Prevention and Control of Communicable Diseases - Missouri ...

SPECIFIC DISEASE EXCLUSION GUIDELINES FOR CHILDCARE
Croup Until fever is gone and the child is well enough to participate in routine
activities.
Cryptosporidiosis Until the child has been free of diarrhea for at least 24 hours.
No one with Cryptosporidium should use swimming beaches, pools,
water parks, spas, or hot tubs for 2 weeks after diarrhea has stopped for
24 hours.
Exclude symptomatic staff with Cryptosporidium from working in food
service or providing childcare until 24 hours after diarrhea has stopped.
Other restrictions may apply; call your local health department for
guidance.
Cytomegalovirus
(CMV) Infection
July 2011
None. Educational programs on CMV, its potential risks, and
appropriate hygienic measures to minimize occupationally acquired
infection should be provided for female workers in childcare centers.
Diarrhea (Infectious) Until the child has been free of diarrhea for at least 24 hours. The length
of time may vary depending on the organism. For some infections, the
person must also be treated with antibiotics or have negative stool tests
before returning to childcare. (See fact sheet for specific organism when
known.)
No one with diarrhea should use swimming beaches, pools, water parks,
spas, or hot tubs for at least 2 weeks after diarrhea has stopped. (See
specific disease information for additional times.)
Staff with diarrhea may be restricted from working in food service or
providing childcare. Other restrictions may apply; call your local health
department for guidance.
Enteroviral Infection Until the child has been free of diarrhea and/or vomiting for at least 24
hours.
None, for mild, cold-like symptoms, as long as the child is well enough
to participate in routine activities.
Fifth Disease
(Parvovirus)
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.
Giardiasis When a child is infected with Giardia who has symptoms, the child
should be excluded until free of diarrhea for at least 24 hours. When an
outbreak is suspected all symptomatic children should be treated.
Children who are treated in an outbreak should be excluded until after
treatment has been started and they have been free of diarrhea for at least
24 hours. Treatment of asymptomatic carriers is not effective for
outbreak control. Exclusion of carriers from childcare is not
recommended.
No one with Giardia should use swimming beaches, pools, spas, water
parks, or hot tubs for 2 weeks after diarrhea has stopped.
Exclude symptomatic staff with Giardia from working in food service.
Other restrictions may apply; call your local health department for
guidance.
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