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Infectious Conditions in Day Care: There Is More Than Enteritis and Rhinitis

Am J Dis Child. 1990;144(9):955-956. doi:10.1001/archpedi.1990.02150330013007.
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Sir.—There has been a proliferation of articles in the last 5 years about the incidences of diarrheal illnesses and upper respiratory infections in day-care settings. Those unfamiliar with day care might conclude that these are the only infectious conditions encountered to any extent. Such is not the case. I herein report the incidence of "other" infectious conditions in one day-care center during the course of more than 5 years.

Methods.—The day-care center is located in Baltimore, Md, in a refurbished church, and serves middle- to upper-middle-class children. The center has been in operation for 5½ years and currently has an average daily attendance of 70 children, aged 2½ to 6 years. There are five teachers, all of whom have degrees in early childhood education, and five to six assistant teachers/volunteers on site when the center is open. Hours of operation are 7:30 am to 5:30 pm. The enrollees,


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