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Effects of Early Education and Child Care on
Health and Safety

Many parents have questions about the effects of early education and child care on their child's health and safety. Read more about the health risks and benefits of child care and:

Remember, quality is one of the most important factors in determining whether a child care program will be benefitial to your child. Read more about what a quality child care program should look like in this Parents' Guide to Choosing Safe and Healthy Child Care. Also available in Spanish.

Infection

Infectious diseases among children in out-of-home child care settings has drawn considerable attention from researchers and the media.

Research has shown that:

  • Children who regularly participate in groups of six or more have a higher incidence of infections compared with children in smaller groups.

  • Because of their close proximity and sharing of toys, food, and other objects, children in groups are prone to infectious disease outbreaks.

The good news:

  • More than 90% of infections in children who are in large groups are mild infections that are common in the larger community.

  • The effect of large group attendance on illness is most dramatic in the first year of birth and the first year of child care attendance. The effect decreases in the second, and disappears by the end of the third year of attendance, or by age three if children have been attending since infancy. This is thought to be caused by increased immunity of children who have attended child care.

  • Recent studies have shown that children who participated in child care were less likely to experience respiratory illnesses and asthma in the early school years than children who were not exposed to group care during early childhood.

  • Proven methods for decreasing illness in group settings are: hand washing, surface/toy sanitizing, and immunization.
    • Learn more about hand washing and cleanliness here.

Injuries

  • Children in center-based care have fewer injuries during the hours they are at the center than do children who receive care only at home. However, children who are enrolled in centers suffer more injuries during the hours they are at home than do children who are cared for only at home.
    • This observation may be due to the level of supervision during the hours that they are at home, or more risk-taking behavior by children who are making the transition from one environment to another.

  • Children in family child care homes have a higher incidence of injury while in the out-of-home setting than either children in child care or those cared for only in their own homes.

Aronson S, Shope T. Improving the Health and Safety of Children in Nonparental Early Education and Child Care. Pediatrics in Review. 2005;26:86-95