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Exclusion Information District 158 Health Services

Illness Description Symptoms Prevention School Attendance Bacterial Inflammation of the Sudden onset of high Proper hand washing MD note required for return. Students are membranes that cover fever, intense and proper disposal excluded until bacteria are no longer the and spinal headache, nausea, of soiled articles. present in their nose and mouth secretions. cord vomiting, stiff neck, and confusion. Chicken Pox Highly contagious Irritability and lack of Proper hand washing Students are excluded until 5 days after disease caused a . appetite followed by and not sharing the appearance of the rash (or until Causes fluid filled rash that forms eating or drinking blisters have scabbed over). vesicles on the skin. blisters. utensils. Conjunctivitis Inflammation of the Red eyes with watery Proper hand washing Students are excluded until 24 hours after layer that covers the or mucous discharge and not sharing beginning physician-prescribed eye. from the eyes, itching clothing, towels, . and burning. make-up or eye medication. Fifth’s Disease A mild, contagious viral Mild fever, fatigue, Proper hand No restrictions. with potential headache with a bright washing, avoid risk to fetuses. red rash (“slapped sharing of eating cheek appearance”) utensils. Flu/Cold Very contagious group Fever, sore throat, Proper hand Students are excluded until fever free for of illnesses caused by cough, washing. 24 hours, and/or free of diarrhea and . vomiting/diarrhea, vomiting for 24 hours. runny nose Giardiasis An intestinal infection Chronic diarrhea, Proper hand washing Students are excluded until 24 hours after caused by the Giardia abdominal cramping, after using bathroom being free from diarrhea. organism. frequent loose and pale and before eating. stool. Hand, Foot and A virus caused by the Sore throat, low grade Proper hand Students are excluded until 24 hours after Mouth Disease coxsackie virus. fever, with small washing. fever free. blisters inside mouth, fingers, hands and feet.

Head Lice A form of insect that Intense itching of Advise children not Students are excluded until all evidence of lives on the human head, finding of eggs to share hats, combs, lice and/or nits are removed. District 158 head. or live lice on hair hair ribbons, or has a “No-Nit” policy. shafts. pillows. A Inflammation of the Abdominal pain, Proper hand Students are excluded until a medical liver caused by a virus fatigue, diarrhea, washing. certificate from a physician indicates or certain other factors. vomiting, white- clearance for school. colored stool. Inflammation of the Fever, headache, Hepatitis B Students are excluded until a medical liver caused by viruses muscle aches, fatigue, . certificate from a physician indicates or other factors. dark-colored stool. clearance for school. Hepatitis Inflammation of the Headache, muscle Teach children to Students are excluded until a medical liver caused by viruses aches, vomiting, avoid contact with certificate from a physician indicates or other factors. diarrhea and human blood. clearance for school. clay-colored stool. A viral illness that Sudden high fevers, Proper hand Students are excluded until fever-free for 24 harbors in the intestinal tiny vesicles on washing after using hours and feel well enough to participate in tract. tonsils, may have bathroom and before daily school activities. vomiting and eating. abdominal pain. Impetigo A skin infection caused Small grape-like Proper hand Student excluded until antibiotic has been by bacteria. cluster of tiny blisters. washing. used for 24-48 hours. A yellow or brown crust forms when blisters break. A respiratory illness Rash, high fever, Measles Student excluded until at least 4 days caused by a virus. Also cough, runny nose and vaccination. following onset of rash and medical called “10-day” or watery eyes. Rash certificate from physician. ALL “red” measles. spreads to cover body. UN-IMMUNIZED CONTACTS ARE EXCLUDED UNTIL 21 DAYS AFTER LAST CASE. Mononucleosis An infection caused by Fever, inflamed throat Proper hand Student excluded until feeling well enough the Epstein-Barr virus. and tonsils, tiredness, washing, discourage to participate in daily school activities. swollen lymph nodes sharing of Written note from physician excusing from in neck. eating/drinking P.E. required. utensils. A that Fever, headache, Mumps vaccination. Student excluded for 9 days following the affects the salivary parotid glands onset of swelling along with medical Mumps glands. become swollen and certificate. UN-IMMUNIZED STUDENTS painful. WILL BE EXCLUDED ON THE 12TH-25TH DAY AFTER EXPOSURE. Pertussis A bacterial illness, also Runny nose, Pertussis Student excluded until 5 days after known as “Whooping low-grade fever, mild vaccination. beginning the physician prescribed Cough”. cough that persists antibiotic therapy. into bursts of coughing attacks with a high pitched whoop sound. Pink Eye Inflammation of the Red eyes, watery or Proper hand Students are excluded until 24 hours after clear membrane of the mucous discharge washing. beginning physician-prescribed medication. eye. from eyes, itching and burning. Pinworms An intestinal infection Intense anal itching, Proper hand washing Student excluded until treatment prescribed caused by a tiny worm. especially at night. after using the toilet by a physician has started. Students may and before eating. attend school while undergoing treatment. Ringworm A fungal infection of Round or irregular Proper hand Student excluded from school if ALL lesions the skin, scalp and shaped raised areas washing. Advise cannot be covered or kept covered during fingernails. on skin that become children not to share school day. If lesions cannot be covered, flaky. personal items, such student excluded until treatment (from MD) as clothes and makes lesions start to shrink. towels. A viral illness, also Acute onset of rash Rubella vaccination Student excluded until medical certificate called “German (small, fine pink (part of MMR from physician indicates they are able to be Measles” spots) that start on ) in school. UN-IMMUNIZED CONTACTS face and spread to EXCLUDED UNTIL 2 WEEKS AFTER torso. ONSET OF RASH OF LAST CASE. Salmonella Bacteria that causes Sudden onset of Proper handwashing Student excluded until being fever and food poisoning. headache, abdominal after toileting and diarrhea-free for 24 hours. pain, fever, diarrhea before eating. Wash and nausea. all raw fruits and vegetables.

Scabies A disease cause by a Intense itching and red Proper hand Student excluded 24 hours after the first tiny mite that lives just rash. washing. Advise treatment. below the surface of children not to share the skin. or exchange clothing. Scarlet Fever A bacterial strep Fine, pink rash found Proper hand Student excluded until they have been on infection with a rash. on neck, check, groin washing. physician prescribed antibiotic for at least and thighs. Fever, sore 24 hours. throat and swollen painful tonsils. Skin rash caused by the Burning/tingling of None Student excluded if cannot keep rash Chicken Pox virus. skin with fluid-filled completely covered. blisters. Very painful. Strep Throat A bacterial infection. Fever, headache, sore Proper hand Student excluded until they have been on throat with swollen, washing. physician prescribed antibiotics for at least red and painful tonsils. 24 hours. Tuberculosis A contagious illness Weak, weight loss, TB tests. Students are excluded until a medical that affects the lungs. fever and night sweats. certificate from a physician indicates Can cause coughing clearance for school (usually 2 weeks after which can cause blood. being on medication). Viral infection of the Sudden onset of fever, Proper hand Student excluded until they are no longer tissue that covers the headache, stiff neck, washing after symptomatic (no sneezing, coughing, or brain and spinal cord. confusion and toileting, and before runny nose). Student should not return sensitivity to light. preparing food or until feeling healthy to return to a full day eating. of activities.