Reporting and Exclusion Guidelines Child Care

Exclude: If child is too ill to take part in routine activities.³ If child has a fever with behaviour changes.^4,5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Ear Infections (Otitis Media)

Exclude: If child is too ill to take part in routine activities.³ If child has a fever with behaviour changes.^4,5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Influenza

Health Unit Influenza Fact Sheet              

Exclude: If child is too ill to take part in routine activities.³ If child has a fever with behaviour changes.^4,5

When to report to Health Unit: Only Laboratory confirmed cases are reportable to the Health Unit.

Respiratory Syncytial Virus (RSV)

Exclude: If child is too ill to take part in routine activities.³ If child has a fever with behaviour changes.^4,5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Scarlet Fever

Health Unit Scarlet Fever Fact Sheet   

Exclude: If child is too ill to take part in routine activities and until 24 hours of antibiotic treatment is taken.^2,4,5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Strep Throat

Health Unit Strep Throat Fact Sheet              

Exclude: If child is too ill to take part in routine activities and until 24 hours of antibiotic treatment is taken.^2,4,5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Whooping Cough (Pertussis)

Health Unit Pertussis Fact Sheet   

Exclude: Consult with Health Unit.

When to report to Health Unit: Report to health unit by telephone by next working day.

Health Unit Campylobacter Fact Sheet   

Exclude: Consult with health unit.

When to report to Health Unit: Report to health unit by telephone by next working day.

Gastroenteritis

Health Unit Gastroenteritis Fact Sheet   

Exclude: If child is too ill to take part in routine activities. If child has a fever with behaviour changes. If stool cannot be contained in a diaper for a diapered child. If diarrhea is causing 'accidents' for a toilet-trained child. If there is blood or mucous in the stool. If there is also vomiting. If child has a dry mouth, no tears or no urine output in 8 hours. If advised to do so by a healthcare provider. If stool frequency is more than 2 stools above normal in a 24 hour period. Vomiting 2 or more times in the last 24 hours, unless vomiting is caused by a non-communicable condition and child is able to remain hydrated.   References^3,4,5

When to report to Health Unit: As soon as outbreak is suspected (2 or more children affected in a 48 hour period).

Escherichia coli

Health Unit Escherichia coli Fact Sheet   

Exclude: Consult with Health Unit.

When to report to Health Unit:  By telephone the next working day.

Giardia

Health Unit Giardia Fact Sheet   

Exclude: Consult with Health Unit.

When to report to Health Unit: By telephone the next working day.

Hepatitis A

Exclude: Consult with health unit.

When to report to Health Unit: Immediately report to Health Unit by telephone.

Norovirus

Health Unit Norovirus Fact Sheet   

Exclude: If child is too ill to take part in routine activities. If child has a fever with behaviour changes. If stool cannot be contained in a diaper for a diapered child. If diarrhea is causing 'accidents' for a toilet-trained child. If there is blood or mucous in the stool. If there is also vomiting. If child has a dry mouth, no tears or no urine output in 8 hours. If advised to do so by a healthcare provider. If stool frequency is more than 2 stools above normal in a 24 hour period. Vomiting 2 or more times in the last 24 hours, unless vomiting is caused by a non-communicable condition and child is able to remain hydrated.   References^3,4,5

When to report to Health Unit: As soon as outbreak is suspected (2 or more children affected in a 48 hour period).

Rotavirus

Exclude: If child is too ill to take part in routine activities. If child has a fever with behaviour changes. If stool cannot be contained in a diaper for a diapered child. If diarrhea is causing 'accidents' for a toilet-trained child. If there is blood or mucous in the stool. If there is also vomiting. If child has a dry mouth, no tears or no urine output in 8 hours. If advised to do so by a healthcare provider. If stool frequency is more than 2 stools above normal in a 24 hour period. Vomiting 2 or more times in the last 24 hours, unless vomiting is caused by a non-communicable condition and child is able to remain hydrated.   References^3,4,5

When to report to Health Unit: Contact Health Unit as soon as outbreak is suspected (2 or more children affected in a 48 hour period).

Salmonella

Health Unit Salmonella Fact Sheet

Exclude: Consult with Health Unit.

When to report to Health Unit: By telephone the next working day.

Shigella

Health Unit Shigella Fact Sheet

Exclude: Consult with Health Unit.

