Health Policy:
We usually give our hands a quick wash before class. Washing hands ahead of time makes sure that the things we are sharing are the things we want to share. We disinfect instruments with a nontoxic, plant-based spray.
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H1N1 Rap!
Please keep in mind the following points suggested by pediatrician and Music
Together dad Ben Kruskal MD of Harvard Vanguard Medical Associates, based
on the medical literature.
Runny noses: It is not correct to assume a clear runny
nose is OK and green is not. The color of the runny nose does not help to
determine how contagious a child is. It is more reliable to make a judgment
call by the way the child is acting. If your child has slept poorly and
is acting tired and grouchy along with the runny nose, assume he is sick
enough to stay home. If the runny nose is a week old and your child is acting
playful and active, she is likely healthy enough to attend. If your child's
nose is runny enough that the mucus is being wiped on sleeves and/or classroom
equipment it is best to keep him at home! Some children can have persistent
runny noses of any color for weeks or months, which is often caused by allergies,
and should not be contagious. Please check with the child's mother or your
teacher if you are concerned about a child with a consistently runny nose
in your class.
Coughs: A child with a frequent deep moist cough of less
than 3 weeks' duration should stay home, especially if he is too young to
cover his own mouth when he coughs. An occasional cough in an otherwise
healthy-appearing energetic child is of no more concern than the cold that
causes it. A persistent cough for more than 3 weeks in the absence of other
symptoms is unlikely to be due to a contagious infection.
Antibiotics: While ear infections are not contagious, the
colds that often lead to them are. Even if your child has been put on antibiotics
for some other infection occurring together with a cold, this does not make
the cold any less contagious. Please use the same criteria listed here based
on your child's symptoms if your child has a cold and is on antibiotics.
If your child has been put on antibiotics for a strep throat, she may return
to class after taking antibiotics for 24 hours.
Diarrhea or vomiting: While these symptoms are most commonly
caused by viruses rather than bacteria, they can have serious consequences,
especially for infants and toddlers. Your child should not return to class
until he has been free of both diarrhea and vomiting for at least 24 hours.
If your child has a more significant infection such as chickenpox, measles,
German measles (rubella) or whooping cough (pertussis), please check with
your pediatrician about when she will no longer be contagious. The germs
which cause most common infections can be transmitted by close airborne
contact (face to face within roughly 3 feet) OR passed through hand to hand
contact, as well as carried on clothes, toys, etc. Please wash your hands
and those of your child before and after class or avail yourself of a waterless
hand disinfectant such as Purell. If you are not sure if your child is contagious
or not, please err on the side of caution and stay at home. People are often
contagious for 24-48 hours before showing any symptoms. Therefore a child
who appeared perfectly healthy in class could come down with a fever two
hours later and may have unwittingly exposed the class. Obviously, this
is unavoidable.
Fevers: Please keep your child at home until it has been
at least 24 hours since her last fever without the assistance of fever reducer
medicines. Your child is the most contagious during the time she is feverish.
Eyes: Pinkness, redness, or “bloodshot” appearance is usually
due to conjunctivitis, which may be infectious or allergic. Please keep
these cases home until your doctor determines that they are not contagious.
Gooey yellow-green goop on lashes without redness is not a reason to exclude
children from class.
Rashes: The majority of rash illnesses in children of this
age range are not contagious; the majority of contagious rashes are preceded
or accompanied by fever. If your child has a rash WITHOUT prior or co-existing
fever or other symptoms, the rash is unlikely to be transmissible, so it
is fine to come to class.
In summary: there is going to be exposure to germs no matter
how careful anyone is or what the policies are. Any communal activity (for
example storytime at the library, playgroup, new moms' group, church, etc.)
lays us open to catching germs, which is not always bad. There is reasonable
evidence suggesting that humans need to be exposed to germs at an early
age to develop their immune systems. By following these guidelines, you
can minimize the risk of infection being transmitted at our classes while
also minimizing the need for unnecessary absences.