COMPREHENSIVE COMMUNICABLE DISEASE MANAGEMENT
ReynoldsSchool DistrictCOMPREHENSIVE COMMUNICABLEDISEASE MANAGEMENT PLANAdapted for MESD and its component districts (Reynolds School District) with permission from Dr. Jan Olsonand team’s comprehensive communicable disease management plan for the Molalla River School DistrictTHIS PLAN CONTAINS:RSD Communicable Disease Prevention PlanRSD Exposure Control PlanRSD Pandemic Response PlanCOVID-19 Specific Considerations
TABLE OF CONTENTSINTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3COMMUNICABLE DISEASE PREVENTION PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Communicable Disease Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Common Childhood Infectious Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Vaccines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Hygiene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Respiratory Hygiene/Cough Etiquette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Environmental Surface Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Communicable Disease Exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Restrictable Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Isolation Spaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Outbreaks of Illness, and Symptom Clusters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Respiratory Illness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Vaccine Preventable Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Gastroenteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Other Circumstances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Animals in School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Food Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12EXPOSURE CONTROL PLAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Exposure Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Employee Exposure Determination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Universal & Standard Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Hand Hygiene. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Personal Protective Equipment (PPE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Respiratory Hygiene/Cough Etiquette. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Engineering and Work Practice Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Regulated Waste Containers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Sharps Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Health Room, Isolation Space, and Classroom Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Cleaning and Disinfecting Environmental Surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Transmission-Based Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Contact Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Droplet Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Airborne Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Exposure Incidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Needle-Stick Injuries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Mucous Membranes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Blood Spills. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Bites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21MESD Body Fluid Exposure Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21PANDEMIC PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Control Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Special Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26GLOSSARY & REFERENCES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27COVID-19 SPECIFIC COMMUNICABLE DISEASE MANAGEMENT ADDENDUM. . . . . . . . . . . . . . . . . 30COVID-19 TOOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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Comprehensive Communicable DiseaseManagement PlanReynoldsSchool DistrictINTRODUCTIONThe health and safety of all students and staff is a priority of Reynolds School District (RSD). The control ofcommunicable diseases is an essential component of health and wellness in the school setting. Providing a safe,comfortable, and healthy environment facilitates the educational process, encourages social development, and allowschildren to acquire healthy attitudes toward school (NRC, 2020).Illness and injury are not uncommon in the school setting and thus policies,procedures, and guidance regarding infection control are of utmost importance.When children are injured or feel unwell at school, it can create risk to othersand impact the ability of a child to fully participate in their educational activities.In the Whole School, Whole Community, Whole Child model, school personnelcollaborate for the best outcomes of the individual student, and the schoolpopulation as a whole. To accomplish this goal, staff must have access to andbe trained on resources and materials to identify appropriate measures andinterventions for child health issues (ACSD, 2020).The purpose of this comprehensive guide is to provide infection control guidance,practice standards, and protocols for Multnomah Education Service District(MESD) and its component school districts (Reynolds School District).This document combines the district’s Communicable Disease Prevention Plan, Exposure Control Plan, andPandemic Response Plan to form a