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How to protect day-care center children from infectious disease?

Children's risk of acquiring infectious diseases from attending a day-care center continues to be scrutinized. The Interscience Conference on Antimicrobial Agents and Chemotherapy, held in Minneapolis, was the scene of the latest discussions. It is estimated that more than half of working women in the United States have children younger than 6 years of age ( Newsweek Sept 2, 1985, p 59). Michael T. Osterholm, PhD, MPH, state epidimiologist for Minnesota, says the figure in his state is about 60%. Osterholm has predicted that, by the end of this decade, there will be 10 million children in day-care facilities ( JAMA [MEDICAL NEWS] 1984; 251:1245-1251). In this increasingly crowded scene, diarrheal disease represents one of the most common infections. Outbreaks of diarrhea occur most frequently in those centers that care for infants and toddlers—children not yet toilet trained. Education of the center staff members in preventive measures may be more difficult than