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It's Flu Season!  Here is some information regarding Common Questions:

Information for Parents about Influenza and Child Care

Is influenza still a concern in Massachusetts ?

Yes. Influenza is also called “flu.” Flu, including the pandemic H1N1 kind, is expected to spread in Massachusetts this fall and winter. Flu is a cause of serious illness in thousands of people every year. It can be prevented with a vaccine (shot or nasal spray).

Why is this important?

Flu can be very serious, especially for children 5 years old and younger, and for children and adults with chronic health conditions that make them more likely to get sick with the flu. Children with the flu miss days of childcare, can cause parents to miss work, and can spread the flu to others who may become seriously ill.

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What can I do to keep my child from getting sick?

«      Get your child vaccinated (the flu shot or nasal spray). Vaccination is the best way to keep your child from getting the flu. This year’s vaccine protects against both the pandemic H1N1 influenza and two other kinds of flu. Your child needs to be vaccinated this year, even if vaccinated last year.

«      Teach your children to wash their hands often. Washing with soap and warm water for at least 20 seconds is ideal (about as long as it takes to sing the “Happy Birthday” song twice).

«      When soap and running water are not available to clean hands, use alcohol-based hand sanitizer. Young children should be supervised when using alcohol-based hand sanitizer. Also, store hand sanitizer out of children’s reach. The alcohol it contains may be dangerous if swallowed.

«  Teach your children to cough or sneeze into their elbow—not their hands! Cover coughs and sneezes with tissues or by coughing into the inside of their elbow. They should wash their hands after blowing their nose or coughing into a tissue.

 «  Teach your children to avoid touching their nose, mouth or eyes. They should keep their hands away from their face.

Is flu vaccine safe?

Yes. Flu vaccines are among the safest medications that are administered to people, including prescription drugs and over-the-counter medications. Like any vaccine or medication, flu vaccine should be administered by trained health professionals who will determine which vaccine is best for you and your child. 

What should I do if my child is sick?

«      Keep your child home. It is very important that your child does not go to child care or other places where they could spread the flu to other people.

«      Call your doctor’s office and let them know your child’s symptoms. Your doctor will advise you whether you should come to the office. It is best to call the office first to avoid spreading flu to others at the doctor’s office.

«      Call your child care program to notify them that your child is sick, and tell them if your child has flu-like symptoms, such as fever, cough and/or sore throat. Keep them updated on your child’s medical condition.

«      Do not give your child or teenager (18 years of age or younger) aspirin or aspirin-containing products due to the rare, but serious, illness called Reye syndrome.

How long should I keep my child at home?

«      All individuals with flu symptoms should stay home for at least 24 hours after they no longer have a fever, without using fever-reducing medicines. These medicines include Motrin or Advil (ibuprofen), Tylenol (acetaminophen) or a store brand. For most children, this will be about 4 days. Use the Flu Symptom Checklist for Families and Childcare as a guide. Child care centers can not accept a doctor’s note recommending a child with flu-like symptoms return to the program before the time period described above.

Is it safe (as far as flu is concerned) for my child to participate in other activities?

Just like going to child care, children should continue to participate in other activities as long as they are not sick and do not have flu symptoms.

Will my child’s child care center be closed if there is a case of flu?

Child care programs and public health officials will be focused on preventing the spread of flu so that facilities can stay open. They will closely follow the situation and will inform you in the unlikely event that your child’s center is closed. However, it is important to plan ahead. Talk to your family now to decide who would care for your child if the center is closed. When a child care center is closed, it is important that children not gather together at another place. They should stay home to avoid spreading the flu to other people.

What precautions are being taken at child care centers?

«      Staff will teach children about hand washing and covering coughs and sneezes.

«      Staff will also stay home when sick with flu symptoms, cover their mouths when they cough or sneeze, and wash their hands often.

«      Centers will keep track of children who are sick with flu-like symptoms, so they can quickly identify flu in the center.

«      Centers will be cleaned regularly, especially where germs can spread, such as water fountains.

«      Staff will work closely with local and state public health authorities.

Where can I get more information?

«      Call your doctor, nurse or clinic, or your local board of health

«      Massachusetts Department of Public Health website at www.mass.gov/flu

«      Center for Disease Control and Prevention (CDC) at: www.cdc.gov/flu 

«      For flu clinic information, visit the MassPRO Public Flu Clinic Finder website at: http://flu.masspro.org/ or call (617) 983-6800.

Flu Symptom Checklist 

The main symptoms of influenza (flu) include fever and cough and/or sore throat. Some people also have a runny nose, body aches, headache, chills and feel tired. Some people also have diarrhea and vomiting. The most important thing that you can do to keep flu from spreading in the community is to keep your sick child at home when they are sick.

SHOULD I KEEP MY CHILD HOME?

  1. Does your child have a fever of 100.4 degrees or more in the past 24 hours?
  2. Does your child have a cough OR sore throat?

If you answered YES to both questions above, keep your child home.

Your child has an influenza-like illness.

CAN MY CHILD RETURN TO CHILD CARE?

  1. Has your Has your child had a fever of 100.4 degrees or more in the past 24 hours?
  2. Has your child had acetaminophen (Tylenol) or ibuprofen (Motrin or Advil) in the past 24 hours?

If you answered NO to both questions above, your child can return to child care.

If you answered YES to either one of the questions above, your child CANNOT return to child care. Keep your child home for at least another day to observe for additional symptoms. Then use the check list questions again to decide whether you should continue to keep your child home. 

 

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