Each state has immunization requirements which its residents must follow. Children receive most of their immunizations between birth and five years. By reminding parents of upcoming immunizations, childcare providers assist each child to develop immunity, to better ensure the health of other children in the center, and to meet state public health laws. Most states conduct random reviews of immunization records in childcare programs. Non compliance with immunization laws can result in fines and program closure.
Diphtheria is serious disease caused by poison or toxin produced by certain bacteria.
A membrane forms across the tonsils or back of the throat, often obstructing breathing. The toxin of the disease is absorbed, affecting organs distant from the site of the invasion. It can lead to breathing problems, paralysis, and heart failure. Death, which occurs in up to 20 percent of cases, is highest in the very young and the elderly. Disease surveillance reports show that although diphtheria is rare in the U.S., the bacteria continue to be passed along.