Prevention and Control of Communicable Diseases - Missouri ...

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July 2011 HEPATITIS C Reportable to local or state health department This fact sheet is for provider information only. If you have questions, please call the health department. 124 PROVIDER It is rare for children to be infected with hepatitis C, the exception may be those children infected by their mothers during childbirth and children who received blood products before July 1992. Most persons infected with hepatitis C develop lifelong infection (chronic infection). While children infected with hepatitis C may be attending childcare or schools, spread of hepatitis C in these settings has not been documented. CAUSE Hepatitis C virus. SYMPTOMS Young children infected with hepatitis C would most likely not have symptoms. Only 20% of adults have symptoms when first infected. These symptoms may include fatigue, abdominal pain, and jaundice (yellowing of eyes or skin). Adults may not have symptoms until after 10 to 30 years of chronic (lifelong) infection. SPREAD Virus is present in the blood and other body fluids that may contain blood. It can be spread person to person when blood from an infected person enters an open cut of another person or by sharing equipment to inject drugs or puncture the skin, such as tattooing or body piercing. Sexual transmission can occur but is less likely. Hepatitis C is not spread by kissing or casual contact. Spread among household contacts is uncommon. The risk of spread from an infected mother to a newborn is low. INCUBATION It takes from 2 weeks to 6 months, usually about 6 to 7 weeks, from the time a person is exposed to hepatitis C virus until disease occurs. CONTAGIOUS PERIOD As long as the person has hepatitis C virus present in the blood. About 80% of persons who get hepatitis C will have lifelong (chronic) infection. EXCLUSION Children with Hepatitis C infection should not be excluded from school, childcare, or other group care settings solely based on their Hepatitis C infection. Any child, regardless of known Hepatitis C status, who has a condition such as oozing sores that cannot be covered, bleeding problems, or unusually aggressive behavior (e.g., biting) that cannot be controlled may merit assessment by the child’s health professional and the child care program director or school principal to see whether the child may attend while the condition is present. DIAGNOSIS Hepatitis C can be diagnosed through blood tests. Persons exposed to blood or bloody body fluids from an infected person should call their healthcare provider immediately regarding blood testing. TREATMENT There is no vaccine to protect against hepatitis C. People infected with hepatitis C should be vaccinated against hepatitis A, and all children should be vaccinated against hepatitis B.
HEPATITIS C PROVIDER PREVENTION/CONTROL July 2011 � Cleaning and disinfecting of blood and body fluid spills: (See pg 37) - Surfaces and objects contaminated with blood or bloody body fluids must be cleaned with soap or detergent and water and then disinfected immediately. Hepatitis C virus, as well as other infectious bacteria, may be found in blood and other bloody body fluids of any person, even when there are no symptoms to suggest infection is present. - Wear disposable medical gloves when handling blood (nosebleeds, cuts) or items, surfaces, or clothing soiled by blood or bloody body fluids, or when there are open sores, cuts, or abrasions on the hands. - Regular and thorough handwashing is the best way to prevent the spread of communicable diseases. Wash hands immediately after contact with any body fluids, even if gloves have been worn. Wash hands thoroughly with soap and warm running water. � DO NOT allow sharing of toothbrushes, nail clippers, or razors. � Encourage students and staff to do self-care when appropriate. For more information, call Missouri Department of Health and Senior Services (MDHSS) at 573-751-6113 (8-5 Monday thru Friday), or call your local health department, or call MDHSS’ Bureau of HIV, STD, and Hepatitis: Telephone: 573-751-6439 or Toll-free 866-628-9891. 125
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Prevention and Control of Communica
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FOREWORD HELP CONTROL COMMUNICABLE
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INTRODUCTION The number of families
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SECTION 4 Reports from Staff 71 (CO
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SECTION 6 Parent Fact Sheet 170 (CO
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GENERAL EXCLUSION GUIDELINES FOR IL
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July 2011 SPECIFIC DISEASE EXCLUSIO
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SPECIFIC DISEASE EXCLUSION GUIDELIN
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July 2011 SPECIFIC DISEASE EXCLUSIO
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What is CMV? July 2011 CYTOMEGALOVI
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July 2011 FIFTH DISEASE (PARVOVIRUS
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July 2011 HAND, FOOT, AND MOUTH DIS
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July 2011 HEPATITIS B VIRUS AND PRE
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HUMAN IMMUNODEFICIENCY VIRUS (HIV)
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What is rubella? July 2011 RUBELLA
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July 2011 VARICELLA-ZOSTER VIRUS (C
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July 2011 HUMAN BITING INCIDENTS Bi
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July 2011 CLEANING, SANITIZING, AND
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CLEANING, SANITIZING, AND DISINFECT
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CLEANING, SANITIZING, AND DISINFECT
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July 2011 41
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DIAPERING Handwashing procedures Th
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July 2011 45
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July 2011 FOOD SAFETY IN CHILDCARE
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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 �
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 113 and 114: FIFTH DISEASE PROVIDER INFORMATION
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: HEPATITIS B 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 169 and 170: NOROVIRUS PROVIDER PREVENTION/CONTR
Page 171 and 172: July 2011 PARAPERTUSSIS Parapertuss
Page 173 and 174: PERTUSSIS (WHOOPING COUGH) Reportab
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
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July 2011 RESPIRATORY SYNCYTIAL VIR
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Your child may have been exposed to
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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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