OBJECTIVE To assess the effect of a governmentally-led center based child care physical activity program (Youp'là Bouge) on child motor skills. PATIENTS AND METHODS We conducted a single blinded cluster randomized controlled trial in 58 Swiss child care centers. Centers were randomly selected and 1:1 assigned to a control or intervention group. The intervention lasted from September 2009 to J...

Rotaviruses and other enteropathogenic agents were detected in 288 (42.1%) of 684 children in day care centers of Instituto Politecnico Nacional in Mexico City. The same agents were also found in 114 (37.7%) of 302 adults directly involved in the care of the children. The study was carried out from July to December 1982 and from July 1983 to February 1984. Rotaviruses were the main enteropathog...

OBJECTIVE To evaluate the role of child care centers in a community-wide hepatitis A epidemic. METHODS We analyzed surveillance data during an epidemic in Maricopa County, Arizona, from January to October 1997 and conducted a case-control study using a sample of cases reported from June to November. Cases were physician-diagnosed and laboratory confirmed; control subjects were frequency match...

Seventy children were observed during structured play with their primary professional caregivers and three peers in the child care center and with their primary caregiving parents at home at 15 and 23 months of age. The same structured play tasks were used in the two settings and the quality of the children's interactions with caregivers and parents was rated using the same 7-point scales. As e...

To determine the extent and pattern of influenza transmission and effectiveness of containment measures, we investigated dual outbreaks of pandemic (H1N1) 2009 and influenza A (H3N2) that had occurred on a cruise ship in May 2009. Of 1,970 passengers and 734 crew members, 82 (3.0%) were infected with pandemic (H1N1) 2009 virus, 98 (3.6%) with influenza A (H3N2) virus, and 2 (0.1%) with both. Am...

The author gives the case history of an evacuation of a child care center and its temporary location at his medical center. Advance planning, he says, is the key to any emergency.