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Are You Breaking Swine Flu's Golden Rule?

Staying Home When You're Sick is Key Advice That Some Find Unrealistic

Keeping Kids Home From Child Care continued...

The CDC is updating its guidance on H1N1 flu and child care.

In the meantime, Koonin says sick kids should stay home and not be sent elsewhere for child care, and that child care staff should do informal daily health checks on kids and talk to parents about keeping sick kids at home.

Klein says good sanitation should help control flu in child care. Koonin agrees that sanitation is important, but she warns that that's not enough, and she points out that kids younger than 5 are a high-risk group for swine flu.

"It's spread through someone coughing and sneezing, or having the secretions from their mouth or nose being passed to another person," says Koonin. "Although sanitation will help reduce some of the transmission, most of the transmission is going to be through that close contact."

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