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Is my child well enough to go to school?
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Chickenpox (varicella)
SIGNS and SYMPTOMS - Chickenpox (varicella) Fever and skin rash are typically in clusters. Rash begins on the chest, back, underarms, neck, and face. Blisters turn to scabs. Notify the School Nurse, MDH reportable disease
CAN MY STUDENT GO TO SCHOOL? NO - Exclude from school until blisters are scabbed, usually about 6 days after the rash appears.
HOW IS IT SPREAD? Touching blisters, coughing and sneezing
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Cold Sores (herpes simplex)
SIGNS and SYMPTOMS - Cold Sores (herpes simplex) Blisters appear on the lips, face, and mouth. Sores usually crust and heal within about 6 days.
CAN MY STUDENT GO TO SCHOOL? YES, Children who are in control of their mouth secretions may come to school.
HOW IS IT SPREAD? Direct contact with the infected person’s saliva or sores.
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COVID-19
SIGNS and SYMPTOMS - COVID-19 Click here for recommendations set forth by the Center for Disease Control for isolating. Notify the School Nurse, MDH reportable disease
HOW IS IT SPREAD? Close contact with someone who is infected, breathing, coughing, sneezing, and touching contaminated surfaces.
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Fifth Disease
SIGNS and SYMPTOMS - Fifth Disease - Red cheeks, fine lacy rash spreads to arms, chest, buttocks, legs. Fever may be present.
CAN MY STUDENT GO TO SCHOOL? NO Exclude until fever-free for 24 hours. Rash fades after 3-7 days, may return to school with the rash and no fever.
HOW IS IT SPREAD? Direct contact with infected mouth or nose secretions, and contaminated surfaces.
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Hand, Foot, and Mouth Disease
SIGNS and SYMPTOMS - Hand, Foot, and Mouth Disease - Blister rash in the mouth, on palms of hands, fingers, and soles of feet. May last 7 to 10 days. Fever may be present.
CAN MY STUDENT GO TO SCHOOL? NO Exclude until fever free for 24 hours. If no fever occurred, return to school.
HOW IS IT SPREAD? Direct contact with mouth and nose secretions or stool of infected persons.
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Head Lice
If live lice are present:
Parents will be notified immediately and the student sent home. School Nurse will provide information and recommendations to the family for treating head lice. Parents of classroom contacts will be notified at the discretion of the School Nurse. The student may return to school when the first treatment is completed and no live lice are present.If nits (eggs) are present:
Parents will be notified. The student may remain in school until the end of the day. The student may return to school when the first treatment is completed, efforts have been made to remove nits, and no live lice are present. Lice are spread from one person to another by very close, usually household, contact. They do not jump or fly. They can be spread by sharing personal items such as hats, scarves and brushes or combs.Anyone can get head lice. Head lice are very small brownish-colored insects that live on the head. They lay eggs (called nits) close to the scalp. The eggs are tiny (size of the eye of a small needle) and gray or white in color.Symptoms:Itching of the head and neck. Look for: 1) crawling lice in the hair, usually there aren't very many; 2) eggs (nits) glued to the hair, often found behind the ears and at the back of the neck; and 3) scratch marks on the head or back of the neck at the hairline.Spread:Head-to-head contact and through sharing of personal items such as combs, brushes, hats, scarves, hair accessories and pillows. Lice do not jump or fly. Head lice do not live longer than 48 hours off the head. They only lay their eggs while on the head. Lice do not spread to or from pets.Contagious Period:Until treated with a lice killing product. It can take several weeks to completely remove lice from a household.If you think your child has Head Lice:- Call your healthcare provider or pharmacy for recommendations on treatment products. Tell your school and childcare provider (if applicable)
- Treat your child for head lice and check child's head and remove nits daily. If all nits are not removed, some may hatch and your child will get lice again.
- Check everyone in the house for head lice. Treat only household members with head lice and treat them all at once.
- The child will need to stay home from school until after the first treatment is completed and no live lice are seen.
Treatment- Follow the product directions carefully. With certain products, a second treatment is recommended 7-10 days after the first.
- Removing the nits is a very important part of the treatment! Lice killing products are not typically effective in killing nits. Nits must be physically removed from the hair shaft. Nits are glued onto the hair shaft as they are laid. To remove the nits, use a special nit comb, your fingernails, or cut the hair very short.
- Continue checking the head and combing hair daily for 2 weeks.
- Vacuum carpets, upholstered furniture, mattresses and seats in the car thoroughly.
- Wash clothing, bedding and towels in hot water and dry in a hot dryer for at least 20 minutes before using again. Clothing, stuffed toys, linens or backpacks that cannot be washed or dried can be dry cleaned or sealed in a plastic bag for 2 weeks.
Work in a well-lit room or under a bright lamp (using a magnifying glass may help you see the nits)- Divide the hair into 4 parts and divide each part into 1-inch sections.
- Starting at the scalp, use a metal nit comb or your fingernails to comb each hair section individually.
- Use the comb or your fingernail to slide eggs off the hair shaft or use scissors to cut hair shafts that have nits glued to them.
- Remove all nits each time you comb the hair.
- REMEMBER: It can take at least 2 weeks to get rid of lice.
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Impetigo
SIGNS and SYMPTOMS - Impetigo - Blisters that produce a thick golden-yellow discharge that dries, crusts, and sticks to the skin. Common around nose, mouth, but can occur all over.
CAN MY STUDENT GO TO SCHOOL? NO - Exclude from school until 24 hours after antibiotic treatment begins, and fever free. Cover sores if possible.
