Prevention and Control of Communicable Diseases - Missouri ...

More documents

Recommendations

Info

July 2011 FIFTH DISEASE 102 PROVIDER Fifth disease (also called parvovirus B19 infection) is a mild, common illness caused by a virus. Rash is the most common symptom. Immunity increases with age; 50% to 80% of adults are immune. Outbreaks of fifth disease frequently occur in childcare settings and schools. CAUSE Human parvovirus B19. SYMPTOMS Rash; possibly a low-grade fever or sore throat. The characteristic rash causes an intense redness of the cheeks (a "slapped cheek" appearance) in children. The rash often begins on the cheeks and is later found on the arms, upper body, buttocks, and legs; it has a very fine, lacy, pink appearance. In general, the rash on the face will fade within 4 days. The rash on the rest of the body initially fades within 3 to 7 days. However, the rash may come and go for days or even weeks, when the person is exposed to sunlight or heat. Adults, especially women, may have pain, redness and swelling of the joints. Joint pain and swelling may last 1-3 months. Most people who get fifth disease do not become very ill. However, children with sickle cell anemia, chronic anemia, or a weakened immune system may become seriously ill and require medical care when infected with parvovirus B19. SPREAD When an infected person coughs or sneezes. People can also become infected by touching these secretions and then touching their mouth, eyes, or nose. INCUBATION It takes from 4 to 21 days, usually 4 to 14 days, from the time of infection until symptoms begin. CONTAGIOUS PERIOD Most contagious before the beginning of the rash and unlikely to be contagious after the rash begins. EXCLUSION Childcare and School: None, if other rash-causing illnesses are ruled out by a healthcare provider. Persons with fifth disease are no longer infectious once the rash begins. DIAGNOSIS Lab (blood) tests are available to determine whether you are immune or are currently infected with parvovirus B19. TREATMENT None. PREVENTION/CONTROL � Regular and thorough handwashing is the best way to prevent the spread of communicable diseases. Wash hands thoroughly with soap and warm running water after touching secretions from the nose or mouth. � Cover nose and mouth with a tissue when coughing and sneezing or cough/sneeze into your sleeve. Dispose of used tissues. � Notify your healthcare provider if you are pregnant or have a weakened immune system, sickle cell anemia, or other blood disorders and you have been exposed. If you do not know whether you are immune (have had fifth disease in the past), call your healthcare provider for advice and whether a blood test is needed.
FIFTH DISEASE PROVIDER INFORMATION FOR PREGNANT WOMEN/TEENS Usually there are no serious problems for a pregnant woman or her baby because of an exposure to fifth disease. About 50% of women have already had fifth disease (are immune), so they and their babies are not at risk. Even if a woman is susceptible and gets infected with parvovirus B19, she usually experiences only mild illness. Likewise, her unborn baby usually does not have any problems caused by parvovirus B19 infection. Rarely, parvovirus B19 infection will cause the unborn baby to have severe anemia and the woman may have a miscarriage. This occurs in fewer than 5% of all pregnant women who are infected with parvovirus B19 and happens more commonly during the first half of pregnancy. There is no evidence that parvovirus B19 infection causes birth defects or mental retardation. (For additional information on parvovirus B19 virus and pregnancy, see pgs 21-22) For more information, call Missouri Department of Health and Senior Services (MDHSS) at 573-751-6113 or 866-628-9891 (8-5 Monday thru Friday) or call your local health department. July 2011 103
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 and 10:
SECTION 6 Parent Fact Sheet 170 (CO
Page 11 and 12:
GENERAL EXCLUSION GUIDELINES FOR IL
Page 13 and 14:
July 2011 SPECIFIC DISEASE EXCLUSIO
Page 15 and 16:
SPECIFIC DISEASE EXCLUSION GUIDELIN
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
July 2011 SPECIFIC DISEASE EXCLUSIO
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
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
Page 51 and 52:
July 2011 41
Page 53 and 54:
DIAPERING Handwashing procedures Th
Page 55 and 56:
July 2011 45
Page 57 and 58:
July 2011 FOOD SAFETY IN CHILDCARE
Page 59 and 60:
FOOD SAFETY IN CHILDCARE SETTINGS A
Page 61 and 62: PETS IN CHILDCARE SETTINGS AND SCHO
Page 63 and 64: July 2011 SWIMMING AND WADING POOLS
Page 65 and 66: July 2011 55
Page 67 and 68: August General information August 2
Page 69 and 70: HANDWASHING Why, How, When: A Handw
Page 71 and 72: July 2011 INFECTION CONTROL GUIDELI
Page 73 and 74: INFECTION CONTROL RECOMMENDATIONS F
Page 75 and 76: MISUSE OF ANTIBIOTICS � Does acut
Page 77 and 78: SAFE HANDLING OF BREAST MILK Prepar
Page 79 and 80: July 2011 COMMUNICABLE DISEASE REPO
Page 81 and 82: COMMUNICABLE DISEASE REPORTING �
Page 83 and 84: July 2011 CONTROL AND MANAGEMENT OF
Page 85 and 86: July 2011 SAMPLE: Line List for Gas
Page 87 and 88: July 2011 BED BUGS 77 PROVIDER The
Page 89 and 90: July 2011 79 PROVIDER BRONCHITIS, A
Page 91 and 92: July 2011 CAMPYLOBACTERIOSIS Report
Page 93 and 94: Your child may have been exposed to
Page 95 and 96: CHICKENPOX (VARICELLA) PROVIDER EXC
Page 97 and 98: July 2011 CONJUNCTIVITIS (PINKEYE)
Page 103 and 104: CRYPTOSPORIDIOSIS PROVIDER TREATMEN
Page 105 and 106: July 2011 CYTOMEGALOVIRUS (CMV) INF
Page 107 and 108: July 2011 DIARRHEA (INFECTIOUS) 97
Page 111: Your child may have been exposed to
Page 115 and 116: July 2011 GIARDIASIS Reportable to
Page 119 and 120: HAEMOPHILUS INFLUENZAE TYPE B (HIB)
Page 121 and 122: July 2011 HAND, FOOT, AND MOUTH DIS
Page 123 and 124: July 2011 HEAD LICE 113 PROVIDER He
Page 125 and 126: HEAD LICE PROVIDER PREVENTION/CONTR
Page 129 and 130: July 2011 HEPATITIS A Reportable to
Page 133 and 134: HEPATITIS B PROVIDER PREVENTION/CON
Page 135 and 136: HEPATITIS C PROVIDER PREVENTION/CON
Page 137 and 138: HERPES GLADIATORUM PROVIDER PREVENT
Page 139 and 140: July 2011 HERPES, ORAL Commonly, th
Page 141 and 142: July 2011 131 PROVIDER HUMAN IMMUNO
Page 143 and 144: July 2011 IMPETIGO 133 PROVIDER Imp
Page 145 and 146: July 2011 INFLUENZA Reportable to l
Page 147 and 148: July 2011 � Childcare programs sh
Page 149 and 150: July 2011 MEASLES Reportable to loc
Page 153 and 154: MENINGOCOCCAL DISEASE PROVIDER PREV
Page 155 and 156: July 2011 METHICILLIN-RESISTANT STA
Page 159 and 160: MOLLUSCUM CONTAGIOSUM PROVIDER PREV
Page 161 and 162: July 2011 MONONUCLEOSIS 151 PROVIDE
Page 163 and 164:
July 2011 MOSQUITO-BORNE DISEASE (V
Page 165 and 166:
July 2011 MUMPS Reportable to local
Page 167 and 168:
Your child may have been exposed to
Page 169 and 170:
NOROVIRUS PROVIDER PREVENTION/CONTR
Page 171 and 172:
July 2011 PARAPERTUSSIS Parapertuss
Page 173 and 174:
PERTUSSIS (WHOOPING COUGH) Reportab
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
PNEUMOCOCCAL INFECTION PROVIDER PRE
Page 181 and 182:
July 2011 PNEUMONIA 171 PROVIDER Pn
Page 183 and 184:
July 2011 RESPIRATORY INFECTION (VI
Page 185 and 186:
July 2011 RESPIRATORY SYNCYTIAL VIR
Page 187 and 188:
Page 189 and 190:
RINGWORM PROVIDER PREVENTION/CONTRO
Page 191 and 192:
July 2011 ROSEOLA 181 PROVIDER Rose
Page 193 and 194:
July 2011 ROTAVIRAL INFECTION 183 P
Page 195 and 196:
Page 197 and 198:
RUBELLA (GERMAN MEASLES) PROVIDER P
Page 199 and 200:
July 2011 SALMONELLOSIS Reportable
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
SHIGA TOXIN-PRODUCING ESCHERICHIA C
Page 207 and 208:
July 2011 SHIGELLOSIS Reportable to
Page 209 and 210:
Page 211 and 212:
SHINGLES (ZOSTER) PROVIDER PREVENTI
Page 213 and 214:
July 2011 STAPH SKIN INFECTION 203
Page 215 and 216:
Page 217 and 218:
STREPTOCOCCAL INFECTION PROVIDER PR
Page 219 and 220:
July 2011 DISEASE SYMPTOMS CAUSE IN
Page 221 and 222:
July 2011 TUBERCULOSIS (TB) Reporta
Page 223 and 224:
July 2011 VIRAL MENINGITIS 213 PROV
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
YEAST INFECTION (CANDIDIASIS) PROVI
Page 231 and 232:
Prepared by Missouri Department of
Page 233 and 234:
MISSOURI LAWS RELATED TO CHILDCARE
Page 235 and 236:
July 2011 EMERGENCY PREPAREDNESS PL
Page 237 and 238:
July 2011 EMERGENCY PREPAREDNESS PL
Page 239 and 240:
INDIVIDUAL AND FAMILY EMERGENCY PRE
Page 241 and 242:
GLOSSARY COLONIZATION: When bacteri
Page 243 and 244:
GLOSSARY MENINGITIS: A swelling or
Page 245 and 246:
REFERENCES American Academy of Pedi
Page 247:
REFERENCES Website Resources Americ
show all

Prevention and Control of Communicable Diseases - Missouri ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?