communicable disease and student health related issues

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  1. 1. Student Health Services: Student Health Related Issues
  2. 2. Objective: This section will give direction and practices to follow when addressing student health related issues in the school setting.
  3. 3. General Guidelines If you have a question regarding a student health issue, please contact the Director of Student Health Services, Nicole Proffitt, at Do NOT send out letters or calls to parents regarding a health situation (meningitis, scabies, lice, staph infection, etc.) prior to speaking with the Director of Student Health Services. MNPS works closely with the Metro Public Health Department (MPHD). If or when a letter needs to be sent home, MPHD will direct MNPS to do so. The Office of Student Health Services will provided individual guidance based on the health situation.
  4. 4. When to Stay Home When a child has the symptoms below they must be kept at home the next day from school. They also need to be without symptoms for a full 24 hours before returning to school. Fever: Temperature above 100 F (taken by mouth) without the use of fever reducing medication. Diarrhea: Any watery stools not contained in under clothes. Vomiting: Throwing up. Rash: Covering entire body.
  5. 5. When to Stay Home If a child has: Strep Throat: Students must be on antibiotic therapy for at least 24 hours and not have a fever over 99.9 (under 100 F), without the use of fever reducing medication. Communicable Disease: If a child has chickenpox, mumps, measles, rash all over their body, strep throat, or pink eye, they have to stay home until they have a note from a health care provider stating the child is not contagious and may return to school.
  6. 6. Ringworm What is Ringworm? Ringworm is a fungal infection that grows into a lesion with a smooth center and a red, scaly border. There are two types, tinea corporis (ringworm of the body) and tinea capitis (ringworm of the scalp). What does Ringworm look like? Scaly red patches that grow into characteristic rings. On the scalp, ringworm is more likely to appear as weepy lesions with some hair loss. Both are only mildly itchy. Certain types of scalp ringworm are more difficult to detect because the rings are not obvious and flaking may be confused with dandruff which is a skin malady that is not common until the teen years. If you see dandruff in a young child it should arouse suspicion of ringworm. What is the incubation period? Four to ten days How is it spread? Person to person through contact with lesions, although tinea capitis can be passed from pets to kids, too.
  7. 7. Ringworm How is it treated? Treat scalp ringworm with an oral antifungal agent, such as griseofulvin. Patches may respond in two weeks, but medication should be taken for four to six weeks. Body ringworm may respond to topical antifungal creams applied one to three times daily for about four weeks. If the infection is extensive or does not respond to topical treatment, oral fungicides are prescribed. Once the weepy lesions heal the child is not contagious anymore. Who needs to be treated? Only the infected person. How can I stop it from spreading? Treat infected pet and keep family members away from them. In the case of scalp ringworm, hats, hairbrushes, hair accessories, and combs should be thrown out. Do not share an infected persons towel, which provide damp, hospitable environment for the fungus. Launder towels and clothing with hot water. The house does not need to be decontaminated; a fungus does not survive well in a dry environment, so are rarely picked up from toys or other dry surfaces.
  8. 8. Head Lice In the event a student has head lice, a brochure needs to be sent home with the student who has the head lice. The student may return, once the lice has been treated and with a doctors note. We do not notify other students parents. We do not do routine head checks. If you choose to do a head check then you will use school staff not the nurse. Once the child returns to school with the physicians note stating he/she has been treated, we do not do rechecks unless there are symptoms again (head scratching, etc.) MNPS Policy: Head Lice Plan If a student is positive for live head lice, the student is to be sent home with information to the parents regarding treatment and control measures. A student may return to school when the parent or guardian obtains a note from their private health provider or the Metropolitan Health Department stating that the student has been treated and is lice free. An excused absence for up to three (3) days per infestation will be granted.
  9. 9. Bed Bugs Bed bugs are a nuisance, but do not cause or spread disease. Schools are not habitats for bed bugs and when one is found at school, it usually has been brought in unknowingly on clothing or backpacks. Even though it is unlikely for bed bugs to spread in schools, MNPS will continue to work to identify these and all pests, provide a thorough inspection of the school, and implement a pest management plan as necessary.
  10. 10. Bed Bugs If you suspect a student has bed bugs, first contact Louis Burnett in MNPS Environmental. After confirmation from MNPS Environmental, notify the parent/guardian by phone if a bed bug is found on or in their childs belongings and following up with a letter and a copy of the brochure to that parent/guardian.
  11. 11. Scabies When a student has a diagnosis of Scabies it is best practice to follow the CDC (Center for Disease Control) recommendations. Students can return to school with a providers note and once treatment has begun, if they have any rashes/blisters they need to keep them bandaged and covered with clothing when possible. It is not necessary to send letters home, this is not highly contagious in a setting such as a school setting; prolonged and direct skin to skin contact is needed to pass along this condition. For additional information you may visit the CDC website: l
  12. 12. Contact: If you have questions or concerns, please contact: Nicole Proffitt Director of Student Health Services 615-259-3282 Ext 858033