This started as a reply to the comment for a post earlier today, but became quite long, so I thought I’d post it on the front page…
I think there are a number of issues to consider. The first is the issue of public health. Certainly, none of us can afford either economically or socially, to be “the boy in the bubble”. Colds & illness are facts of life. Schools might be much less infectious environments if all sick children stayed home during the time of being infectious, but a direct quote from emedicine.com shows that it’s just not practical to be out of school for a month at a time for each cold:
The second issue is one of practicing good medicine. It is not good medicine to prescribe antibiotics for viral infections, which are the majority of febrile illnesses particularly for school aged children.
The policies of the school put issues 1 & 2 in opposition with one another by encouraging parents to pressure physicians for treatment so that their kids can go back to school, and the parents can go back to work.
In the meantime, the best way to prevent the spread of colds and flu (and smallpox for that matter) is to practice not only good handwashing, but TEACHING KIDS TO COVER THEIR NOSES AND MOUTHS when they sneeze and cough. I had a nine year old girl coughing and hacking on me today making no effort at all to cover her mouth and her mom not seeming to care or even notice, while on the other hand I see well taught 18 and 24 month old kids doing by habit.
In the real world, people need to balance personal needs and staying healthy with the need to attend work and school. I am still going to practice good, scientific medicine regardless. Asking me to prescribe antibiotics because Johnny is missing out on his education will neither reduce the impact nor duration of his viral shedding.