Prevention and Control of Communicable Diseases - Missouri ...

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GENERAL EXCLUSION GUIDELINES FOR ILL CHILDREN/STAFF Vomiting Mouth Sores with Drooling Rash with Fever or Behavior Change July 2011 Vomiting two or more times in the previous 24 hours, unless determined to be caused by a noncommunicable condition and the child is not in danger of dehydration. Until a medical exam indicates the child may return or until sores have healed. Until a medical exam indicates these symptoms are not those of a communicable disease that requires exclusion. Eye Drainage When purulent (pus) drainage and/or fever or eye pain is present or a medical exam indicates that a child may return. Unusual Color of Skin, Eyes, Stool, or Urine Until a medical exam indicates the child does not have hepatitis A. Symptoms of hepatitis A include yellow eyes or skin (jaundice), gray or white stools, or dark (tea or cola-colored) urine. For specific guidelines for childcare settings, see pg 3-10. For specific guidelines for school settings, see pg 11-17. Specific guidelines can be found at: http://health.mo.gov/safety/childcare/index.php 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. 2
July 2011 SPECIFIC DISEASE EXCLUSION FOR CHILDCARE See individual fact sheets for exclusion and other information on the diseases listed below. Acute Bronchitis (Chest Cold)/Bronchiolitis Until fever is gone and the child is well enough to participate in routine activities. Campylobacteriosis Until the child has been free of diarrhea for at least 24 hours. Children who have Campylobacter in their stools but who do not have symptoms do not need to be excluded. No one with Campylobacter should use swimming beaches, pools, spas, water parks, or hot tubs until 2 weeks after diarrhea has stopped. Exclude symptomatic staff with Campylobacter from working in food service or providing childcare. Other restrictions may apply; call your local health department for guidance. Chickenpox Until all the blisters have dried into scabs; usually by day 5 after the rash began. It takes 14 to 21 days after receiving vaccine to develop immunity in children. Vaccine failure occasionally occurs. The incubation period is 10 to 21 days. Therefore, exclude children who: � appear to have chickenpox regardless of whether or not they have received varicella vaccine, or � develop blisters within 10 to 21 days after vaccination. Chickenpox can occur even if someone has had the varicella vaccine. These are referred to as “breakthrough infections” and are usually less severe and have an atypical presentation. The rash may be atypical in appearance with fewer vesicles and predominance of maculopapular lesions. Persons with breakthrough varicella should be isolated as long as lesions persist. Although extremely rare, the vaccine virus has been transmitted to susceptible contacts by vaccine recipients who develop a rash following vaccination. Therefore, exclude vaccine recipients who develop a rash after receiving varicella vaccine, using the above criteria. Conjunctivitis (Pinkeye) Purulent Conjunctivitis (redness of eyes and/or eyelids with thick white or yellow eye discharge and eye pain): Exclude until appropriate treatment has been initiated or the discharge from the eyes has stopped unless doctor has diagnosed a non-infectious conjunctivitis. Infected children without systemic illness (i.e. Adenoviral, Enteroviral, Coxsackie) should be allowed to remain in childcare once any indicated therapy is implemented, unless their behavior is such that close contact with other children cannot be avoided. Nonpurulent conjunctivitis (redness of eyes with a clear, watery eye discharge but without fever, eye pain, or eyelid redness): None. 3
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: GENERAL EXCLUSION GUIDELINES FOR IL
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
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
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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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