Prevention and Control of Communicable Diseases - Missouri ...

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July 2011 SHINGLES (ZOSTER) 200 PROVIDER Shingles (zoster) is caused by the varicella-zoster virus that remains inactive (dormant) in the body of people who have had chickenpox (varicella). You get shingles from your own chickenpox virus, not from someone else. This usually occurs when the immune system is weakened for various reasons, including certain illnesses or conditions, or treatments, or aging. Although shingles usually occurs in adulthood, children who were infected with varicella in utero or during infancy may develop shingles during childhood. CAUSE Varicella-zoster virus, a member of the herpesvirus family. SYMPTOMS Severe pain, itching, and numbness along certain nerve pathways, commonly involving one side of the body. About 1 to 3 days later, a red rash appears at the site. Clusters of blisters appear soon after, usually on one side of the body and closer together than in chickenpox. The blisters dry out and crust over within a few days. The rash and pain usually disappear within 3 to 5 weeks. Shingles is a milder illness in children than in adults, but it can be a serious illness in those who have weakened immune systems. SPREAD A person must have already had chickenpox disease in the past to develop shingles. Shingles does not spread from one person to another as shingles. When people who have not had chickenpox have contact with the fluid from the shingles blisters, they can develop chickenpox. INCUBATION None. CONTAGIOUS PERIOD In an otherwise healthy person, from the start of the rash until all the blisters have crusted. EXCLUSION Childcare and School: None, if blisters can be completely covered by clothing or a bandage. If blisters cannot be covered, exclude until the blisters have crusted. Persons with severe, disseminated shingles should be excluded regardless of whether the sores can be covered. TREATMENT Antiviral medications may be prescribed. PREVENTION/CONTROL DO NOT GIVE ASPIRIN or OTHER SALICYLATE CONTAINING MEDICATIONS TO ANY CHILD OR ADOLESCENT UNDER 18 YEARS OF AGE. � Pregnant women or persons with weakened immune systems who have not had chickenpox and are exposed to shingles virus should call their healthcare provider immediately for possible treatment. Vaccine is contraindicated during pregnancy. (See pgs 31-32 for information on varicella-zoster and pregnancy.) � Thorough handwashing is the best way to prevent the spread of communicable diseases. Wash hands thoroughly with soap and warm running water after contact with fluid from blisters or sores.
SHINGLES (ZOSTER) PROVIDER PREVENTION/CONTROL (CONTINUED) July 2011 � Susceptible persons (those who have not had chickenpox or varicella vaccine in the past) who have been exposed to someone with shingles should call their healthcare provider immediately to prevent chickenpox. Getting varicella vaccine within 3 days, and possibly up to 5 days, of exposure may prevent chickenpox in these people. � Clean and disinfect all objects and surfaces contaminated with blister fluid at least daily and when soiled. (See pgs 35-41) 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. 201
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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 �
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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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Page 159 and 160: MOLLUSCUM CONTAGIOSUM PROVIDER PREV
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Page 163 and 164: July 2011 MOSQUITO-BORNE DISEASE (V
Page 165 and 166: July 2011 MUMPS Reportable to local
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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
Page 185 and 186: July 2011 RESPIRATORY SYNCYTIAL VIR
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 197 and 198: RUBELLA (GERMAN MEASLES) PROVIDER P
Page 199 and 200: July 2011 SALMONELLOSIS Reportable
Page 205 and 206: SHIGA TOXIN-PRODUCING ESCHERICHIA C
Page 207 and 208: July 2011 SHIGELLOSIS Reportable to
Page 209: Your child may have been exposed to
Page 213 and 214: July 2011 STAPH SKIN INFECTION 203
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
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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
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