Tuesday , November 24 2020

A. Veryga: Rhinitis is not a disease but it can be a symptom



When breathing through the mouth

A sick child – in the garden? you are joking ?! This is a sensitive response from the father, whose health minister, Verga, has ordered the door to be locked in front of the nursing home, allowing them to compress and cram children, and they can spend their days together with healthy partners or even coals or peeks.

"How can you take a sick child to kindergarten, because he will become more and more sick!" – Isabel Petrauskien,, a mother of three children, surprised and afraid.

She does not think that a child is busy and coarse, and that the load can not disappear within a week, but complicates the throat infection as the child breathes through the nose and through the mouth.

The mother-in-law, Mrs. Diana Malinuskita, adds that it will spread viruses.

You do not have to scratch your head to leave a sick baby when both parents work, and there are no free vacations or money for the nanny.

"It should be conscience and think about others, now teachers will have to take a child to kindergarten," the woman is angry at the novel, which also does not think the burden is not a disease, especially a child.

The Minister of Health, Verga, on this simple question, if a runny nose is a disease, responds unequivocally and does not deny that it may be a symptom of the disease.

If it is a long time, the child is asleep, the child returns to his nose while driving, is it a disease or not? "- the minister answers the question.

After you notice that due to the burden of nasal congestion through the mouth and breathing cold air, it does not matter.

"It does not matter if the nose or somewhere is breathless, if the runny nose is a reaction to the cold or allergy, it is not necessarily a disease, but it can also be a symptom of the disease," said Riga, before becoming a minister, As a psychiatrist a doctor.

Allergic rhinitis is not contagious

However, there is also a new welcome: You do not have to scratch your head and leave a sick baby when both parents work, and there are no free vacations or money to nurse. After all, employers do not want to maintain their nursing certification for suppliers.

"Changing the level of hygiene does not mean you can bring a sick child to the nursing home, if he feels, blows, complaints of pain, diarrhea, vomiting, elements of unknown origin, lice or glamor, he will not be able to continue admission to pre-primary education group", – the head Department of Health and Health of the Ministry of Health comments on innovation. Expert Giedr Nam Namajnanait..

Changing the level of hygiene does not mean that you will be able to bring a sick child from now on.

According to her, since the entry into force of the month of November, the order of the Minister of Health, Verga, was designed to prevent the excessive demands of children with mild disorders to be accepted into the kindergartens. Such disorders include a defective nose, coming out of the field, coughing, allergic rhinitis.

"Symptoms such as nasal secretions, coughs are not specific to infectious diseases, these symptoms can be manifested in non-communicable diseases or even in healthy children as a natural physiological response," says Nemag Vanette, a health expert.

This is partially confirmed by family doctor Ieva Jasaitienė. She tells a patient of six and has an allergic rhinitis. When she was excited, the garden did not accept the child. It happened often, my mother continued to receive a lactation certificate.

"Because of this mother's mother lost her job," says family doctor IJasaitien,, due to patient failures, agrees that children with allergic rhinitis can participate in the garden, especially since it is not contagious.

Do not get healthy?

"We have never been afraid to dwell on the oppressive children, we always care about caring for everyone," Ilona Ališauskien,, head of kindergarten "Pušynllis", was not surprised the new procedure came into force since November, and the introduction of new methods was not mandatory.

The same opinion and heads of other educational institutions in the city of Kovno, who ask about the new order: If they see that the child's health worsened in the morning, the garden gets worse – they invite their parents.

"We are not doctors, we can not assess the health of the child," – I. Alisauskien,, head of "Pušynllis", adds that there are no medical messages for kindergartens for a long time, only teachers and children service staff are employed here.

So why should you change the hygiene norm?

"We received many complaints from parents that children were not accepted into pre-primary or pre-primary education, even if they did not, and therefore the Ministry of Health's Ombudsman for the Rights of the Child approached the Ministry of Health." . Expert G.Namajnanait..

According to her, the change in the hygiene norm has begun, in order to prevent unreasonable restriction of the child's right to participate in the educational process.

What were the situations in which healthy children were not taken to kindergarten? The Ministry of Health forwarded this question to the Office of the Ombudsman. However, the spokeswoman Egidijus Meilus announced that the institution received only verbal complaints from her parents, so they can not condemn them.

"The main problem is that the child is not taken to kindergarten because of a burden or cough, and the parents do not receive a certificate of incapacity to work, because the child does not smoke," the Ombudsman for Children's Rights emphasizes in his response to Kovno Day.

It was also noted that according to the previous procedure there were cases in which a child was swallowed once or several times a day but had no other signs of contagious diseases, was not allowed to remain in the group or was required to show the doctor that the child was healthy.

