Friday , August 12 2022

A. Very: the exhausted nose is not a disease, but it can be a symptom


When it breathes through its mouth

Better child – in kindergarten? Are you kidding ?! The answer of this sensitive father is that A.Veriga's health minister ordered the doors to be closed in front of the care homes, which allows them to intertwine and intertwine children, and they can spend their days together with healthy or even cochlear or modern contemporaries.

"How can a sick child be taken to the kindergarten because he will become better!" – Isabelle Petrauskiene, the mother of three children, is surprised and frightened.

She does not think that a busy and rough child is healthy and that the burden can not go away within a week, but it also complicates inflammation of the throat, when the child breathes in the air through the nose and through the mouth.

Mother-in-law, Ms. Diana Malinauskete, adds that this will spread viruses.

You do not need to scratch your head to leave a sick baby when both parents work, and there is no free maternity or money for a nanny.

"It is necessary to have awareness and to think about others. Now the teachers will have to take a child in a kindergarten," the woman is angry with the novel, which also does not think that the burden is a disease, especially a child.

Minister of Health, A.Veriga, in this simple matter whether the dairy nose is a disease, answers unequivocally and does not deny that it can be a symptom of the disease.

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

Bearing in mind that due to the burden of nasal congestive breathing through the mouth and inhalation of cold air, it does not matter.

"It does not matter if it's nose or breathless somewhere. If the jet is a nose-like reaction to a cold or an allergy, it's not necessarily a disease, but it can be a symptom of the disease," said A.Veriga, before he became a minister, and he worked as a psychiatrist.

Allergic dairy nose is not contagious

However, there is a welcome newcomer: you do not have to scratch your head off the sick baby when both parents work, and there is no free maternity or money for a nanny. After all, employers do not want to hold certificates for carriers.

"Changing hygiene standards does not mean that you will be able to bring a sick child to a nursing home. If he feels feelings, strokes, pain complaints, diarrhea, vomiting, elements of unknown origin, ears or head, he or she will not be able to continue receiving in pre-school and pre-school education groups, "- the head of the Department of Health Safety of the Ministry of Health commented on the innovation. specialist Giedra Namajunaite.

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

According to her, since the entry into force in November, the Minister of Health A.Veriga aimed to precisely avoid excessive demands for children with minor disorders to be admitted to the kindergarten. Such disorders include a defective nose, exit from the terrain, cough, allergic rhinitis.

"Symptoms like the release of the nose, coughing are not specific for infectious diseases, these symptoms can manifest in non-invasive diseases or even healthy children as a natural physiological reaction," says G.Namajunaite, a health care specialist.

This is partially confirmed by Family Doctor Ieva Jasaitiena. She tells a patient who is six years old and has an allergic rhinitis. When it gets excited, the kindergarten has not accepted the child. This often happened, my mother received a medical certificate.

"That's why a mother's mother lost her job," says family doctor I. Jasitainen, due to the patient's failure, and agrees that children with allergic rhinitis can attend the nursery, especially because it is not contagious.

Do not accept hello?

"We were never afraid to stay in burdensome children, we always care and care for everyone," Ilona Alisauskien, head of the Pushinelis kindergarten, was not surprised by the new procedure that came into force since November and the introduction of new working methods is not mandatory.

The same opinion and other leaders of the institutions of preschool education in Kaunas, who are inquiring about the new instruction: if they see that the health of the child in the morning worsened, the kindergarten is getting worse – invite parents.

"We are not doctors, we can not assess the health of a child", – I. Alisauskiene, head of Pushinelis, adds that there are no medical places for kindergartens for a long time, and only teachers and officials for children are employed here.

So, why did you have to change the hygienic standard?

"We received a lot of parents' complaints that the children were not admitted to pre-school or pre-school groups, even when they did not get them, so the Ministry of Health contacted the Office of the Ombudsperson for the Protection of the Rights of the Child", the Head of the Health Care Department presented the reasons for the change. specialist G.Namajunaite.

According to her, a change in the hygiene norm has been initiated, in order to avoid unreasonable restrictions on the rights of the child to participate in the educational process.

What were the situations when healthy children were not taken to the kindergarten? The Ministry of Health forwarded this issue to the Office of the Ombudsperson for Children. Her spokeswoman, Egidijus Meilus, however, informed her that the institution had received only verbal complaints from her parents, so that they could not censor them.

"The main problem is that the child is not taken to the kindergarten for a load or cough, and parents do not receive a certificate of incapacity for work because the child does not smoke," the Office of the Ombudsperson for the Protection of Children's Rights said in a response to Dan Kaunas.

