Some medical conditions require exclusion from school or child care to prevent the spread of infectious diseases among staff and children. This poster provides information on the recommended minimum exclusion periods for infectious conditions and will assist medical practitioners, schools, pre- Exclusion of Contacts1 schools and child care centres Exclusion of Case to meet the requirements of Condition (person exposed to the case (person with infection) the Public Health Act 2005. with the infection)
Pregnant women and anyone with an immune
Exclude until all blisters have dried. This
deficiency (eg. leukaemia) or receiving chemotherapy
Chickenpox
is usually at least 5 days after the rash
or immunosuppressive therapy may require
(varicella)
preventive immunoglobulin and/or exclusion for
their own protection. Contact local public health
unit for advice. Otherwise not excluded. Cold sores
Exclude young children unable to comply with good
hygiene practices while sores are weeping (sores
(herpes simplex)
should be covered with a dressing where possible). Conjunctivitis
Exclude until discharge from eyes has ceased
Footnotes
1. The definition of ‘contact’ will vary
Cytomegalovirus
2. Diarrhoea: the definition is 2 or more
Diarrhoea2 and/or Vomiting
normal or escapes a child’s nappy.
3. Doctors should notify the local public
health unit as soon as possible if children or
staff are diagnosed with these conditions.
If there are more than 2 cases with loose
Diphtheria
Exclude according to public health unit requirements.
the intent of the Public Health Act 2005
Enterovirus
6. For meningococcal infection, appropriate
71 (EV71)
confirming the virus is no longer present
Neurological
ciprofloxacin or ceftriaxone and this will
Act for a person to be not infectious. For additional information Glandular fever please refer to the NHMRC publication (Epstein Barr “Staying Healthy in Child Care”virus (EBV), at http://www.nhmrc.gov.au/publications/ index.htm mononucleosis) or the Queensland Health website at http://access.health.qld.gov.au/hid/
Exclude until child has received appropriate
for fact sheets about various Haemophilus
antibiotic treatment4 for at least 4 days.
communicable diseases. influenza type
Written medical clearance from doctor or
See www.health.qld.gov.au/immunisation
public health unit is required to return to child
for an electronic copy of this poster.
care/school, confirming child is not infectious5. For further advice and information on any of these conditions Hand, foot and
Exclude until all blisters have dried. contact your nearest public health unit. mouth disease
Exclusion is not necessary if effective treatment
is commenced prior to the next attendance
public health units Head lice
day (i.e. the child does not need to be sent
Southern
home immediately if head lice are detected).
Exclude until at least 7 days after the onset
Hepatitis A3
unit is required to return to child care/
school, confirming child is not infectious5.
Hepatitis B Hepatitis C immunodeficiency Tropical virus (HIV/AIDS) Influenza and influenza- like illness Some medical conditions require exclusion from school or child care to prevent the spread of infectious Exclusion of Case Exclusion of Contacts diseases among staff and children. 1 (person exposed Condition This poster provides information (person with infection) to the case with the infection) on the recommended minimum
Immunised and immune contacts not excluded.
exclusion periods for infectious conditions and will assist medical
Exclude unimmunised contacts of a case until 14 days
practitioners, schools, pre-
Exclude until at least 4 days since the onset of
after the first day of appearance of rash in the last case,
schools and child care centres
rash. Written medical clearance from doctor or
unless they are immunised within 72 hours, or receive
to meet the requirements of
public health unit is required to return to child
an immunoglobulin injection within 7 days, of first
the Public Health Act 2005.
care/school, confirming child is not infectious5.
contact during the infectious period with the first case.
Exclude al immunocompromised children and staff until 14
days after the first day of appearance of rash in the last case. Meningitis (bacterial) Meningitis (viral)
Exclude until child is well and has received
Meningococcal
appropriate antibiotics.6 Written medical
clearance from doctor or public health unit
infection3
is required to return to child care/school,
Molluscum Footnotes contagiosum
1. The definition of ‘contact’ will vary
Exclude for 9 days after onset of swelling. Norovirus
2. Diarrhoea: the definition is 2 or more
Parvovirus (erythema infectiosum, fifth
normal or escapes a child’s nappy. disease, slapped
consult their medical practitioner).
3. Doctors should notify the local public
cheek syndrome)
health unit as soon as possible if children or
Exclude from childcare settings children who have
staff are diagnosed with these conditions.
received less than 3 pertussis vaccinations who are in
the same household or same childcare room as case until
completed 5 days appropriate antibiotics. If no antibiotics,
exclude 14 days from last exposure to infectious case.
Pertussis3
Staff who have not had a pertussis booster in last
10 years who are in same childcare room as case and
the intent of the Public Health Act 2005
(whooping cough)
Written medical clearance from doctor or public
do not commence appropriate antibiotics; exclude
health unit is required to return to child care/
14 days from last exposure to infectious case
school, confirming child is not infectious
6. For meningococcal infection, appropriate
Note: where contact in childcare room with case is <12
months and had less than 3 pertussis vaccinations it is
ciprofloxacin or ceftriaxone and this will
recommended all staff and children in the room receive
appropriate antibiotics regardless of vaccination status.
Act for a person to be not infectious.
Exclude for at least 14 days from onset of
For additional information
symptoms and case has recovered. Written
please refer to the NHMRC publication “Staying Healthy in Child Care”Poliomyelitis at http://www.nhmrc.gov.au/publications/
health unit is required to return to child care/
index.htm
school, confirming child is not infectious5. or the Queensland Health website at Ringworm/ http://access.health.qld.gov.au/hid/ for fact sheets about various tinea/scabies communicable diseases. Roseola (sometimes See www.health.qld.gov.au/immunisation referred to as for an electronic copy of this poster. ‘baby measles’) For further advice and information on any of these conditions Rubella (German
Not excluded (female staff of childbearing age should
contact your nearest public health unit. measles)3
least 4 days after the onset of rash.
check their immunity to rubella with their doctor). School sores
Exclude case until has received appropriate
antibiotics for at least 24 hours. Sores on exposed
public health units (impetigo)
areas must be covered with a watertight dressing. Southern
Exclude until diarrhoea has stopped for 48
Shigella
Exclude until two stool samples negative as
hours and two stool samples negative, as
per public health unit requirements.
per public health unit requirements. Streptococcal sore
Exclude until well and has received antibiotic
(including scarlet fever) (candidiasis)
Written medical clearance is required from
Tuberculosis (TB)3 Queensland Tuberculosis Control Centre to return to
child care/school, confirming child is not infectious.
Exclude from child care/school/food handling
Tropical Typhoid3,
and health care workplaces until there is written
medical clearance from doctor or public health
paratyphoid
unit confirming child is not infectious and
has met public health unit requirements. Whooping cough
Exclude if loose bowel motions present.
Schweine-Grippe: erhöhtes Risiko für Schwangere / Europäische Arzneimittelbehörde gibt Tamiflu und Relenza für Schwangere und Stillende frei . In der vergangenen Woche meldete das Robert Koch Institut insgesamt 1469 laborbestätigte Fälle der „Schweine-Grippe“. In der Wissenschaft wird das neue Grippevirus mit dem Erreger A/H1N1 „Neue Grippe“ genannt. BabyCare gibt T
Q. DOES EFALEX ACTIVE 50+ HAVE ANY SIDE EFFECTS? A. Side effects are rare and may include nausea, soft stool, diarrhoea or other gastrointestinal disturbances. The digestive upsets can usually be eliminated by taking the product with food and/or reducing the dose to one capsule per day and then slowing increasing the dose up to the maximum. People who take the product on an empty stomach