"Despite the fact that cough is one of the main symptoms of colds in children, according to research data, it does not always mean that the child is ill. In addition, signs such as nasal discharge, cough, are not specific to infectious diseases", – he confirmed in response of the Ombudsman Child, although it is also noted that the state of health of children is monitored and evaluated by parents and educators.

The Ombudsman for Children's Rights is aware that recent studies on audio equipment have shown that the upper respiratory disease is healthy, not severe at the time, the child is thrown eleven times a day, and some children – even 30 times.

Tax certificate

Since November, at the order of the Minister of Health, Vargas, there has been another renewal of the gardens: after receiving a medical certificate that justifies the absence of the disease, there will no longer be a need to present it. The Ministry of Health experts call this excess demand.

"So far, after I brought the child to kindergarten after the illness, the doctor's documents were first required, indicating that the child recovered and only then was he allowed to go to the group," says two girls, Ms. Bardavien.

Now all the responsibility rests with the parents, the children of the children should believe that the child is healthy. The Ministry of Health announced that this amendment to the hygiene norm was intended to reduce the administrative burden on doctors, and the health certificate for the kindergarten was also a surrogate requirement and therefore refused.

It is necessary to stimulate children's hardening, more exercise. If the child is busy or crashes, he can and should go for a walk in the field.

"There has been an increasing number of cases in which kindergartens required these certificates even when the child was healthy, but without justification they did not participate in pre-day education institutions for two or three days," says Elina Zellina, spokeswoman for the Ministry of Health.

In fact, it was often used in the interests of parents: when issued a certificate that the child was sick, there is no need to pay for a day off in the garden. Now the ministry promises to talk with the founders of the kindergartens about the possibility of creating a different payment system for children attending kindergartens.

"Reducing the burden of bureaucracy for doctors is great, and parents are likely to be aware and above all they will not be brought into the nursery for the sake of the children themselves," said Ms. Bodovina, the daughter of the two girls.

And here it is emphasized that it can be trusted away from all parents.

"It happens that at night the child took, and in the morning he leads to the garden", – the woman is afraid.

Get up and consult

"It all depends on what kind of child the parents will bring, if the patient is sick, they will catch up with others, if only the burden – parents can go to work, which is also very important, the parents should act responsibly," emphasizes the leader of nurseries Pušynllio I..

The question whether the child is just misty or complicated by a simple cold is not easy. It is mainly relevant to his parents.

"If my child does not suffer, I go to the doctor and she explains what to do," says S. Budavien,, leaving the medical care of children not to educators but to qualified medical specialists.

The new norm of hygiene states that when the child goes to sleep during the education process, his parents, caregivers or caregivers are informed, and urgent medical assistance is urgently sought if necessary. If a child has a contagious disease in the preschool, he is isolated until his parents, guardians or caregivers arrive.

"Snoring and coughing are common symptoms of various infections, not just infections. Always evaluate the child's general condition: whether it has changed or whether the child feels like he or she is always feeling or not, it is a sore throat or no rash, it is important how long it takes symptoms, Happened and so on, "explains family doctor Audron Ur Urbonien..

If the child suddenly falls ill, body temperature rises, general feeling of well-being worsened, there are other disorders, he can not go to the children's team. On the other hand, a child in a healthy nursery with acute upper respiratory infection of the virus at night or at night has already spread the virus. According to the doctor, it is impossible to control all situations.

"It's hard to imagine that in the autumn and winter there will not be anyone in the children's group who sneaks in or gets sick several times." The hardness of the child, his physical activity, the reason is not wind or cold air "- as if Ostronin justifies innovation, but it also mentions that you can always consult with a family doctor.

Violations in the gardens

The National Center for Public Health (NVSC) implements public safety control every year in pre-primary and pre-primary education institutions.

Although the control programs are published on the NVSC website, the body testing is informed in advance of the written test, but even then experts identify a large number of violations.

NVSC Department of Kaunas examined 65 educational institutions for children this year, of which 53 were discovered violations. HN 75: 2016 "General health safety requirements for the implementation of pre-primary and pre-primary programs".

According to the chief expert Dalia Slavinskien,, the main expert of public health safety and safety, violations of pre-school institutions are generally determined: higher than the permitted number of children in groups; Areas and premises are not kept so that there is no danger of accidents during use; Visual visible defects ceilings, walls, floor coverings are worn, uneven, with cracks, so it can not be easily cleaned in a damp form.

On November 1 this year the NVRC Department of Kovno received 60% more complaints about the activities of pre-school institutions than in 2017 years. Usually claims are due to properly maintained sandboxes and secure premises and facilities located on the site. However, half of the complaints received during operational control were not confirmed.


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