Cases where the child may need a medical certificate of health, not so much. This document is drawn up after an illness, a break in visiting a children’s institution, and also if it is planned to attend a swimming pool, a sports section, go on vacation or treatment to a sanatorium.
In each case, you will have to pass various tests and visit certain specialist doctors.
The procedure for visiting a preschool after a break is determined by the document entitled “Sanitary and epidemiological requirements for the device, content and organization of the mode of operation of preschool educational organizations” dated May 15, 2013 No. 26. It states that after illness and absence of a child for other reasons in children’s the garden for more than 5 days (except weekends and holidays) he will be allowed to attend pre-school only upon presentation of a certificate from the pediatrician.
The certificate indicates the disease due to which the child was absent, the start and end dates of the illness, as well as the date from which the visit to the children’s institution is allowed to resume. The doctor also writes that the child is healthy, not infected with pediculosis and scabies and has not had contact with infectious patients for 21 days.
Here are written recommendations on the individual regime in the first days after the illness, for example, to avoid hypothermia or not to attend the pool for a certain period. In the first case, the baby will not be tempered for a while and may be left in the group during the walk if there is a small frost outside.
If required, the doctor for a certain period will release the child from physical education and will withdraw from vaccination for medical reasons.
Usually such a certificate is issued after a long summer absence. The child will be allowed to attend preschool if there is a certificate stating that he is healthy and he has not had contact with infectious patients for 21 days.
For registration of this document will have to pass scraping on enterobiosis and at the discretion of the pediatrician – analysis of feces on the eggs of worms.
The certificate, which indicates that the child is healthy, has not had contact with infectious patients for 21 days, does not have pediculosis and scabies, as well as contraindications to visiting the children’s institution, often referred to as a certificate of contacts. It is valid for 3 days.
A corresponding health certificate will have to be drawn up before classes in the pool. This document should confirm that the child has no contraindications to swimming and he is not a carrier of infections.
Therefore it is necessary to visit the pediatrician and pass the scraping on enterobiosis. Contraindications to occupations in the pool are: convulsive seizures in history, chronic and recurrent otitis and rhinosinusitis, urinary tract infections and other severe chronic illnesses. Help is valid for six months.
After 6 months, everything will have to re-arrange.
Note! Although appendix No. 2 to SanPiNs “Swimming pools: hygienic requirements for arrangement, operation, water quality, quality control” that regulate the activities of pools, includes only a pediatric examination and enterobiosis analysis, a pool may also require a dermatologist. Most pools also require the results of the analysis of feces on the eggs of worms.
But unlike enterobiosis, it is rather difficult to catch other worms in the swimming pool. And since enterobiosis is very contagious, scraping it is required to pass every 3 months.
About help for the sports section, I must say something special. According to Appendix No. 1 to Order No. 135n of the Ministry of Health of the Russian Federation dated March 1, 2016, a certificate for sports should be issued on the basis of scheduled preventive examinations, which are carried out in accordance with the established deadlines.
And since the pediatrician to objectively assess the load that the child will receive during training, is unlikely to be able to, and parents often have a very vague idea about this, it is better to undergo a thorough medical examination. After analyzing its results, the doctor will decide whether the child can play sports.
It is necessary to pass clinical tests of blood and urine, make an ECG and ultrasound of the heart, and also show the future athlete not only a pediatrician, but also narrow specialists. For example, an otolaryngologist, an ophthalmologist, a neurologist, a surgeon, an orthopedist, and even more so the doctor who has a child under dispensary observation.
Issued certificate is valid for 1 year.
According to the already mentioned order of the Ministry of Health, the general conclusion about the state of health should be made not by a pediatrician, but by a specialist in physiotherapy exercises and sports medicine. So, in any case, relies on the law.
To relax with the baby in the sanatorium, you also need to draw up a certificate, which is officially referred to as a sanatorium-resort card. It is issued by the attending physician.
This document bears in itself fact-finding information about the state of health of the child and indicates that there are no contraindications to this type of treatment.
Information on vaccinations with their dates, the diagnosis about which the child goes to the sanatorium, complaints of deviations from the norm, if any, are indicated in the sanatorium card. Since the diagnosis of the disease is indicated in the form of the “International Classification of Diseases” cipher, doctors of any country will be able to recognize it.
Must be the results of blood tests, urine, ECG, chest X-ray and those studies that were assigned to the child on the profile of the disease. The card is certified by the signatures of the attending physician and the head of the department or the chairman of the medical commission.