In addition, it was observed that according to the previous procedure, cases were reported when a child who swallowed one or more times a day, but did not have any other signs of infectious diseases, was forbidden to remain in the group or a doctor has been given confirmation that the child is healthy .

"Despite the fact that cough is one of the main symptoms of colds in children, according to research data, this does not always mean that the child is ill. In addition, signs such as nasal spasm, coughing, are not specific for infectious diseases", – confirms in the response of the Office of the Ombudsperson for Children's Rights, although it has been stated that the health condition of children is monitored and valued by parents and educators.

The Ombudsman for the Protection of the Rights of the Child is aware that recent research on audio equipment has shown that at that time a healthy, non-acute upper respiratory tract disease is inflicted by the child 11 times a day, and some children – even 30 times.

Tax certificate

Since November, according to the order of the Minister of Health A.Verigas, another newspaper came into force in kindergartens: after receiving a medical certificate, which justifies the absence of illness, it will no longer be necessary to present it. Specialists of the Ministry of Health call it surplus.

"Until now, when the child was brought to the kindergarten after the illness, the first medical certificates were needed, which indicates that the child is recovering, and only then is allowed to go to the group," says two daughters, Ms. Sarunas Budaviena.

Now all responsibility lies with parents, staff of the kindergarten must believe that the child is healthy. The Ministry of Health announces that this amendment to the hygiene norm aimed at reducing the administrative burden of doctors, and the medical certificate for a kindergarten was also a surrogate request and was therefore rejected.

It is necessary to stimulate curing of children, physical activity more. If a child is just busy or falls, he can and must go for a walk on the ground.

"There is an increasing number of cases where preschool institutions have requested these certificates even when the child was healthy, but without explanation they did not attend preschools for a duration of two to three days," says Alina Žilinaite, a spokeswoman for the Ministry of Health.

In fact, this often served the interests of the parents: when a certificate was issued that the child was ill, there was no need to pay a free day at a nursery. Now the ministry promises to discuss with the founders of kindergartens about the possibility of creating a different payment system for children attending kindergarten.

"Reducing the burden of bureaucracy for doctors is great, and it's likely that parents will be aware and, above all, they would not bring them to a nursery for the children themselves," said Madame Budaviena, the daughter of two daughters.

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

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

Get up and consult

"It all depends on the type of child the parents will bring, if the ill person is ill, they will infect others, if only the burden – the parents can go to work, which is also very important." Parents must behave responsibly, "stresses the leader Pushinelio I .Ališauskiene.

The question of whether a child is just mystical or complicated by a simple cold is not easy. It is primarily relevant to your parents.

"If my child does not suffer, I go to the doctor and she explains what to do," says S. Buduvene, and the health care of children was not helpful to educators, but from competent medical experts.

The new hygiene standard stipulates that when a child goes to bed during an educational process, his parents, caregivers or guardians are informed, and urgent medical assistance is urgently required if necessary. If a child has an infectious disease in a nursery, he or she is isolated until his parents, caregivers or carers arrive.

"A cretin's nose and cough are symptoms that are common to a variety of infections, not just infections. The overall state of the child should always be assessed: whether it has changed or the child feels like it always feels or not, it's throat pain or there is no dropout. It's important how long it takes symptoms, how it happened and so on, "explained family doctor Audrone Urboniene.

If the child suddenly becomes ill, the body temperature rises, the general sense of 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 night was already spreading 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 a children's collective that would pull out or torture several times." Hardened, physical activity of the child, the reason is not the wind or the cooler air "- as if the Ustroniene justified the innovation, but also reminded that it is always possible to consult your family doctor.

Violations in kindergartens

The National Center for Public Health (NVSC) carries out annually the control of public health safety in pre-school and preschool institutions.

Although control plans are published on the NVSC website, the inspection body is notified in advance of a written inspection, but even then experts find a large number of violations.

This year, NVSC's Department in Kaunas has checked 65 educational institutions for children, out of which 53 were found violations. More than 80% of pre-school and pre-school education institutions in Kaunas do not meet the requirements of hygienic standard HN 75: 2016 "General health requirements for the implementation of pre-school and preschool education programs".

According to the chief specialist, Dalia Slavinskiena, the chief specialist in the control of public health safety, violations of preschool institutions are usually determined: more than the permitted number of children in groups; territories and premises are not maintained so that there is no risk of accidents when used; Visually visible defects in ceilings, walls, floor coverings are worn out, uneven, with cracks, so it can not be easily cleaned in wet mode.

By November 1 this year, NVRC's Kaunas Department received 60% more complaints on activities of pre-school institutions than in all 2017. Usually, claims arise due to improperly maintained sandwiches and unsafe premises and facilities located on the site. However, half of the complaints received during the operational control were not confirmed.

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