Infectious Diseases in Childcare Settings and Schools Manual

Table of Contents

• Introduction
• Acknowledgements
• A Note About Web Links
• Section I - Exclusion Guidelines for Staff and Children
• Section II - Guidelines for Prevention and Control of Communicable Diseases
• Section III - Communicable Disease Concerns for Pregnancy
• Section IV - Guidelines: Environment and Sanitation
• Section V - Communicable Disease Reporting and Management
• Section VI - Communicable Disease Fact Sheets
• Section VII - Other Resources
• Appendix A - Terms and Definitions
• Appendix B - Legal References
• Appendix C - References

Introduction

The Infectious Diseases in Childcare Settings and Schools Manual informs administrators, childcare providers, caregivers, parents/guardians, and school health staff about specific infectious disease conditions they may encounter in the childcare or school setting. This manual is designed to provide specific disease prevention and control guidelines which are consistent with the national standards put forth by the American Public Health Association, the American Academy of Pediatrics and are in line with Nevada Revised Statutes.

This manual contains:

• Fact sheets specifically for parents/guardians of childcare and school-aged children. Each of these are labeled Parent Fact Sheet.
• Technical fact sheets for providers about specific infectious disease problems. Each of these are labeled Technical Fact Sheet.

Some technical fact sheets indicate when immediate action is necessary. Per Nevada Revised Statutes (NRS 441A) providers MUST report certain known or suspected disease conditions to the health authority; this is indicated on the fact sheets labeled "Reportable".

In 2014 the Infectious Diseases in Childcare Settings and Schools manual. Individual parts of the manual was posted to the Washoe County Health District's website for the first time. Individual parts of the manual have been maintained and updated on our web site as
needed. This allow us to have more frequent updates and provide you with the most current information available on infectious diseases.

Acknowledgements

This manual has been adapted from the Hennepin County, Minnesota Human Services and Public Health Department’s Infectious Diseases in Childcare Settings and Schools Manual.

We at Washoe County Health District would like thank those who were acknowledged by Hennepin County and to offer our great appreciation to Hennepin County, Minnesota PHD for creating such a quality, comprehensive manual and encourage any who find this manual to be helpful to direct their appreciation to Hennepin County as well.

A Note About Web Links

Section I - Exclusion Guidelines for Staff and Children

1. General Exclusion Guidelines for Ill Children/Staff
2. Specific Disease Exclusion Guidelines for Childcare
3. Specific Disease Exclusion for Schools

Section II - Guidelines for Prevention and Control of Communicable Diseases

1. Recommendations for Schools and Child Care Centers
2. Covering Your Cough
3. Cover Your Cough Poster
4. Gloving
5. Hand Washing
6. Hand Washing Poster
7. Hand Washing Instruction Poster
8. Infection Control Guidelines
9. Infection Control Recommendations for School Athletic Programs
10. Misuse of Antibiotics
11. Human Biting Incidents

Section III - Communicable Disease Concerns for Pregnancy

1. Communicable Disease Concerns for Pregnant Women
2. Cytomegalovirus (CMV) and Pregnancy
3. Fifth Disease (Parvovirus B19) and Pregnancy
4. Hand, Foot, and Mouth (Enteroviral Infections) and Pregnancy
5. Hepatitis B Virus and Pregnancy
6. Human Immunodeficiency Virus (HIV) and Pregnancy
7. Rubella (German Measles) and Pregnancy
8. Safe Handling of Breast Milk
9. Varicella-Zoster Virus (Chickenpox) and (Shingles) and Pregnancy

Section IV - Guidelines: Environment and Sanitation

1. Cleaning, Sanitizing, and Disinfection
2. How to Mix Bleach Solutions (Poster)
3. Cleaning/Sanitizing/Disinfecting Guidelines for Specific Items/Areas (Poster)
4. Checklist for Choosing a Disinfectant Other Than Bleach (Poster)
5. Comparison of Bleach to Quaternary Ammonia Products (Poster)
6. Diapering
7. Diapering Procedures (Poster)
8. Changing Pull-ups/Toilet Learning Procedure (Poster)
9. Food Safety in Childcare Settings and Schools
10. Pets in Childcare Settings and Schools
11. Wading Pools
12. Public Vomiting Incident Cleaning

Section V - Communicable Disease Reporting and Management

1. Communicable Disease Reporting
2. Control and Management of Communicable Disease Exposures and Outbreaks
3. Sample Line List (Printable)

