Microsoft word - communicable disease reference chart .doc

COMMUNICABLE DISEASE REFERENCE CHART FOR SCHOOL PERSONNEL
INCUBATION
TRANSMISSION
COMMON SYMPTOMS
RECOMMENDATIONS
Sudden onset with slight fever and itchy eruptions CASE: Exclude from school for at least 5 days which become vesicular (small blisters) within a few after eruptions first appear or until vesicles hours. Lesions commonly occur in successive crops, with several stages of maturity present at the same early pregnancy who have not had chickenpox time. Communicable for as long as 5 days (usually 1- 2 days) before eruption of vesicles and for not more than 5 days after the appearance of the first crop of Pink or red eyeball with swelling of the eyelids and eye discharge. Eyelids may be matted shut after symptomatic or until 24 hours of antibiotic CONTACTS: School exclusion not indicated. Mild illness without fever. Rash characterized by a CASE: Exclusion from school not indicated. vivid reddening of the skin, especially of the face, CONTACTS: School exclusion not indicated. which fades and recurs; classically, described as a Prodrome characterized by fever followed by CASE: Exclude from school until at least 4 reddened eyes, runny nose, cough. Dusky-red days after appearance of the rash. Check blotchy rash appears on day 3 or 4 and lasts 4 -7 days. immunization records of all students. Discuss Highly communicable from beginning of prodromal period to 4 days after appearance of the rash. Sudden onset of fever and intense headache. Delirium and coma often appear early; a characteristic illness. Non-communicable after 24 hours of (measles-like) rash usually follows. Can be fatal CONTACTS: School exclusion not indicated. Observe carefully for symptoms, especially fever. Parents of day care/nursery school contacts should be advised to check with their child’s physician concerning prohylactic treatment with rifampin. Discuss with your Fever with swelling and tenderness or one or both CASE: Exclude from school for 9 days after parotid glands located below and in front of the ears. Unrecognized mild cases without swelling may occur. Communicable from 6 days before swelling until 9 CONTACTS: School exclusion not indicated. Severe itching and scratching, often with secondary CASE: Exclude from school until treatment infection. Eggs of head lice (nits) attach to hairs as in 7-13 days and reach personal belongings such as School exclusion not indicated in absence of The initial stage begins with upper respiratory CASE: Exclude from school until a physician symptoms and increasingly irritating cough. The advises return (usually 5 days after initiation of paroxysmal stage usually follows within 1-2 weeks, erythromycin therapy). Discuss with your and lasts 1-2 months. Paroxysmal stage is characterized by repeated episodes of violent cough CONTACTS: Exclude on first indication of broken by a high-pitched inspiratory whoop. Older children may not have whoop. Convalescence may Mild symptoms; slight fever, rash of variable CASE: Exclude from school for 7 days after character lasting about 3 days; enlarged head and onset of rash. Avoid exposure to women in neck lymph glands common. Joint pain may occur, early pregnancy. Check immunization records especially in older children and adults. of all students. Discuss with your local health Communicable for 7 days before onset of rash and at CONTACTS: Those who are pregnant and not immunized should be urged to seek medical Begins as itchy raised areas around finger webs, CASE: Exclude from school until 24 hours of wrists, elbows, armpits, belt-line, and/or genitalia. antibiotic treatment has been completed. Extensive scratching often results in secondary School exclusion not indicated in absence of Multiple skin lesions usually of exposed area (e.g., CASE: Exclude from school until lesions are infected persons and carriers elbows, legs, and knees), but may involve any area. healed or until 24 hours of antibiotic treatment Lesions vary in size and shape, and begin as blisters, which rapidly mature into brown crusts on a reddened CONTACTS: Exclusion from school not base. Healing from center outward produces circular indicated. Observe carefully for symptoms. Fever, sore throat, exudative tonsillitis or pharyngitis. CASE: Exclude from school during acute Sandpaper-like rash appears most often on neck, illness. Non-communicable after 24 hours of chest, and skin folds of arms, elbows, groin, and inner appropriate drug therapy. CONTACTS: Exclude on first indication of symptoms. Culturing of school contacts and treatment of carriers not usually indicated. Sudden onset of fever, sore throat, exudative CASE: Exclude from school until 24 hours of tonsillitis or pharyngitis, and enlarged lymph nodes. antibiotic treatment has been completed. Symptoms may even be absent in some cases. indicated. Observe carefully for symptoms. Circular well-demarcated lesion that can involve face, CASE: Exclusion from school not indicated as long as lesions are covered or child is receiving treatment. During treatment, exclude from CONTACTS: School exclusion not indicated. NOTE:A more complete discussion of these conditions and other communicable diseases may be found in Control Communicable Diseases Manual (1995) published by the American Public Health Association. Additional information and consultation are also available through your local health department.

Source: http://web.ballard.k12.ia.us/district_information/board_of_education/board_policy/Code%20500/code_512-513/code_513d_exhibit_a.pdf