School And Childcare Exclusion List - SCDHEC
CR-01163411/20School and Childcare Exclusion ListOfficial School and Child Care Exclusion List of Contagious or Communicable DiseasesStatutory authority: SC Code of Laws Sections 44-1-140, 44-29-200; 63-13-180SC Code of Regulations Chapter 61-20 and Chapter 114, Article 5RequirementsSouth Carolina law requires schools to take measures to prevent the spread of disease in theschool and childcare populations by limiting the attendance of students and staff withcontagious or infectious diseases at school and school activities. SC Regulation #61-20requires DHEC to publish each year an Official School and Childcare Exclusion List ofContagious and Communicable Diseases, hereinafter referred to as the School and ChildcareExclusion List.SC Law indicates that schools “on account of the prevalence of any contagious or infectiousdiseases or to prevent the spread of disease, may prohibit or limit the attendance of anyemployee or student at any school or school-related activities under its control.” SC Regulationstates that schools, out-of-home childcare providers, and parents/guardians should not allow theattendance of children with “any contagious or infectious disease or syndrome requiringisolation” “if the disease or syndrome of the child or minor is on the Official School andChildcare Exclusion List of Contagious and Communicable Diseases.”Students, employees and staff (including volunteers) are also excluded from school or childcareattendance if they have been exposed to one or more of the conditions designated in these lists,until the return to school or childcare criteria are met.2020 UpdatesThe following updates were made to the School and Childcare Exclusion Lists: Coronavirus Infectious Disease 2019 (COVID-19) added to the exclusion list. Diarrhea (E. coli O157:H7 and other Shiga Toxin-Producing E. coli (STEC)) exclusionincludes children under the age of 5 in out-of-home childcare, in Kindergarten, andstudents 5 years of age or older thru grade 12. Documentation for return to school with aparent note for students 5 years of age or older thru grade 12. Diarrhea Salmonella Typhi (Typhoid fever) exclusion includes:o Children under 5 or staff in out-of-home childcare or students under the age of 5 inKindergarten. Culture independent diagnostic tests added as an option for a negativeresult. Specimens must be collected 1 week or more after antibiotics arecompleted. Diarrhea (Shigella) exclusion includes children under the age of 5 or staff in out-of-homechildcare or students under the age of 5 in Kindergarten. Exclude students 5 years of ageor older thru grade 12. Fever without a known cause may require a negative COVID-19 testing or completion ofCOVID-19 exclusion.o Exclusion of children in childcare, students or staff with a temperature of 100.4 F or
CR-01163411/20greater. Head lice: Children can return to school with a parent note after one treatment with an overthe counter or prescription lice elimination product. The school or childcare may also allowchildren to return after crawling lice and nits have been removed from the hair by combingor heat treatment methods.This update to the School and Childcare Exclusion List is effective November 2020.
