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Staying Healthy in Child Care - National Health and Medical ...

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Influenza<br />

Description<br />

Influenza is an acute viral disease of the respiratory tract characterised by fever, chills,<br />

headache, muscle pa<strong>in</strong>, a head cold <strong>and</strong> a mild sore throat. The cough is often severe.<br />

Usually the person will recover naturally with<strong>in</strong> 2–7 days.<br />

Incubation period<br />

Usually 1–3 days.<br />

Infectious period<br />

Probably 3-5 days from onset of symptoms <strong>in</strong> adults <strong>and</strong> up to 7 days <strong>in</strong> young<br />

children 41 .<br />

Exclusion period<br />

The child should stay at home until they are feel<strong>in</strong>g well.<br />

Responsibilities of child care providers/staff<br />

Report the <strong>in</strong>fection to the director.<br />

Advise the parent the child should stay at home until they are feel<strong>in</strong>g well.<br />

Responsibilities of parents<br />

The child should stay at home until they are feel<strong>in</strong>g well.<br />

Controll<strong>in</strong>g the spread of <strong>in</strong>fection<br />

A def<strong>in</strong>ite diagnosis of <strong>in</strong>fluenza requires a blood test or throat swab. Generally this<br />

test is not considered necessary by the general practitioner.<br />

Teach children to cover the mouth when sneez<strong>in</strong>g or cough<strong>in</strong>g <strong>and</strong> to wash their<br />

h<strong>and</strong>s after blow<strong>in</strong>g their noses. See ‘Cover your cough <strong>and</strong> stop the spread of germs’<br />

(page 20).<br />

Dispose of tissues soiled with nose <strong>and</strong> throat discharges.<br />

Wash h<strong>and</strong>s after contact with soiled tissues <strong>and</strong> articles <strong>and</strong> after contact with nose<br />

<strong>and</strong> throat discharges.<br />

Treatment<br />

No specific treatment. Antibiotics should be given for bacterial complications only.<br />

Decongestants <strong>and</strong> other cold remedies are widely promoted for the relief of<br />

symptoms of colds <strong>and</strong> flu. However there is little evidence that any of these help. In<br />

fact, there may be evidence that they can be harmful <strong>and</strong> may cause unpleasant side<br />

effects such as irritability, confusion <strong>and</strong> sleep<strong>in</strong>ess. Oral decongestants are not<br />

recommended for children under the age of 2 years. Cough medic<strong>in</strong>es are not<br />

effective <strong>in</strong> reduc<strong>in</strong>g the frequency, <strong>in</strong>tensity or duration of cough. Like fever, the<br />

cough is there for a reason – it serves a useful function <strong>in</strong> clear<strong>in</strong>g mucus from the<br />

child’s airways <strong>and</strong> prevent<strong>in</strong>g secondary <strong>in</strong>fection. If concerned, take children to the<br />

doctor. Do not give aspir<strong>in</strong> to any child with a fever.<br />

64<br />

Draft for Public Consultation

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