Daycare policy on sickness: What’s your day care sick policy?

Опубликовано: November 9, 2022 в 9:25 pm

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Категории: Miscellaneous

What’s your day care sick policy?

One of the many benefits of day care is that working parents needn’t ever worry about their child care abruptly being cancelled. Unlike babysitters and nannies, who (understandably) get sick or have unforeseen circumstances crop up, day care is consistently reliable — except when your child is the one coming down with something. 

Almost every day care center has a policy about keeping kids home when they’re sick, and while it can be inconvenient for parents who are left scrambling to rearrange their entire day, such policies are important for overall health and safety. “Ideally, parents should send their children to day cares with thoughtful policies around illness, including COVID-19,” says Dr. Larry Kociolek, pediatric infectious diseases specialist at Lurie Children’s Hospital of Chicago. “The policies should be comprehensive and consistent with national and local public health guidance in order to mitigate the risk of illness. And when it comes to COVID-19, the policies should change as guidance evolves over time. ” 

Wondering about your child’s day care sick policy? Here’s what the experts want you to know. 

Why do day care centers need sick policies?

Day care sick policies, also known as exclusion for illness policies, exist for a reason. In addition to children needing rest (and snuggles) when they’re under the weather, without a day care sick policy, the potential for virus and disease spread is high. (And that’s saying a lot since, on average, kids who attend day care during their first year get 8-12 more colds than kids who are at home without exposure to siblings.) Put simpler: Your child’s day care sick policy is in place to protect the health and well being of everyone — teachers and students — who attends, as well as the community at large. 

“Health and safety should be taken very seriously at child care centers,” says Sarah Redgrave, Vice President, Center Operations at KinderCare Education. “We’ve always had an exclusion for illness policy, but with the advent of COVID-19, we’ve expanded our policy and protocols in order to keep everyone in our center healthy. Right now, we are strongly enforcing our exclusion policy, which requires teachers and children to be symptom-free for at least 24 hours — or longer if required by a center’s local health department — before returning.”

Something else to keep in mind: Illness doesn’t always strike at night or first thing in the morning, so it’s possible your child may need to leave their day care in the middle of the day. “We’ve always had a policy of notifying families if their child has a fever while in our care,” Redgrave says. “We ask that a family member pick up the child as soon as possible and recommend that the family seek medical care for their child.”

Just as the Centers for Disease Control (CDC) doesn’t regulate vaccine requirements for schools and child care centers (though they recommend them), day care health policies are state, not federally, regulated, so rules widely vary. (To put things in perspective: Only seven states in the U.S. require kids to get immunized for the flu in order to attend day care.

In Texas, for instance, state mandate requires licensed day care centers not to admit a child if they exhibit a number of symptoms, including:

  • The inability to participate comfortably in the center’s activities.
  • Requiring more care than caregivers can provide.
  • A specified temperature.
  • Lethargy.
  • Abnormal breathing.
  • Uncontrolled diarrhea.
  • Two or more vomiting episodes in 24 hours.
  • Rash with fever.
  • Mouth sores with drooling. 
  • Behavior changes, or other signs that the child may be severely ill. 

In New Jersey, the day care sick policy mandate includes the above in addition to the following:

  • Severe pain or discomfort.
  • Yellow eyes or jaundiced skin.
  • Red eyes with discharge.
  • Weeping or bleeding skin lesions that have not been treated by a health care provider.
  • Stiff neck. 

It’s also worth noting that, in order to be a licensed day care facility by the state, a child care center has to adhere to policies on “immunizations, handwashing, diapering and other methods to stop the spread of disease,” according to ChildCare. gov. You can also find out your state’s specific day care health requirements in the National Database of Child Care Licensing Regulations. 

What is my day care’s sick policy?

When looking for a child care center, one of the first things you should find out about is the day care sick policy, as it will help keep your family and community safe. Again, these rules vary by state, but generally day care centers want children to be symptom-free of the following for 24 hours:

  • Vomiting.
  • Diarrhea.
  • Rash.
  • Persistent cough.
  • A fever over a certain temperature (typically 101.0 F).
  • Obvious contagious conditions, such as head lice or pink eye.

