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Infectious Diseases in Child Care and School Settings

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Infectious Diseases in Child Care and School Settings Infectious Diseases In Child Care and School Settings Guidelines for Child Care Providers and Health Consultants, School Nurses and Other Personnel Colorado Department of Public Health and Environment Communicable Disease Branch 4300 Cherry Creed Drive South Denver, Colorado 80246 P: 303-692-2700 | F: 303-782-0338 July 2019 Infectious Disease in Child Care and School Settings | 1 Acknowledgements These guidelines were compiled by the Communicable Disease Branch at the Colorado Department of Public Health and Environment. We would like to thank many subject matter experts at CDPHE for reviewing the document for content and accuracy. We would also like to acknowledge Donna Hite; Kate Lujan; Jillian Jaskunas; Theresa Rapstine; Deborah Monaghan; and Margaret Comstock for their comments and assistance in reviewing these guidelines. Special thanks to Heather Dryden, Administrative Assistant in the Communicable Disease Branch, for expert formatting assistance that makes this document readable. Revisions / Updates Date Description of Changes Pages/Sections Affected 2012 Major revision to content and format; combine previous separate Throughout guidance documents for child care and schools into one document Dec 2014 Updated web links due to CDPHE website change; updated several Throughout formatting issues; added hyperlinks to table of contents; no content changes May 2015 Added updated FERPA letter from the CO Dept. of Education; added Introduction links to additional info to the animal contact section in the introduction; added new bleach concentration disinfection guidance Oct 2015 Corrected reporting information for aseptic meningitis Aseptic Meningitis Jan 2016 Added information on animals in child care centers; updated bleach Introduction, various recommendations and EPA cleaners link; ensured that these guidelines sections are consistent with the new child care center regulations; updated reportable disease list; guidance on Clostridium difficile July 2019 Update content throughout; add guidance for parents/caregivers; add Throughout sections for tick borne illness and tularemia These guidelines are not a substitute for the School and Child Care Facility Health and Sanitation Regulations Child Care Regulations: https://www.colorado.gov/pacific/cdphe/child-care School Regulations: https://www.colorado.gov/pacific/cdphe/schools July 2019 Infectious Disease in Child Care and School Settings | 2 Table of Contents (alphabetically by disease name) Diseases in bold are conditions reportable to public health in Colorado. Any outbreak, regardless of etiology or setting, is reportable to public health. Diseases with an asterisk (*) are vaccine preventable diseases. Acknowledgements ......................................................................................................................... 2 Table of Contents (alphabetically by disease name) .................................................................................. 3 Diseases Grouped by Type of Spread .................................................................................................... 5 Introduction .................................................................................................................................. 7 Infectious Disease in Child Care and School Settings ............................................................................... 7 Public Health Reporting Requirements, Case Investigation, and Outbreak Investigation .................................... 7 Schools, Public Health Reporting, and FERPA ....................................................................................... 8 Communicable Reportable Conditions ................................................................................................... 9 Memo: Communicable Disease and Conditions Reportable by School Personnel ................................................ 11 Informing Parents/Guardians of Illness in the Facility ............................................................................ 14 Exclusion Guidelines for Children and Staff ......................................................................................... 14 Considerations for Developmentally Disabled or Immunocompromised Children ............................................. 15 Illness Transmission ..................................................................................................................... 15 Appropriate Antibiotic Use ............................................................................................................ 16 Disease Prevention: Hand Hygiene ................................................................................................... 17 Disease Prevention: Immunizations/Vaccines ...................................................................................... 18 Disease Prevention: Covering Coughs ................................................................................................ 18 Disease Prevention: Food Safety ...................................................................................................... 18 Disease Prevention: The Facility Environment ..................................................................................... 19 Animal Bites/Rabies ....................................................................................................................... 25 Bacterial Meningitis ........................................................................................................................ 27 Bedbugs ...................................................................................................................................... 29 Campylobacter ............................................................................................................................. 31 Chickenpox (Varicella) and Shingles (Herpes Zoster) ................................................................................ 33 Chlamydia ................................................................................................................................... 35 Clostridiodes Difficile (C. Difficile) ..................................................................................................... 36 Cytomegalovirus (CMV).................................................................................................................... 39 Common Cold ............................................................................................................................... 40 Croup ........................................................................................................................................ 42 Cryptosporidiosis ........................................................................................................................... 43 E. Coli O157 & Other Shiga Toxin-Producing Bacteria ............................................................................... 45 Fifth Disease (Human Parvovirus B19) .................................................................................................. 47 Genital Herpes (Herpes Simplex Virus (HSV)) ......................................................................................... 49 Genital Warts (Human Papillomavirus (HPV)) ......................................................................................... 50 Giardia ....................................................................................................................................... 51 Gonorrhea ................................................................................................................................... 53 Hand, Foot and Mouth Disease (HFM) ................................................................................................... 54 Head Lice (Pediculosis) ................................................................................................................... 56 Hepatitis A .................................................................................................................................. 58 Hepatitis B .................................................................................................................................. 60 Hepatitis C .................................................................................................................................. 62 Herpes (Cold Sores, Fever Blisters) ..................................................................................................... 63 HIV and AIDS ................................................................................................................................ 64 Impetigo ..................................................................................................................................... 65 July 2019 Infectious Disease in Child Care and School Settings | 3 Influenza .................................................................................................................................... 67 Measles ...................................................................................................................................... 69 Molluscum Contagiosum ................................................................................................................... 71 Mononucleosis .............................................................................................................................. 72 Methicillin-Resistant Staphylococcus Aureus (MRSA) & Staphylococcus Aureus .................................................
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