Prevention and Control of Communicable Diseases - Missouri ...

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COMMUNICABLE DISEASE REPORTING Reports to local/state health department Cases of reportable communicable diseases should be reported to your local health department or to the Missouri Department of Health and Senior Services. When you call to report a disease, please have the following information ready: � Name of disease � Person's name, birth date, address, parent or guardian’s name and phone number(s) � Date of onset of symptoms � Symptoms the child is experiencing (e.g., cough, diarrhea, vomiting, rash, etc.) � Healthcare provider’s name and phone number � Immunization dates (depending on the illness) The health department staff person taking the report will advise you if you need to take any specific control measures. Local and state health department disease prevention and control resources in Missouri If you have a communicable disease question, please try to contact your local public health department first. If your local public health department is not listed or not available within a reasonable amount of time, contact the Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 866-628-9891 (8-5 Monday thru Friday). Local Health Department telephone numbers can be located on the DHSS website at: http://health.mo.gov/living/lpha/lphas.php. For the Department of Health and Senior Services District Offices nearest you: District Office City Telephone Cameron Area Health Office Cameron (816) 632-7276 Northwest District Health Office Independence (816) 350-5442 Central District Health Office Columbia (573) 884-3568 Jefferson City (573) 522-2728 Eastern District Health Office St. Louis (314) 877-2857 St. Louis (314) 877-0237 Southeast District Health Office Cape Girardeau (573) 290-5783 Southwest District Health Office Springfield (417) 895-6945 Springfield (417) 895-6918 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. July 2011 72
July 2011 CONTROL AND MANAGEMENT OF COMMUNICABLE DISEASE EXPOSURES AND OUTBREAKS State and local health departments are required by law to safeguard the health of the people of Missouri. Early recognition, reporting, and intervention will reduce the spread of infection in childcare settings and schools. Exposures and outbreaks of communicable diseases in childcare settings and schools can result in spread to the general community. Section 1 includes the exclusion policies for children in childcare/preschool and schools. When the child enrolls in childcare or school, parents/guardians should be given a list of exclusion policies and given notice whenever these policies change. Some childcare facilities or schools may have this information in a student handbook or on their websites. These policies may be useful when exposures or outbreaks occur. Section 4 contains information on what diseases are reportable in Missouri, what information is needed when a report is made to the local or state health department, and a list of local and state health department disease prevention and control resources in Missouri. When a communicable disease of public health importance or an outbreak of illness in a childcare setting or school is reported to the local or state health department, the health department will investigate the situation. Specific prevention and control measures will be recommended to reduce spread to others. These measures require the cooperation of the parents/guardians, child caregivers, children, school health staff, healthcare providers, childcare health consultants, and environmental health inspectors. In these situations, recommendations will be made by the health department regarding: � Notification to parents/guardians, childcare providers, school health staff, and healthcare providers of the problem. � Appropriate preventive measures. � Exclusion of infected children and/or staff. � Interviews of parents/guardians and staff regarding onset date and type of symptoms. Medical information is considered confidential (see Missouri Revised Statute 192.067). � Collection of specimens, if necessary. � Administration of antibiotics, vaccine, or immune globulin. � Review of cleaning, sanitizing, disinfecting, and handwashing procedures. � Review of food preparation or storage procedures. Childcare providers and school health staff should be aware that these situations can be very stressful for everyone concerned. Cooperation and good communication help relieve some of this stress. Reports to local or state health department Childcare providers or school health staff should notify the local or state health department as soon as an outbreak is suspected. Doing so can reduce the length of the outbreak and the amount of activity required to bring it under control. Notification of parents/guardians and childcare or school staff In this manual there are fact sheets labeled PROVIDER and PARENT/GUARDIAN. The PROVIDER fact sheets are intended to be a reference for providers. PARENT/GUARDIAN fact sheets are written so the information should be easy to communicate to parents/guardians. 73
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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
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
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Page 53 and 54: DIAPERING Handwashing procedures Th
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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
Page 63 and 64: July 2011 SWIMMING AND WADING POOLS
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Page 67 and 68: August General information August 2
Page 69 and 70: HANDWASHING Why, How, When: A Handw
Page 71 and 72: July 2011 INFECTION CONTROL GUIDELI
Page 73 and 74: INFECTION CONTROL RECOMMENDATIONS F
Page 75 and 76: MISUSE OF ANTIBIOTICS � Does acut
Page 77 and 78: SAFE HANDLING OF BREAST MILK Prepar
Page 79 and 80: July 2011 COMMUNICABLE DISEASE REPO
Page 81: COMMUNICABLE DISEASE REPORTING �
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
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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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Your child may have been exposed to
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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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