Additionally, the American Academy of Pediatrics (AAP) recommends keeping kids out of day care when they have any of the following specific diagnoses:

  • Streptococcal pharyngitis (strep throat or other streptococcal infection)
  • Head lice, scabies, ringworm.
  • Chickenpox.
  • Rubella.
  • Pertussis.
  • Mumps.
  • Measles.
  • Hepatitis A.

What if my center doesn’t have a sick policy?

“If a day care center or provider doesn’t have a clear exclusion policy, or if the director is not able to explain what the policy is, that should give parents pause,” Redgrave says. “The caregiver should be able to explain exactly what they do to keep children safe and healthy.” 

She adds that centers should be upfront about any health issues that would require a child to stay home, as “there shouldn’t be any surprises when it comes to the steps a caregiver is taking to keep everyone healthy.”

What if I disagree with the sick policy?

No parent wants to get a phone call from their child’s day care when they’re at work, asking them to pick their little one up. But again, in order to be a state licensed child care center, having an exclusion policy is a requirement since it helps keep the community safe. “It can be difficult for families, especially if parents are unable to work from home, but we encourage families to keep kids home if they feel unwell or display any symptoms of COVID-19 or any other illness,” Redgrave says. “We encourage families to use their best judgment and stay home until they’re well, as it’s the best way to prevent the spread of illness.”

If you feel that your child’s day care sick policy is inconveniencing your family, consider shopping around for an alternative, such as in-home child care (which doesn’t necessarily need to be licensed) or a babysitter or nanny. 

“During my son’s first year of day care, he was constantly sick with a cold or cough,” says mom of three Jaclyn Santos of Hazlet, New Jersey. “Every week it was something and we kept having to keep him home. Eventually, we decided to alter our work schedules and hire a nanny. It was more costly, but we don’t have jobs where we can work from home, so it was worth it to not have to keep missing work.” 

How has COVID-19 changed day care sick policy?

COVID-19 changed almost all aspects of everyday life and day care sick policies were no exception. After schools and child care centers reopened, many had (and still have) stricter regulations — even if it wasn’t a requirement. “Wisconsin requires all child care providers to have a sick exclusion policy for children,” explains Thomas McCarthy, Senior Manager at the Wisconsin Department of Children and Families. “During the pandemic, the department suggested providers to update their policies to account for COVID-19 as well as use new health screening methods when applicable. However, it wasn’t required.”

The revamping of exclusion policies for day cares wasn’t federally-regulated, but the CDC — and most experts — advise child care centers to account for COVID symptoms within their organization’s policy. “Children and staff with symptoms of COVID-19 should be excluded from day care and tested,” notes Kociolek. “If an attendee tests positive, contact tracing should be performed and unvaccinated contacts should be quarantined for at least 7-10 days. Additionally, clusters of staff and children with respiratory illness or COVID-19 should be reported to the local health department for assistance with further steps to prevent illness in others.

Having to miss work because your child can’t attend day care due to minor symptoms can be inconvenient, but overall, it’s for the best — and it shows that their day care center has your family’s best interest at heart.

Child Care Center Sick Policies – Learn More About Our Preschool

Adventures In Learning reserves the right to temporarily deny any child admittance to the school for reasons of obvious illness, or to request early departure should symptoms become apparent during the course of the day. Any child who seems unable to participate in our program for any reason will be sent home. This is to ensure the continued good health of everyone at the center. We realize that most of you are working parents and we do try to accommodate you as much as possible. However, for the health and well being of the children in our care and our staff we feel it is vital to maintain a strict wellness policy. We ask for parents to assist by keeping sick children at home. We do take into consideration your physician’s recommendations nevertheless it is up to our discretion when your child may return to school.

