Monday , March 8 2021

A. Very: Rhubarb is not a disease but can be a symptom



When breathing through the mouth

Sick child in kindergarten? Are you kidding ?! This is a sensitive father's answer that Minister of Health A.Veryga suggested that the door should be closed before the nursing home, allowing them to be tied up and cluttered children, and they can spend their days with healthy or even cochlear or peeping parents.

"How sick a child can get to a kindergarten, because he will become more and more sick!" – Isabelle Petrauskiene, mother of three children, is surprised and fearful.

She does not think that a busy and rude baby is healthy and that the load can not disappear during the week, but also complicates throat inflammation when the child breathes through the nose and through the mouth through the air.

Her mother, Diana Malinauskytė, adds that she will spread viruses.

You do not need to scratch your head to leave a sick child when both parents work and there is no active maternity leave or money for midwife.

"Conscience and thinking about others are needed. Now teachers will need to take a child in kindergarten," the woman is angry with the novel, who also does not think that the burden is not a disease, especially a child.

Minister of Health A.Veryga in this simple question about whether a runny nose is a disease responds unequivocally and does not deny that it can be a symptom of the disease.

"It's very dependent on it. If for a long time the child is sleeping, the child returns to the nose while driving, is it a disease or not?" – the minister answers this question.

Considering that because of nose congestion, breathing through the mouth and breathing in cold air, it does not matter.

"It does not depend on whether the nose or breath is somewhere. If the runny nose is a reaction to cold or allergy, this is not necessarily a disease, but it can also be a symptom of the disease," said A. Veriga, before he became a minister working for a doctor's psychiatrist.

An allergic rainy nose is not sticky

However, there is also a welcome newcomer: you do not need to scratch your head to leave a sick child when both parents work and there are no unions free maternity or money. After all, employers do not want to keep nursing certificates for carriers.

"Hygiene standard change does not mean that you can carry the patient to the nursing home. If he feels bad, he will play pain, diarrhea, vomiting, elements of unknown origin, lice or foam, he or she will not be able to continue to take up a preschool and pre-school education group," the Ministry of Health The head of the Health Security Department comments on innovation. specialist Giedrė Namajūnaitė.

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

In her opinion, since the entry into force of November, the Minister of Health A.Veriga's order is intended to precisely avoid excessive requirements for children with minors who are admitted to kindergartens. Such disorder is damage to the nose, out of the field, cough, allergic rhinitis.

"Symptoms such as nasal discharge, cough are not specific for infectious diseases, these symptoms can be manifested in non-infectious diseases or even healthy children as a natural physiological reaction," says Namajunaite, a health specialist.

Partly confirmed by family physician Ieva Jasaitienė. She told a patient who is six years old and who has allergic rhinitis. When she was entertaining, the kindergarten did not accept a child. This happened often, my mother received a certificate of nursing.

"Therefore, the mother's mother lost her job," family doctor I.Jasaitien says because of a patient failure and agrees that children with allergic rhinitis can attend kindergarten, especially because it is not contagious.

Do not accept healthy?

"We are never afraid to stop cumbersome children, we always take care of everyone," Ilona Ališauskienė, head of the kindergarten "Pušynėlis", was not surprised at the new procedure that came into force since November, and the introduction of new working methods was not mandatory.

The same opinion and other leaders of Kaunas city pre-school educational institutions, who are interested in the new instruction: if they see that the child's health got worse in the morning, the kindergarten deteriorates – they invite their parents.

"We are not doctors, we can not appreciate the health of the child," said I. Alisauskienė, head of the Pushinidell, adding that kindergartens do not have a medical post for a long time; only teachers and child servants work here.

So, why did you need to change the hygiene norm?

"We received many complaints from parents about the fact that children were not included in pre-school or pre-school education groups, even if they did not receive it. Therefore, the Ministry of Health contacted the Office of the Ombudsman for Child Protection," the Chief of Health Safety Department presented the reasons for the changes. specialist G.Namajunaite.

In her opinion, a change to the hygiene norm was started to avoid unjustified restrictions on the child's right to participate in the education process.

What were the situations when healthy children were not taken to kindergarten? The Ministry of Health has sent the matter to the Ombudsman's Office for the Rights of the Child. However, her spokeswoman Egidijus Meilus informed that the authorities had received verbal complaints from their parents only, so they could not express their lack of confidence.

"The main problem is that the child is not included in the kindergarten due to the burden or cough and the parents do not receive a certificate of incapacity because the child does not smoke," the Office of the Child Protection Office emphasizes in response to Kaunas Day.

In addition, it is noted that according to the previous procedure there were cases where a child who was taking one or more times per day without any signs of other infectious diseases was forbidden to stay in the group or had to produce a doctor's certificate stating that the child was healthy.