Comprehensive Communicable Disease Management Plan.This plan was adapted (with permission) from Dr. Jan Olson and team’s comprehensive communicable diseasemanagement plan for the Molalla River School District, by the MESD School Health Services department incollaboration with district administration.Original Author: Dr. Jan Olson, DNP, MSNEd, BSN, RN, NCSN, District NurseOriginal Collaborators: Amanda Bickford, BSN, RN, District NurseTony Mann, Superintendent Rick Gill, Risk ManagerDave Luce, Human Resources AdministratorOriginal Date: June 3, 2020MESD Adaptation Adoption Date: July 13, 2020Adaptation Team Lead: Heather Godsey, BSN, RN, Nurse Consultant – MESD School Health ServicesAdaptation Collaborators: Jamie Smith, MPH, BSN, RN, NCSN, Coordinator of School Health Services – MESDSam Breyer, MESD SuperintendentLisa Ferguson, MS, BSN, RN, Communicable Disease Manager - Investigations and CaseManagement - Multnomah County Health Department*This manual, or portions of it, may not be reprinted without permission of School Health Services, Multnomah Education ServiceDistrict. The EXPOSURE CONTROL PLAN in this manual is published by MESD to provide information on the development of anappropriate Exposure Control Plan. The manual is not intended as a substitute for a district’s own careful review of OR-OSHAregulations which should be the basis for plan development. Agencies/Districts contracting with School Health Services forBloodborne Pathogens Training may copy and/or revise all forms within this manual to meet their individual needs.3
COMMUNICABLE DISEASE PREVENTION PLANCommunicable disease control and prevention is of significant importance in creating a safe and healthy environmentfor students and staff.A communicable disease is an infectious illness that istransmissible by contact with infected individuals or theirbodily discharges or fluids, by contact with contaminatedsurfaces or objects, by ingestion of contaminated foodor water, or by direct or indirect contact with diseasevectors. Although the terms communicable disease,contagious disease, and contagious condition are oftenused interchangeably, it is important to note that notall communicable diseases that are spread by contactwith disease vectors are considered to be “contagious”diseases since they cannot be spread from direct contactwith another person (ACPHD, 2013).In the school setting there is a prevention-orientedapproach for communicable disease which is groundedin education, role modeling, and standard precautions and hygiene. However, the nature of a population- basedsetting lends to the need to establish practices for measures and interventions associated with exposures or potentialexposure. This first section focuses on a population-based set of practices for communicable disease prevention,while the subsequent Exposure Control Plan discusses work-practice control measures for staff, per the OSHABloodborne Pathogen Standard (BBP, 29 CFR 1910.1030).RSD Board PoliciesCommunicable Diseases JHCCCommunicable Diseases – Staff GBEB-ARCommunicable Diseases – Staff GBEBCommunicable Diseases – Students JHCCStudent Health Services and Requirements JHCMESD Board PoliciesCommunicable Diseases JHCC/EBBA/GBEB-ARCommunicable Diseases – Students and Staff JHCC/GBEBSchool Health Services and Requirements JHCOregon LegislationOAR 333-019-0010 Disease Related School, Child Care, and Worksite Restrictions: Imposition of RestrictionsOAR 581-022-2200 Health ServicesORS 410-133-0000 School Based Health ServicesOregon Health Authority & Oregon Department of EducationOregon Department of Education Communicable Disease Guidelines for Schools4
Communicable Disease PreventionThere are a multitude of methods that can be applied to control communicable diseases at a variety of levels. Someof the most common include vector control, hygiene, sanitation, and immunization. Fully endorsing the control andprevention of communicable diseases requires a level of understanding of how communicable diseases can bespread.How these communicable diseases are spread depends on the specific infectiousagent. Common ways in which communicable diseases spread include: Physical contact with an infected person, such as through touch (staphylococcus),sexual intercourse (gonorrhea, HIV), fecal/oral transmission (hepatitis A), orrespiratory droplets (influenza, TB)Contact with a contaminated surface or object (Norovirus), food (salmonella, E. coli),blood (HIV, hepatitis B, hepatitis C), or water (cholera, listeria);Bites from insects or animals capable of transmitting the disease (mosquito: malariaand yellow fever; flea: plague); andAirborne; dispersed through or suspended in the air, in diseases such as measles.In the school setting the most frequent risks are associated with direct contact with illindividuals or contaminated surfaces, or through respiratory spread via droplets in theair. Primary sources of illness prevention include hand and surface hygiene, teachingand encouraging cough and sneeze etiquette, isolation and exclusion of symptomaticindividuals, and standard precautions. This section of the plan will provide a briefoverview of, and procedures on addressing the following communicable disease issuesin the school setting: Common Childhood Infectious DiseasesRespiratory/Cough EtiquetteVaccinesEnvironmental Surface CleaningHand Hygiene[The district Exposure