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Decision tree child age 0 group 8 primary - b oin-k_ajn_ 200921.pdf
1.
DECISION TREE from age
0 up to group 8 primary school Before you start please note: 1. Always start with the first question and follow the questions in the prescribed sequence. 2. Do not just look at one or two separate questions; this may lead to an incorrect result. 3. The outcome of the decision tree is not valid for brothers and/or sisters. The decision tree has to be followed separately for each child. 4. This decision tree is regularly updated on the basis of new or renewed regulations. Please check the most recent version on www.boink.info/beslisboom. 5. A Dutch version is also available. No Does the child come from a country with a very high risk? (please check www.nederlandwereldwijd.nl for the current overview) Does the child have complaints* fitting COVID-19? The child will stay at home. Urgent advice to get tested. This goes for an immune child as well as for a non-immune child*** This decision is a guideline for parents and child care workers (after-school and childminder care) and schools. Should there be any questions or confusion after following the decision tree, we advise you to contact your regional infectious disease specialist. You can also call the national information number coronavirus of the Dutch government (Rijksoverheid): 0800 -1351 (free of charge, 08:00 - 20:00 hours). For more information please check www.rivm.nl/coronavirus-covid-19. © 20 Septembre 2021 This decision tree has been developed by BOinK (Association of Parents in Childcare) in cooperation with AJN Jeugdartsen Nederland (Youth Doctors in the Netherlands) and the RIVM. WHEN SHOULD A CHILD BE TESTED? All children younger than 12 with symptoms may be tested. When should you get your child tested in any case by the GGD (Municipal Health Services)? - Testing is urgently advised for primary school children (of all ages) who have a cough, fever and/or tightness of the chest. - If the child has been in contact with someone suffering from COVID-19 (cat. 2**) you should have the child tested if it develops corona-related symptoms within 10 days. - If one of the members of the household of an immune child*** has corona, then you should get the child tested on day 5. - If a non-immune child has been in contact with a member of the household with corona, then the child will go into quarantaine for 10 days. If you have the child tested after 5 days and if the result is negative, then the quarantaine may be ended. - If testing is adviced by the GGD (for example in case of an outbreak investigation); - If the child is seriously ill. See the adjacent text box to check how long a child should stay at home. Testing can never be made compulsory. Does the child cough often* or does it have tightness of the chest* or does it have a fever (38.0 degrees C / 99.5 degrees F or higher)? COMPLAINTS FITTING COVID-19/CORONA = nasal cold, runny nose, sneezing, throat ache, coughing, tightness of the chest, low-grade or high-grade fever, sudden loss of smell and/or taste (without nasal congestion). No The child may attend START Was the child a member of the household or a close contact (cat. 2**) of someone with COVID-19 these last 10 days? A non-immune child*** will stay at home and get tested Yes No *** A CHILD FROM AGE 0 UP TO AND INCLUDING GROUP 8 IS SEEN AS IMMUNE IF: - it had COVID-19 in the past six months. - it was fully vaccinated against corona longer than 14 days ago (from 12 years). - it had COVID-19 and after that was fully vaccinated minimally 14 days ago (from 12 years). Yes Yes Urgent advice: the child will stay at home and get tested after 5 days For more information please check www.rijksoverheid.nl/ onderwerpen/ coronavirus-covid-19/ nederland-inreizen The child will stay at home and get tested Yes With the help of this decision tree you will be able to determine whether a child should or should not stay at home. No Yes ** WHICH CONTACT CATEGORY? - Category 1 : members of the household - Category 2: other close contacts (having spent more than 15 minutes within 1.5 metres of a covid patient). Group and classmates of a single infected child do not need to be quarantined. The GGD determines whether quarantine is still necessary in specific situations. Are you unsure whether the child is a category 2 contact? Please call the GGD. - Category 3: other non-close contacts For a detailed specification please check lci.rivm.nl/Handreiking-contact-en-uitbraakonderzoek-kinderen HOW LONG SHOULD A CHILD STAY AT HOME? Always until the end of the quarantaine period set by the GGD. Tested? The child will stay at home until the test result is known. - In case of a positive test result (corona virus has been found) of the child or a household member, the instructions of the GGD should be followed. - When the child receives a negative test result (no corona virus) it may attend child care or school again, even if not all health complaints have disappeared yet. Unless the quarantaine period set by the GGD hasn't end yet. - If the child has been tested because it is a category 3** contact of someone who suffers from COVID-19, then the child does not need to stay at home while awaiting the test result, if it does not have any symptoms. Not tested? A child with symptoms, such as a cough, fever or tightness of the chest that has not been tested may go to childcare/school again if it has been without complaints for a minimum of 24 hours. Have the mild symptoms been present for longer than 7 days? In that case the child may attend again. If the child has been in contact with someone suffering from COVID-19, please follow the instructions of the GGD. This decision tree has been developed on the basis of the directives of the RIVM (National Institute for Public Health and the Environment). *Do these symptoms fit in with usual/familiar health problems, such as hay fever or asthma? In that case you may answer this question negatively. An immune child*** with symptoms will stay at home and get tested An immune child*** without symptoms may attend Was the child a group/classmate of someone with COVID-19 these last 10 days? No
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