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Clinical Pediatrics
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Exclusion of III Children from Day-care Centers

Policy and Practice in New Haven, Connecticut

Eugene D. Shapiro

Departments of Pediatrics, Epidemiology, and Public Health and the Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut

Despite evidence that children who attend group day-care centers have an increased frequency of infectious illnesses, appropriate criteria for exclusion of ill children from day-care centers have not been defined. Of the 89 licensed day-care centers in the New Haven area, 53 (60%) returned an anonymous questionnaire about their practices in managing ill children. Most of the centers (median size—38) included only children aged 3 to 5 years. The percentage of centers that excluded children with specific signs or symptoms varied from 100% for fever to 30% for either cough or runny nose. Although all of the day-care centers excluded children with fever, the minimum temperature defined as fever varied substantially (median—99.1°F). Most centers (62%) relied on the parents' discretion for allowing an ill child to return to the center.

Clinical Pediatrics, Vol. 23, No. 12, 689-691 (1984)
DOI: 10.1177/000992288402301207
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