5021.0: Wednesday, November 15, 2000 - Board 1

Abstract #14854

Medically attended illness in children enrolled in child care programs

Albert Chang, MDMPH and Golnaz Agahi, MSWMPH. Graduate School of Public Health, San Diego State University, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4162, 619-594-4493, achang@mail.sdsu.edu

The San Diego Safe and Healthy Children in Day Care Project monitored the illness of children and providers in child care programs over a 19 month period. Information about illness episodes were obtained from 112,629 child weeks of surveillance involving 3560 children enrolled in 163 facilities. There were a total of 14,474 illness epidoses. Of these, 2775 ( 19.2%) were medically attended , for an incidence of medically attended illness episodes ( MAIE's) of 128.1 per 100 child-years. The most common illnesses and incidence rates were: otitis media (41.9), cold(10.9),viral illness (7.1),rhinitis (5.9), conjunctivitis (5.5), bronchitis (5.1),streptococcal infection (4.4), and influen za (4.1). Children in family child care homes experienced 217 MAIE's per 100 child-years compared to children in child care centers who experienced 95 MAIE's per 100 child- years. Contrary to previous reported studies, in this study children enrolled in family child care homes experienced more illnesses per child than children enrolled in child care centers.

Learning Objectives: Learn about the incidence of medically attended illness in children enrolled in child care programs; Learn which illnesses are most common in child care programs; Learn how child care centers compare with family child care homes

Keywords: Child Care, Child Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA