Prevention and Control of Communicable Diseases - Missouri ...

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SECTION 7 IMMUNIZATION RESOURCES List of Web Resources 221 SECTION 8 MISSOURI LAWS RELATED TO CHILDCARE/SCHOOLS Childcare Licensing 222 Chapter 61 – Family Child Care Homes 222 Chapter 62 – Child Care Facilities 222 Missouri Rules Missouri Immunization Requirements for School Children 223 Day Care Immunization Rule 223 Diseases and Conditions Reportable in Missouri 223 Records and Reports (Data Privacy) 223 Communicable Disease Rule 223 SECTION 9 EMERGENCY PREPAREDNESS Emergency Preparedness 224 Planning Resources Childcare 225-226 Schools 227 Individual and Family 228-229 SECTION 10 GLOSSARY Definitions 230-234 SECTION 11 REFERENCES List of References and Website Resources 235-237 viii
GENERAL EXCLUSION GUIDELINES FOR ILL CHILDREN/STAFF Certain symptoms in children may suggest the presence of a communicable disease. Excluding an ill child may decrease the spread of the disease to others in the childcare and school settings. Recommended exclusion varies by the disease or infectious agent. Children with the symptoms listed below should be excluded from the childcare or school setting until symptoms improve; or a healthcare provider has determined that the child can return; or children can participate in routine activities without more staff supervision than can be provided. NOTE: It is recommended that childcare/preschool providers and schools have policies that are clearly written for excluding sick children and staff. These policies should be placed in the student handbook or on the childcare or school website. Parents/guardians and staff should be given or directed to these resources at the beginning of each school year or when the child is enrolled or the staff member is hired. This will help prevent problems later when the child or staff member is ill. Exclude children with any of the following: Illness Unable to participate in routine activities or needs more care than can be provided by the childcare/school staff. Fever A child's normal body temperature varies with age, general health, activity level, the time of day and how much clothing the child is wearing. Everyone's temperature tends to be lower early in the morning and higher between late afternoon and early evening. Body temperature also will be slightly higher with strenuous exercise. Most medical professionals define fever as a body core temperature elevation above 100.4°F (38°C) and a fever which remains below 102°F (39°C) is considered a lowgrade fever. If a child is younger than three months of age and has a fever, it’s important to always inform the caregiver immediately so they can call their healthcare provider right away. Signs/Symptoms of Possible Severe Illness July 2011 When determining whether the exclusion of a child with fever is needed, a number of issues should be evaluated: recorded temperature; or is the fever accompanied by behavior changes, headache, stiff neck, difficulty breathing, rash, sore throat, and/or other signs or symptoms of illness; or if child is unable to participate in routine activities. Any child that has an elevated body temperature that is not excluded should be closely monitored for possible change(s) in their condition. A temperature should be measured before giving medications to reduce the fever. Measurement method Normal temperature range for Children Rectal 36.6°C to 38°C (97.9°F to 100.4°F) Ear 35.8°C to 38°C (96.4°F to 100.4°F) Oral 35.5°C to 37.5°C (95.9°F to 99.5°F) Axillary (armpit) 34.7°C to 37.3°C (94.5°F to 99.1°F) “Pediatric fever as defined by different measurement methods”, source: Pediatric Society of Canada, 2009 update*. When measuring ear temperatures follow the manufacturer’s instructions to ensure accurate results. Until a healthcare provider has done an evaluation to rule out severe illness when the child is unusually tired, has uncontrolled coughing, unexplained irritability, persistent crying, difficulty breathing, wheezing, or other unusual signs for the child. Diarrhea Until the child has been free of diarrhea for at least 24 hours or until a medical exam indicates that it is not due to a communicable disease. Diarrhea is defined as an increased number of stools compared with a child's normal pattern, along with decreased stool form and/or stools that are watery, bloody, or contain mucus. 1
Page 1 and 2: Prevention and Control of Communica
Page 3 and 4: FOREWORD HELP CONTROL COMMUNICABLE
Page 5 and 6: INTRODUCTION The number of families
Page 7 and 8: SECTION 4 Reports from Staff 71 (CO
Page 9: SECTION 6 Parent Fact Sheet 170 (CO
Page 13 and 14: July 2011 SPECIFIC DISEASE EXCLUSIO
Page 15 and 16: SPECIFIC DISEASE EXCLUSION GUIDELIN
Page 21 and 22: July 2011 SPECIFIC DISEASE EXCLUSIO
Page 29 and 30: What is CMV? July 2011 CYTOMEGALOVI
Page 31 and 32: July 2011 FIFTH DISEASE (PARVOVIRUS
Page 33 and 34: July 2011 HAND, FOOT, AND MOUTH DIS
Page 35 and 36: July 2011 HEPATITIS B VIRUS AND PRE
Page 37 and 38: HUMAN IMMUNODEFICIENCY VIRUS (HIV)
Page 39 and 40: What is rubella? July 2011 RUBELLA
Page 41 and 42: July 2011 VARICELLA-ZOSTER VIRUS (C
Page 43 and 44: July 2011 HUMAN BITING INCIDENTS Bi
Page 45 and 46: July 2011 CLEANING, SANITIZING, AND
Page 47 and 48: CLEANING, SANITIZING, AND DISINFECT
Page 49 and 50: CLEANING, SANITIZING, AND DISINFECT
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Page 53 and 54: DIAPERING Handwashing procedures Th
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Page 57 and 58: July 2011 FOOD SAFETY IN CHILDCARE
Page 59 and 60: FOOD SAFETY IN CHILDCARE SETTINGS A
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PETS IN CHILDCARE SETTINGS AND SCHO
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July 2011 SWIMMING AND WADING POOLS
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July 2011 55
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August General information August 2
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HANDWASHING Why, How, When: A Handw
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July 2011 INFECTION CONTROL GUIDELI
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INFECTION CONTROL RECOMMENDATIONS F
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MISUSE OF ANTIBIOTICS � Does acut
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SAFE HANDLING OF BREAST MILK Prepar
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July 2011 COMMUNICABLE DISEASE REPO
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COMMUNICABLE DISEASE REPORTING �
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July 2011 CONTROL AND MANAGEMENT OF
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July 2011 SAMPLE: Line List for Gas
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July 2011 BED BUGS 77 PROVIDER The
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July 2011 79 PROVIDER BRONCHITIS, A
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July 2011 CAMPYLOBACTERIOSIS Report
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Your child may have been exposed to
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CHICKENPOX (VARICELLA) PROVIDER EXC
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July 2011 CONJUNCTIVITIS (PINKEYE)
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CRYPTOSPORIDIOSIS PROVIDER TREATMEN
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July 2011 CYTOMEGALOVIRUS (CMV) INF
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July 2011 DIARRHEA (INFECTIOUS) 97
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FIFTH DISEASE PROVIDER INFORMATION
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July 2011 GIARDIASIS Reportable to
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HAEMOPHILUS INFLUENZAE TYPE B (HIB)
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July 2011 HAND, FOOT, AND MOUTH DIS
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July 2011 HEAD LICE 113 PROVIDER He
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HEAD LICE PROVIDER PREVENTION/CONTR
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July 2011 HEPATITIS A Reportable to
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HEPATITIS B PROVIDER PREVENTION/CON
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HEPATITIS C PROVIDER PREVENTION/CON
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HERPES GLADIATORUM PROVIDER PREVENT
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July 2011 HERPES, ORAL Commonly, th
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July 2011 131 PROVIDER HUMAN IMMUNO
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July 2011 IMPETIGO 133 PROVIDER Imp
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July 2011 INFLUENZA Reportable to l
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July 2011 � Childcare programs sh
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July 2011 MEASLES Reportable to loc
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MENINGOCOCCAL DISEASE PROVIDER PREV
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July 2011 METHICILLIN-RESISTANT STA
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MOLLUSCUM CONTAGIOSUM PROVIDER PREV
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July 2011 MONONUCLEOSIS 151 PROVIDE
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July 2011 MOSQUITO-BORNE DISEASE (V
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July 2011 MUMPS Reportable to local
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NOROVIRUS PROVIDER PREVENTION/CONTR
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July 2011 PARAPERTUSSIS Parapertuss
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PERTUSSIS (WHOOPING COUGH) Reportab
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PNEUMOCOCCAL INFECTION PROVIDER PRE
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July 2011 PNEUMONIA 171 PROVIDER Pn
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July 2011 RESPIRATORY INFECTION (VI
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July 2011 RESPIRATORY SYNCYTIAL VIR
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RINGWORM PROVIDER PREVENTION/CONTRO
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July 2011 ROSEOLA 181 PROVIDER Rose
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July 2011 ROTAVIRAL INFECTION 183 P
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RUBELLA (GERMAN MEASLES) PROVIDER P
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July 2011 SALMONELLOSIS Reportable
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SHIGA TOXIN-PRODUCING ESCHERICHIA C
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July 2011 SHIGELLOSIS Reportable to
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SHINGLES (ZOSTER) PROVIDER PREVENTI
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July 2011 STAPH SKIN INFECTION 203
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STREPTOCOCCAL INFECTION PROVIDER PR
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July 2011 DISEASE SYMPTOMS CAUSE IN
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July 2011 TUBERCULOSIS (TB) Reporta
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July 2011 VIRAL MENINGITIS 213 PROV
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YEAST INFECTION (CANDIDIASIS) PROVI
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Prepared by Missouri Department of
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MISSOURI LAWS RELATED TO CHILDCARE
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July 2011 EMERGENCY PREPAREDNESS PL
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July 2011 EMERGENCY PREPAREDNESS PL
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INDIVIDUAL AND FAMILY EMERGENCY PRE
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GLOSSARY COLONIZATION: When bacteri
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GLOSSARY MENINGITIS: A swelling or
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REFERENCES American Academy of Pedi
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REFERENCES Website Resources Americ
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