CR-01163411/20Guidance for Implementing the School and Childcare Exclusion List1. The School and Childcare Exclusion List applies to the following groups of people in out-ofhome childcare, (as defined in S.C. Code Ann. Section 63-13-20), and in any public, private,parochial, church or Sunday school (Reg 61-20).o Children and staff in out-of-home childcare settings;o Preschool/kindergarten students in grades 3K, 4K, and 5K;o Students in grades 1-12; ando School employees and staff (including volunteers) who have contact with students.2. Parent Notification: Schools and childcare providers are encouraged to distribute the list ofconditions that require exclusion from school attendance to parents/guardians, and/or distributeparent brochures developed by DHEC. The list is also available oolExclusion.3. Parent Reporting to School: Schools and childcare providers should inform parents/guardiansthat they must notify the school within 24 hours after the child has developed a known orsuspected communicable illness addressed on the Exclusion List.4. Return to School: Students, children and staff may return to the school as soon as theirsymptoms are resolved, unless stated otherwise in the Exclusion List or by their health careprovider.5. Special Circumstances: Immunocompromised or medically fragile children with an excludablecondition or exposure may need longer periods of exclusion, subject to recommendations by theirhealth care provider(s) or by DHEC. For the purposes of school exclusion, the term “medicallyfragile“ refers to those students with special health care needs or developmental delays whorequire close assistance with feeding or other personal hygiene activities by which communicableillnesses may be easily spread. Nothing in these criteria precludes the exercise of theprofessional judgment of local education agency medical and/or nursing staff to protect the healthof students.6. Exclusion criteria that vary by age or grade level are indicated in the Exclusion List. “Youngchildren” or “younger children” as indicated in the List are generally those in childcare, preschool,or kindergarten grades. When students are taught or routinely spend time in mixed age groups,the standards for the youngest children in the group apply. Conditions that do not requireexclusion for school and/or childcare staff are indicated in the tables on the following pages.7. Notes / Documentation for Return: A student may return to school as indicated in the tablesthat follow. Physicians, nurse practitioners, or physician assistants may provide medical notesfor return to school following an excludable condition or DHEC may provide a release to returnbased on a negative test result or other circumstance. Medical notes, which documentdiagnosis, initiation of treatment, improvement in status, etc., and parent notes should be kepton file at the school for at least one calendar year, or as otherwise required by local schooldistrict policy. Medical notes may not shorten or abrogate the minimum period of exclusionrequired by DHEC for any specific condition.8. Period of Exclusion: If a student does not respond to treatment for an excludable condition,the health care provider or health department may suggest longer periods of exclusion.2
CR-01163411/20Guidance for Implementing the School and Childcare Exclusion List9. Outbreaks: During disease outbreaks or under special circumstances, DHEC may change the lengthof the exclusion periods. During outbreaks, exclusion criteria may also apply to students, children andstaff who are not confirmed by laboratory testing but who display the same symptoms of illness as labconfirmed cases.10. Minor illnesses: Conditions that are transmissible and may affect a child's ability to participate innormal activities, but that generally do not result in severe illness. Selected examples includeconjunctivitis, fifth disease, hand-foot-mouth disease, scabies, head lice, and Strep throat. Considerconsultation with a medical consultant for other conditions if there are questions about opening aninvestigation or initiating an outbreak response. Outbreaks of diarrheal illnesses (e.g., known orsuspected Norovirus outbreaks) are investigated per applicable policies.11. Disease/Outbreak reporting to the Health Department and the Family Education Rights andPrivacy Act (FERPA): DHEC has determined that conditions reportable immediately or within 24hours by phone, including all clusters or outbreaks of illnesses, fall under the FERPA allowance andexception of reporting illnesses without parental consent. Conditions that are reportable within 3days may be reported to DHEC by name with parental consent or reported de-identified withoutparental consent.12. The requirement to report Immediately Reportable or Urgently Reportable (within 24 hours)conditions applies to physicians, laboratories, health facilities, and “any person or entity thatmaintains a database containing health care data.” The List of Reportable Conditions may beaccessed sesAdverseEvents/ReportableConditionsInSC/3