When a child may not attend school:
  • Fever: Children will be sent home if their temperature is 100.0 or higher and must stay home the next day for observation. Children must be free of fever (any temperature above 98.6 degrees) for at least 24 hours without the use of fever reducing medication. The same policy applies if your child develops a fever at home. They must be fever free (any temperature above 98.6 degrees) for at least 24 hours without the use of fever reducing medication.
  • Rash: Any rash other than a common diaper rash or skin irritation will require that child to be sent home for an evaluation and diagnosis from their doctor in writing of exactly what it is. They may return to school based on that written doctor’s evaluation, and clearance that it is not contagious.
  • Conjunctivitis (pink eye): Children will be sent home if there appears to be an unusual amount of discharge from or irritation to their eye(s) and must stay home the next day for observation. Before returning to school they will need an evaluation and diagnosis from their doctor in writing of exactly what it is.
    If the diagnosis is BACTERIAL CONJUNCTIVITIS children must have received at least 24 hours of treatment.
    If the diagnosis is VIRAL CONJUNCTIVITIS your child may return AS LONG AS THERE IS NO DISCHARGE.
    If in fact they do not have “pink eye” we need a doctor’s note with a diagnosis and a clearance that it is not contagious.
  • Thick White, Green or Yellow Discharge: Children will be sent home if they appear to have any thick white, green or yellow discharge. This is often indicative of an infection and they must stay home the next day for observation. Before returning to school they will need an evaluation and diagnosis from their doctor in writing and at least 24 hours of treatment. If in fact they do not have an infection we need a doctor’s note with a diagnosis of exactly what it is with a clearance that it is nothing contagious. The Department of Health and most doctors are of the opinion that once on antibiotics for 24 hours, the discharge is no longer contagious even though it may persist for up to two weeks.
  • Diarrhea: Children will be sent home if they have three or more loose bowel movements in one day and must stay home the next day for observation. Before returning to school (after the day of observation) children must be free from diarrhea for 24 hours with at least 1 regular bowel movement. If your child has one or more loose bowel movements on their first day back they will again be sent home.
  • Vomiting: Children will be sent home if they vomit and must stay home the next day for observation. Before returning to school (after the day of observation) children must symptom free with no vomiting for at least 24 hours.
  • Persistent Hacking Cough: Children will be sent home if they have a persistent hacking cough and must stay home the next day for observation. Before returning to school they will need an evaluation and diagnosis from their doctor in writing and at least 24 hours of treatment. If in fact they do not require any treatment we need a doctor’s note with a diagnosis of exactly what it is with a clearance that it is not contagious.
  • Lice: Children will not be readmitted until 24 hours after treatment and must be nit free. The Director or a Lead Teacher will make an evaluation and determine if the child can be readmitted.
Common Cold Policy

Children suffering from a common cold will be assessed on an individual basis.

Factors of consideration include the developmental level of your child in congruence with our ability to limit the spread of germs.

The younger your child, the more difficult it is to keep the spread of germs down. For example: hand to face contact, mouthing of toys, uncontrolled nasal discharge, uncovered sneezing and coughing etc.

Medication Administration Policy

Medications both prescription and over the counter are rarely given at school; the only exceptions involve special or serious problems where it deemed absolutely necessary by the physician that the medication be given during school hours. The parent is urged, with the help of your child’s physician, to work out a schedule of giving medication at home, outside school hours whenever possible.

IF MEDICATION IS TO BE ADMINISTERED AT SCHOOL, ALL OF THE FOLLOWING CONDITIONS MUST BE MET

  1. A signed request from a licensed physician/dentist specifying the condition for which the medication is to be given, the name, dosage, route, side effect and specific instructions for emergency treatment must be on file at school. School staff is not authorized to determine when an “as needed” medication is to be given.
  2. Specific instructions are necessary.
  3. A signed request from the parent/guardian must be on file at school.
  4. Medication must be in your child’s original, labeled pharmacy container written in English.
  5. All liquid medication must be accompanied by an appropriate measuring device.
  6. A separate form is required for each medication.