Control Plan in this manual discusses Standard Precautions in detail as well as TransmissionBased Precautions which include contact, droplet, and airborne precautions. The District Pandemic Plan will addressmeasures specific to novel virus response.]Common Childhood Infectious DiseasesThere are a variety of Common Childhood Infectious Diseases that are regularly encountered in the school setting.Routine childhood respiratory illnesses such as the common cold (adenoviruses, coronaviruses, rhinoviruses) orconditions such as bronchitis, sinusitis, and tonsillitis caused by a variety of bacteria and viruses occur throughoutthe year. Other conditions such as gastroenteritis (norovirus most frequently), croup (most commonly parainfluenza),and influenza (A & B) most often occur seasonally. Other common conditions include strep throat, hand foot andmouth disease, fifth disease, and staph skin infections. Other, more severe infectious diseases also occur sporadicallythroughout the school year (BCDC, 2009).VaccinesIn the school setting, vaccines are an important step toward communicable disease control. Vaccines are arequirement for attending school in Oregon. However, it is important to remark that certain populations may not bevaccinated because of medical contraindications or philosophical decisions. Each school has a record of whichstudents are and are not vaccinated with routine childhood immunizations as a primary control measure for outbreaksof vaccine preventable diseases. You can find more information on immunizations on the MESD School HealthServices Website.5
Under direction of the MESD Nurse Consultant: When a positive case of a vaccine preventable disease (varicella, pertussis) is identified in the school setting, designated staffwill run immunization reports to identify unvaccinated students in the building. The nurse consultant will work with the localpublic health authority and the school administrator to determine the need for exclusion or notification of exposure to membersof the school community.In the event that a positive case is identified in the school building, or when the circulation of a vaccine preventable disease(such as measles) is increasing in incidence in a building or in the community, the nurse consultant will work with the localpublic health authority to determine the necessity for exclusion of unvaccinated students or staff.HygienePrevention-oriented measures are grounded in education of howdiseases are transmitted, and practice application related toappropriate sanitizing measures and precautions. Hygiene andsanitation are some of the most important methods of diseaseprevention. Handwashing is one of the single m
Pandemic Response Plan to form a Comprehensive Communicable Disease Management Plan . This plan was adapted (with permission) from Dr . Jan Olson and team’s comprehensive communicable disease management plan for the Molalla River School District, by the MESD School Health Services department in collaboration with district administration .
Communicable Disease Management Page 6 of 14 3.2. Communicable diseases of concern Table 1 - Communicable Disease Definitions, Modes of Transmission, and Signs and Symptoms Disease Definition Transmission Signs & Symptoms Tuberculosis (TB) TB is an infectious disease that primarily affects the lungs, but it can attack almost any
Barry County: 330 W. Woodlawn Ave., Hastings MI 49058 Eaton County: 1033 Health Care Dr., Charlotte, MI 48813 Communicable Disease Phone Line: (269) 798-4152 (517) 541-2641 www.barryeatonhealth.org COMMUNICABLE DISEASE Linking Health Care Providers with Local Public Health CD Link: May 2018 Lyme disease is an increasingly important health issue
Training Sign-In Sheet Template Training Documentation Form . for Unit or Program-Specific COVID-19 Communicable Disease Plan . Program/Unit name: Date: Name Training Date Signature By signing this log, you confirm that you have been provided with training related to COVID-19 and your unit’s Communicable Disease Plan, that the content is .
The Economics of Non-Communicable Diseases in Indonesia report was written by Bloom, D. E., Chen S., McGovern M., Prettner K., Candeias V., Bernaert A. and Cristin S. 3 4 6 9 11 12. The Economics of Non-Communicable Diseases in Indonesia 3 Overview and purpose Non-communicable diseases (NCDs) have been
Communicable Disease Management in the Camp Setting Linda E. Erceg, RN, MS, PHN – October 2020 Purpose Statement Campers and staff arrive ready to participate in the camp program. When communicable illness strikes, it impacts that participation and changes the camp experience in unanticipated ways.
COMMUNICABLE DISEASES IN CALIFORNIA, 2001-2008 SURVEILLANCE AND STATISTICS SECTION INFECTIOUS DISEASES BRANCH DIVISION OF COMMUNICABLE DISEASE CONTROL CENTER FOR INFECTIOUS DISEASES CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Edmund G. Brown Jr. Governor State of California Diana S. Dooley, Secretary Health and Human Services Agency
Prevention and Control of Communicable Diseases A Guide for School Administrators, Nurses, Teachers, Child Care Providers, and Parents or Guardians Department of Health and Senior Services Bureau of Communicable Disease Control and Prevention Jefferson City, MO 65102 (573) 751-6113 (866) 628-9891 e-mail: info@health.mo.gov
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