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusion criteria has been met and documentation has been provided as noted below:Disease/ AgentChicken Pox(Varicella)CoronavirusInfectiousDisease 2019(COVID-19)Mode ofTransmissionAirborne routeor respiratory(droplet) routeor by directcontact withdrainage fromblisters ornasalsecretions.Respiratoryand airborneroutes or bycontact withinfectedindividuals orobjects.ContagiousPeriod2 daysbefore rashbegins untilthe rash iscrustedover2 days priorto the onsetofsymptoms(or date oftestspecimencollection ifnosymptoms)to the endof theexclusionperiodReport toPublic HealthReport caseswithin 3 daysOutbreakdeclaredwith 3rd.caseReportpositivecasesurgently byphonewithin 24hours.ExclusionExclude students, employees or staff withrash until crusted over and no new lesionsappear within a 24-hour period. In outbreaks, exclude unimmunizedstudents with no history of varicellavaccination from the start of the outbreak(or day that it is first recognized) until day21 after the onset of rash in the last persondiagnosed with Varicella in the affectedschool. Breakthrough varicella, which occurs inappropriately vaccinated persons, mayappear just as a rash, without crusting. Inthese cases, exclude until 24 hoursfollowing appearance of last lesions.Exclude students or staff with a positive PCRtest or another approved test per the DHECwebsite (testing recommendations will beupdated as they become available and mayimpact exclusion – refer to guidancedocuments for response to cases, link below)Criteria for return: 10 days since symptoms started – and 24 hours since the last fever withoutusing fever-reducing medication – and – Symptoms improvedSome individuals may be recommended forlonger time periods before returning.Documentation forReturnA parent note or staffstatement that lesionshave dried/crustedParent note or staffstatement that lesionsare fading/resolving,and no new lesionshave appeared for 24hours10 days after the startof symptoms andparent’s note thatsymptoms haveimproved and therehas been no fever inthe past 24 hourswithout using feverreducing medicationNote: These criteriamay be updated asmore information isavailable on COVID19.4
CR-01163411/20COVID-19 relatedsymptoms:Any of the followingwith or withoutfever: Shortness ofbreath ordifficultybreathing -or Loss of taste orsmell -or New orworseningcoughRespiratorya n d airborneroutes, or bycontact withinfectedindividuals orobjects.2 days priorto the onsetofsymptoms(or date oftestcollection ifnosymptoms)to the endof theexclusionperiodReportpositivecasesurgently byphonewithin 24hours.Exclude students or staff with (an) excludablesymptom(s) of COVID-19 without anothermore likely cause until: A negative viral test (PCR or antigen*) isobtained- OR Meet all criteria for returno 10 days since symptoms started– and o 24 hours since the last fever withoutthe use of fever-reducing medication– and –o Symptoms improvedNote: These criteria may be updated as moreinformation is available on COVID-19. Someindividuals may be recommended for longertime periods before returning.* - Testing recommendations will be updatedas they become available and may impactschool/childcare exclusion – refer to guidancefor response to -to-COVID19 09.09.2020 FINAL.pdfFor those withsymptoms: Negative viral test(PCR or antigen*)– OR 10 days after thestart of symptomsand parent’s notethat symptomshave improved &no fever in thepast 24 hourswithout usingfever-reducingmedication- OR – Doctor’s noteclearing returnrequiring nofurther exclusion5
