Childcare infection is the spread of infection during childcare, typically because of contact among children in daycare or school.[37] This happens when groups of children meet in a childcare environment, and there is an individual with an infectious disease who may then spread it to the entire group. Commonly spread diseases include influenza-like illness and enteric illnesses, such as diarrhea among babies using diapers. Illnesses and diseases may also include ringworm, head lice, and hand, feet, mouth disease. It is uncertain how these diseases spread, but hand washing reduces some risk of transmission and increasing hygiene in other ways also reduces risk of infection.[38][39]
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More contemporary proposals for government advancement of day care in the United States have experienced a checkered path, for example, in 1971, the Comprehensive Child Development Act was passed by Congress, but was vetoed by Richard Nixon. It "would have created nationally funded child care centers providing early childhood services and after-school care, as well as nutrition, counseling, and even medical and dental care. The centers would charge parents on a sliding scale."[63] Various proposals have been considered, but to date, none leading to legislation that would establish a national policy supporting day care in the United States.
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The Child and Family Programs Team functions as the liaison between the child care providers, families receiving care, and NIH.  The Team monitors and ensures compliance of NIH Use Agreements and quality assurance within each NIH sponsored child care center and facility.  If you have additional questions or need more information, please call the NIH Child and Family Programs team at:  301-827-3250.
Many types of childcare discuss the different ways in which children are cared for by adults or older children. One additional type of child care involves children caring for adults. Children as caretakers are most often seen in developing countries with restricted or hard-to-access medical assistance. Child caretakers are common in families where the parents are affected by HIV/AIDS and other mental illnesses that might limit their parental functioning.[22]
Franchising of family child care home facilities attempts to bring economies of scale to home daycare. A central operator handles marketing, administration and perhaps some central purchasing while the actual care occurs in individual homes. The central operator may provide training to the individual care providers. Some providers even offer enrichment programs to take the daycare experience to a more educational and professional level. An example would be Wonderschool, which provides caregivers with a proprietary technology platform, as well as licensing, marketing, and administrative services.[21]
Spain provides paid maternity leave of 16 weeks with 30-50% of mothers returning to work (most full-time) after this[citation needed], thus babies 4 months of age tend to be placed in daycare centers. Adult-infant ratios are about 1:7-8 first year and 1:16-18 second year.[citation needed] Public preschool education is provided for most children aged 3–5 years in "Infantil" schools which also provide primary school education.[citation needed]
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