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Exclusion Periods for sickness

The following exclusion periods are based upon advice from the Health Protection Agency. More detailed information is available on their website, or download a list here.

Chickenpox

Recommended Exclusion Period: For 5 days from onset of rash Additional Notes: It's not necessary to wait until spots have healed or crusted.

Cold sores (Herpes simplex virus)

Recommended Exclusion Period: None Additional Notes: Many healthy children and adults excrete this virus at some time without having a 'sore'.

Conjunctivitis

Recommended Exclusion Period: None.

Diarrhoea and/or vomiting (known or unknown organism)

Recommended Exclusion Period: Until diarrhoea and vomiting has settled (neither in last 24 hrs). Additional Notes: Usually there will be no specific diagnosis and for most conditions there is no specific treatment. A longer period of exclusion may be appropriate for children under age 5 and older children unable to maintain good personal hygiene.

Fifth Disease: See Slapped Cheek Disease.

 

Flu (Influenza)

Recommended Exclusion Period: None Additional Notes: Flu is most infectious just before and at the onset of symptoms.

German measles (rubella)

Recommended Exclusion Period: 5 days from onset of rash Additional Notes: The child is most infectious before the diagnosis is made, and most children should be immune due to immunisation so that exclusion after the rash appears will prevent very few cases.

Glandular Fever (Infectious Mononucleosis)

Recommended Exclusion Period: None

Hand, foot and mouth disease

Recommended Exclusion Period: None Additional Notes: Usually a mild disease not justifying time off school

Head Lice (nits)

Recommended Exclusion Period: None Additional Notes: Treatment is recommended only in cases where live lice have definitely been seen.

Hepatitis A

Recommended Exclusion Period: See Comments Additional Notes: There is no justification for exclusion of well older children with good hygiene who will have been much more infectious prior to the diagnosis. Exclusion is justified for 5 days from onset of jaundice or stools going pale for under 5's or where hygiene is doubtful.

Herpes simplex virus: see Cold sores.

 

HIV/AIDS

Recommended Exclusion Period: - Additional Notes: HIV is not infectious through casual contact. There have been no recorded cases of spread within a school or nursery.

Hepatitis B and C

Recommended Exclusion Period: - Additional Notes: Although more infectious than HIV, Hepatitis B and C have only rarely spread within a school setting.

Impetigo

Recommended Exclusion Period: Until lesions crusted/healed, or 2 days after treatment has been started.. Additional Notes: If lesions can reliably be kept covered, exclusion may be shortened

Infectious Mononucleosis: See Glandular Fever.

 

Influenza: See Flu.

 

Measles

Recommended Exclusion Period: 5 days from onset of rash Additional Notes: Measles is now rare in the UK.

Molluscum contagiosum

Recommended Exclusion Period: None Additional Notes: A mild condition.

Mumps

Recommended Exclusion Period: 5 days from onset of swollen glands Additional Notes: The child is most infectious before the diagnosis is made, and most children should be immune due to immunisation.

Nits: See Head Lice.

 

Parvovirus: See Slapped Cheek Disease.

 

Pertussis: See Whooping Cough.

 

Ringworm (Tinea)

Recommended Exclusion Period: None Additional Notes: Proper treatment by the GP is important. Scalp ringworm needs treatment with an antifungal by mouth. This infection is caused by a skin fungus and is not a worm at all.

Roseola

Recommended Exclusion Period: None. Additional Notes: A mild illness, usually caught from well persons.

Rubella: See German measles.

 

Scabies

Recommended Exclusion Period: Until treated Additional Notes: Outbreaks have occasionally occurred in schools and nurseries. Child can return as soon as properly treated. This should include all the persons in the household.

Scarlet fever

Recommended Exclusion Period: 5 days from commencing antibiotics Additional Notes: Treatment recommended for the affected child.

Slapped Cheek Disease (Fifth Disease /Parvovirus)

Recommended Exclusion Period: None Additional Notes: Exclusion is ineffective as nearly all transmission takes place before the child becomes unwell.

Tinea: See Ringworm

 

Threadworms

Recommended Exclusion Period: None. Additional Notes: Transmission is uncommon in schools but treatment is recommended for the child and family

Tonsillitis

Recommended Exclusion Period: None Additional Notes: There are many causes, but most cases are due to viruses and do not need an antibiotic. For one cause, Streptococcal infection, antibiotic treatment is recommended.

Warts and verrucae

Recommended Exclusion Period: None. Additional Notes: Affected children may go swimming but verrucae should be covered.

Whooping Cough (Pertussis)

Recommended Exclusion Period: 5 days from commencing antibiotics Additional Notes: Treatment (usually with erythromycin) is recommended though non-infectious coughing may still continue for many weeks.

 



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