Wasatch School District Guidelines for Student Exclusion and Readmission

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Frederick O’Connor’
5 years ago
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1 Wasatch School District Guidelines for Student Exclusion and Readmission Condition Chicken pox (Varicella) Colds, Sore Throat, or a Persistent Cough Cytomegalovirus (CMV) Diarrhea (An increased number of loose, watery stools compared with the child s normal pattern). Fifths Disease (Parvovirus) Food Poisoning Gastroenteritis (Giardiasis, Shigellosis, Campylobactor) Hand, Foot and Mouth Disease Head Lice Hepatitis A Exclusion/Non-Exclusion Criteria infected child until all lesions are scabbed over. *Report to School Nurse unwell or has a fever and/or child is unable to participate in routine school activities due to condition. * Encourage student to cover cough and practice hand hygiene. Exclusion not required. if not consistent with child s normal pattern. * Emphasize the need for students to practice hand hygiene. unwell or has a fever. Once the child has a rash, they are no longer contagious. *Pregnant women exposed to infected child should contact their physician. unwell, has diarrhea, or has a fever and/or child is unable to participate in routine school activities due to condition. and practice hand hygiene. and emphasize the need for students to practice hand hygiene. unwell, is unable to control their saliva or has a fever. Only exclude children with untreated live lice. Readmission Criteria Student may return to school when lesions are scabbed over, usually 5-6 days after the start of the rash. any fever-reducing medications & symptoms do not interfere with routine school activities. Symptom free for 24 hours or once a doctor has cleared to return to school. May be readmitted once diarrhea has resolved. After the first proper treatment. 8 days after onset of jaundice.

2 Hepatitis B HIV Impetigo Influenza (Flu) Types A and B Marked Drowsiness/Malaise Measles Meningitis Mononucleosis (Epstein-Barr virus) MRSA Methicillin Resistant Staphylococcus Aureus Mumps Pertussis (Whooping Cough) if case of Hepatitis B is acute. Exclusion not required unless child has weeping skin lesions that cannot be covered. if sore is oozing and cannot be covered. No Exclusion if sore can be covered or is dry & shows signs of healing. unwell or has a fever and/or child is unable to participate in routine school activities due to condition. * Unless recommended by public health officials. if child is unable to actively participate in routine school activities. * unvaccinated children until cleared by the Health Department * Pregnant women exposed to infected child should contact their physician. if child is unable to actively participate in routine school activities. if wound cannot be covered or wound drainage cannot be contained with a clean, dry bandage taped on all four sides. No Exclusion if wound can be covered or is dry and show signs of healing. *Children with lesions on uncovered skin, or lesions that are draining or oozing, even if covered, may not participate in close contact sports. * unvaccinated children until cleared by the Health Department * unvaccinated children as directed by Health Department. May be readmitted after symptoms resolve. Oozing wound is covered and wound drainage can be contained with a clean, dry bandage taped on all four sides. 24 hours after antibiotic treatment is started or oozing sore covered. any fever-reducing medications 7 days after onset of the rash and cleared by the Health Department. Student must be cleared by Health Care Provider. 24 hours after effective antimicrobial treatment is started or oozing wound is covered and wound drainage can be contained with a clean, dry bandage taped on all four sides. 9 days after onset of parotid gland swelling and cleared by the Health Department. 5 days after appropriate antibiotic treatment or 21 days after the onset of symptoms.

3 Pink Eye Conjunctivitis Purulent Conjuctivitis : Purulent Conjunctivitis defined as pink or red eye with white or yellow eye discharge, often with matted eyelids after sleep and eye pain or redness of the eyelids or skin surrounding the eye. 24 hours after treatment is started or until cleared by a physician to return to school. Non-Purulent Conjunctivitis Non-Exclusion: Non-purulent Conjunctivitis defined as pink eye with a clear, watery eye discharge without fever, eye pain or eyelid redness. Does not require exclusion. Pinworms Rash with a fever Respiratory Syncytial Virus (RSV) Ringworm Rubella (German Measles) Scabies *Child should be reminded to avoid touching eyes and to wash hands often. No exclusion required. following the temperature/fever guidelines below. Exclusion not required *Unless in respiratory distress or meets other criteria for exclusion. at end of school day. While at school, rash needs to be covered. * unvaccinated students until cleared by Health Department * Pregnant women exposed to the infected child should contact their Physician. until seen by a Health Care Provider and treatment initiated. When a health care professional has determined that the illness is not a communicable disease. Once treatment is started. Usually an anti-fungal cream. 7 days after the rash appears and cleared by Health Department Once treatment is started. Usually an anti-fungal cream. Shingles if rash cannot be covered. When all lesions have scabbed over. Sores (Any lesion in a weeping stage) Strep Throat and Scarlet Fever Temperature/Fever Thrush No exclusion needed if covered and/or diagnosed as non-infectious until seen by a Health Care Provider and treatment initiated. under following temperature/fever conditions: 100 fever or > axillary (armpit) 101 fever or > orally (mouth) 102 fever or > tympanic (ear) No exclusion required When lesion can be covered and/or diagnosed as non-infectious. 24 hours after antibiotic treatment is started.

4 Tuberculosis Vomiting/Severe Abdominal Pain Warts (Human Papilloma Virus) if active case of TB. at first symptoms * Severe abdominal pain should be evaluated by a healthcare provider ASAP Exclusion not required After 2-4 weeks of proper treatment and cleared by Health Department. Exclusions of Students Who Are Under Exemption and Conditionally Enrolled Status Students who have claimed an exemption to all vaccines or to one vaccine or who is conditionally enrolled from school attendance if there is good cause to believe that the student has a vaccine preventable disease and: has been exposed to a vaccine preventable disease; or will be exposed to a vaccine preventable disease as a result of school attendance. An excluded student may not attend school until the local health officer is satisfied that a student is no longer at risk of contracting or transmitting a vaccine preventable disease. Reportable Diseases, Emergency Illnesses, and Health Conditions Report to School Nurse or local health official any unusual or increased occurrence of any illness that may indicate an outbreak, epidemic, or bioterrorism event. Reportable emergency illnesses or health conditions of public concern include the following: Respiratory illness (upper and lower respiratory tract infections, difficulty breathing and Adult Respiratory Distress Syndrome). Gastrointestinal illness (vomiting, diarrhea, abdominal pain) Influenza-like symptoms Neurologic symptoms (meningitis, encephalitis, or unexplained acute encephalopathy or delirium) Rash illness Hemorrhagic illness Botulism-like syndrome Lymphadenitis Sepsis or unexplained shock Febrile illness Nontraumatic coma or sudden death *Refer to R for additional Reportable Diseases, Emergency Illnesses, and Health Conditions.

5 Revised May 2011

SPECIFIC DISEASE EXCLUSION GUIDELINES FOR CHILDCARE

SPECIFIC DISEASE EXCLUSION GUIDELINES FOR CHILDCARE See individual fact sheets for exclusion and other information on the diseases listed below. Bed Bugs Acute Bronchitis (Chest Cold)/Bronchiolitis Campylobacteriosis Until fever is gone (without the use