CONDITION
| PERSON WITH THE INFECTION
| THOSE IN CONTACT WITH THE INFECTED PERSON
|
Chickenpox (varicella)
| EXCLUDE until all blisters have dried. For non-immunised children, this is usually 5 days after the rash first appears, and less for immunised children.
| EXCLUSION MAY APPLY EXCLUDE non-immune pregnant women and any child with immune deficiency or receiving chemotherapy. Contact your Public Health Unit for specialist advice. Varicella can be reactivated in older children and adults as Shingles. See below.
|
Cold sores (herpes simplex)
| NOT EXCLUDED if the person can maintain hygiene practices to minimise the risk of transmission. Young children unable to comply with good hygiene practices should be excluded while sores are weeping. Sores should be covered with a dressing where possible.
| NOT EXCLUDED
|
Conjunctivitis
| EXCLUDE until discharge from eyes has ceased unless a doctor has diagnosed non-infectious conjunctivitis.
| NOT EXCLUDED
|
Cytomegalovirus (CMV)
| NOT EXCLUDED Pregnant women should consult with their doctor.
| NOT EXCLUDED Pregnant women should consult with their doctor
|
Diarrhoea3 and/or Vomiting including:• amoebiasis • campylobacter • cryptosporidium • giardia • rotavirus • salmonella • viral gastroenteritis but excluding: • norovirus • shigellosis • toxin-producing forms of E.coli (STEC) See specific information below
| Exclusion periods may vary depending on the cause. EXCLUDE a single case until 24 hours after the last loose bowel motion and the person is well. EXCLUDE all persons who prepare or serve food until they have not had any diarrhoea or vomiting for 48 hours. If there are more than two cases with diarrhoea and/or vomiting in the same location, or a single case in a food handler, notify your Public Health Unit. See information below if norovirus is confirmed or considered likely as the cause of diarrhoea and vomiting.
| NOT EXCLUDED
|
Enterovirus 71(EV71 neurological disease)
| EXCLUDE until written medical clearance is received confirming the virus is no longer present in the person’s bowel motions.
| NOT EXCLUDED
|
Fungal infections of the skin and nails (ringworm/ tinea) | EXCLUDE until the day after antifungal treatment has commenced. (No exclusion for thrush).
| NOT EXCLUDED
|
Glandular fever (mononucleosis, Epstein-Barr virus)
| NOT EXCLUDED
| NOT EXCLUDED
|
German measles (rubella) 4
| EXCLUDE for 4 days after the onset of rash or until fully recovered, whichever is longer. Pregnant women should consult with their doctor.
| NOT EXCLUDED Pregnant women and female staff of childbearing age should check their immunity with their doctor. Contact your Public Health Unit for specialist advice.
|
Haemophilus influenzae type b (Hib) | EXCLUDE until the person has completed a course of appropriate antibiotic treatment.5 Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY Contact your Public Health Unit for specialist advice.
|
Hand, foot and mouth disease (EV71)
| EXCLUDE until all blisters have dried.
| NOT EXCLUDED
|
Head lice
| Exclusion is not necessary if effective treatment is commenced before next attendance day (i.e. the child does not need to be sent home immediately if head lice are detected).
| NOT EXCLUDED
|
Hepatitis A 4
| EXCLUDE until at least 7 days after the onset of jaundice or dark urine, or for 2 weeks after onset of first symptoms if no jaundice or dark urine
| NOT EXCLUDED Contact your Public Health Unit for specialist advice about vaccination or treatment for children and staff in the same room or group, children transferring to another centre and new enrolments.
|
Hepatitis B and C
| NOT EXCLUDED Cover open wounds with a waterproof dressing
| NOT EXCLUDED
|
Hepatitis E
| EXCLUDE until at least 2 weeks after the onset of jaundice.
| NOT EXCLUDED
|
Human immunodeficiency virus (HIV/AIDS) | NOT EXCLUDED Cover open wounds with waterproof dressing.
| NOT EXCLUDED
|
Influenza and influenza-like illness
| EXCLUDE until symptoms have resolved, normally 5–7 days.
| NOT EXCLUDED
|
Measles 4
| EXCLUDE for 4 days after the onset of the rash. Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY Vaccinated or immune contacts NOT EXCLUDED.
EXCLUDE immuno-compromised contacts (including those receiving chemotherapy) until 14 days after the appearance of the rash in the last case.
EXCLUDE non- or incompletely vaccinated contacts, without evidence of immunity. Contact your Public Health Unit for specialist advice.
|
Meningitis (bacterial)
| EXCLUDE until well and has received appropriate antibiotics. 5
| NOT EXCLUDED
|
Meningitis (viral)
| EXCLUDE until well.
| NOT EXCLUDED
|
Meningococcal infection 4
| EXCLUDE until 24 hours of appropriate antibiotics have been completed. Contact your Public Health Unit for specialist advice. 5
| NOT EXCLUDED Contact your Public Health Unit for specialist advice about antibiotics and/or vaccination for close contacts. 5
|
Molluscum contagiosum
| NOT EXCLUDED
| NOT EXCLUDED
|
Mumps
| EXCLUDE for 5 days after onset of swelling. Pregnant women should consult with their doctor.
| NOT EXCLUDED Pregnant women should consult with their doctor
|
Norovirus
| EXCLUDE until there has been no diarrhoea or vomiting for 48 hours.
| NOT EXCLUDED
|
Roseola, sixth disease
| NOT EXCLUDED
| NOT EXCLUDED
|
Scabies
| EXCLUDE until the day after treatment has commenced.
| NOT EXCLUDED
|
School sores (impetigo)
| EXCLUDE until 24 hours of appropriate antibiotics have been completed.5 Cover sores on exposed areas with a waterproof dressing until sores are dry, and encourage handwashing.
| NOT EXCLUDED
|
Shiga toxin-producing E.coli (STEC) | EXCLUDE until diarrhoea has stopped and two samples have tested negative. Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY Contact your Public Health Unit for specialist advice
|
Slapped cheek syndrome, fifth disease (parvovirus B19, erythema infectiosum) | NOT EXCLUDED Pregnant women should consult with their doctor
| NOT EXCLUDED Pregnant women should consult with their doctor
|
Shigellosis
| EXCLUDE until there has been no diarrhoea or vomiting for 48 hours Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY Contact your Public Health Unit for specialist advice
|
Shingles (herpes zoster)
| EXCLUSION MAY APPLY If blisters can be covered with a waterproof dressing. until they have dried NOT EXCLUDED.
EXCLUDE if blisters are unable to be covered and until no new blisters have appeared for 24 hours.
| EXCLUSION MAY APPLY Contact your Public Health Unit for specialist advice, including advice for pregnant women and any person who is immuno-compromised (including receiving chemotherapy).
|
Streptococcal sore throat (including scarlet fever) | EXCLUDE until 24 hours of appropriate antibiotics have been completed. 5
| NOT EXCLUDED
|
Tuberculosis (TB) 4
| EXCLUDE until written medical clearance is received from the relevant Tuberculosis Control Unit.
| NOT EXCLUDED
|
Typhoid4 and paratyphoid fever
| EXCLUDE until diarrhoea has stopped and two samples have tested negative. Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY Contact your Public Health Unit for specialist advice.
|
Whooping cough (pertussis) 4
| EXCLUDE until 5 days after starting appropriate antibiotics or for 21 days from onset of cough.5 Contact your Public Health Unit for specialist advice.
| EXCLUSION MAY APPLY for those in contact with the infected person. Contact your Public Health Unit for specialist advice regarding exclusion of non- or incompletely vaccinated contacts.
|