Medication Consent Form

Be healthy, or How to survive in an endless cycle of childhood illnesses – Moscow 24, 02/24/2020

February 24, 2020, 00:01

Society

For parents, there is no more disturbing and unpredictable situation than a child’s illness. The season of influenza and SARS, adaptation to the children’s team and other trials of infections test the strength of parental nerves and prudence. How to stay sensibly thinking and acting if children get sick often – read in the column of the journalist and mother of four children Anna Kudryavskaya-Panina.

Photo: depositphotos/AndreyPopov

I confess in spirit: I never thought that it really happens that children can get sick endlessly, that one ARVI can smoothly flow into another, that bacterial infections can layer on them, and so on etc. Children with green snot up to their knees seemed to me something grotesque and unreal. So it seemed to me until my family was also drawn into the endless cycle of childhood illnesses.

Surprising, but true: I don’t remember that my older children, who are now over twenty, were sick as much as my third child, a three-year-old daughter, generously rewarding her younger one-year-old sister with an infection brought from kindergarten during the play , and both parents.

I naively thought that she would get sick even less than her older brother and sister. Why? Well, firstly, because they mostly suffered from childhood infections – chickenpox, rubella, and so on, against which there were no vaccinations in those years (and now both of my younger girls are already vaccinated against these viruses), but otherwise they were almost absolutely healthy. And secondly, because before kindergarten, my third child was almost never sick – a couple of mild SARS do not count for three years of life. In general, a healthy girl went to kindergarten last autumn, and then what began began.

Photo: depositphotos/ilona75

It has never lasted longer than five days in a row. The first virus for us was the exotic Coxsackie, then one SARS followed another, and if it were only snot to the knees. No, my child coughed like a convict, then she had acute otitis, then it came to purulent and the first antibiotics in her life. What about snot? Well, snot is eternal values, of course, they also took place.

At the same time, in early January, the father of my younger children also managed to bring home some kind of terrible adenovirus that the whole family had been ill with. This time, almost indestructible conjunctivitis was added to all the usual phenomena such as cough, runny nose and sore throat. In general, by the beginning of February, it began to seem to me that we had no way out of this circle of infections. To put it bluntly, the situation looked rather dismal. Why my husband and I are not anxious parents, and at some point we realized that somewhere in the depths of our consciousness, a red light with the word alarm is already starting to flash. True, after a few days we were at the right doctor (I will explain later), and the alarm mode turned off, I hope for a long time.

What made it possible for us to hold out for so long without falling into panic and the temptation to drag our children to the doctors? And what gives strength to continue to treat this almost calmly? A few simple rules.

This is primarily about vaccination. I know that for many it becomes a revelation that it is possible to vaccinate a child in excess of the national calendar. And following this rule – if you can, then you need to. I have not entered into a debate with anti-vaccinators for a long time, the topic has been studied and closed for me, there is more than enough evidence in favor of vaccination, and I am on the side of science, herd immunity and, first of all, the health of my children.

There are already a million diseases in the world that cannot be protected from, it would be stupid and simply criminal not to take the opportunity to protect children from what is possible. It just seems that childhood illnesses are harmless. Think chickenpox, a few pimples. Well, even if it would be exactly and only so, it would still matter why these pimples to a child? And then chickenpox can be terribly difficult to tolerate, in the future it can cause shingles, and chickenpox encephalitis can become its complication. And so it is with any childhood illness.

Vaccinations really work. Yes, a vaccinated child has a small chance of getting sick. So, my average vaccinated daughter, who caught rotavirus at the age of one and a half, was ill for only half a day, while the whole family could not get on her feet for several days. A completely vaccinated child will endure the disease much easier and without serious complications. There are no deaths among those vaccinated. And this is more than important. Do you want to worry less about your child’s health? Vaccinate him.

