Most young children who spend time at a private sitter, daycare or preschool while
their parents work usually get more infections than children who stay at home. Youngsters
share many things while playing with other kids - and germs is one of them! There are many
reasons why these children are sicker -especially with colds and diarrhea - than
youngsters cared for in their own homes. For one thing, they have yet to develop the
protective antibody necessary to fight infection. Second, children in group settings are
in contact with many other children, so they have a much greater chance of getting an
infection. When children share toys and touch each other during play, they spread germs.
Third, many children have not yet learned to use the toilet properly or the importance of
hand washing. Finally, young children need a great deal of "hands on" care from
day care providers who, unfortunately, also contribute to the spread of illness.
The battle is not hopeless, however, and there are things parents can do to keep their
child well if they must be cared for outside the home.
Hand washing According to Jack Hutto, M. D., an infectious disease specialist at
All Children’s Hospital, "Improper or infrequent hand washing is the number one
spread of illness in daycare settings." Adults typically put their hands to their
face at least three to four times an hour. Children are even worse! They are always putting
their hands in their mouths, in other children’s mouths, down their diapers, and all
over toys. Therefore, every child care setting should have a written procedure for hand
washing that is strictly enforced.
Children should be taught how to wash their hands and caregivers should set a good
example! According to a recent study published in the medical journal, Infectious
Diseases in Children, one out of every four daycare staff members had fecal bacteria
on their hands. Furthermore, one third of daycare facilities surveyed had "poor hand
washing techniques and no policy for hand washing before eating or after playing
outside." Therefore, how the daycare or preschool staff handles a child is just as
important as the cleanliness of the room. Hand washing sinks should be next to each diaper
changing area and child-size sinks, soap dispensers, and disposable paper towels made
available near every toilet area. In addition, these sinks should never be used for food
preparation. Dr. Hutto also recommends that parents teach their children proper hand
washing before meal and snack time, and to discourage behavior such as nose picking,
fingernail biting, pacifiers, toys or other objects in the mouth, etc.
Sanitize Environmental sanitation policies should include cleaning and
disinfecting floors, covering sandboxes, and scrubbing play tables. Carpets and rugs
harbor dust mites and bacteria, so they should be cleaned regularly. All other items in
the room also need to be thoroughly sanitized each day. Toys should be cleaned daily with
water and detergent and then thoroughly rinsed before handled by another child. Germ
collectors, such as soft, non-washable toys should be discouraged. Day care workers should
make it a special effort to clean underneath the tables where little kids frequently put
their hands. The top side of tables is usually cleaned, but bacteria and viruses hide
under the tables as well. "Opening a window on occasion is really not a bad idea
either since the outside air is fresher than the air inside," according to Dr. Hutto.
Children's clothing should also be easily washable and all kids should be provided with at
least one change of clothes. Air filters should be changed monthly.
Diaper Changing Procedures. These areas should be sanitized between uses
or covered with a paper pad and changed after each use. Diaper changes should be limited
to a few staff personnel and the use of disposable diapers should be encouraged. Soiled
diapers should be discarded immediately in secure containers. Thorough hand washing of
both the child and the day care provider following diaper changing is mandatory.
Limit Group Size Children's group sizes within a center can also affect
disease spread and parents should choose a day care center where the number of children is
limited to three or four. With a smaller group illness can be more contained.
Report Illness to the Provider. When dropping off their child, parents
should talk to the caregiver about how the child is feeling. If the youngster has symptoms
of a possible infection, ask if the child should be excluded from child care that day.
Prompt action when an infection is first suspected can often prevent its spread through
the center. In addition, let the provider know you want to be called at work if the child
becomes ill during the day.
Avoid a Passive Smoking Environment. Children who are exposed to
secondhand cigarette smoke are three to four times as sick as those who are raised in a
smoke free home. Never leave a child with a provider who smokes, even if they "light
up" outside. As a rule of thumb, if one can smell cigarette smoke, the child is
getting the harmful effects.
Immunizations and Well Child Care. Make sure your child has received all
the recommended immunizations and well-child checkups.
Plan ahead. Arrange in advance for someone to care for your child when
they become ill. Children being cared for outside the home will eventually get sick and
need to stay home!