When to report to Health Unit: By telephone the next working day.

Yersinia

Health Unit Yersinia Fact Sheet   

Exclude: Consult with Health Unit.

When to report to Health Unit: By telephone by next working day.

Health Unit Chickenpox Fact Sheet       

Exclude: If child has a fever (regardless of the state of the rash).^1.2 If child is too ill to take part in routine activities.^2,3

When to report to Health Unit: On a daily basis using the Chicken Pox Daily Reporting Form. 

Cold Sores (Herpes Simplex)

Exclude: If child has a fever with behaviour changes.^3,5 If child has extensive mouth sores and is drooling and until the child is able to to eat comfortably and take part in activities.^3.5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Impetigo

Health Unit Impetigo Fact Sheet   

Exclude: Until at least one full day of antibiotic treatment.^2,3

When to report to Health Unit: Individual cases not reportable to Health Unit.

Head Lice

Head lice key messages          

Exclude: Consult with internal policy.

When to report to Health Unit: Individual cases not reportable to Health Unit.

Pinworms

Health Unit Pinworms Fact Sheet   

Exclude: No exclusion required.⁵

When to report to Health Unit: Individual cases not reportable to Health Unit.

Ringworm

Exclude: Until the first treatment has been applied.^2,3,5 Those with active ringworm should not use swimming pools or gyms. Those who participate in contact sports and have ringworm of the body must cover the affected area and be excluded from contact sports for 72 hours after starting treatment.⁴ 

When to report to Health Unit: Individual cases not reportable to Health Unit.

Scabies

Health Unit Scabies Fact Sheet      

Exclude: Until the first treatment has been applied.^2,3

When to report to Health Unit: Individual cases not reportable to Health Unit.

Health Unit Fifth Disease Fact Sheet    

Exclude: If child is too ill to participate in routine activities.^2,5 If child has a fever with behaviour changes.⁵ If child has a underlying blood disorder such as sickle cell disease, or a compromised immune system.⁵ Once rash appears, a child is no longer contagious.³

When to report to Health Unit: Individual cases not reportable to Health Unit.

Hand/Foot/Mouth Disease

Health Unit Hand/Foot/Mouth Disease Fact Sheet      

Exclude: If child is too ill to take part in routine activities.^2,3 If child has a fever with behaviour changes.⁵

When to report to Health Unit: Individual cases not reportable to Health Unit.

Hepatitis B

Health Unit Hepatitis B Fact Sheet      

Exclude: If child is too ill to take part in routine activities. If there are medical or behavioural risk factors (biting, scratching, bleeding problem or weeping sores that cannot be covered.^3.5

When to report to Health Unit: Report to health unit by telephone by next working day.

Measles (Red Measles)

Health Unit Measles Fact Sheet      

Exclude: Consult with Health Unit.

When to report to Health Unit: Immediately report to Health Unit by phone.

Meningitis

Health Unit Meningitis Fact Sheet

Exclude: Consult with health unit.

When to report to Health Unit: Immediately report to Health Unit by phone.

Mononucleosis

Health Unit Mononucleosis Fact Sheet      

Exclude: If child is too ill to take part in routine activities.⁵   If child has a fever with behaviour changes. ^4.5

When to report to Health Unit: Individual cases not reportable to Health Unit.

Mumps

Health Unit Mumps Fact Sheet      

Exclude: Consult with health unit.

When to report to Health Unit: Report to Health Unit by telephone by next working day.

Pink Eye (Conjunctivitis)

Health Unit Pink Eye Fact Sheet      

Exclude: If there is eye discharge and see primary health care provider (HCP). If determined by HCP to be bacterial, child may return after 24 hours of appropriate antibiotic treatment. No need to exclude if there is no eye discharge. Reference^2,3,6

When to report to Health Unit: Individual cases not reportable to Health Unit.

Roseola (Sixth Disease)

Exclude: If child is too ill to take part in routine activities.³ If child has a fever with behaviour changes.⁵

When to report to Health Unit: Individual cases not reportable to Health Unit.

Rubella (German Measles)

Health Unit Rubella Fact Sheet      

Exclude: Consult with Health Unit.

When to report to Health Unit: Report to health unit by telephone IMMEDIATELY.

Thrush

Exclude: No exclusion required.⁵

When to report to Health Unit: Individual cases not reportable to Health Unit.