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STUDENT HEALTH ISSUES
To prevent illnesses from being transmitted at school, the following guidelines will be used to determine when students may be excluded from school and when they may return.

EXCLUDE

RETURN

Fever of 100 degrees, with or without other symptoms

Fever free for 24 hours

Eyes reddened, inflamed with discharge

Discharge has stopped, or 24 hours after initiating antibiotics, or note from health care provider stating not infectious

Head Lice

After pediculocide treatment is initiated

Diarrhea (2 or more loose stools in 24 hours)

No diarrhea for 24 hours

Vomiting

No vomiting within 24 hours

Impetigo

24 hours after administration of antibiotic (either oral or topical).  Cover open wounds.  Food handler staff is excluded until lesions are healed.

Ringworm

After administration of antifungal treatment

Scabies

24 hours after treatment or note from health care provider

Chickenpox

When fever is gone and all lesions are crusted or dried.  Children who have not had chickenpox or vaccination may also be excluded from school from days 10-21 following exposure to chickenpox.

Strep Throat

24 hours of antibiotic treatment and fever free

Whooping Cough

Exclude all confirmed cases for 5 days following initiation of antimicrobial treatment and note from healthcare provider


This is not an all-inclusive list of possible communicable diseases that may impact the school setting. Please call the school nurse if you have questions.

PERTUSSIS (WHOOPING COUGH): Onset 7-10 days, but can occur up to 21 days after exposure to infected person. Pertussis is communicable throughout the incubation period and for approximately 3 weeks following onset if untreated. If treated, infectiousness usually extends 5 days or less after onset of therapy. Symptoms include runny nose, sneezing, low-grade fever, thick mucous, a cough lasting at least 2 weeks with one of the following: inspiratory “whoop” or vomiting after coughing, and exhaustion. If treatment is initiated within 7 days of exposure and no signs or symptoms are present, student may return to school after 24 hours of antibiotic therapy. If symptoms are present and no treatment is initiated the student is excluded for 21 days after exposure and symptoms subside. Students not current with immunization guidelines will be excluded from school for 21 days after exposure and must have a physician’s release to return to school thereafter.

MUMPS: an infection of the salivary glands caused by a virus. Symptoms include fever, headache, muscle ache, and swelling of the glands close to the jaw. Transmission of mumps occurs through coughing and sneezing by airborne particles, or through direct contact with infected droplets or saliva. Mumps is about as contagious as influenza and rubella, but less so than measles or chickenpox. It is generally transmitted from about 3 days before symptoms appear to about 4 days after, although the virus has been isolated from saliva as early as 7 days before to as late as 9 days after onset of symptoms. Complications of mumps can lead to meningitis, inflammation of the testicles or ovaries, inflammation of the pancreas and deafness (usually permanent).
Exclusion: Persons diagnosed with mumps are excluded from school for 9 days following diagnosis. Those without the compliant immunizations (1 MMR after 12 months of age and a second MMR before entering school) are excluded from school based on a range of days during which exposure could have occurred (i.e., starting the 12th day of exposure following the first day of exposure and extending to the 25th day following the last day of exposure). The MMR vaccination is recommended for all exposed persons who do not have the proper immunizations. Persons born before 1957, or those who have had a confirmed case of the mumps are considered to have immunity.

Please be aware that the district may exclude your child from school for 25 days if your child’s immunizations are not up to date. As soon as your child is up to date with his/her MMR (Measles/Mumps/Rubella) immunizations they may come back to school. Kansas Department of Health and Environment strongly recommends two doses of mumps-containing vaccine for all persons for whom vaccine is recommended.
  • Required Immunizations

    • Diphtheria, Tetanus, Pertussis (DTaP): five (5) doses required. Four doses acceptable if dose 4 given on or after the 4th birthday. A single dose of Tdap required at grades 7-9 grade if no previous history of Tdap vaccination regardless of interval since the last Td vaccine.
    • Poliomyelitis (IPV/OPV): four (4) doses required. One dose required after age 4 regardless of the number of previous doses, with a 6 month minimum interval from the previous dose
    • Measles, Mumps, Rubella: two (2) doses required.
    • Hepatitis B: three (3) doses required through grade 11.
    • Varicella (chickenpox): two doses required for grades K-2 and 7; one dose required for grades 3-6 and 8-11 unless history of varicella disease documented by a licensed physician. Two doses are currently recommended by the ACIP for all ages.
    • Haemophilus influenzae type b (HIB): three doses required for children less than 5 yrs of age in early childhood programs. Total doses needed for series completion is dependent on the type of vaccine and the age of the child when doses given.
    • Pneumococcal conjugate (PCV7): four doses required for children less than 5 yrs of age in early childhood programs. Total doses needed dependent on the age of the child when doses given.
    • Hepatitis A: two doses required for children less than 5 yrs of age in early childhood programs.

    [Additional Immunization Information]

    Vision, hearing and dental screenings are provided each year at selected grade levels and upon request. The school nurse and nurse aides will notify a parent only if screening results are not within normal limits.

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    In order for children to receive medicine while at school, the forms (click here for forms) must be appropriately filled out and returned to the school prior to its administration. Each request expires at the end of the current school year.