A virus.

• It is spread by poor hand washing after going to the bathroom or changing a diaper, and then preparing food.
• In addition to good hand washing, day care staff and children should get the hepatitis vaccine.

Head lice and scabies are other common health problems that occur in day care centers.

You can do a number of things to keep your child safe from infections. One is to keep your child up-to-date with routine shots to prevent both common and serious infections.

• To see the current recommendations, visit the Centers for Disease Control and Prevention (CDC) website. At every doctor visit, ask about the next recommended vaccinations.
• Make sure your child has a flu shot every year after age 6 months.

Your child's day care center should have policies to help prevent the spread of germs and infections. Ask to see these policies before your child starts. Day care staff should be trained in how to follow these policies. In addition to proper hand washing, important policies include:

• Preparing food and changing diapers in different areas
• Making sure day care staff and children who attend the day care have up-to-date immunizations
• Rules about when children should stay home if they are sick

WHEN YOUR CHILD HAS A HEALTH PROBLEM

Staff may need to know:

• How to give medicines for conditions such as asthma
• How to avoid allergy and asthma triggers
• How to take care of different skin conditions
• How to recognize when a chronic medical problem is getting worse
• Activities that may not be safe for the child
• How to contact your child's health care provider

You can help by creating an action plan with your health care provider and making sure your child's day care staff knows how to follow that plan.

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Review Date: 11/12/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)