Sunday , October 24 2021

A. Veryga: a cold is not a disease, but it can be a symptom


When breathing through the mouth

Sick child – in kindergarten? Are you kidding ?! It is precisely this sensitive reaction of her father, the Minister of Health, A. Verge, who has ordered the door to be closed in front of a nursing home, allowing them to crowded and crowded children, and can spend days together with healthy or even snail-like or peeping contemporaries.

"How a sick child can be taken to kindergarten, because he will be more and more ill!" – Isabelle Petrauskienė, mother of three children, is surprised and scared.

He does not think that a busy and fat child is healthy, and the weight can not subside within a week, but also complicates the inflammation of the throat when the child breathes air through the nose and mouth.

This mother-in-law, Ms. Diana Malinauskytė, adds that it will spread viruses.

You do not have to scratch your head to leave the sick child when both parents are working, and there is no free maternity or money for the nanny.

"You must have a conscience and think about others, and now the teachers will have to take the child to kindergarten," the woman is angry at the novel, which also does not think that the burden is not a disease, especially a child.

The Health Minister, A.Veryga, in this simple question of whether a cold is a disease, responds unequivocally and does not deny that it may be a symptom of the disease.

"It depends on this: If a child sleeps for a long time, the child returns to his nose while driving, is it sick or not?" – the minister answers the question.

I noticed that because of the burden of stuffing your nose through your mouth and breathe in cold air, it does not matter.

"It does not matter if the nose or breath is out there, if the cold is a reaction to a cold or allergy, it is not necessarily a disease, but it may also be a symptom of the disease," said A. Verge, before becoming a minister, working as a psychiatrist.

Allergic rhinitis is not contagious

But there is also a welcome newbie: you do not have to scratch your head to leave the sick child when both parents are working, and there is no free maternity or money for the nanny. After all, employers do not want to keep nursing certificates for carriers.

"Changing the standard of hygiene does not mean that you will be able to bring a sick child to a nursing home, if he feels, blows, complains of pain, diarrhea, vomiting, elements of unknown origin, lice or blindness, he will not be able to continue to be admitted to education pre-school and kindergarten group "- comments the innovation head of the Department of Health Safety of the Ministry of Health. specialist Giedrė Namajūnaitė.

Changing the standard of hygiene does not mean that from now on you will be able to bring a sick child to kindergarten.

According to her, since the entry into force of November, the order of the Minister of Health A. Verizas aims at precisely avoiding excessive demands on children with minor disorders admitted to kindergartens. Such disorders include defective nose, leaving the field, coughing, allergic rhinitis.

"Symptoms such as nasal discharge, coughing are not characteristic of infectious diseases, these symptoms can manifest themselves in non-infectious diseases, and even in healthy children as a natural physiological response," says Najajunaite, a specialist in health security.

This is partially confirmed by the family doctor Ieva Jasaitienė. He speaks to a patient who is six years old and has allergic rhinitis. When it got excited, the kindergarten did not accept the child. It happened often, my mother received a nursing certificate.

"That's why the mother's mother lost her job," says family doctor I.Jasaitienė, due to the failure of patients and agrees that children with allergic rhinitis can go to kindergarten, especially since it is not contagious.

Do not accept healthy?

"We have never been afraid of divorcing children, we always care and care for everyone", Ilona Ališauskienė, head of Pušynėlis kindergarten, was not surprised by the new procedure, which came into force from November, and the introduction of new working methods was not mandatory.

The same opinion and other directors of kindergartens in Kaunas who ask for a new instruction: if they see that the child's health is getting worse in the morning, the kindergarten is getting worse – they invite their parents.

"We are not doctors, we can not assess the child's health" – I. Alisauskienė, head of "Pušynėlis" adds that for a long time there are no medical facilities for kindergartens, only teachers and children's staff are employed here.

Why was it necessary to change the hygienic standard?

"We have received many complaints from parents that children were not admitted to pre-school or kindergarten groups, even if they did not receive them, therefore the Office of the Ministry of Health contacted the Office for the Protection of Children's Rights," said the head of the health security department. Specialist G. Namajūnaitė.

According to her, a change in the hygienic standard was initiated to avoid unjustified restriction of the child's right to participate in the educational process.

In what situations were healthy children not taken to kindergarten? The Ministry of Health has passed this question to the Office of the Ombudsman for Children. Her spokesperson, Egidijus Meilus, however, said that the institution received only oral complaints from her parents, so they can not criticize them.

"The main problem is that the child is not admitted to the kindergarten due to weight or cough, and parents do not receive a certificate of incapacity for work, because the child does not smoke", emphasizes the Office of the Ombudsman for Children, in response to the Day in Kaunas.

In addition, it should be noted that, according to the previous procedure, there were cases in which a child who swallowed once or several times a day but did not have other symptoms of infectious diseases was not allowed to stay in the group or required a doctor's certificate that the child is healthy.

