It can be a tough call. Technically your child is sick, but seems to feel well enough for school. What should you do? Ann Douglas, author of The Unofficial Guide to Childcare, offers some guidelines.
Chickenpox
Symptoms: Fever and headche; rash within 24 hours. Itching for four
days. Blisters appear in crops over three to four days, turning to crusty scabs.
Symptoms appear 11 to 21 days after exposure
Transmission: Spread through the air and by direct contact with blister
fluid, saliva, phlegm, or articles freshly soiled by the sick child
Infectious period: Up to five days before the onset of the rash and
not more than five days after the spots appear
When infected child can return to school or daycare: When all lesions
are dry (at least five days after the first crop of lesions appeared)
When siblings can return to school or daycare: Should only be attending
school or daycare if they have already had the chickenpox
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Common Cold
Symptoms: Runny nose, sore throat, cough, decreased appetite
Transmission: Spread through the air and via contaminated hands and
objects
Infectious period: From one day before to seven days after onset of
symptoms
When infected child can return to school or daycare: Child can attend
school or daycare unless too ill to take part in activities
When siblings can return to school or daycare: No need for siblings
to stay home
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Conjunctivitis (Pink Eye)
Symptoms: Red swollen eye(s); then thick, yellow discharge and crusting.
Eyes itch and smart; no pain. Symptoms appear 24 to 72 hours after exposure
Transmission: Spread by touching the eye or through contact with articles
soiled with discharge or phlegm.
Infectious period: Contagious until treated
When infected child can return to school or daycare: When whites of
eyes are clear and crusting is gone
When siblings can return to school or daycare: No need for siblings
to stay home unless they are infected
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Ear Infections
Symptoms: Earache; irritability, fever and cold symptoms
Transmission: Not infectious
Infectious period: Not infectious
When infected child can return to school or daycare: No need for child
to stay home unless he/she is not feeling well enough to go.
When siblings can return to school or daycare: No need for siblings
to stay home
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Fever
Symptoms: Temperature over 101°F or 38.5°C. A child with a temperature
of 104°F or 40°C and higher will look and feel sick.
Transmission: Not infectious
Infectious period: Not infectious
When infected child can return to school or daycare: Keep child from
school or daycare until he/she is feeling well enough to return.
When siblings can return to school or daycare: No need for siblings
to stay home
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Gastroenteritis
Symptoms: Poor appetite, vomiting, stomach cramps, watery or bloody
diarrhea. Symptoms usually appear 25 to 72 hours after exposure.
Transmission: Spread through contact with stool or through contaminated
food, milk or water. Also spread by people with poor hygiene habits.
Infectious period: Contagious while symptoms are present.
When infected child can return to school or daycare: When diarrha stops
and stool tests are negative.
When siblings can return to school or daycare: No need for siblings
to stay home unless they are also infected
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Impetigo
Symptoms: Blisters, then honey-colored crusts on red base; often located
around mouth, nose and diaper area. Symptoms take four to ten days to appear.
Transmission: Spread through contact with sores. Infection can be spread
to other parts of the body by the child's fingers.
Infectious period: Contagious until sores are dry.
When infected child can return to school or daycare: When sores are
dry
When siblings can return to school or daycare: No need for siblings
to stay home unless they are also infected
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Red Measles
Symptoms: Fever, cough, red eyes,runny nose, red spots in mouth, swollen
neck glands. Blotchy red rash spreads from face to neck to body over three days.
Symptoms appear seven to eighteen days after exposure, with rash appearing on
or about the fourteenth day.
Transmission: Spread through direct or airborne contact with saliva,
phlegm, or articles soiled by the sick child.
Infectious period: Contagious from four days before to four days after
rash appears.
When infected child can return to school or daycare: Child can return
to school or daycare anytime after the fourth day after the rash starts, if
he/she feels well enough.
When siblings can return to school or daycare: Siblings may continue
to attend school or daycare as long as they are immunized or immune. If they
have not been immunized, they may need a measles vaccine or immune globulin.
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Pediculosis (Head Lice)
Symptoms: Itchy scalp. Live lice are tiny wingless insects that crawl
into the hair. Nits are tiny egg-shaped deposits which are firmly attached to
the hair. Symptoms appear eight to ten days after exposure.
Transmission: Spread by direct head to head contact or by sharing clothing,
hats, combs and brushes
Infectious period: Contagious until treated and nits are gone
When infected child can return to school or daycare: After treatment
When siblings can return to school or daycare: Siblings may continue
to got to school or daycare as long as they are not infected.
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Pertussis (Whooping Cough)
Symptoms: Cold-like symptoms with irritating cough. Coughing is prolonged
and severe, and it may be characterized by a high-pitched whoop or crowing.
Symptoms appear seven to ten days after exposure.
Transmission: Spread through direct or airborne contact with saliva
or phlegm, or articles soiled by the sick child
Infectious period: Contagious for up to three weeks after start of cough
or up to five days after antibiotics are started
When infected child can return to school or daycare: After at least
five days of antibiotic treatment, assuming child feels well
When siblings can return to school or daycare: Siblings may continue
to attend school or daycare as long as they are immunized or immune. If they
have not been immunized, they may need a booster shot and antibiotic.
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Rubella
Symptoms: Mild fever, headache, cough, red eyes, runny nose. Swollen
glands at back of neck. May not feel ill. Rash consists of mottled or raised
sopts spreading from face to neck to body over 12 to 24 hours. Symptoms appear
14 to 23 days after exposure.
Transmission: Spread through direct contact with phlegm, saliva, or
articles soiled by the sick child. People without symptoms can spread the infection.
Infectious period: Contagious from seven days before to four days after
rash appears.
When infected child can return to school or daycare: Child should stay
home for seven days after rash appears and should avoid contact with nonimmune
pregnant women.
When siblings can return to school or daycare: Siblings may continue
to attend school or daycare as long as they are uninfected and have been immunized
against the disease.
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Scarlet Fever
Symptoms: Sore throat and fever; fine red rash which feels like sandpaper
and fades on pressure. Most often appears on neck, chest, folds of armpits,
elbow, groin and inner parts of thighs. Symptoms appear one to three days after
exposure.
Transmission: Spread through direct contact with phlegm, saliva or articles
soiled by the sick child. Limited spread through the air. People without symptoms
can spread the infection.
Infectious period: Contagious for 10 to 21 days after exposure or 24
to 48 hours after antibiotics have been started.
When infected child can return to school or daycare: Child can return
to school 48 hours after the start of antibiotics if he/she is feeling well.
When siblings can return to school or daycare: Siblings may continue
to attend school as long as they are not infected.
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Strep Throat
Symptoms: Fever, sore throat
Transmission: Spread person to person
Infectious period: Contagious until 24 hours after the start of treatment.
When infected child can return to school or daycare: Child can return
to school 24 hours after the start of treatment.
When siblings can return to school or daycare: Siblings may continue
to attend school as long as they are not infected.
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