The holidays are here (and so are respiratory illnesses!)

Winter and the holidays are upon us. With the cold weather, we are staying inside more. The holidays mean more gatherings and close contact in crowded stores and holiday-related events and activities. We are seeing a rapid uptick in respiratory viruses, including COVID, RSV, and influenza. Here are links to the latest CDC guidance regarding COVID exposure and infection:

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/k-12-childcare-guidance.html

https://www.cdc.gov/coronavirus/2019-ncov/your-health/if-you-were-exposed.html

https://www.cdc.gov/coronavirus/2019-ncov/your-health/isolation.html

If a positive case is identified in your center, all who were present should wear a mask for the next 10 days and get tested on Day 6 if test-to-stay is not currently practiced (unless they develop symptoms, then they should test sooner).

On the page “If You Were Exposed” (What to Do If You Were Exposed to COVID-19 | CDC), the following is stated:

If you were exposed to the virus that causes COVID-19 or have been told by a healthcare provider or public health authority that you were exposed, here are the steps that you should take, regardless of your vaccination status or if you have had a previous infection. 

Exclusion criteria for influenza (“flu”) and RSV include fever and severe respiratory symptoms that prevent the child from full participation.  Usual health routines should be maintained – good handwashing, covering coughs/sneezes, surface cleaning, and observing children for signs/symptoms of illness. Children may return once fever-free without fever-reducing medication for at least 24 hours and able to fully participate in activities, or upon the advice of a healthcare provider. The CDC provides resources to guide decision-making around respiratory illness prevention, diagnosis, and treatment.

As a reminder, the Maine Department of Education recently posted this Communicable Diseases Quick Guide for Schools and Child-Care Centers in Maine: https://www.maine.gov/doe/sites/maine.gov.doe/files/inline-files/Communicable%20Diseases%20Quick%20Guide%2011x17%20V1_0.pdf. This is a handy guide to help you with decision-making around inclusion/exclusion criteria. If you have not yet received your copy of the "purple book" Managing Infectious Diseases in Child Care and Schools, please check with your licensing specialist, as copies were purchased for every licensed child care provider in Maine. 

Wishing you all a happy, healthy holiday season!

Deb

A New School Year Has Begun!

Hi Everyone,

I can't believe it's been over nine months since I last posted! Where has 2023 gone? I hope you were able to enjoy what little summer we had and that the new school year has gotten off to a good start.

This year has brought some changes for me - I left the University of New England at the end of May to return to my roots at Maine Medical Center as Director of Nursing Education and Professional Development. This has been an exciting opportunity for me to combine my love of education and working with nurses who are practicing at the bedside. Due to this change in my work schedule, I no longer have the flexibility to provide CPR/AED/First Aid classes. I realize this may be an inconvenience to those of you for whom I have provided these classes in the past. I can help with finding new resources for you.

With the return to school comes increases in exposures to communicable illnesses. We are starting to see an uptick in COVID-19 cases, not surprisingly. We are also just starting to see cases of influenza and RSV. Symptoms of these respiratory illnesses are similar, so it is important to follow CDC guidelines. The latest COVID-19 guidance can be found at https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/k-12-childcare-guidance.html. The Maine Department of Education recently posted this Communicable Diseases Quick Guide for Schools and Child-Care Centers in Maine: https://www.maine.gov/doe/sites/maine.gov.doe/files/inline-files/Communicable%20Diseases%20Quick%20Guide%2011x17%20V1_0.pdf. This is a handy guide to help you with decision-making around inclusion/exclusion criteria. If you have not yet received your copy of the "purple book" Managing Infectious Diseases in Child Care and Schools, please check with your licensing specialist, as copies were purchased for every licensed child care provider in Maine. 

Please reach out to me with any questions and concerns you have to help keep your children, families, and staff safe.

Be well!

Deb

Happy New Year 2023!

 

Happy New Year 2023!

Well, 2022 certainly continued to be challenging! While pandemic guidelines were relaxed somewhat, we faced several surges, exacerbated most recently by RSV and influenza. We can’t seem to catch a break! Decisions around inclusion and exclusion for these respiratory viruses can be confusing. Children diagnosed with RSV or influenza should be excluded until they have been fever-free without fever-reducing medication (acetaminophen or ibuprofen) for 24 hours AND can fully participate in center activities without need for additional care. Keep in mind that providers do not test for RSV or influenza in all cases of respiratory illnesses. If the child is not experiencing severe illness, providers may not recommend a sick visit, so I advise against requiring a provider note for return to the center, which could unnecessarily burden the family and the provider. Of course, it is important that any new symptoms be ruled out for COVID, as exclusion criteria for COVID are different than those for RSV and influenza. COVID isolation and quarantine guidelines for child care have not changed since the spring of 2022. The OCFS COVID response updates can be found at https://www.maine.gov/dhhs/ocfs/ocfs-covid-response. Please remember that a negative test should not be required for return to the center, as an individual can continue to test COVID-positive after they are no longer communicable.  

My wish for you, your staff, your children and families in 2023 is for health, harmony, and happiness!

Warm regards,

Deb