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Larry K. Pickering, MD; Randall R. Reves, MD

JAMA. 1990;263(15):2096-2097.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Exposure to large numbers of preschool children in out-ofhome child-care settings is associated with an increased frequency of acquiring a variety of communicable diseases.^1,2 This increase in frequency exists not only for the children but also for their parents and for their adult care givers.³ Although one might assume such exposure merely accelerates the process of acquiring natural immunity to a variety of unavoidable communicable diseases, an increased risk for significant morbidity due to several infectious agents has been identified among both preschool children and adults in the day-care setting. Infants and toddlers attending day care are at greater risk for chronic or recurrent otitis media, for bacterial meningitis, for dehydration due to diarrheal disease, and for serious lower respiratory tract infection.^4-6 Parents and care givers exposed to children attending day care are at increased risk for illness due to shigellosis and hepatitis A, which is usually . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, University of Texas Medical School, Houston.

Footnotes
Reprint requests to Department of Pediatrics, University of Texas Medical School, 6431 Fannin, Houston, TX 77030 (Dr Pickering).

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