Sick Kids and Daycare: When to Send Them

Infectious Period:
Contagious while symptoms are present.

When infected child can return to school or daycare?
When diarrhea 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.

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.

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.

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 go to school or daycare as long as they are not infected.

Pertussis -- (Whopping 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, 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.

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 spots 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.

Comments

I am sure it is very difficult for parents who work outside of the home to balance a job and having sick kids.

Thanks for the valuable information, it really helped me.

Why didn't I find this post earlier? Keep up the good work!