{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:47:37Z","timestamp":1747172857736,"version":"3.40.5"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1935789320001378_as1\"><jats:title>Background:<\/jats:title><jats:p>Systematic monitoring of exanthema is largely absent from public health surveillance despite emerging diseases and threats of bioterrorism. Michigan Child Care Related Infections Surveillance Program (MCRISP) is the first online program in child care centers to report pediatric exanthema.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789320001378_as2\"><jats:title>Methods:<\/jats:title><jats:p>MCRISP aggregated daily counts of children sick, absent, or reported ill by parents. We extracted all MCRISP exanthema cases from October 1, 2014 through June 30, 2019. Cases were assessed with descriptive statistics and counts were used to construct epidemic curves.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789320001378_as3\"><jats:title>Results:<\/jats:title><jats:p>360 exanthema cases were reported from 12,233 illnesses over 4.5 seasons. Children ages 13-35 months had the highest rash occurrence (45%, n = 162), followed by 36-59 months (41.7%, n = 150), 0-12 months (12.5%, n = 45), and kindergarten (0.8%, n = 3). Centers reported rashes of hand-foot-mouth disease (50%, n = 180), nonspecific rash without fever (15.3%, n = 55), hives (8.1%, n = 29), fever with nonspecific rash (6.9%, n = 25), roseola (3.3%, n = 12), scabies (2.5%, n = 9), scarlet fever (2.5%, n = 9), impetigo (2.2%, n = 8), abscess (1.95, n = 7), viral exanthema without fever (1.7%, n = 6), varicella (1.7%, n = 6), pinworms (0.8%, n = 3), molluscum (0.6%, n = 2), cellulitis (0.6%, n = 2), ringworm (0.6%, n = 2), and shingles (0.2%, n = 1).<\/jats:p><\/jats:sec><jats:sec id=\"S1935789320001378_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Child care surveillance networks have the potential to act as sentinel public health tools for surveillance of pediatric exanthema outbreaks.<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2020.137","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T05:06:41Z","timestamp":1595308001000},"page":"80-85","source":"Crossref","is-referenced-by-count":2,"title":["Using the MCRISP Network for Surveillance of Pediatric Exanthema in Child Care Centers"],"prefix":"10.1017","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5318-5625","authenticated-orcid":false,"given":"Aditi","family":"Mahajan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"DeJonge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarang","family":"Modi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Chedid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily T.","family":"Martin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Bradin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew N.","family":"Hashikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"S1935789320001378_ref29","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwu303"},{"key":"S1935789320001378_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2018.07.015"},{"key":"S1935789320001378_ref21","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268816001011"},{"key":"S1935789320001378_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.153.3.275"},{"key":"S1935789320001378_ref3","article-title":"Derm and doom: the common rashes of chemical and biological terrorism","volume":"17","author":"Koenig","year":"2003","journal-title":"Critical Decisions in Emergency Medicince."},{"key":"S1935789320001378_ref24","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040247"},{"key":"S1935789320001378_ref10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3226"},{"key":"S1935789320001378_ref8","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2016.0124"},{"key":"S1935789320001378_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000000988"},{"key":"S1935789320001378_ref1","unstructured":"1. Measles Cases and Outbreaks. Centers for Disease Control and Prevention. 2019. https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html. Accessed July 15, 2019."},{"key":"S1935789320001378_ref18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1184"},{"key":"S1935789320001378_ref5","unstructured":"5. Rebmann, T. Infectious disease disasters: bioterrorism, emerging infections, and pandemics. APIC Text of Infection Control and Epidemiology Online. 2014. https:\/\/apic.org\/Resource_\/TinyMceFileManager\/Topic-specific\/47901_CH120_R1.pdf. Accessed June 13, 2019."},{"key":"S1935789320001378_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-12-259"},{"key":"S1935789320001378_ref30","unstructured":"30. CDC Public Health Surveillance Strategy Report: 2014-2018. Improving Public Health Surveillance. https:\/\/www.cdc.gov\/surveillance\/improving-surveillance\/index.html. 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