CR-01163411/20Diarrhea1(GastrointestinalIllness, cause notidentified or causehas not yet beendetermined)1Varies, oftenassociated withpoor toiletinghabits, foodand cludinganimals andrecreationalwater; may bebacterial,parasitic orviral.Variesaccording tothe causativeagentYes, abovenormalabsenteerateYounger Students Exclude children in 5th grade or younger,with diarrhea until symptoms are resolvedfor at least 24 hours, or medical evaluationindicates that inclusion is acceptable.Older Students and Staff Exclusion for diarrhea in 6th through 12thgrade students or for school staff is notmandatory unless the person withdiarrhea is determined to be contributingto the spread of illness in the schoolsetting.Parent noteN/ASee also “COVID-19 exclusion” section foradditional considerations.Diarrhea is defined as 3 or more loose or watery stools in a 24-hour period that are not associated with changes in diet.6
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentMode ofTransmissionContagiousPeriodReport toPublic HealthExclusionDocumentation forReturnSpecial Circumstances for Diarrhea Exclude students of any age and staffwith uncontrolled diarrhea or stools thatcontain blood or mucus, unless symptomsare associated with a non-infectiouscondition (e.g., IBS or Crohn’s Disease).Return is permitted when symptoms areresolved, or medical evaluation indicatesthat inclusion is acceptable. For diapered children or students of anyage who require assistance with personalhygiene, exclude for 2 or more diarrhealepisodes in a school or program day if thefrequency or nature of the diarrhealepisodes challenges the ability of thecaregiver(s) to maintain sanitarytechniques and/or conditions (diaperspillage or accidents in toilet trainedchildren).7
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ um)Mode ofTransmissionFecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byingestion ofcontaminatedfood, water, oranimal contact.Recreationalwater contact,the fecal-oralroute throughdirect personto-personcontact orcontaminatedfomites, byingestion ofcontaminatedfood, water, oranimal contact.ContagiousPeriodExcretion isshortenedbytreatmentReport toPublic HealthReportoutbreaksIMMEDIATELYby phoneWithouttreatment,can beinfectiousfor 2-3weeks withpossiblerelapseParasite canremain instool for 2weeksReport within 3daysReportoutbreaksIMMEDIATELYby phoneExclusionExclude until diarrheal symptoms are resolvedfor at least 24 hours.Exclude until diarrheal symptoms are resolvedfor at least 24 hours. Restrict recreationalwater activities (pools, splash pads, watertables, etc.) until 2 weeks after diarrhealsymptoms resolve.Documentation forReturnParent note or staffstatement thatdiarrhea has resolvedfor 24 hoursParent note or staffstatement thatdiarrhea has resolvedfor 24 hoursReport within 3days8
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentDiarrhea (E. coli0157:H7 and otherShiga ToxinProducing E. coli(STEC))DiarrheaEnteropathogenicE. coli (EPEC)EnterotoxigenicE. coli (ETEC)Mode ofTransmissionFecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byingestion ofcontaminatedfood, water, oranimal contact.Fecal-oral routethrough directperson-toperson contactorContagiousPeriod3 weeks orlonger;Prolongedcarriage isuncommonReport to PublicHealthReportoutbreaksIMMEDIATELYby phoneReport within24 hours byphoneMay beprolongedReportoutbreaksIMMEDIATELYby phoneExclusionChildren under the age of 5 or staff in outof-home childcare or students under theage of 5 in Kindergarten: Exclude until diarrheal symptoms areresolved for at least 24 hours and 2consecutive stool cultures or cultureindependent diagnostic tests taken atleast 24 hours apart are negative forSTEC. If antibiotics were prescribed, stoolcultures must be collected 48 or morehours after the antibiotics arecompleted.Students 5 years of age or older thru grade12: Exclude until diarrheal symptoms areresolved for at least 24 hours. Restrictrecreational water activities (pools,splash pads, water tables, etc.) until 2weeks after diarrheal symptomsresolve.Exclude until diarrheal symptoms are resolvedfor at least 24 hours.Documentation forReturnDocumentation of 2negative test results.Parent note forstudents 5 years ofage or older thrugrade 12 stating nodiarrhea for 24 hours.Parent note or staffstatement thatdiarrhea has resolvedfor 24 hours9
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentMode ofTransmissioncontaminatedfomites, byingestion ofcontaminatedfood or water,or animalcontact.ContagiousPeriodReport toPublic HealthExclusionDiarrhea (Giardia)Recreationalwater contact,the fecal-oralroute throughdirect personto-personcontact orcontaminatedfomites, byingestion ofcontaminatedfood, water, oranimal contact.Can be upto reaksIMMEDIATELYby phoneExclude until diarrheal symptoms are resolvedfor at least 24 hours.Parent note or staffstatement thatdiarrhea has resolvedfor 24 hoursBy the fecal-oralroute throughdirect personto-personcontact orCan be shedbeforesymptomsstart and 2or moreExclude until asymptomatic (diarrhea and/orvomiting have ceased for at least 24 hours).A parent note or staffstatement thatdiarrhea and/orvomiting have resolvedfor 24 hours.Diarrhea(Norovirus)Documentation forReturnReport within 3daysReportoutbreaks only10
