A. Veryga: a runny nose is not a disease but can be a symptom


When breathing through the mouth

A sick child – in kindergarten? Are you kidding ?! It was the sensitive response of the father that the Minister of Health, A.Veryga, ordered that the doors be locked in front of nursing homes, which enabled them to overcrowd and overcrowded children, and they could spend their days together with healthy people or even cochlear contemporaries or peeks.

"How can a sick child be taken to a nursery school? Because he will become increasingly sick!" – Isabelle Petrauskienė, mother of three, surprised and scared.

He does not think that busy and rude children are healthy, and that the burden cannot be lost within a week, but also complicates sore throat, when the child breathes in the air through the nose and through the mouth.

Mother-in-law, Mrs. Diana Malinauskytė, added that this would spread the virus.

You don't need to scratch your head to leave the baby sick when both parents work, and there is no free maternity or money for caregivers.

"It is necessary to have a conscience and to think of others. Now the teachers must take children in nursery schools," the woman was angry with the novel, who also did not think that the burden was not a disease, especially small children.

The Minister of Health, A.Veryga, in a simple question about whether a cold is a disease, responds firmly and does not deny that it might be a symptom of the disease.

"It really depends on that. If, for a long time, the child falls asleep, the child returns to his nose while driving, is it a disease or not?" – The minister answered the question.

After noting that because of the burden of a stuffy nose breathing through the mouth and breathing cold air, it didn't matter.

"It doesn't matter whether the nose or somewhere is panting. If a runny nose is a reaction to cold or allergies, this is not necessarily an illness, but it can also be a symptom of the disease," A. Veryga said, before becoming a minister, after working as psychiatrist.

Allergic nose is not contagious

However, there are also newcomers who are welcoming: You don't need to scratch your head to leave a sick baby when both parents work, and there is no free maternity or money for caregivers. After all, the employer does not want to keep the nursing certificate for the operator.

"Changing hygiene standards does not mean that you will be able to bring a sick child to a nursing home. If he feels, blows, complaints of pain, diarrhea, vomiting, elements of unknown origin, lice or glind, he will not be accepted into pre-school -schools and pre-school groups ", – the head of the Department of Health's Ministry of Health comments on innovation. Giedrė Namajūnaitė specialist.

Changing hygiene standards does not mean that you will be able to bring sick children to kindergarten from now on.

According to him, since the enactment of November, the Minister of Health A.Veryga's order was intended to actually avoid excessive requirements for children with mild disorders to be treated in kindergartens. Such disorders include a defective nose, out of the field, coughing, allergic rhinitis.

"Symptoms such as nasal discharge, coughing are not specific to infectious diseases, these symptoms can be manifested in non-infectious diseases or even healthy children as natural physiological reactions," said G. Namjunaite, a health security specialist.

This was partly confirmed by the family doctor Ieva Jasaitienė. He said a patient was six years old and had allergic rhinitis. When he is happy, kindergarten does not accept the child. This often happens, my mother continues to receive a nursing certificate.

"That's why mother mothers lost their jobs," said family doctor I.Jasaitienė, because of patient failure, and agreed that children with allergic rhinitis could attend kindergarten, mainly because it was not contagious.

Do not accept health?

"We have never been afraid to dwell on burdensome children, we always care and care for everyone," Ilona Ališauskienė, head of kindergarten "Pušynėlis", was not surprised by the new procedure which came into effect since November, and the introduction of methods new work is not mandatory.

The same opinion and head of another Kaunas city pre-school education institution, who asked about new instructions: if they see that children's health deteriorates in the morning, kindergarten gets worse – they invite their parents.

"We are not doctors, we cannot evaluate children's health," – I. Alisauskienė, head of "Pušynėlis", added that there was no medical post for kindergarten for a long time, only teachers and child service staff were employed in here.

So why do you need to change the cleanliness norm?

"We received many complaints from parents that children were not accepted into pre-school or pre-primary education groups even when they did not get them. Therefore, the Ombudsman Office for the Protection of the Rights of the Child was contacted by the Ministry of Health," Head of the Health Security Division present the reason for the change. G. Namajūnait specialist.

According to him, changes in hygiene norms began, to avoid unnaturally limiting children's rights to participate in the education process.

What is the situation when healthy children are not taken to kindergarten? The Department of Health addresses this question with the Ombudsman Human Rights Office. However, his spokesman Egidijus Meilus informed that the agency only received oral complaints from his parents, so they could not blame them.

"The main problem is that children are not taken to kindergarten because of burden or coughing, and parents do not receive certificates of inability to work, because children do not smoke," the Office of the Rights of the Child Protection Ombudsman stressed in response to Kaunas Day.