HOW IS IT SPREAD? Direct contact with infected mouth or nose secretions.
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Influenza - Flu
SIGNS and SYMPTOMS - Influenza - Flu - Sudden onset of fever, headache, muscle pain, body aches, cough, and sore throat. Notify the School Nurse, MDH reportable disease
CAN MY STUDENT GO TO SCHOOL? NO Exclude from school until fever free for 24 hours and well enough to participate in normal activities.
HOW IS IT SPREAD? Coughing, sneezing, and direct contact with mouth or nose secretions, and contaminated surfaces.
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Measles
SIGNS and SYMPTOMS - Measles - High fever, watery eyes, runny nose, cough. Red blotchy rash appears from the third to seventh day of illness. Notify the School Nurse, MDH reportable disease
CAN MY STUDENT GO TO SCHOOL? NO - Follow direction from MDH Individuals who are a close contact and are not fully immunized for measles may be required to quarantine for 21 days.
HOW IS IT SPREAD? Coughing, sneezing, breathing contaminated air, touching contaminated surfaces.
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Molluscum
SIGNS and SYMPTOMS - Molluscum Bumps on the face, body, arms, or legs; small, pale, shiny, and dome-shaped, may be flesh colored, white, or pink, sometimes a dimple on top.
CAN MY STUDENT GO TO SCHOOL? YES, Your child may go to school, but should cover bumps with clothing or bandage to avoid spreading it to others.
HOW IS IT SPREAD? Skin-to-skin contact.
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Mononucleosis
SIGNS and SYMPTOMS - Mononucleosis - Fever, sore throat, fatigue, headaches, swollen glands in the neck. Rash may be present.
CAN MY STUDENT GO TO SCHOOL? NO, Must be fever-free for 24 hours and able to participate in normal activities.
HOW IS IT SPREAD? Direct contact with infected saliva. Often spread through kissing or sharing drinks.
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Norovirus
SIGNS and SYMPTOMS - Norovirus - Watery diarrhea, vomiting, fever, stomach cramps, fatigue. Usually lasts for 24 to 48 hours.
CAN MY STUDENT GO TO SCHOOL? NO, Stay home for 24 hours after diarrhea and vomiting have stopped.
HOW IS IT SPREAD? Eating contaminated food or drinks, touching hands, objects, or surfaces contaminated with stool.
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Pink Eye (conjunctivitis)
SIGNS and SYMPTOMS - Pink Eye (conjunctivitis) Viral: pink/red eye with clear, watery discharge. Bacterial: pink/red eye with pus or sticky drainage. Painful.
CAN MY STUDENT GO TO SCHOOL? Your child can be in school if there is no drainage from the eye. If the eye is painful, extremely itchy, is draining, or if the child’s vision is affected, your child should be seen by a medical doctor or eye doctor.
HOW IS IT SPREAD? Direct hand to eye contact, touching contaminated surfaces.
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Ringworm
SIGNS and SYMPTOMS - Ringworm Flat, round, red-shaped lesions on the skin, often itchy, may cause swelling. Scalp - may cause hair to break Feet (“athlete's foot”) - Patchy scaling, cracks, or blisters.
CAN MY STUDENT GO TO SCHOOL? NO, Exclude until 24 hours after treatment begins. Cover the infected area with clothing or a bandage if possible.
HOW IS IT SPREAD? Direct contact with an infected person or contaminated objects/clothing.
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RSV (Respiratory Syncytial Virus)
SIGNS and SYMPTOMS - RSV (Respiratory Syncytial Virus) Cough, watery eyes, fever, runny nose, stuffiness, sneezing. Symptoms may last for 7 days. Severe RSV may cause lung congestion.
CAN MY STUDENT GO TO SCHOOL? NO, Exclude from school until fever-free for 24 hours and the student is well enough to participate in normal activities.
HOW IS IT SPREAD? Coughing, sneezing, and direct contact with mouth or nose secretions, and contaminated surfaces.
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Scabies
SIGNS and SYMPTOMS - Scabies Pink pumps or tiny blisters, intense itching, commonly found between fingers, around wrists, near elbows, and in armpits, knees, waistline. Itching is worse at night.
CAN MY STUDENT GO TO SCHOOL? NO, Exclude from school until 24 hours after treatment begins.
HOW IS IT SPREAD? Scabies mites are transferred by direct contact with skin or shared bedding, towels, or clothing of an infected person.
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Streptococcal Infection (strep throat/ scarlet fever)
SIGNS and SYMPTOMS - Streptococcal Infection (strep throat/ scarlet fever) Sore throat, fever, swollen glands, headache, nausea and/or vomiting.
Scarlet Fever - fine “sandpaper” rash that starts with sore throatCAN MY STUDENT GO TO SCHOOL? NO, Exclude from school until 12 hours after antibiotic treatment begins, and fever-free for 24 hours.
HOW IS IT SPREAD? Coughing, sneezing, and direct contact with mouth or nose secretions, and contaminated surfaces.
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Whooping Cough (pertussis)
SIGNS and SYMPTOMS - Whooping Cough (pertussis) - Begins with runny nose, sneezing, mild cough, and low-grade fever. After 1 to 2 weeks, a persistent cough develops which may become explosive bursts. Cough occurs more at night.
CAN MY STUDENT GO TO SCHOOL? NO - Follow direction from MDH Exclude from school until 5 days after antibiotic treatment begins. If not treated with 5 days of antibiotics, exclusion is for 21 days after cough onset.
HOW IS IT SPREAD? Direct contact with mouth and nose secretions.