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Infimary-Style Sick Child Day Care

In Reply.—
 I appreciate the opportunity to respond to Dr Auerback's letter.
 I find the community hospital versus university hospital distinction that Dr Auerback raises neither compelling nor helpful. Community hospital patients are also susceptible to rotavirus and respiratory syncytial virus, for example, with their attendant morbidities, even though the illnesses may not be life-threatening as they can be for the tertiary care hospital patients with leukemia or bronchopulmonary dysplasia. Anecdotal evidence regarding the two-way spread of illness between sick care attendees and hospitalized patients is superficially reassuring, but does not provide the information we need to evaluate what the risks really are for either population.