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentDiarrhea(Rotavirus)DiarrheaSalmonella Typhi(Typhoid fever)Diarrhea(NontyphoidalSalmonella)Mode ofTransmissioncontaminatedfomites, byingestion ofcontaminatedfood or water.Fecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byingestion ofcontaminatedfood or water.Fecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byingestion ofcontaminatedfood or water.ContagiousPeriodweeks aftersymptomsendReport toPublic HealthExclusionPresentseveral daysbeforesymptomsand last forweeks afterReportoutbreaks onlyExclude until diarrheal symptoms are resolvedfor at least 24 hours.A parent note or staffstatement thatdiarrhea has resolvedfor 24 hoursCan persistin stool upto DIATELYby phoneChildren under the age of 5 or staff in outof-home childcare or students under theage of 5 in Kindergarten: Exclude until diarrheal symptoms areresolved for at least 24 hours AND threeconsecutive stool cultures or cultureindependent diagnostic tests collected at24-hour intervals are negative forSalmonella Typhi. If antibiotics were prescribed, stoolspecimens must be collected 1 week ormore after the antibiotics are completed.Documentation of 3negative test resultsFecal-oral routethrough directperson-toperson contactorCan persistin stool upto 12 weeksExclude until diarrheal symptoms are resolvedfor at least 24 hours.Parent note or staffstatement thatdiarrhea has resolvedfor 24 hoursReport typhoidfever within 24hoursReportoutbreaksIMMEDIATELYby phoneDocumentation forReturn11
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentDiarrhea (Shigella)Mode ofTransmissioncontaminatedfomites, byingestion ofcontaminatedfood, water, oranimal contact.ContagiousPeriodFecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byingestion ofcontaminatedfood or water.UntreatedShigella isfound in thestool up to4 weeksReport toPublic HealthExclusionDocumentation forReturnChildren under the age of 5 or staff in outof-home childcare or students under theage of 5 in Kindergarten: Exclude until diarrheal symptoms areresolved for at least 24 hours, and atleast 1 stool culture or cultureindependent diagnostic test isnegative for Shigella. If antibiotics were prescribed, stoolcultures must be collected 48 or morehours after the antibiotics arecompleted.Medical notedocumenting negativetest results Students 5 years of age or older thru grade12: Exclude until diarrhea has stopped forat least 24 hours, provided that thestudent has good hand hygiene andability to self-toilet. A student with questionable or poorhand hygiene may be required to haveat least 1 Shigella-negative stoolculture and to be diarrhea-free for atleast 24 hours prior to returning. Ifantibiotics were prescribed, stoolParent note or staffstatement thatdiarrhea has resolvedfor 24 hoursReportnontyphoidalSalmonellawithin 3 daysReportoutbreaksIMMEDIATELYby phoneReport within 3days12
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentFeverMode ofTransmissionN/AContagiousPeriodDependentupon thecause of thefeverReport toPublic HealthReportoutbreaks onlyExclusion Haemophilusinfluenzae typeB (Hib)Respiratory(droplet) routeor by directcontact withcontaminatedobjectsMay be aslong asbacteria isin themouth ornoseReport Within24 hours cultures must be collected 48 or morehours after the antibiotics arecompleted.Fever of greater than 24 hours orwithout a known cause may requirenegative COVID-19 testing orcompletion of COVID-19 exclusion.Exclude all staff for oral temperature100.4 F or higher.In the childcare setting for infants up to4 months of age: Fever (100.4 F or above rectally) in achild 60 days of age or youngerrequires immediate medicalattention.In the childcare setting for infants andchildren who are over 4 months: Exclude for Axillary temperature:100.00 F or Oral temperature:1 0 0 . 4 F or greaterFor Schools for students of all ages Exclude Axillary temperature: 100.0 For for Oral temperature: 100.4 F orgreaterExclude until the student is cleared by ahealth professional.Exclude staff with proven Hib infectionuntil antibiotic therapy is initiated.No exclusion is required for exposedstudents or staff.Documentation forReturnSchool to specify basedon situationStudents or staff canreturn to school ifanother diagnosis isdetermined by theirhealthcare provider.Medical notedocumentingcompletion ofantibiotic treatment,and clearance to returnto school13
