507.3 - Communicable Diseases - Students
507.3 - Communicable Diseases - StudentsStudents with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. The term "communicable disease" shall mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.
Prevention and control of communicable diseases shall be included in the school district's bloodborne pathogens exposure control plan. The procedures shall include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees and record keeping. This plan shall be reviewed annually by the superintendent and school nurse.
The health risk to immunodepressed students shall be determined by their personal physician. The health risk to others in the school district environment from the presence of a student with a communicable disease shall be determined on a case-by-case basis by the student's personal physician, a physician chosen by the school district or public health officials.
It shall be the responsibility of the superintendent, in conjunction with the school nurse, to develop administrative regulations stating the procedures for dealing with students with a communicable disease.
Legal Reference: School Board of Nassau County v. Arline, 480 U.S. 273 (1987).
29 U.S.C. §§ 701 et seq. (1988).|
45 C.F.R. Pt. 84.3 (1993).
Iowa Code ch. 139 (1997).
641 I.A.C. 1.2-.5, 7.
Cross Reference: 403.3 Communicable Diseases - Employees
506 Student Records
507 Student Health and Well-Being
Approved: 7/10/89
Reviewed: 11/15/21
Revised: 11/11/13
507.3E1 - Communicable Disease Chart
507.3E1 - Communicable Disease ChartSource: Iowa Department of Public Health (1994).
CONCISE DESCRIPTIONS AND RECOMMENDATIONS FOR EXCLUSION OF CASES FROM SCHOOL
DISEASE * Immunization is available |
Usual interval between exposure & first symtoms of disease |
MAIN SYMTOMS |
Minimum exclusion from school |
CHICKENPOX |
13 to 17 days |
Mild symptoms and fever. Pocks are “blistery.” Develop scabs, most on covered parts of body. |
7 days from onset of pock or until pocks become dry. |
CONJUNCTIVITIS (Pink Eye) |
24 to 72 hours |
Tearing, redness and puffy lids, eye discharge. |
Until treatment begins or physician approves readmission. |
ERYTHEMIA INFECTIOSUM (5th Disease) |
4 to 20 days |
Usual age 5 to 14 years - unusual in adults. Brief prodrome of low-grade fever followed by Erythemia (slapped cheek) appearance on cheeks, lace-like rash on extremities lasting a few days to 3 weeks. Rash seems to recur. |
After diagnosis no exclusion from school. |
GERMAN MEASLES* (Rubella) |
14 to 23 days |
Usually mild. Enlarged glands in neck and behind ears. Brief red rash. |
7 days from onset of rash, keep away from pregnant women. |
HAEMOPHILUS MENINGITIS |
2 to 4 days |
Fever, vomiting, lethargy, stiff neck and back. |
Until physician permits return. |
HEPATITIS A |
Variable - 15 to 50 days (avg. 28 to 30 days) |
Abdominal pain, nausea, usually fever, skin and eyes may or may not turn yellow. |
14 days from onset of clinical disease and at least 7 days from onset of jaundice. |
IMPETIGO |
1 to 3 days |
Inflamed sores, with pus. |
48 hours after antibiotic therapy started or until physician permits return. |
MEASLES* |
10 days to fever 14 days to rash |
Begins with fever, conjunctivitis, runny nose, cough, then blotchy red rash. |
4 days from onset of rash. |
MENINGOCOCCAL MENINGITIS |
2 to 10 (commonly 3 to 4) days |
Headache, nausea, stiff neck, fever. |
Until physician permits return. |
MUMPS* |
12 to 25 (commonly 18) days |
Fever, swelling and tenderness of glands at angle of jaw. |
9 days after onset of swollen glands or until swelling disappears. |
PEDICULOSIS (Head/Body Lice) |
7 days for eggs to hatch |
Lice and nits (eggs) in hair. |
24 hours after adequate treatment to kill lice and nits. |
RINGWORM OF SCALP |
10 to 14 days |
Scaly patch, usually ring shaped, on scalp. |
No exclusion from school. Exclude from PE, swimming, contact sports. |
SCABIES |
2 to 6 weeks initial exposure; 1 to 4 days reexposure |
Tiny burrows in skin caused by mites. |
Until 24 hours after treatment. |
SCARLET FEVER SCARLATINA STREP THROAT |
1 to 3 days |
Sudden onset, vomiting, sore throat, fever, later fine rash (not on face). Rash usually only with first infection. |
24 hours after antibiotics started and no fever. |
WHOOPING COUGH* (Pertussis) |
7 to 10 days |
Head cold, slight fever, cough, characteristic whoop after about 2 weeks. |
5 days after starts of antibiotic treatment. |
Readmission to school -- It is advisable that school authorities require written permission from the health officer, school physician or attending physician before any pupil is readmitted to class following any disease which requires exclusion, not mere absence, from school.
Approved: 8/14/95
Reviewed: 11/15/21
Revised: 11/11/13
507.3E2 - Reportable Infectious Diseases
507.3E2 - Reportable Infectious DiseasesWhile the school district is not responsible for reporting, the following infectious diseases are required to be reported to the state and local public health offices:
Acquired Immune Leprosy Rubella (German
Deficiency Syndrome Leptospirosis measles)
(AIDS) Lyme disease Rubeola (measles)
Amebiasis Malaria Salmonellosis
Anthrax Meningitis Shigellosis
Botulism (bacterial or viral) Tetanus
Brucellosis Mumps Toxic Shock Syndrome
Campylobacteriosis Parvovirus B 19 Trichinosis
Chlamydia trachomatis infection (fifth Tuberculosis
Cholera disease and other Tularemia
Diphtheria complications) Typhoid fever
E. Coli 0157:h7 Pertussis Typhus fever
Encephalitis (whooping cough) Venereal disease
Giardiasis Plague Chancroid
Hepatitis, viral Poliomyelitis Gonorrhea
(A,B, Non A- Psittacosis Granuloma Inguinale
Non-B, Unspecified) Rabies Lymphogranuloma Venereum
Histoplasmosis Reye's Syndrome Syphilis
Human Immunodeficiency Rheumatic fever Yellow fever
Virus (HIV) infection Rocky Mountain
other than AIDS spotted fever
Influenza Rubella (congenital
Legionellosis syndrome)
Any other disease which is unusual in incidence, occurs in unusual numbers of circumstances, or appears to be of public health concern, e.g., epidemic diarrhea, food or waterborne outbreaks, acute respiratory illness.
Approved: 8/14/95
Reviewed: 11/15/21
Revised: 11/11/13
507.3E3 - Reporting Form
507.3E3 - Reporting FormSource: Iowa Department of Public Health (1994).
REPORT THE FOLLOWING DISEASES IMMEDIATELY BY TELEPHONE (1-800-362-2736)
Botulism Poliomyelitis Yellow Fever
Cholera Rabies(Human) Disease outbreak of any public health concern
Diphtheria Rubella
Plague Rubeola(Measles)
REPORT ALL OTHER DISEASES BELOW WEEK ENDING _____________
See other side for list of reportable infectious diseases.
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FOR SCHOOLS ONLY: Report over 10% absent only. Total enrollment: ____________________ |
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REPORT NUMBER OF CASES ONLY __________ Chickenpox __________ Gastroenteritis __________ Erythema infectiosum ( 5th disease) __________ influenza-like illness (URI)
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Approved 4/11/05
Reviewed 11/15/21
Revised 11/11/13