ABSCESSES See Boils ATHLETE S FOOT Direct or indirect contact with skin No restrictions for attendance. Dry scaling and/or cracking blisters lesions of infected persons, or Prohibit barefoot walking and itching especially between toes contaminated floors, shower stalls and bottoms of feet and other articles used by infected AIDS* Acquired Immunodeficiency Syndrome (HIV) BOILS A large pimple-like sore swollen, red, tender, may be crusted or draining CHICKEN POX Rash is blister-like COMMON COLD Runny nose and eyes, cough, sneezing, possible sore throat; fever uncommon DIARRHEAL DISEASES Loose, frequent stools; may be accompanied by vomiting, headache, abdominal cramping or fever FIFTH DISEASE Bright red cheeks, blotchy rash on extremities which fades and recurs, runny nose, loss of appetite, sore throat, gastrointestinal complaints, low-grade temperature, headache person Direct contact with infected body fluid Mainly direct contact Person to person by direct contact, droplets of airborne spread of secretions; indirectly through articles contaminated by secretions Direct oral contact, droplet spread. Indirectly by hands and articles contaminated by secretions Person-to-person contact, presumably by fecal contamination. May be spread by ingestion of fecally contaminated water or food Presumed airborne droplet for attendance or exclusion until 6 days after initial onset of rash Exclude only if illness interferes with student s school activities or meets criteria listed in General Information No restrictions for attendance unless meets criteria listed in General Information Not excludable once health care provider confirms diagnosis Prohibit barefoot walking, sharing towels, socks and shoes. Encourage use of thongs in shower. Routine disinfection of showers No cafeteria duty while lesions are present Notify immune-compromised persons of outbreaks Good handwashing by student and/or staff Wash hands frequently; avoid sharing eating/drinking utensils
HEAD LICE Direct contact with the infested Notify parents via checklist if Itching of scalp. Lice and/or nits person or indirectly by contact infestation is found; child can (small grayish-brown eggs) in the with contaminated personal articles be sent home at end of day hair with checklist/procedure and readmitted following day w/ proof of treatment and HEPTATITIS A* Usually abrupt onset with loss of Appetite, fever, nausea, fatigue, right upper abdominal discomfort, jaundice (yellow color to skin and eyes), dark urine, or clay-colored stools. May have mild or no symptoms HEPTATIS B* Onset usually not apparent, loss of appetite. Vague abdominal discomfort, nausea, vomiting. Often progresses to jaundice. May or may not have fever. Illness varies from mild to severe HERPES I (fever blisters, cold sores) Sores (blister-like) erupting around mouth. Usually recurrent in the same location IMPETIGO Blister-like sores (often around the mouth and nose), crusted, draining, irregular in outline and itching Person-to-person by fecal-oral route; contaminated water or food Direct contact through broken skin or mucous membrane with infected body fluid Usually direct contact with the saliva of infected persons (as in kissing) or to abraided skin (contact sports, notably wresting) Direct contact with a person who has a draining purulent (pus) lesion NO LIVE LICE to Return No restrictions for school attendance No restrictions for attendance. Avoid direct PE contact (e.g. wrestling, tackle football) while blisters present. If sores appear infected, see Impetigo to Return Check siblings for symptoms. Avoid sharing hats/combs. Contact school nurse when 3 or more cases in classroom or 3% of school population is infested within 10 consecutive days immediately for direction. No cafeteria duty without medical permission Thorough handwashing No cafeteria duty while lesions present. Avoid scratching/ touching lesions. Good handwashing
INFLUENZA (Flu) Direct contact through droplet Exclude only if illness Abrupt onset, fever, chills, spread, probably airborne interferes with student s headache, muscle aches, upper school activities/meets respiratory symptoms criteria in General Information MEASLES* (Rubeola, 10 Day Measles ) Fever, eye redness, runny nose, a harsh cough; 3-7 days later dusky red rash (starts at hairline and spreads down); white spots in mouth Droplet spread or direct contact with nasal or throat secretions of infected persons immediately for direction MENINGITIS Usually abrupt onset, fever chills, muscle aches, already ill, rash, headache, painful neck MONONUCLEOSIS Fever, sore throat, swollen lymph nodes, fatigue, abdominal pain, headache, personality changes MUMPS* Painful swelling of neck and facial glands, fever, possible abdominal pain PINK EYE Eyes tearing, irritated and red, eye lids puffy, may have purulent (pus) discharge and be sensitive to light PINWORMS Nervousness, hyperactive behavior, itching of anus (especially at night), worms in stool, abdominal pain Person to person through infected droplets of respiratory secretions Direct contact with saliva of infected person Droplet spread and by direct contact with saliva of an infected person Direct contact with the discharge of infected persons through contaminated fingers, clothing, shared makeup applicators Direct contact through transfer of eggs by hand from anus to mouth or indirect through clothing, bedding, food or other articles contaminated with eggs immediately for direction immediately Good hand washing. No sharing food
RINGWORM (Scalp) Gray, scaly patch of temporary baldness Direct skin to skin or indirect from infected articles, clothing, furniture RINGWORM (Skin) Spreading, ring-shaped, flat red sores that itch/burn Direct contact with sores (on people or pets, indirect with contaminated surfaces once treatment has begun and lesions are covered Refer to school nurse immediately for direction RUBELLA* (German Measles) Mild fever, swollen nodes at back of head, along neck, behind ears; may have mild upper respiratory infection, eye redness, headache, lethargy and a pinkish rash that starts at face and spreads rapidly to trunk and limbs and fades in 3 days Droplet spread of nasopharyngeal or direct contact with cases immediately SCABIES Caused by a small mite that burrows under the skin, leaving small dark or red lines/sores. Common between fingers, behind knees, around waist, inside of wrists, on arms, severe itching Direct contact with an infected person; indirectly by contact with contaminated personal articles Direct contact with a person who has a draining purulent (pus) lesion Check siblings for symptoms. Avoid sharing hats/combs.household cleaning. Contact school nurse when 3 or more cases in classroom or 3% of school population is infested within 10 consecutive school days
STREP THROAT (Scarlet Fever) Strep Throat Blister-like sores (often around the mouth and nose), crusted, draining, irregular in outline and itching Scarlet Fever Blister-like sores (often around the mouth and nose), crusted, draining, irregular in outline and itching Direct or intimate contact student or carrier, rarely by indirect contact through objects or hands TUBERCULOSIS* Abrupt onset, fever, chills, headache, muscle aches, upper respiratory symptoms Airborne spread through exposure or droplets from sputum of persons sick with pulmonary disease immediately for direction WHOOPING COUGH* (Rubeola, 10 Day Measles ) Fever, eye redness, runny nose, a very harsh cough; 3-7 days later dusky red rash (starts at hairline and spreads down); white spots in mouth Direct contact with discharges from respiratory mucus membranes of infected persons by airborne route, probably by droplets immediately for direction