"Despite the fact that cough is one of the main symptoms of colds in children, according to research data, this does not necessarily mean that the child is sick. In addition, signs such as nasal discharge, cough, are not specific to infectious diseases," – confirmed by the Office of the Ombudsman for Children although it has also been pointed out that the monitoring and assessment of parents and teachers affects the health status of children.

The Ombudsman for the Protection of the Rights of the Child is aware that recent research on audio equipment has shown that a child is thrown eleven times a day during a healthy, unopposed upper respiratory disease, while some children – even 30 times.

Tax return

Since November, according to the order of the Minister of Health A.Verigas, one more novelty has come into kindergartens: after the receipt of the medical certificate, which justifies the absence of the disease, it will no longer be necessary to present it. Specialists of the Ministry of Health call this a surplus claim.

"Up to now, after the child was born in the child's garden, the child needed doctor's assurances that the child recovered and only then was allowed to go to the group," says two daughters, Sharūnas Būdavienė.

Now the whole responsibility lies with the parents, the kindergarten should consider that the child is healthy. The Ministry of Health states that the purpose of this amendment to the hygiene standard is to reduce the administrative burden for doctors, and the health certificate for kindergartens and kindergartens was also a substitute requirement and was therefore rejected.

It is necessary to stimulate the hardening of children, more physical activity. If the child is just busy or crashes, he can and should go for a walk in the field.

"There are more and more cases in which nursery schools demanded these certificates even if the child was healthy, but without justification they did not attend pre-school education for two to three days," said Alina Žilinaitė, the representative of the Ministry of Health.

In fact, it often served the interests of parents: when they issued a certificate that the child was sick, the kindergarten did not have to pay for free. Now the ministry is committed to discuss with the preschool and kindergarten founders the possibility of creating a different payment system for children attending kindergartens and kindergartens.

"Doctors reduce the burden of bureaucracy and it is possible that parents will be conscientious and, firstly, do not attract children for the sake of their own children," said the daughter of both daughters, Baudaviane.

And here it is emphasized that it is possible to trust far from all parents.

"It happens that at night the child has taken, and in the morning he leads the kindergarten" – a woman is afraid.

Pick up and consult

"It all depends on what kind of child's parents will come. If a sick person is sick, they infect others. If only the burden – parents can go to work, which is also very important, parents need to work responsibly," emphasizes Pušynėlio kennel head I .Ališauskiene.

The question of whether the child is only misty or difficult with a simple cold is not easy. He is primarily related to his parents.

"If my child does not look, I will go to the doctor and she will explain what to do," says S. Budaviene, leaving childcare not to educators, but to competent medical specialists.

The new hygiene standard states that when the child is in the course of the learning process, his or her parents, caregivers or carers are informed and urgent medical assistance is urgently sought. If a child has an infectious disease in a kindergarten, he or she is isolated while she or her parents, guardians or carers arrive.

"Sleepiness and cough are symptoms that are characteristic of various infections, not only infections. The general condition of the child should always be assessed: whether it has changed or the child feels as it always feels or not, it is a sore throat or without rash. It is important how long it should do symptoms, how it happened and so on, "explains family doctor Audronė Urboniene.

If a child suddenly falls ill, body temperature rises, general feeling of well-being deteriorates, there are other disorders, he can not enter the children's team. On the other hand, a child in a healthy nursery who has an acute viral upper respiratory tract infection at night or at night has 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 will be no one in the children's collective who would loosen up or break several times." The hardening of a child, physical activity, the reason is not wind or colder air "- as if Ustroniene justifies innovation, but it also reminds that it is always possible to consult with your family doctor.

Infringements in kindergartens

The National Public Health Center (NVSC) implements annual Public Health Safety Control at pre-school and pre-school establishments.

Although control plans have been published on the NVSC website, the control body is informed in advance of the written inspection, but even then, experts reveal a large number of violations.

This year, the NVSC Kaunas Branch has tested 65 children's educational institutions, of which 53 have been detected violations. More than 80% of children's pre-school and pre-school educational institutions in Kaunas do not meet the requirements of the hygiene standard HN 75: 2016 "General health safety requirements for the implementation of pre-school and pre-school education programs".

According to Chief Specialist Dalia Slavinskienė, Chief Specialist of Public Health Security Supervision, violations of pre-school education institutions are usually set: higher than the allowed number of children in groups; Areas and premises are not maintained so that there is no risk of accidents during use; Visually visible defects in ceilings, walls, floorings are worn, uneven, with cracks, so it's not easy to clean it in a wet manner.

By November 1 this year, the NVRC Department of Kaunas received 60% more complaints about the activities of pre-school institutions than in all 2017 periods. Usually allegations occur due to improperly protected sandboxes and unsafe objects and objects. However, half of the complaints received from operational control are not approved.


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