School absenteeism is an inefficient and unspecific metric for measuring community illness and does not provide surveillance during summertime. Web-based biosurveillance of childcare centers may represent a novel way to efficiently monitor illness outbreaks year-round. A web-based biosurveillance program ( sickchildcare.org ) was created and implemented in 4 childcare centers in a single Michigan county. Childcare providers were trained to report sick children who required exclusion or had parent-reported absences due to illness. Deidentified data on age range, number of illnesses, and illness categories were collected. Weekly electronic reports were sent to the county public health department. Data for reports were gathered beginning in December 2013 and were summarized using descriptive statistics. A total of 385 individual episodes of illness occurred during the study period. Children with reported illness were infants (16%, n = 61), toddlers (38%, n = 148), and preschoolers (46%, n = 176). Illness categories included: fever (30%, n = 116), gastroenteritis (30%, n = 115), influenzalike illness (8%, n = 32), cold without fever (13%, n = 51), rash (7%, n = 26), conjunctivitis (1%, n = 3), ear infection (1%, n = 5), and other (10%, n = 37). The majority of reports were center exclusions (55%, n = 214); others were absences (45%, n = 171). The detection of a gastroenteritis outbreak by web-based surveillance during winter 2013-14 preceded county health reports by 3 weeks; an additional outbreak of hand-foot-mouth disease was detected during June 2014 when standard school-based surveillance was not available. Web-based biosurveillance of illness in childcare centers represents a novel and feasible method to detect disease trends earlier and year-round compared to standard school-based disease surveillance.
While summer camps provide children a unique experience away from home, this environment may lead to increased and unsupervised use of digital media. Camps’ policies and leaderships’ views on digital media consumption in camps are currently unknown. To elucidate current trends, we partnered with CampDoc.com to survey a national sample of camp leadership about digital media policies and practices. A single response was selected from each camp and analyzed using descriptive statistics. Free text responses reflecting on positive and negative experiences with digital media were assessed using thematic analysis. We received 722 responses from 363 of the 950 camps within the Camp Doc network. Respondents represented camps in 45 states in the United States. Internet and cell service were available in 22.3% and 34.7% of camps, respectively. Approximately 60% of camps reported a digital media policy for campers and staff. Most policies (67.9%) did not allow use of digital media devices. Camp leadership reported that smartphones (51.3%) and social media apps (42.2%) were most difficult to restrict. Qualitative themes focused on the benefits of digital media for creativity and connection, but also the interruption of camp experiences. Camp personnel described positive media uses aligned with American Academy of Pediatrics media guidelines, for teaching creativity, acquiring new skills, and understanding the value of unplugging for creating social connections. Although most camps have policies restricting digital media use, complete restriction may be difficult.
Summer camps have a unique supervisory environment that may lead to increased head injury risk for children. The epidemiology of head injuries in camps is unclear. We partnered with CampDoc.com to review head injury reports from camp nurses in 2016 from 197 camps in 36 states. A total of 4290 (92%) reports were coded as definite head injuries, 47% (n = 2002) in female campers, with median camper age of 10 years. Head injury severity was coded as mild (94%, n = 4040), moderate (6%, n = 248), or severe (<1%, n = 2). Only 3% (n = 134) were medically evaluated, and 29% (n = 1221) were sports-related. Head injuries were categorized as definite (3%, n = 137) and probable (13%, n = 572) concussions, with 39% (n = 277) being sports-related and 61% (n = 83) of definite concussions incurred by female campers. Summer camps, while an important location of head injury risk, appear to be a safe environment for youth.
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