Rule two: find a doctor who will not intimidate you, but inspire confidence. Of course, the doctor’s Olympian calm, which he will instill in you, must be supported by high professionalism. And here I vote with both hands for evidence-based medicine and its adherents. If you think you have to walk away from the doctor with a bunch of prescriptions and prescriptions, it will be hard for you to readjust.

“What did I pay money for if I was told that there was nothing to be done?!” is a very common complaint against evidence-based doctors. And meanwhile they are right, most viral infections and their accompanying phenomena do not require treatment. The maximum that you can and should do with ARVI is to bring down the temperature if it gives the child discomfort, give him enough to drink, humidify the air in the room and ventilate it, keeping it cool.

Run away from doctors who prescribe a million unnecessary and traumatic examinations for a child’s nervous system for any sneeze, from those who treat viral infections with fufloferons and antibiotics just in case, from those who recommend homeopathy. These are red flags that should make you question the competence of a specialist. In addition to spending money, time and nerves on all this, you can easily harm the child both physically, killing the child’s immunity over and over again with antibiotics, for example, and psychologically, nurturing neurotic and hypochondriac in him.

And visits to the doctors are needed to rule out the onset of really serious illnesses or decide on a treatment regimen, if the matter is really not limited to a banal ARVI.

Rule three: use telemedicine and other emergency communication options with doctors in case of emergency. Yes, these are the cases when something bad and frightening happens at the most inopportune time. There are emergencies, and then, of course, you call an ambulance. But there are others when the ambulance is not yet up to par, but something greatly worries the parent.

You need to contact a doctor who will tell you if you can wait for a face-to-face meeting or if something needs to be done immediately. Now telemedicine in Russia is just beginning to develop, but there are already applications that allow you to contact doctors at any time of the day. There are also opportunities for emergency call of a specialist at home. All this, of course, costs money. But if you don’t have the contact of a doctor you trust and who is ready to answer your questions at any time, then this is the way out.

Photo: TASS/Victor Drachev

Fourth rule: get enlightened. Anyway, you spend a lot of time on the Internet, read useful things, subscribe to pediatricians in social networks – opinion leaders and doctors of narrow specialties. Do not read horror stories, do not fall for the loud statements of charlatans or alarmists, think critically. Buy books by Butria or Katasonov, read Komarovsky. Believe me, after that you will change your attitude towards children’s illnesses.

Rule five: listen to your intuition. You are a parent. No one knows your child in health and disease better than you. Listen to yourself. If something is bothering you, although everything seems normal, then you need to do something that will relieve this anxiety.

Can we avoid disease? No. But we can minimize the risks: vaccinate against what can be vaccinated, wash hands and face when coming from crowded places. We cannot cancel adaptation to kindergarten and those same notorious constant snot.

The main thing is to remember that all this does not mean anything in terms of the child’s future health, even though he will endure seven SARS in a year, even seventeen. And if it does, it is only that he is just now in the fight against these snot and strengthens his immunity. And if you suddenly feel sad and sad from endless sores, take the money that you used to buy a lot of useless medicines for, take your favorite fruits for them and fall asleep with your snotty child to watch his favorite cartoon.

Kudryavskaya-Panina Anna

society children

Parents vs heads of kindergartens and schools: disputes about childhood vaccinations

September 23, 2019


Tips

The law allows in some cases to prohibit an unvaccinated child from attending an educational institution or separate him from the rest of the group of children. But what if the child is not allowed to go to kindergarten or school illegally?

Immunoprophylaxis of infectious diseases is one of the priorities of the state policy in the field of health protection.

However, not everyone shares the opinion about the effectiveness of vaccines. Opinion polls conducted last year by the All-Russian Center for the Study of Public Opinion showed that only 72% of Russians are convinced of the effectiveness of vaccinations, while 14% consider vaccinations useless, and 9% – harmful to health.

The idea of ​​the Ministry of Health to introduce responsibility for parents for refusing to vaccinate their children did not find support in society either – the majority of respondents were against it.

In what cases can an unvaccinated child be banned from kindergarten or school?

