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Edmond Public Schools Disease and Illness Health Guidelines

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Edmond Public Schools Disease and Illness Health Guidelines Edmond Public Schools Disease and Illness Health Guidelines Revised March 2017 EDMOND PUBLIC SCHOOLS DISEASE AND ILLNESS HEALTH GUIDELINES METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL Blood and body fluids, • Unexplained fevers. sexual intercourse, sharing AIDS • Fatigue. needles. Practice Standard • Enlarged lymph nodes. Universal Precautions. (ACQUIRED IMMUNE Not spread through typical Individual case consideration. • DEFICIENCY SYNDROME) Swollen salivary glands. classroom activities, such as Wear gloves when • Frequent infections, including contact with surfaces handling any body fluids. diarrhea, thrush, pneumonia. touched by infected individuals. NOT spread from person to • Itchy bites, often in a straight line, person. on areas that are exposed during Provide enough space the night. During the daytime bedbugs between each child’s BEDBUGS • Bites often have red dot in the do not remain on the NO EXCLUSION. belongings so they do not middle of raised red bump. affected person. touch. • Difficult to distinguish from other May hide in belongings. insect bites. Crawl at speed of ladybug. • Small raised lesion at the site of the scratch. Protect from cat scratches • Low grade fever, headache, muscle Scratch or bite of an and bites. CAT SCRATCH FEVER soreness, poor appetite, fatigue. NO EXCLUSION. infected cat. • Within 2 weeks enlarged, painful Avoid contact of open lymph node in the area of bite or wounds with cat saliva. scratch. • Slight fever, runny nose, cough. Readily communicable by If high fever or severe EXCLUDE 5 DAYS FROM • Skin eruption of small blisters CHICKEN POX airborne droplet, direct illness, consult a physician. APPEARANCE OF BLISTERS which scab. contact, or by articles OR UNTIL ALL LESIONS ARE • May be in stages of pimple, blister, All eligible individuals (VARICELLA) freshly soiled by discharge CRUSTED OVER OR DRY and scab at the same time. should receive the vaccine from chickenpox blisters. (SCAB). • Child does not feel well. series. 1 METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL Good hand washing is the best way to prevent Symptoms occur 3-12 infection. weeks after infection. Virus Wear disposable gloves NO EXCLUSION FROM WORK CMV • Most people with CMV do not may remain in the body when handling body fluids. OR SCHOOL, IF become ill. throughout a person’s life TEMPERATURE HAS BEEN Pregnant women should o (CYTOMEGALOVIRUS) • Fever, sore throat, swollen glands, without symptoms. LESS THAN 100 F FOR 24 wash hands after handling and tiredness may be present. HOURS WITHOUT FEVER- Virus may be found in urine wet diapers or contact with REDUCING MEDICATIONS. or saliva of infected persons saliva or urine. They with or without symptoms. should notify their personal physician about CMV infection. • Runny or stuffy nose. • Sneezing. • Irritated throat. If high fever or severe • Cough. Close person-to-person symptoms, consult a EXCLUDE IF TEMPERATURE COMMON COLD • Watery eyes. contact, respiratory droplets, physician. 100o F OR ABOVE. • Fever. direct contact. • Chills. Good hand washing. • Headache. • Earache. EXCLUDE UNTIL NO • Frequent loose, watery stools. GOOD PERSONAL Varies with causative agent DIARRHEA AND/OR FEVER DIARRHEA • Abdominal pain and/or cramping. HYGIENE AND HAND or disease. FOR 24 HOURS WITHOUT • Fever. WASHING. MEDICATION. EXCLUDE IF ORAL TEMPERATURE IS 100o F OR ABOVE. Temperature below 100o F, CHILD MAY RETURN TO FEVER • Oral temperature 100o F or above. Varies with cause of fever. children may stay in SCHOOL WHEN HE/SHE HAS school. BEEN FEVER FREE FOR 24 HOURS WITHOUT MEDICATION. 2 METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL • Fever. • Fatigue. • Irritability. FEVER BLISTER Direct contact with • Tender, swollen lymph nodes. contaminated saliva and Good hand washing. NO EXCLUSION. • (HERPES SIMPLEX I VIRUS) Blisters on or inside the mouth and open sores. on the gums and lips. • Blisters weep clear fluid, bleed and are slow to scab over. • Fever. Contagious a week before • Headache. FIFTH DISEASE the rash appears. NO • Tired, muscle aches. Person to person through LONGER CONTAGIOUS • (ERYTHEMA Red "slapped cheek" appearance. body fluids such as saliva or ONCE RASH APPEARS. ONLY EXCLUDE FOR FEVER INFECTIOSUM) • Lace-like rash which spreads to the sputum. o 100 F OR ABOVE, COUGH OR rest of the body. The rash comes Pregnant employees SORE THROAT. and goes with environmental Direct contact with airborne (SLAPPED CHEEK) droplets. should check with their changes. Sunlight or warmth can physician when an make rash worse for weeks or even outbreak occurs at school. months. • Sudden onset of symptoms. • Fever. • Chills. • Headache. FLU