The first time that they are tested, persons who cannot document any previous TB skin test results should have a two-step test. Persons who have negative results from their skin tests when they start child care work should have their skin tests repeated every 2 years while the results are still negative. Also, in family home child care settings, all persons aged 12 years and older who are present while the children are there should receive TB skin tests under this same schedule, even if they are not providing child care. Persons who have active TB should not return to a child care setting until the local health department has determined that they are no longer contagious. Why Influenza All child care providers, especially those who have chronic health conditions or are over 65 years of age should be vaccinated against influenza.
Influenza causes fever, chills, headache, muscle ache, sore throat, cough, and cold symptoms.
Influenza may lead to pneumonia and other severe illness among the elderly and those with chronic illnesses or weak immune systems. Child care providers should be immune to measles, mumps, and rubella. Providers born before 1957 can be considered immune to measles and mumps. Others can be considered immune if they have a history of measles or mumps disease or have received at least one dose of rubella vaccine on or after their first birthday. Because a history of rubella disease is often unreliable, only a blood test indicating Immunity to rubella or documented receipt of at least one dose of rubella vaccine is adequate proof of immunity.