Section VI - Communicable Disease Fact Sheets

* - Diseases Reportable to a Local or State Health Department in Nevada

1. Communicable Disease Fact Sheets: How and when to use
2. Bed Bugs
3. Bronchitis, Acute (Chest Cold)/Bronchiolitis
   • Parent Fact Sheet
4. *Campylobacteriosis
   • Parent Fact Sheet
5. Chickenpox (Varicella)
   • Parent Fact Sheet
6. Conjunctivitis (Pinkeye)
   • Parent Fact Sheet
7. Croup
   • Parent Fact Sheet
8. *Cryptosporidiosis
   • Parent Fact Sheet
9. Cytomegalovirus (CMV) Infection
   • Parent Fact Sheet
10. Diarrhea (Infectious)
    • Parent Fact Sheet
11. *E. coli O157:H7 Infection and Hemolytic Uremic Syndrome (HUS)
    • Parent Fact Sheet
12. Enteroviral Infection
    • Parent Fact Sheet
    2. Enteroviral D-68 Infection
       • Parent Fact Sheet
13. Fifth Disease
    • Parent Fact Sheet
14. *Giardiasis
    • Parent Fact Sheet
15. *Haemophilus Influenzae type B (Hib) Disease
    • Parent Fact Sheet
16. Hand, Foot, and Mouth Disease
    • Parent Fact Sheet
    • CDC Fact Sheet - Spanish
17. Head Lice
    • Parent Fact Sheet
18. *Hepatitis A
    • Parent Fact Sheet
19. *Hepatitis B
20. *Hepatitis C
21. Herpes Gladiatorum
    • Parent Fact Sheet
22. Herpes, Oral
    • Parent Fact Sheet
23. *Human Immunodeficiency Virus (HIV) Infection/AIDS
24. Impetigo
    • Parent Fact Sheet
25. *Influenza
    • Parent Fact Sheet
26. LaCrosse Encephalitis
27. *Lyme Disease
28. *Measles
    • Parent Fact Sheet
29. *Meningococcal Disease
    • Parent Fact Sheet
30. Methicillin-Resistant Staphylococcus aureus (MRSA)
    • Parent Fact Sheet
31. Molluscum Contagiosum
    • Parent Fact Sheet
32. Mononucleosis
    • Parent Fact Sheet
33. *Mumps
    • Parent Fact Sheet
34. Norovirus
    • Parent Fact Sheet
35. Parapertussis
    • Parent Fact Sheet
36. *Pertussis (Whooping Cough)
    • Parent Fact Sheet
37. Pinworms
    • Parent Fact Sheet
38. Pneumococcal Infection
    • Parent Fact Sheet
39. Pneumonia
    • Parent Fact Sheet
40. Respiratory Infection (Viral)
    • Parent Fact Sheet
41. *Respiratory Syncytial Virus (RSV) Infection
    • Parent Fact Sheet
42. Ringworm
    • Parent Fact Sheet
43. Roseola
    • Parent Fact Sheet
44. *Rotaviral Infection
    • Parent Fact Sheet
45. *Rubella (German Measles)
    • Parent Fact Sheet
46. *Salmonellosis
    • Parent Fact Sheet
47. Scabies
    • Parent Fact Sheet
48. *Shigellosis
    • Parent Fact Sheet
49. Shingles (Zoster)
    • Parent Fact Sheet
50. Staph Skin Infection
    • Parent Fact Sheet
51. Streptococcal Infection (strep throat/scarlet fever)
    • Parent Fact Sheet
52. *Tuberculosis
    • Parent Fact Sheet
53. *Viral Meningitis
    • Parent Fact Sheet
54. Warts
    • Parent Fact Sheet
55. Yeast Infection (Candidiasis)
    • Parent Fact Sheet

Diseases categorized under other names:

• Lice (See Head Lice)
• *Streptococcus pneumoniae (See Pneumococcal Infection)
• Group A Strep or Strep throat (See Streptococcal Infection)

Section VII - Other Resources

1. Immunization Web Resources
2. Emergency Preparedness
3. Emergency Preparedness Planning Resources for Childcare
4. Emergency Preparedness Planning Resources for Schools
5. Individual and Family Emergency Preparedness

Appendix A - Terms and Definitions

• Terms and Definitions

Appendix B - Legal References

• Nevada State Laws and Regulations of Interest Relating to Health in Schools and Child Care Settings

Appendix C - References

• References