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentHand, foot andmouth DiseaseHead lice(pediculosis)22Mode ofTransmissionDirect contactwith infected: nosedischarge throatdischarge blisters fecesContagiousPeriodThe virusmay beshed forweeks tomonths inthe stoolafter theinfectionstarts;respiratoryshedding ofthe virus isusually 1-3weeksReport toPublic HealthReportoutbreaks onlyDirect contactwith infectedperson orcontaminatedobject.As long aslive lice arepresentNot reportableExclusionExclude while symptoms of fever or excessivedrooling are present, which is typically duringthe first week of illness.Exclude for: The presence of live, crawling licevisualized on direct inspection of the scalp,or The presence of nits (eggs) that appear toDocumentation forReturnParent noteExcluded persons mayreturn with a parentnote after onetreatment with anover the counter orprescription liceelimination productand no active lice isobserved crawling inthe hair or afterremoval by combing orIdeally, head lice screening is performed by healthcare providers, including school health nurses, or by school health aides who have been trained by school nurses. [Students withevidence of infestation (e.g., nits further than ¼ inch from the scalp may be excluded per local school policies]14
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Disease/ AgentMode ofTransmissionContagiousPeriodReport toPublic HealthExclusionbe ¼ inch or 6 mm from the scalp.Documentation forReturnheat treatmentmethods3.Students identified with head lice can remainin the classroom until the end of the schoolday, with limitations placed upon activitiesthat cause head-to-head contact or sharing ofany headgear. Staff with head lice areexcluded at the end of the school or childcareday if close head-to-head contact can beavoided during routine activities.Re-screening Recommendations for HeadLice: Persons who were excluded forpediculosis should be rescreened at 7-10days after initial treatments. Rescreened persons who are found tohave live crawling lice should be re-treatedand excluded until screening identifies nolive, crawling lice on the scalp.Hepatitis A virusinfection3Fecal-oral routethrough directperson-toperson contactorcontaminatedfomites, byMostinfectious inthe 2 weeksbeforeonset ofsigns orsymptoms,Report within24 hours byphoneExclude until 1 week after onset of illness orjaundice. Refer contacts to their health careproviders for consideration of immunoglobulinor vaccine in consultation with the healthdepartment.Medical notedocumenting diagnosisand more than oneweek since onsetAlthough not recommended, education agencies opting for more stringent “No Nit Policies” for school re-admission should explain their policies to families.15
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Mode ofTransmissioningestion ofcontaminatedfood or water.ContagiousPeriodthe risk isminimalafter theonset ofjaundiceReport toPublic lbacteria)By infection ofskin opening, orby contact withskin sores of aninfected person.Not ReportableExclude until 24 hours after antibiotictreatment has been initiated or as long aslesion is draining AND cannot be covered witha watertight dressing.Parent note or staffstatement indicatingantibiotic therapy hasbeen initiated for 24hoursInfluenza/Influenza-likeIllness (ILI)Airborne andrespiratory(droplet) routes,or by contactwith infectedindividuals orobjects.Untiltreatmentwithantibioticsfor 24 hoursor lesionscrustedOne daybeforesymptomonset untilat least 7days afteronsetReportoutbreaksIMMEDIATELYby phoneExclude until at least 24 hours after fever hasresolved without the use of fever-reducingmedicines.Parent note or staffstatement that feverhas resolved for atleast 24 hours withoutthe use of feverreducing medications1-2 daysbefore signsandsymptomsappear until4 days afterrashREPORTIMMEDIATELYby phoneDisease/ Agent(ILI is defined as anoral temperature of 100 F with acough and/or sorethroat for whichthere is no otherknown cause)Measles (Rubeola)Airborne andrespiratory(droplet) routes. ILI without a known cause may requirenegative COVID-19 testing orcompletion of COVID-19 exclusion.Exclude until 4 days after onset of rash andcleared by health care provider.Documentation forReturnMedical notedocumenting at least 4days since onset ofillness16
