1. Ebola, EV-68 and Communicable Diseases-Oh My!
Danette Glassy, MD, FAAP
Mercer Island Pediatrics
Clinical Professor, University of Washington
Co-Editor Caring For Our Children, 3rd Edition

2. Communicable Diseases
Ebola
EV-68
Influenza
Hand Washing, Cleaning, Sanitizing, Disinfecting
Resources and Inspiration
Federal Updates
State Updates

3. Ebola Filoviridae virus, 4/5 strains cause human disease
Animal reservoir unknown, but may be bats and probable cause of recurrent outbreaks
First discovered in 1976 near the Ebola river in the Democratic Republic of Congo

4. Ebola Over 21K cases in current outbreak with almost 9K deaths
The spread to countries outside west Africa have ended
Incubation 2-21 days, usually 8- 10
Nausea, vomiting, fever, headache, muscle aches, bleeding
Recovery depends on clinical support and the patient’s immune response

5. Ebola
Spread is only through contact with infected body fluids—blood, urine, stool, semen, breastmilk, sweat, etc
Prevention through avoidance and hand washing with soap and water or alcohol-based hand sanitizer
CDC Resources: dex.html
ex.html

6. Ebola, resources cont’d
Talking with Children: tips for parents, caregivers and teachers during infectious disease outbreaks /SMA pdf
Understanding Ebola-Information for Child Care Providers/Head Start: source/understanding-ebola-information-for- child-care-providers

7. Enterovirus 68
One of more than 100 non-polio enteroviruses
Fever, runny nose, cough, and sometimes wheeze
Usually summer and fall, spread through secretions, including airborne
Prevention through hand washing, avoid contact, cover sneezes and coughs, update asthma action plan, clean and sanitize
Resources- enterovirus/about/EV-D68.html

8. Influenza

9. Influenza
Fever, cough, runny nose, headache, muscles aches, sometimes vomiting or diarrhea
Contagious from 1 day before symptoms and for 5-6 days after
High risk populations: under age 2 years and children with SHCN
Prevent with flu vaccine, washing hands and cleaning, sanitizing

10. Influenza, resources
Influenza Prevention and Control Fact Sheet for Caregivers and Teachers - us/Documents/childrendisasters_health_and_safety_fact_s heet.pdf
Letter for child care/head start programs to share with parents about influenza - us/Documents/disasters_parent_flu_letter.pdf
Free, AAP online course: Influenza Prevention and Control: Strategies for Early Education and Child Care Providers Online Course

11. Influenza resources
Free, AAP Archived Webinar: Improving Head Start/Child Care and Community Readiness and Response to Seasonal Influenza - ere.jsp?ei=
Dec 2014 HS Health Manager Newsletter: Preventing and Managing Influenza - /tta-system/health/docs/health- services-newsletter pdf

12. Ebola, EV D68, Flu Resource
AAP Healthychildren.org webpage: Ebola, Enterovirus D68 & Flu: Strategies for Child Care, Schools - issues/conditions/prevention/Pages/Ebola- Enterovirus-D68-Flu-Strategies-for-Child-Care- Schools.aspx
Includes a podcast and most of the previous links

13. Advocacy- Your Voice is Vital
Global advocacy:
United Nations Plan- “The Road to Dignity by 2030: Ending Poverty, Transforming All Lives and Protecting the Planet”
Early Childhood in the Road to Dignity Plan and now there is a chance to comment on proposed indicators
Ends January 30, 2015
t-2015-education-indicators.aspx

14. Advocacy
National
CACFP- Proposed changes and need public comment by mid-April. See for a summary of changes, comment here
Caring For Our Children Basics- ACF establishing a floor of child care regulations, public comment due by February / /caring-for-our-children-basics

15. Advocacy
State
Early Start Bill- bipartisan bill to improve access and quality through
Improved continuity of care with 12 month authorization for Working Connections subsidies
Sustains and grows Early Achievers
Honors parent choice with a mixed delivery system
Supports workforce with financial resources and pathways to reach educational requirements
Other Early Education Goals – see Early Learning Action Alliance work/early-learning-now/early-learning-action-alliance