Sick child: do you need a back to school certificate?

09/16/2020 Health



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Among the most debated and least clear points of this return to class at Covid time certainly there is the management of childhood diseases. After the experience of the summer camps, in which every day it was necessary to present a self-certification of good health for minors and their caregivers, we arrived at the threshold of the new school year with a lack of uniformity and unclear opposition, to sometimes contradictory potential repercussions on the health system, on the school system and not on indifferent families.

In mid-September, that is, when the school year in Lombardy has already begun and joint responsibility agreements have already been signed between parents and institutions, a new meeting between free-choice pediatricians and the Region seems to have cleared up.

The rules initially established by the Miur have been replaced by the instructions issued by the Ministry of Health, which invite the pediatrician to activate the Covid procedures. only if you consider the case suspicious.

The principals, near the beginning of the new year, had requested a medical certificate for the students’ school readmission. absent due to illness for more than 3 days. Request that has moved doctors.

The fact that is certain now is that in case the child is ill has no symptoms attributable to Covid-19, no certification / attestation is required for return, Similary no family self-certification required.

Here opens the chapter of symptoms attributable to Covid. According to some pediatricians, rhinitis alone (the common cold) is not enough to decide to put the baby on a swab, which is an unpleasant test, even more so for children. Therefore, the request is to consider a case as suspicious only when there is a concomitance of two or more symptoms.

The same goes for the respiratory symptoms: the Ats Brescia guidelines, published after the meeting in the Region, specify that among the conditions of access to the classroom there is no respiratory symptoms or body temperature above 37.5 ° C even in the previous three days. But even in this case, pediatricians and parents wonder whether it is really necessary to stay home for ten days for a common cold.

“Needed conscience on our part – says Dr. Angela Ferliga, pediatrician of free choice – and responsibility of the parents ».