Answer to Question 1
It is important to exclude these childrenbecause it has been found that unimmunized children are as much as 35 times more likely to catch diseases such as measles than are those children who are in immunization compliance.This exclusion policy should be made clear to the parents of the unimmunized children. Other parents in care should be notified that there is or may be an unimmunized child in care, without revealing that child's identity, to maintain confidentiality. This information may be included in the parents' handbook if one is available at the early childhood education program. The Pennsylvania Chapter of the American Academy of Pediatrics suggests grouping unimmunized children together and away from the infants in care whoare too young for immunizations and from toddlers who may not have finished their immunization schedule. Parents of unimmunized children should be told of this policy if the early childhood education environment decides to follow this recommendation.
Answer to Question 2
The controversy is due to the inclusion of thimerosal, which is derivative of an ethyl-mercury compound, in the vaccines as a preservative. Some studies showed that there was a link between these vaccinations and autism. It has been suggested that there may be a genetic link that when certain individuals are exposed to thimerosal, autism may be a result.
Documenting the health history is a crucial step in providing patient care
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Two children with schistosomiasis.
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Development of Morality in Young Children