Cumbria & Lancashire Health Protection Team 1st Floor, York House Ackhurst Business Park Foxhole Road, Chorley Lancs, PR7 1NY T +44 (0)844 225 0602 F +44 (0)1257 246451 www.gov.uk/phe clhpt@phe.gov.uk 11 July 2014 To Parents / Guardians of children in nurseries in Cumbria and Lancashire Dear Parent or Guardian Exclusion of children with diarrhoea Nursery Infections which cause diarrhoea are common and can spread very easily among young children. The staff at the nursery do encourage children to wash their hands frequently to prevent infection. Children who have diarrhoea or loose stools should be kept off nursery until they have had no diarrhoea for 48 hours. Experience has shown that children with diarrhoea and vomiting are not are not always kept away from nursery for 48 hours. This may be due to difficulty in making child care arrangements at short notice however it increases the risk of infection spreading to other children. Please help us to reduce the risk of infection to all children by not bringing your child to nursery if they have diarrhoea. If your child develops diarrhoea while at nursery the nursery will contact you to collect them. If your child is unwell and you are concerned about them, you should seek advice from your GP. Thank you for your help in controlling the spread of infection in the nursery. Yours sincerely Dr Ken Lamden MB ChB, MSc, FFPH Consultant in Health Protection