In addition, it should be noted that according to the previous procedure there were cases where a child who swallowed once or several times a day, but did not have signs of other infectious diseases, was prohibited from staying in a group or asked to give a doctor's certificate that the child it is healthy.

"Despite the fact that coughing is one of the main symptoms of a cold in children, according to research data, this does not necessarily mean that the child is sick. In addition, signs such as nasal discharge, coughing, are not specific to infectious diseases", – confirmed in the response of the Ombudsman Office of the Rights of the Child, although it was also stated that the state of children's health was monitored and valued by parents and educators.

The Ombudsman for the Protection of the Rights of the Child realizes that recent research on audio equipment has shown that upper respiratory disease is healthy and not acute at the time, the child was thrown eleven times a day, and some children – even 30 times.

Tax certificate

Since November, according to the Minister of Health's order, A. Verygas, one more novelty has been applied in kindergarten: after receiving a medical certificate, which justifies the absence of disease, there is no need to present it. The Department of Health Specialist calls this a surplus need.

"Until now, after taking the child to kindergarten after the illness, a doctor's certificate was first needed, showing that the child was recovering, and only then was he allowed to go to the group," said two daughters, Šarūnas Būdavienė .

Now all responsibility lies with parents, children's nursery staff must believe that the child is healthy. The Ministry of Health announced that the amendments to hygiene norms aim to reduce the administrative burden on doctors, and health certificates for kindergartens are also a substitute requirement and are therefore rejected.

This is needed to stimulate the hardening of children, more physical activity. If the child is just busy or falls, he can and must take a walk in the field.

"There is an increasing number of cases when preschool institutions demand this certificate even when the child is healthy, but because there is no justification, they do not attend pre-school education institutions for two to three days," said Alina inailinaitė, spokeswoman for the Ministry of Health.

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

"Reducing the burden of bureaucracy for doctors is very large, and it seems that parents will be aware and, above all, not take them to the nursery for the sake of the children themselves," Ny said. Būdavienė, daughter of two daughters.

And here it is emphasized that it is possible to believe far from all parents.

"It happens that at night the child has taken it, and in the morning he leads to kindergarten", – the woman is afraid.

Stand up and consult

"It all depends on the type of child parents will bring. If the sick person is sick, they will infect other people. If there is a burden – parents can go to work, which is also very important. Parents must be responsible," stressed Pušynėlio nursery leader. .Ališauskienė.

The question of whether a child is just foggy or complicated by a simple cold is not easy. He is especially relevant to his parents.

"If my child does not suffer, I will go to the doctor and he explains what should be done," said S. Budavien, leaving child health care not to educators but to competent medical specialists.

The new hygiene norm stipulates that when children go to sleep during the education process, their parents, caregivers or caregivers are notified, and urgent medical assistance is immediately sought if needed. If a child has an infectious disease in kindergarten, he is isolated until his parents, guardians, or guards arrive.

"A runny nose and cough are common symptoms for various infections, not just infections. The overall condition of a child must always be assessed: whether it has changed or the child feels like he always feels or not, it is a sore throat or no rash. how it happened and so on, "explained the Audron family doctor" Urbonien ".

If the child suddenly becomes ill, the body temperature increases, the general feeling becomes worse, there is another disorder, he cannot go to the children's team. On the other hand, a child in a healthy baby's room who has had a respiratory infection over the acute virus at night or night has spread the virus. According to the doctor, it is impossible to control all situations.

"It's hard to imagine that in the fall and winter there won't be anyone in the group of children who will sneak or become nauseous several times." Physical activity, child hardening, the reason is not wind or cold air "- as if Ustroniene justified innovation, but also warned that it was always possible to consult with his family doctor.

Violations in kindergarten

The National Center for Public Health (NVSC), every year implements Public Health Security Control in pre-school and pre-primary education institutions.

Although the control plan is published on the NVSC website, the inspection body is informed in advance about the inspection in writing, but even then the specialist detects a large number of violations.

The NVSC Kaunas Department has examined 65 children's education institutions this year, of which 53 violations were detected. More than 80% of pre-school and pre-primary education institutions for children in the city of Kaunas do not meet the norms for HN hygiene 75: 2016 "General health safety requirements for the implementation of pre-primary and pre-primary education programs".

According to Chief Specialist Dalia Slavinskienė, Head of Public Health Safety Control Specialists, violations of pre-school institutions are usually determined: higher than the number of children allowed in the group; the area and place are not maintained so there is no risk of accidents when used; Visual defects are seen on the ceiling, walls, floor coverings that are worn out, uneven, with cracks, so it is not possible to easily clean them by wet means.

On November 1 this year the Kaunas NVRC Department received 60% more complaints about pre-school agency activities than during all of 2017. Usually claims are caused by unsecured sandboxes and unsafe facilities and facilities located on the site. However, half of the complaints received during operational control were not confirmed.


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