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Communicable Disease Guidelines

Communicable Disease Guidelines
Fairview Independent Schools

Exclusion is necessary when a student’s illness requires a greater degree of observation or care than school staff can safely provide, poses a threat to the health and safety of others, or precludes any benefit of attending class because of inability to focus and learn.

Any correspondence sent home to parents, notifying them of the presence of a communicable disease in a school, will be at the discretion of the Principal after consultation with the School Nurse and Director of Health Services.

KRS 158.160 (2) if any student is known or suspected to have or be infected with a communicable disease or condition for which a reasonable probability for transmission exists in a school setting, the superintendent of the district may order the student excluded from school. The time period the student is excluded from school shall be in accordance with generally accepted medical standards which the superintendent shall obtain from consultation with the student’s physician or the local health officer for the county in which the school district is located. During the presence in any district of dangerous epidemics, the board of education of the school district may order the school closed.

DISEASES:

Chicken pox (varicella): Student is excluded from school until all lesions are crusted over, usually 7-8 days or physician approval is given and student is no longer contagious.

Diarrheal Illness: Student is excluded from school if they have an increased number of stools compared with their normal pattern (watery stool or decreased form) OR have stools not contained by diapers/toilet use.

Fever: Student is excluded from school if they have a fever of 100.4 or greater OR temperature of less than 100.4 with unusual lethargy, irritability, persistent crying, difficulty breathing or other signs of severe illness. Must be fever free for at least 24 hours before he/she can return to school.

Fifth Disease: No need to exclude. Exposed pregnant women should consult their physician.

German Measles (Rubella): REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student is excluded from school for at least 7days after rash appears. Report immediately to school nurse.

Hand, Foot, Mouth (Coxsackie): Student is excluded from school until lesions are not actively draining, student is without fever for at least 24 hours, and if rash still present physician statement that student is not contagious.

Head Lice: Student is excluded from school if active lice are found. 

Hepatitis A: REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Students are Excluded for 7 days after onset of jaundice, or in the absence of jaundice, up to 2 weeks after the onset of symptoms. Report immediately to school nurse.

Impetigo: Students are Excluded from school until treated with antibiotics for a full 24 hours, is without fever for 24 hours, and statement from physician stating student is no longer contagious.

Measles (Rubeola): REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student is Excluded for at least 4 days after rash appears. Report immediately to school nurse.

Meningococcal Disease or Bacterial Meningitis: REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student Excluded from school until student has received effective antibiotic treatment for 24 hours and is able to participate in normal daily activities. Report immediately to school nurse.

Mononucleosis: Student is excluded from school until student has been without fever for at least 24 hours and is well enough to participate in normal daily activities. Students who play sports should be excluded from activities until released by physician.

MRSA: Student is excluded from school until wound is able to be covered without oozing beyond the bandage and statement from physician is received indicating that student is not contagious and receiving treatment MRSA: exclude until wound is able to be covered without oozing beyond the bandage and statement from physician is received indicating that student is not contagious and receiving treatment.

Mumps: REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student is excluded from school for 9 days after onset of swelling. Report immediately to school nurse.

Pertussis (whooping cough): REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student is excluded from school until 5 days of appropriate antibiotic therapy is completed and physician statement received for return to school. *close contacts may need to receive preventative treatment.

Pink Eye (conjunctivitis): IF purulent drainage, Student is excluded from school until 24 hours after treatment has begun and until no drainage is coming from the eye(s).

Pinworms: no exclusion. Treatment involves two doses of physician prescribed or over the counter medication that is given 2 weeks apart.

Ringworm (tinea): no exclusion for lesions on the body. Must be treated and  kept covered by Band-Aid while at school.

Roseola: Student is excluded from school until student has been without fever for 24 hours and statement from physician indicates student is not contagious.

Scabies: Student is excluded from school until 24 hours after treatment has begun and statement from physician indicates student is not contagious.

Shigellosis: REPORTABLE TO DEPARTMENT OF PUBLIC HEALTH: Student is excluded from school until he/she has had neither diarrhea nor fever for 24 hours. Ensure careful hand washing after toilet use. Report immediately to school nurse.

Strep Throat: Student is excluded from school until 24 hours after treatment with antibiotics has begun and fever free for 24 hours without use of fever reducing medication.

Vomiting Illness: Student is excluded from school until illness is over.





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