"Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all children in child care reflecting California's diversity; to recreate linkages and promote collaboration among health and safety and child care professionals; and to be guided by the most up-to-date knowledge of the best practices and concepts of health, wellness and safety. This issue contains these articles: (1) Pandemic Flu and Child Care Programs (Bobbie Rose); (2) Constipation in Young Children (Bobbie Rose); (3) What to Expect from a Preemie in the First Year (Vickie Leonard); (4) Dietary Fiber and Young Children (Bobbie Rose); (5) Safety and Effectiveness of Cough and Cold Medicine in Children (A. Rahman Zamani); (6) Nutrition and Activity for Young Children: Raising Physically Fit and Well Nourished Children (Bobbie Rose); (7) Children with Spina Bifida in Child Care Settings: Part II (Vickie Leonard); (8) Important Legal Settlement Involving Diabetes Care in California K-12 Public Schools (9) Ear Infections Can Affect Language Development (A. Rahman Zamani and Tahereh Garakan); and (10) Seasonal Flu Vaccine. A list of additional health and safety resources is included.