CR-01163411/20Children, students and staff with the following conditions must be excluded from the school or out-of-home childcare until theexclusions criteria have been met and documentation has been provided as noted below:Mode ofTransmissionContact withrespiratorysecretions orcontact withcontaminatedobjects.ContagiousPeriodUntil after24 hours ofantibioticsReport toPublic HealthREPORTIMMEDIATELYby phoneMeningitis (Viral)Environmentalexposure torespiratorysecretions of aninfectedindividual or bypoor toiletinghabits.Shedding ofvirus infeces cancontinue forseveralweeks ortherespiratorytract for aweek or lessREPORTIMMEDIATELYby phoneExclude as soon as meningitis is suspected anduntil bacterial meningitis is ruled out.Medical notedocumenting that theaffected person is noncontagiousMouth Sores (alsosee hand-foot andmouth disease)(Herpes Simplex,Canker Sores, andThrush)Exposure to aninfectiousagent.Varies bytheinfectiousagentReportoutbreaks onlyExclude young children for sores, includingmouth ulcers and blisters, inside the mouthassociated with uncontrolled drooling, unlessthe child’s health care provider states that thechild is noninfectious.Parent noteDisease/ AgentMeningitis(Bacterial) NeisseriaMeningitides(meningococcal) Haemophilusinfluenza (h. flu) de as soon as meningitis is suspected anduntil cleared by a healthcare provider. Referto medical attention promptly for anycombination of multiple symptoms of fever,headache, stiff neck, irritability, orphotophobia Special attention should bemade to a rash that is non-blanching and hassmall red or purple spots on the skin causedby bleeding under the skin. Re-admit whencleared by a health care profess
The School and Childcare Exclusion List applies to the following groups of people in out-of- home childcare, (as defined in S.C. Code Ann. Section 63-13-20), and in any public, private, parochial, church or Sunday school (Reg 61-20). o Children and staff in out-of-home childcare settings;
Childcare is CLOSED Monday, September 6, 2021 (Labor Day) School begins and Childcare resumes Tuesday, September 7, 2021 St. Michael Childcare Summer Program requires each child be enrolled for a minimum of 2 days per week. Location St. Michael Childcare 2021 Summer Progra
here do rich countries stand on childcare League Table The 41 rich countries use different combinations of parental leave and organized childcare to help parents care for their children. The League Table ranks each country on eight indicators grouped into four dimensions: leave, access, quality and affordability of childcare.
Figure 3.1. Gross and net costs of childcare, as percentage of median female earnings, 2019. 15 Figure 3.2. Net childcare costs, as percentage of women's median full-time earnings, 2019. 16 Figure 3.3. Net childcare costs decomposed by instrument, as percentage of women's median full-
to social exclusion of disabled people Rapid review for Think Differently Dr Sarah Appleton-Dyer Dr Adrian Field 20 November 2014 Synergia Ltd P.O. Box 147 168 . levels of exclusion through media portrayal, notions of body image and in policy and legislation. At a community level, exclusion is driven through perceptions of understanding and .
Size exclusion Chromatography principle is based on the exclusion of analyte molecules through a column containing porous beads. When we used an aqueous solution for the transportation of samples through the column, the procedure is called gel-filtration or Permeation chromatography. Fig1-principle involved in size exclusion chromatography
or business communities. Employers, local school districts, and childcare providers all have common interests but rarely are childcare providers included in . cards or cash. These providers often had previously existin
About Community Link Childcare Since 2000 Community Link Childcare has been providing out of school care in Aberdeen. We are a non‐profit registered charity. The organisation forms part of Aberdeen Cit
Introduction, Description Logics Petr K remen petr.kremen@fel.cvut.cz October 5, 2015 Petr K remen petr.kremen@fel.cvut.cz Introduction, Description Logics October 5, 2015 1 / 118. Our plan 1 Course Information 2 Towards Description Logics 3 Logics 4 Semantic Networks and Frames 5 Towards Description Logics 6 ALCLanguage Petr K remen petr.kremen@fel.cvut.cz Introduction, Description Logics .
