School Health

Thoughts from the American Academy of Pediatrics
While clustering of children together in the school setting provides opportunities for the spread of infectious diseases, school attendance is important for children and adolescents, and unnecessary barriers and impediments to attending school should be kept to a minimum. Determining the likelihood that infection in one or more children will pose a threat or risk to the other children depends upon understanding several factors including the following.

  1. The mechanism by which the organism is spread
  2. The ease with which it is spread (how contagious is it?)
  3. The likelihood that classmates are immune to the germ due to immunizations

Infectious agents are spread through one or more of the following 4 routes of transmission:Fecal-oral transmission; respiratory contact; contact with infected skin; and contact with secretions such as mucus, urine or blood. In the school setting, respiratory secretions and skin contact provide the most frequent means of transmission of microorganisms from child to child.

For vaccine preventable diseases, documentation of the immunization status of all enrolled children should be reviewed and the schools have to legal responsibility to ensure that all the students have been immunized against vaccine-preventable diseases at the time of enrollment.

It is now Mandatory in the State of New York, that all students be immunized against , poliomyelitis, diphtheria, measles, mumps, rubella ,hepatitis A, Pneumococcus (PCV7), Heamophyllus influenza B and Varicella (chicken-pox).It is also recommended that all college students (and some camping students) be immunized against Menningococcus.
Infected children should be excluded from school or from day care centers until such time as they are no longer contagious. So PLEASE DO NOT SEND your child to school when he or she is sick or has a fever.

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