"Despite the fact that cough is one of the main symptoms of a common cold in children, according to research data, it does not always mean that the child is sick." In addition, symptoms such as nasal discharge, coughing, are not characteristic of infectious diseases "- is confirmed in the reply of the Office of the Ombudsman for Children, although it was also stated that the health condition of children is monitored and appreciated by parents and educators.

The Ombudsman is aware that recent research on audio equipment has shown that healthy, blurred diseases of the upper respiratory tract at this time, the child is thrown eleven times a day, and some children – up to 30 times.

Tax certificate

From November, according to the ordinance of the Minister of Health A. Verizas, there is another novelty in kindergartens: after receiving a medical certificate, which justifies the absence of a disease, it will no longer be necessary to present it. Specialists from the Ministry of Health call this a surplus requirement.

"Until now, after taking a child to kindergarten after illness, first a medical certificate was required, indicating that the child was recovering and only then he was allowed to go to the group" – say two daughters, Ms. Šarūnas Būdavienė.

Now the whole responsibility lies with the parents, the childcare staff must believe that the child is healthy. The Ministry of Health announces that this change in the hygiene standard is intended to reduce the administrative burden for doctors, and the health certificate for kindergarten was also a substitute requirement and was therefore refused.

It is necessary to more stimulate the hardening of children, physical activity. If the child is only busy or falling, he may have to go for a walk in the field.

"The number of cases in which pre-school institutions demanded these certificates even when the child was healthy but without any justification did not attend pre-school education centers for two to three days," says Alina Žilinaitė, a spokeswoman for the Ministry of Health.

In fact, it often served the interests of parents: when a certificate was issued that the child was ill, there was no need to pay for a day off in kindergarten. Now the ministry promises to discuss with the founders of kindergartens and nurseries the possibility of creating a different payment system for children attending pre-school kindergartens.

"Reducing the bureaucracy for doctors is enormous and probably parents will be aware and, above all, will not bring them to the kindergarten because of the children themselves," said Ms. Būdavienė, daughter of two daughters.

And here it is emphasized that you can trust far away from all parents.

"It happens that at night the child took, and in the morning leads to kindergarten" – the woman is afraid.

Get up and consult

"It all depends on what the child will bring the parent, if the patient is sick, will infect others, if only the burden – parents can go to work, which is also very important, parents must behave responsibly" – emphasizes leader Pušynėlio .Ališauskienė.

The question of whether a child is only vague or complicated by a common cold is not easy. It is primarily important for his parents.

"If my child does not suffer, I go to the doctor and she explains what to do," says S. Budavienė, leaving health care to children not to educators but competent medical specialists.

The new hygiene standard provides that when a child goes to sleep during the education process, his or her parents, carers or guardians are informed and urgent medical help is urgently needed if the need arises. If the child has an infectious disease in the kindergarten, it is isolated until the arrival of his parents, guardians or guardians.

"Qatar and cough are common symptoms in the case of various infections, not just infections. The total volume of the child should always be assessed: whether it has changed, whether the child feels that it always feels or not, is a sore throat or no rash. how it happened, etc. ", explains the family doctor, Audronė Urbonienė.

If the child suddenly gets sick, the body temperature rises, general well-being worsens, there are other disorders, can not go to the children's team. On the other hand, a child in a healthy nursery who had an acute viral infection of the upper respiratory tract at night or at night had already spread the virus. According to the doctor, it is impossible to control all situations.

"It's hard to imagine that in the autumn and winter season there would be no one in the children's collective who would sneak in or get nausea several times." Consolidation, physical activity of the child, the reason is not wind or cold air "- as if Ustronien justifies innovation, but also reminds that you can always consult a family doctor.

Violations in kindergartens

The National Public Health Center (NVSC) implements public safety control every year in pre-school and pre-school education institutions.

Although inspection plans are published on the NVSC website, the control body is informed in advance about written control, but even then, specialists detect a large number of violations.

The Department of NVSC checked this year 65 educational institutions for children, of which 53 were detected. Over 80% Pre-school and pre-school municipal children from Kaunas do not meet the requirements of hygiene standard HN 75: 2016 "General requirements for health safety for the implementation of pre-school and pre-school education programs".

According to the Chief Specialist, Dali Slavinskienė, Chief Specialist on Public Safety, the most common are violations of pre-school institutions: higher than the permissible number of children in groups; territories and premises are not maintained so that there is no risk of accidents during use; Visually visible defects in ceilings, walls, floor coverings are worn, uneven, with cracks, so it is not possible to easily clean them in a moist way.

Until 1 November this year, the NVRC Department in Kaunas received 60% more complaints about the activities of pre-school institutions than during all 2017 years. Usually, claims arise from improperly maintained sandpits and unsafe rooms and facilities on the site. However, half of the complaints received during the operational control has not been confirmed.

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