Although the Family Code of the Russian Federation provides for the obligation of parents to take care of the health of their children, they may not give consent to vaccination. The right to refuse preventive vaccinations is provided for in Art. 5 of the Infectious Disease Immunization Act 3 . According to Art. 11 of this law, vaccinations can be made to a child only if there is an informed voluntary consent of one of the parents or other legal representative for medical intervention. If the child is 15 years old, he has the right to independently decide on vaccination or refuse the procedure.

However, part 2 of Art. 5 of the same law provides for the possibility of a temporary refusal to admit unvaccinated children to educational organizations and admission to their visits in the event of mass infectious diseases and the threat of epidemics. However, such a refusal is possible only for the duration of the circumstances that pose a danger to the health and life of children who have not been vaccinated.

In such cases, an official decision on the epidemic in the region and the announcement of quarantine must be approved. It is announced by local authorities by order of the chief sanitary doctors and their deputies 4 .

When carrying out mass vaccination to prevent infection of an unvaccinated child, it is allowed to separate him from the rest of the group of children for a certain period. For example, when vaccinated against polio, this period lasts 60 days 5 . Moreover, Rospotrebnadzor explained that in this case the non-admission of unvaccinated children to an educational institution is illegal, and recommended that you familiarize yourself with the Sanitary and Epidemiological Rules SP 3.1.2951-11 (Letter of the Office of Rospotrebnadzor for the Moscow Region dated December 22, 2015 No. 12374-06). This document states that when vaccinated against polio, unvaccinated children are separated from vaccinated children for 60 days, and not removed from the institution. At the same time, the heads of kindergartens and schools are obliged to arrange for such children a separate stay within their walls 6 .

Also about the cases in which the law allows you to prohibit an unvaccinated child from attending an educational institution or separating him from the rest of the group of children and what to do so that his right to education is not violated, read in the publication “To kindergarten and school – without vaccinations?”.

Where to complain if a child without vaccinations is illegally not allowed to attend an educational institution?

If the leadership of a kindergarten or school ignores the arguments about the voluntariness of immunoprophylactic measures and the inadmissibility of refusing to admit a child to an educational institution in the absence of circumstances provided for by law, it is possible to apply to the regional educational authorities, the Prosecutor’s Office, Rospotrebnadzor, the commissioner for children’s rights and the court .

To avoid the loss of time associated with forwarding your applications to the authorized bodies, you should first contact the regional education authorities (for example, in Moscow it is the Department of Education, in St. Petersburg – the Committee on Education, etc.). It is advisable to contact the Prosecutor’s Office if other bodies are inactive or you do not agree with their decisions. That is, the Prosecutor’s Office does not replace them, but only oversees the legality of their actions and decisions.

If the complaints did not help, you can apply to the court with a statement of claim to invalidate the decision of the director of the educational organization.

What is the position of the courts when considering the claims of opponents of vaccination?

The courts recognize that the temporary separation of unvaccinated and vaccinated children is acceptable. For example, in 2011 a group of “anti-vaccination” citizens tried to challenge the legality of clause 4. 4 of the Sanitary and Epidemiological Rules “Poliomyelitis Prevention in the Post-Certification Period”. This paragraph provides for the prevention of poliomyelitis, the isolation of unvaccinated children from those vaccinated when they are admitted to medical and preventive and other organizations. The Supreme Court of the Russian Federation did not see in this norm signs of a violation of the right to education 7 .

Currently, the jurisprudence in this category of cases has not changed significantly. Thus, in November 2018, the Timiryazevsky District Court of Moscow dismissed U.’s claim to declare illegal the actions of the school principal to transfer her unvaccinated child to a group for children who had not been immunized against polio. The Court pointed out that such actions are legitimate, since their purpose is to ensure compliance with sanitary standards and protect the health of unvaccinated children. The court also noted that the plaintiff did not provide evidence that the conditions of detention, care and education in the specially created group differed from similar conditions in the main group. The Moscow City Court recognized the decision of the district court as legal 8 .

