Medical Information Handout This handout has been produced from new guidelines from the communicable Disease control team at the health Authority. Communicable diseases are diseases that spread easily throughout groups of people and can be harmful to our health. In order to prevent such diseases spreading through the nursery ALL children and staff will be excluded from the nursery for the amount of time shown below. Diseases Diarrhoea and vomiting (All cases inc: Food poisoning, medication, Whooping cough Recommended period to be kept off Comments 48 hours from last episode of diarrhoea Exclusion from swimming should be for Of vomiting. (48hr rule applies). 2 weeks following last episode of Diarrhoea. 5 days from commencing antibiotic Preventable by vaccination. After Treatment or 21 days from onset of Treatment non-infectious coughing may Illness if no antibiotic treatment. Continue for many weeks. 5 days from onset of rash ALL spots must be scabbed over Chicken pox None Treatment is recommended for the child Threadworm And all equipment. Child can return after first treatment 2 treatments; 1 week apart for cases. Scabies None Treatment is recommended only in cases Head lice Where live lice have definitely been seen. Until lesions are crusted or healed Antibiotic treatment by mouth may speed Impetigo Healing and reduce infectious period. None Recommended eye drops. Conjunctivitis Meningitis is preventable by vaccination Meningococcal Meningitis Until recovered None Exclusion may be considered in some Hand, foot and mouth Circumstances Until bacterial examination is clear Preventable by vaccination. Diphtheria 5 days from onset of rash Preventable by vaccination (MMRx2). Measles 5 days from the onset of swollen glands Preventable by vaccination (MMRx2 doses Mumps Preventable by immunisation (MMRx2 Rubella (German measles) 5 days from onset of rash At the direction of the consultant in Polio Communicable disease control 5 days to due to risk to adults Good hygiene minimises risk of spreading Hepatitis A 5 days after commencing antibiotics Antibiotic treatment recommended for child Scarlet Fever None Most cases are not infectious Tonsillitis None Dangerous for pregnant women Slapped cheek Until recovered ‘Flu’ (influenza) Treatment is recommended Athletes foot/warts/verrucae None Mild self –limiting disease Cold sores (herpes simplex) None Until treatment commenced Treatment is important and available at a Ringworm Chemist None Hiv is not infectious through casual contact Hiv/Aids None Good hygiene minimises risk of spreading MRSA It is very important that you inform us if your child becomes ill with any of the above to prevent any outbreak.