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education and availability of appropriate content in the coursework provide by these institutions of higher education. Health departments generally have or should develop the expertise to provide leadership and technical assistance to licensing authorities, caregivers/teachers, parents/guardians, and primary care providers in the development of licensing requirements and guidelines for the management of children who are ill. The heavy reliance on the expertise of local and state health departments in the establishment of facilities to care for children who are ill has fostered a partnership in many states among health departments, licensing authorities, caregivers/teachers, and parents/guardians for the adequate care of children who are ill in child care settings (16-18). State and local health departments are legally required to control certain infectious diseases within their jurisdictions . All states have laws that grant extraordinary powers to public health departments during outbreaks of infectious diseases . Since infectious disease is likely to occur in child care settings, a plan for the control of infectious

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