Thus, in the event of separation of an unvaccinated child from other children, it makes sense to go to court with a lawsuit against an educational institution only if there is evidence that the conditions for the maintenance and education of the child have deteriorated.

At the same time, in cases where a child is temporarily suspended from attending a kindergarten or school due to an unfavorable epidemiological situation, it is extremely difficult to prove the violation of his rights.

A resident of the Klinsky district of the Moscow region filed a lawsuit to challenge the medical report, on the basis of which her daughter was temporarily suspended from visiting the garden due to the lack of measles vaccination. The basis for making such a decision was the Decree of the Chief State Sanitary Doctor for the Moscow Region dated May 27, 2013 No. 2 “On the unfavorable epidemiological situation in terms of the incidence of measles”.

The plaintiff insisted that this decision is advisory in nature. At the same time, no cases of measles were recorded in Klinsky and adjacent areas of the Moscow Region. However, the court found the medical report legal. He pointed out that the introduced restriction “was temporary and was aimed at creating safe conditions for life and health not only for the plaintiff’s child, but also for all pupils of the preschool institution.”

A similar decision was made by the Dubna City Court of the Moscow Region in a lawsuit against the city hospital, which refused the plaintiff to accept documents for a child to pass a medical commission for enrolling in kindergarten due to the unfavorable measles epidemic situation.

Both decisions were upheld by the higher court 9 .

Thus, in similar cases, it makes sense not to appeal against the medical opinion, but against the decision of the chief state sanitary doctor by filing an administrative claim with the court at the place of residence of the applicant.

In general, the courts still often make decisions that are contrary in essence. In the meantime, the judiciary has not developed a unified approach, parents can adhere to the official position of the Prosecutor General’s Office of the Russian Federation 10 : the only reason for temporarily refusing admission to kindergartens and schools for children without vaccinations is the occurrence of mass infectious diseases and the threat of epidemics. Even the refusal of the Mantoux test cannot be a basis for non-admission to an educational institution. Thus, the Law on the Prevention of the Spread of Tuberculosis provides for anti-tuberculosis assistance to the population with the consent of citizens 11 . The principle of voluntariness of such assistance, provided that the child does not have contact with a tuberculosis patient, means that parents have the right to refuse the Mantoux test, and this should not entail a ban on attending kindergarten or school.

What to consider before going to court if the child was not allowed to attend an educational institution or was transferred to another group or class?

Before going to court with a claim to invalidate the decision of the director of an educational organization, it is necessary to weigh all the pros and cons and answer the following questions.

  • Is the denial of admission to an educational institution temporary or were you denied admission altogether?

  • What was the reason for the refusal?

  • How have the conditions for keeping, raising and educating a child changed if he was transferred to a separate group in kindergarten or to another class at school?

If the refusal is not temporary or it has no documentary justification, and also if, after the separation of the children, the conditions of detention and education have worsened, it will be advisable to go to court.

You must apply to the court at the location of the defendant.

And remember: an alternative to going to court is to file a complaint about an unlawful decision with the regulatory authorities. If there are no grounds for intervention, you must be given a reasoned refusal.



1 GMOs, HIV, vaccines: myths and reality.

2 “Vaccinations for children: mandatory or optional?”.

3 Federal Law of September 17, 1998 No. 157-FZ “On Immunoprophylaxis of Infectious Diseases”.

4 Paragraph 2 of Art. 31 of the Federal Law No. 52-FZ “On the sanitary and epidemiological welfare of the population”.

5 Decree of the Chief State Sanitary Doctor of the Russian Federation dated July 28, 2011 No. 107 “On Approval of SP 3.1.2951-11 “Poliomyelitis Prevention””.

6 Item 9.5 Sanitary and Epidemiological Rules SP 3.1.2951-11 “Poliomyelitis Prevention” (approved by Decree of the Chief State Sanitary Doctor of the Russian Federation dated July 28, 2011 No.