Reporting and Exclusion Guidelines Schools

Contact(s)

The information below is meant to be used as a guideline. Your facility or institution policies and procedures should always be consulted first. Some diseases are required to be reported to the health unit by law as per applicable Acts.*                                                           

Please contact the North Bay Parry Sound District Health Unit, Communicable Disease Control (CDC) Program at (705) 474-1400 or 1-800-563-2808 ext. 5229 for further information. 

If the absenteeism rate is greater than or equal to 10% of the school population (including students and staff) please contact the CDC Program at 705-474-1400 or 1-800-563-2808, ext. 5229.

Respiratory Infections

Common Cold

Caring for kids: Information for parents

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)

Caring for kids:  Information for parents

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 Fact Sheet               Caring for kids: Information for parents

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)

Caring for kids:  Information for parents

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 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 Fact Sheet               Caring for kids: Information for parents

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 Fact Sheet   

Exclude:   Consult with health unit.

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

Gastrointestinal Infections

Campylobacter

Health Unit 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 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.   References3,4,5

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).

Escherichia coli

Health Unit Fact Sheet   

Exclude:   Consult with health unit.

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

Giardia

Health Unit Fact Sheet  

Exclude:   Consult with health unit.

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

Hepatitis A

Health Unit Fact Sheet

Exclude:   Consult with health unit.

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

Norovirus

Health Unit 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.   References3,4,5

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

Rotavirus

Caring for Kids:  Information for parents

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.   References3,4,5

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 Fact Sheet   

Exclude:   Consult with health unit.

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

Shigella

Health Unit Fact Sheet   

Exclude:   Consult with health unit.

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

Yersinia

Health Unit Fact Sheet   

Exclude:   Consult with health unit.

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

Skin and Scalp Infections

Chickenpox (Varicella)

Health Unit Fact Sheet         Caring for kids: Information for parents

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: 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 Fact Sheet            Caring for kids: Information for parents

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         Caring for kids: Information for parents

Exclude:   Consult with internal policy.

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

Pinworms

Health Unit Fact Sheet   

Exclude:   No exclusion required.5

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

Ringworm

Caring for kids: Information for parents 

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 Fact Sheet       Caring for kids: Information for parents

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

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

Other Infections

Fifth Disease

Health Unit Fact Sheet       Caring for kids: Information for parents

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 Fact Sheet       Caring for kids: Information for parents

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 Fact Sheet     

Exclude:   No exclusion required.1

When to report to Health Unit: If child is too ill to take part in routine activities. If there are medical or behavioural risk factors e.g. biting, scratching, bleeding problem or weeping sores that cannot be covered.3.5

Measles (Red Measles)

Health Unit Fact Sheet

Exclude:   Consult with health unit.

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

Meningitis

Health Unit Fact Sheet

Exclude:   Consult with health unit.

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

Mononucleosis

Health Unit Fact Sheet      

Exclude:   If child is too ill to take part in routine activities.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 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 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. Reference2,3,6

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

Roseola (Sixth Disease)

Caring for kids: Information for parents

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 Fact Sheet      

Exclude:   Consult with health unit.

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

Thrush

Caring for kids: Information for parents   

Exclude:   No exclusion required.5

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

 *Child Care and Early Years Act, 2014, S.O. 2014, c.11, Sched.1    https://www.ontario.ca/laws/statute/14c11

Regulation under this Act:  *O.Reg.137/15,s.26    https://www.ontario.ca/laws/statute/14c11

*Health Protection and Promotion Act (H.P.P.A.) R.S.O. 1990, c.H.7, s.27(2)  https://www.ontario.ca/laws/statute/90h07#s27s2

*Health Protection and Promotion Act (H.P.P.A.) R.). 1990, c.H. &, s.28  https://www.ontario.ca/laws/statute/90h07#s28

References

Reference #1: Ontario Ministry of Health and Long-Term Care, Ontario Public Health Standards. (2018). Infectious Diseases Protocol. Retrieved from: http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/infdispro.aspx

Reference #2: Canadian Paediatrics Society (2019). Caring for kids. Illnesses and Infections. Retrieved from: http://www.caringforkids.cps.ca/handouts/illnesses-index

Reference #3: Canadian Paediatric Society (2015). Grenier D., Leduc D., editors. Well Beings: A Guide to Health in Child Care, third edition (revised). Canadian Paediatric Society: Ottawa, ON.

Reference #4: American Academy of Pediatrics (2018). Kimberlin D.W., Brady M.T., Jackson M.A., Long S.S., eds. Red Book: 2018-2021 Report on the Committee on Infectious Diseases. 31st. Itasca, IL: American Academy of Pediatrics; pp129-146.

Reference #5:  American Academy of Pediatrics (2017). Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide, 4th ed. Aronson, SS & Shope, TR, Eds. Elk Grove Village, IL: American Academy of Pediatrics.

Reference #6: Recommendation approved by Dr. Chirico, Medical Officer of Health, 2015-11-25. E-log entry #12085.

Exhibit for WI-CDC-018  August 2019

 

North Bay

345 Oak Street West
705-474-1400

Parry Sound

70 Joseph Street Unit #302
705-746-5801

Burk's Falls

17 Copeland Street (by appointment only)
1-800-563-2808