Same as the common cold. • Extreme tiredness. Same as the common cold. • Muscle or body aches. Person to person by direct EXCLUDE UNTIL FEVER (INFLUENZA) • Sore throat. contact, airborne droplet, or Vaccination recommended FREE FOR 24 HOURS • Nasal congestion. by contact with articles for most individuals over 6 WITHOUT MEDICATION. (RESPIRATORY contaminated by months of age. INFLUENZA) • Cough. • Croup/bronchiolitis/pneumonia. nasopharyngeal secretions. • Mild pink eye. • Abdominal pain. • Nausea, vomiting, and/or diarrhea. HAND, FOOT & MOUTH • Fever. DISEASE • Small sores or blisters in mouth, on Spread by secretions in the Practice good hand NO EXCLUSION. hands, and feet. throat or feces (stool). washing. (COXSACKIE VIRUS) • Looks like chicken pox at first. 3 METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL Consult physician. Most contagious 1-2 weeks before onset of symptoms; risk of transmission is minimal 1 week after onset • Fever. of jaundice. • Loss of appetite. HEPATITIS A Person to person usually by • Nausea and/or vomiting. GOOD PERSONAL fecal-oral route. PHYSICIAN’S RELEASE • Abdominal discomfort. HYGIENE AND HAND (HAV) NECESSARY FOR RETURN TO • Tiredness. Direct contact, diaper WASHING BEFORE SCHOOL. • Dark brown urine. changing, or food prepared AND AFTER USING (INFECTIOUS HEPATITIS) by infected food handlers. • Jaundice (yellowing of the skin THE RESTROOM. and white of eyes). Immunization is the most effective method for prevention. Report to Health Department. • Jaundice. Contamination from blood Consult physician. • Nausea/vomiting. or body fluids of an infected HEPATITIS B • Muscle aches. person. Immunization is the most • Anorexia (loss of appetite). effective method for (HBV) Sexual intercourse with an NO EXCLUSION. • Fatigue. prevention. infected person. • Joint pain. (SERUM HEPATITIS) Report to Health • Often by contaminated Rash. Department. • Fever. needles and syringes. EXCLUDE UNTIL UNDER • Blister like sores that develop Contagious until treated MEDICAL TREATMENT FOR into yellow crusting skin lesions. Direct or indirect contact with antibiotics for over 24 24 HOURS. PHYSICIAN’S IMPETIGO • Usually around the mouth, with lesions. hours or all lesions are RELEASE NECESSARY FOR nostrils, hands, elbows, and gone. RETURN TO SCHOOL. knees. LESIONS MUST BE COVERED. 4 METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL EXCLUDE UNTIL TREATED WITH A PEDICULOCIDE SHAMPOO AND LICE DECLARED TO BE FREE FOR READMISSION TO OF LICE BY A HEALTH SCHOOL, THE STUDENT (PEDICULOSIS) PROFESSIONAL* OR AUTHORIZED MUST PRESENT A SIGNED An Edmond Public Schools • Adult lice found in hair. REPRESENTATIVE OF STATEMENT FROM A Direct contact with infected Nurse* will be available to verify • Nits (eggs) closer than 1 cm. to THE STATE HEALTH PROFESSIONAL* OR individuals (touching head absence of lice and issue the the scalp. DEPARTMENT OF AUTHORIZED to head) or indirectly by required signed statement for re- • HEALTH. REPRESENTATIVE OF THE Can affect scalp, body, pubic contact with infected admission to school at the areas. RETREATMENT STATE DEPARTMENT OF articles of clothing, RECOMMENDED IN 7-10 following time and location: • Intense itching, irritation, headgear, furniture, or DAYS FOR MOST HEALTH DECLARING THE secondary infections may occur bedding. SHAMPOOS TO STUDENT TO BE FREE OF *Special Services Center with scratching. PREVENT LICE. th 53 E 12 Street REINFESTATION. Edmond, OK 73034 Louse life cycle is about 1 *See availability of Edmond Public Every School Day month. Incubation period Schools Nurse in column one. 7:30A to 8:30A of louse eggs is 6-10 days. Lice mature in 2 weeks. Head lice are a nuisance, not a health hazard. Consult physician BACTERIAL: Person to immediately. • Abrupt onset of fever. person through droplets of • Blood red rash. respiratory secretions. This Can develop over several • Intense headache. hours or take 1-2 days. can occur through coughing, • Nausea and/or vomiting. kissing, and sneezing. Immunization is the most EXCLUDE IMMEDIATELY. • Loss of appetite. MENINGITIS effective method for • Sometimes a stiff neck. VIRAL: Direct contact prevention. PHYSICIAN’S RELEASE • Irritability/behavioral changes. with an infected person’s (BACTERIAL AND VIRAL) NECESSARY FOR RETURN TO • Sensitivity to bright light. stool. Changing diapers of GOOD PERSONAL SCHOOL. • Confusion. an infected person. Direct HYGIENE AND HAND • Drowsiness. or indirect contact with WASHING. CLEANING • Seizures. respiratory secretions CONTAMINATED SURFACES, SUCH AS • Coma. (saliva, sputum, or nasal mucus). HANDLES AND DOORKNOBS. 5 METHOD OF HOW TO DISEASE COMMON SYMPTOMS EXCLUSION TRANSMISSION CONTROL Consult physician. Contagious period is • Small, flesh colored, dome unknown. shaped bumps on the skin. Direct or indirect contact NO EXCLUSION. MOLLUSCUM
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