Infectious Diseases

The ACT Public Health Regulations 2000 require children with the following conditions, and children who have been in contact with the following conditions, to be excluded from school and preschool

Condition

Exclusion of Person with Condition

Exclusion of Persons in Contact with Condition

Amoebiasis (entamoeba histolytica)

Exclude until diarrhoea ceases

Not excluded.

*Campylobacteriosis

Exclude until diarrhoea ceases

Not excluded.

Chicken pox (varicella and herpes zoster)

Exclude until the last blister has scabbed over. The child should not continue to be excluded by reason only of some remaining scabs.

Not excluded. Any child with an immune deficiency (eg with leukaemia, or as a result of receiving chemotherapy) should be excluded for their own protection and seek urgent medical advice and varicella-zoster immunoglobulin (ZIG), if necessary.

Conjunctivitis
(acute infectious)

Exclude until discharge from eyes ceases.

Not excluded.

*Cryptosporidiosis

Exclude until diarrhoea ceases

Not excluded.

*#Diphtheria

Exclude until:

(a) at least 2 negative throat swabs have been taken (the first not less than 24 hours after cessation of antibiotic treatment and the second not less than 48 hours later), and

(b) a certificate is provided by a

medical practitioner   recommending that the exclusion should cease.

Exclude family and household contacts until approval to return has been given by a medical practitioner.

Giardiasis

Exclude until diarrhoea ceases

Not excluded.

*#Haemophilius influenzatype b (Hib)

Exclude until a certificate is provided by a medical practitioner recommending that the exclusion should cease.

Not excluded.

Hand, Foot and Mouth Disease

Exclude if:

(a) child is unwell, or

(b) child is drooling, and not all

blisters have dried or an exposed weeping blister is not covered with a dressing.

Not excluded.

*Hepatitis A

Exclude for at least 7 days after the onset of jaundice and a certificate is provided by a medical practitioner recommending that the exclusion should cease.

Not excluded.

Herpes (cold sores)

Exclude young children unable to comply with good hygiene practices while the lesion is weeping. Lesion to be covered by a dressing in all cases, if possible.

Not excluded.

Impetigo (school sores)

Exclude until appropriate treatment has commenced and sores on exposed surfaces are covered with a watertight dressing.

Not excluded.

Influenza and influenza-like illnesses

Exclude until well.

Not excluded.

*Leprosy

Exclude until approval to return has been given by a medical practitioner.

Not excluded.

*#Measles

Exclude for at least 4 days after the rash appears.

(a) Immunised contacts not excluded.

(b) Exclude non-immunised contacts until 14 days after the first day of appearance of the rash in the index case.

(c) Non-immunised contacts immunised with measles vaccine within 72 hours after their first contact with the index case are not excluded. after being immunised.

(d) Non-immunised contacts who are given normal human immunoglobulin (NHIG) within 7 days after their first contact with the index case are not excluded. after being given NHIG.

Meningitis (bacterial)

Exclude until well.

Not excluded.

*Meningococcal infection

Exclude until adequate carrier eradication therapy has commenced.

(a) Not excluded. if receiving rifampicin or other antibiotic treatment recommended by a medical practitioner.

(b) Otherwise, excluded until 10 days after last contact with the index case.

*#Mumps

Exclude for 9 days after onset of symptoms, or until parotid swelling goes down (whichever is sooner).

Not excluded.

*#Poliomyelitis

Exclude for at least 14 days after onset of symptoms and until a certificate is provided by a medical practitioner recommending that the exclusion should cease.

Not excluded.

Ringworm, scabies, pediculosis (lice), trachoma

Exclude until effective treatment has commenced.

Not excluded.

Rotavirus

Exclude until diarrhoea ceases.

Not excluded.

*#Rubella (German measles)

Exclude for 4 days after the appearance of the rash.

Not excluded. Female staff of child-bearing age should ensure that their immune status against rubella is adequate.

*Salmonellosis

Exclude until diarrhoea ceases.

Not excluded.

*Shigellosis

Exclude until diarrhoea ceases.

Not excluded.

Streptococcal infection
including scarlet fever)

Exclude until the person has recovered or has received antibiotic treatment for at least 24 hours.

Not excluded.

*Tuberculosis

Exclude until approval to return has been given by a medical practitioner.

Not excluded.

*Typhoid and paratyphoid fever

Exclude until a certificate is provided by a medical practitioner recommending that the exclusion should cease.

(a) Not excluded, unless a medical practitioner notified the Principal.

(b) If a medical practitioner gives notice, exclusion is subject to the conditions in the notice.

*#Whooping cough
(pertussis)

Exclude for 21 days from start of cough, or for at least 5 days after starting a course of antibiotics recommended by a medical practitioner.

Exclude non-immunised household, home-based child care and close child care contacts under 7 years old for 14 days after the last exposure to infection, or until 5 days after starting a course of antibiotics recommended by a medical practitioner (whichever is sooner).

Worms (intestinal)

Exclude until diarrhoea ceases

Not excluded.

* These conditions must be notified by medical practitioners to the Chief Health Officer.

# These conditions must be notified by the school Principal or Principal carer to the Chief Health Officer.

 

“It is through Grace that we are saved! (Acts 15:11)”