Is Your Child Well Enough To Go To School?
 
Students should stay home from school with the following:
• Fever of 100 degrees or more(return to class when temperature has been normal for 24 hours)
 • Diarrhea or vomiting ( 24 hours of no symptoms before returning to school)
 • Rash when the cause is unknown
 
Fifth Disease 
Symptoms:  rash usually first appears on face (slapped cheek appearance), rash on body has a very fine, lacy appearance, rash will fade in 3 to 7 days but may come and go for weeks when the person is exposed to sunlight or heat, may have a low grade fever and sore throat
Contagious until rash begins
Incubation period:  4 to 21 days
No exclusion from school unless child does not feel well enough to participate in usual activities or has a fever
Spread by coughing or sneezing and by touching contaminated hands, surfaces and objects
 
Head Lice
Symptoms:  itching of the head and neck, scratch marks on the head or back of neck at the hairline, silvery or cream colored oval egg cases (nits) about the size of a small needle glued to the hair usually close to scalp, live lice are small (less than 1/8inch long) brownish-colored insects that move quickly through the hair, you may or may not see live lice
Incubation period:  it takes 7-10 days from when the eggs are laid until they hatch
Exclude from school until first treatment is completed and no live lice are seen
Spread by direct contact with infested person, lice can be transmitted through combs, brushes, bedding and clothes
Lice do not jump or fly, they crawl and can fall off the head, lice do not live longer than 48 hours off the head, they only lay eggs while on the head and the eggs do not hatch if they fall off the head, lice do not spread to or from pets
 
Impetigo
Symptoms:  blisters or sores that produce honey-colored discharge that dries, crusts and sticks to the skin
Contagious until sores are healed or the person has been treated for 24 hours
Incubation period:   1 to 10 days
Exclude from school until 24 hours after antibiotic treatment has been started and sores are drying
Spread by touching the fluid from the sores
 
Influenza (Flu)
Symptoms:  chills, body aches, headache, fever, sore throat, cough, runny or stuffy nose                                            
Contagious during the 24 hours before and up to 7 days after symptoms begin  
Incubation period:  1 to 4 days (usually 2)
Exclude from school until student has temperature less than 100 degrees for 24 hours and is healthy enough for routine activities
Spread by coughing and sneezing and touching contaminated hands, objects or surfaces
 
Mononucleosis
Symptoms:  fever, sore throat, swollen glands especially behind the neck, headache, tiredness and sometimes a rash, less common symptoms are jaundice and or enlarged spleen or liver
Contagious several weeks or longer
Incubation period:  about 4 to 6 weeks
No exclusion from school as long as student is healthy enough for routine activities, children with enlarged spleen should avoid contact sports until cleared by their healthcare provider
Spread by sharing items contaminated with saliva
 
Pink Eye (Conjuctivitis)
Symptoms:  redness, itching, pain and drainage from the eyes, may have a fever
Contagious while symptoms are present
Incubation period:  1 to 3 days
Exclude from school until 24 hours after treatment begins for bacterial conjunctivitis
Spread by touching secretions from the eyes, nose or mouth and touching contaminated hands, objects or surfaces
 
Ringworm (is a fungal infection and not a worm)
Symptoms:  body - flat spreading round shapes on the skin, scalp - begins as small scaly patch and may cover more of the head, mild redness, swelling, itching and pus-filled bumps may occur, infected hairs become brittle and break off
Contagiousas long as you can see the ringworm on the skin
Incubation period:  4-14 days
Exclude from school until 24 hours after being treated
Spread by direct contact with infected skin of a person or pet (usually cats or dogs) or spread by touching contaminated objects which include hats, clothing, furniture, shower stalls, swimming pool decks and locker room benches or floors
 
Strep Throat
Symptoms:  fever, red sore throat, headache, stomach ache, nausea and vomiting, swollen glands, rarely a very fine raised rash appears at the same time as the throat soreness, the rash feels like sandpaper
Contagious until 24 hours after antibiotic treatment begins
Incubation period:  2-5 days
Exclude from school until 24 hours after antibiotic treatment has been started and fever is gone
Spread by coughing or sneezing