Prevention and Control of Communicable Diseases - Missouri ...

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July 2011 MISSOURI LAWS RELATED TO CHILDCARE SETTINGS AND SCHOOLS According to Section 210.221(3), RSMo, the Department of Health and Senior Services has the authority to issue uniform rules deemed necessary and proper to establish standards of service and care to be rendered by child care providers. To implement these rules, the Section for Child Care Regulation (SCCR), within the Department of Health and Senior Services, is responsible for inspecting, evaluating and licensing child care providers. Each regulated provider has the contact information for their Child Care Facility Specialist from the SCCR posted near their license in their facility. The Central Office of the SCCR is in Jefferson City, and can be reached at 573- 751-2450. Child Care providers and facilities are required to have copies of the licensing rules available, and to be knowledgeable of these rules. Child Care licensing rules can be found at: http://www.sos.mo.gov/adrules/csr/current/19csr/19c30-62.pdf for Group Home and Child Care Centers http://www.sos.mo.gov/adrules/csr/current/19csr/19c30-61.pdf for Family Day Care Homes http://www.sos.mo.gov/adrules/csr/current/19csr/19c30-60.pdf for License Exempt Rules. Group Homes and Child Care Centers 19 CSR 30-62.192 This rule sets forth the requirements for Child Care Centers and Group Homes for reporting communicable diseases, immunizations, caring for a child when ill, medication, emergency care and hand washing. Family Child Care Homes 19 CSR 30-61.185 This rule outlines the requirements for reporting communicable diseases, caring for a child when ill, medication, emergency care, immunizations and hand washing. License Exempt Child Care Facilities 19 CSR 30-60.060 This rule establishes health requirements for child care providers and children in license-exempt child care facilities. It includes the requirements for reporting communicable disease, immunizations, caring for a child when ill, medications, and emergency medical care. In addition to inspections by Child Care Facility Specialists from the SCCR, child cares also receive annual sanitation inspections. These are requested by SCCR, and are conducted by the Bureau of Environmental Health Services, who can be reached at 573-751-6095. This department is also available to child care providers for consultation in the event of an outbreak of a communicable disease. 222
MISSOURI LAWS RELATED TO CHILDCARE SETTINGS AND SCHOOLS Missouri Statutes and Rules Related to Communicable Disease Control Prepared by Missouri Department of Health and Senior Services July 2011 � 167.181 RSMo - Immunization of pupils against certain diseases compulsory � 167.191 RSMo - Children with contagious diseases not to attend school � 192.020 RSMo - To safeguard the health of the people of Missouri � 192.067 RSMo - Patients' medical records � 199.180 RSMo - Local health agency may institute proceedings for commitment � 19 CSR 20-20.020 - Diseases and Conditions Reportable in Missouri � 19 CSR 20-20.030 - Exclusion From School and Readmission � 19 CSR 20-20.040 - Measures for the Control of Communicable, Environmental and Occupational Diseases � 19 CSR 20-20.060 - Control Measures for Food Handlers � 19 CSR 20-20.070 - Duties of Local Health Departments � 19 CSR 20-20.075 - Confidentiality of Information Obtained for Reporting of Communicable, Environmental and Occupational Diseases and Conditions � 19 CSR 20-28.010 - Missouri Immunization Requirements for School Children � 19 CSR 20-28.040 - Day Care Immunization Rule Communicable Disease Rule Many diseases must be reported to the local health department and Department of Health and Senior Services. 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 your local health department. For a list of reportable diseases see:http://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/pdf/reportabledise aselist2.pdf. 223
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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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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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Page 187 and 188: Your child may have been exposed to
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 211 and 212: SHINGLES (ZOSTER) PROVIDER PREVENTI
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: Prepared by Missouri Department of
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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