Infectious diseases in children
A child with an infectious disease may show general signs of illness. This can include fever, shivering, vomiting, diarrhea, etc.
In these circumstances, parents/guardians should be contacted so that they can collect the child. In the meantime, the child should be kept comfortable away from the other children. Once they are better they should return unless they pose a risk of infection to others. They should not return to school or nursery until the risk has passed.
The following table outlines the recommendations for exclusion from school or daycare for particular infectious diseases:
Rashes and Skin Infections |
Recommended period to be kept away from school and other childcare settings |
Additional Information |
Athlete’s Foot |
None |
Treatment is recommended. |
Chickenpox (Varicella) |
Exclude for five days from the onset of rash |
Preventable by immunization. |
Cold Sores |
None |
Avoid kissing and contact with sores. |
German measles (Rubella) |
Exclude for six days from onset of rash
|
Preventable by immunization. |
Hand, foot and mouth (Coxsackie virus) |
Exclude until blisters are crusted and dried and there are no ulcers in the mouth |
Contact the Epidemiology and Surveillance Unit if a large number of children are affected. |
Impetigo |
Exclude until lesions are crusted and healed, or 24 hours after commencing antibiotic treatment |
Antibiotic treatment speeds healing and reduces the infectious period. |
Measles |
Exclude for four days from onset of rash
|
Preventable by immunization. |
Molluscum contagiosum |
None |
|
Ringworm - skin/scalp |
Exclusion not usually required |
Treatment is required. |
Roseola (infantum) |
Exclude until fever-free for 24 hours without the use of fever-reducing medications |
|
Scabies |
Exclude until first treatment completed |
Household and close contacts require treatment |
Scarlet fever |
Exclude for 24 hours after commencing appropriate antibiotic treatment, provided he/she has no fever. |
|
Slapped cheek/fifth disease Parvovirous B19 |
Exclude until fever-free for 24 hours without the use of fever-reducing medications |
|
Shingles |
Exclude only if rash is weeping and cannot be covered |
Can cause chicken pox in those who are not immune. It is spread by very close contact and touch. |
Warts and verrucae |
None |
Verrucae should be covered, especially in swimming pools, gymnasiums and changing rooms |
Diarrhoea and Vomiting Illness (including food-borne illness/food poisoning) |
Recommended period to be kept away from school and other childcare settings |
Additional Information |
(i.e. salmonella, shigella, campylobacter, norovirus, rotavirus, Giardia, etc.) |
Exclude for 48 hours from last episode of diarrhoea or vomiting
|
Further exclusion may be required for young children under five and those who have difficulty in adhering to hygiene practices. |
Respiratory Infections |
Recommended period to be kept away from school and other childcare settings |
Additional Information |
Flu (influenza) |
Until recovered |
Immunization recommended annually for all children from 6 months of age. |
Whooping cough (pertussis) |
Exclude for five days after commencing antibiotic treatment, or 21 days from onset of illness if no antibiotic treatment |
Preventable by immunization. After treatment, non-infectious coughing may continue for many weeks. The Epidemiology and Surveillance Unit will organise any contact tracing necessary. |
Strep Throat |
Exclude for 24 hours after commencing appropriate antibiotic treatment, provided he/she has no fever. |
|
Other Infections |
Recommended period to be kept away from school and other childcare settings |
Additional Information |
Conjunctivitis |
Exclude until prescribed treatment has been given for 24-48 hours or condition improves. |
If an outbreak/cluster occurs, consult the Epidemiology and Surveillance Unit. |
Diphtheria |
Exclusion is essential until cleared by a physician. |
Preventable by immunization. Family contacts must be excluded until cleared to return by a physician. The Epidemiology and Surveillance Unit must be notified and will organise any contact tracing necessary. |
Mononucleosis |
Exclude until fever-free for 24 hours without the use of fever-reducing medications |
|
Head lice |
Exclude children with live lice until appropriate treatment has begun |
Students diagnosed with live head lice do not need to be sent home early from school; they can go home at the end of the day, be treated, and return to class after appropriate treatment has begun. |
Hepatitis A |
Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice) |
In an outbreak of hepatitis A, The Epidemiology and Surveillance Unit will advise on control measures. |
Hepatitis B, C, HIV/AIDS |
None |
Hepatitis B and C and HIV are blood-borne viruses that are not infectious through casual contact. For cleaning of blood and body fluid spills |
Meningitis (bacterial)/septicemia |
Exclude child has received appropriate antibiotic treatment and is fever-free for 24 hours without the use of fever-reducing medications |
Preventable by immunization. There is no reason to exclude siblings or other close contacts of a case. The Epidemiology and Surveillance Unit will advise on any action needed. |
Meningitis (viral) |
Exclude until fever-free for 24 hours without the use of fever-reducing medications |
Milder illness. There is no reason to exclude siblings and other close contacts of a case. |
MRSA |
None, unless directed by a physician or wound is draining and cannot be covered |
Good hygiene, in particular hand-washing and environmental cleaning, are important to minimise any danger of spread. If further information is required, contact the Epidemiology and Surveillance Unit. |
Mumps |
Exclude until nine days after onset of swelling |
Preventable by immunization. The Epidemiology and Surveillance Unit will organise any contact tracing necessary. |
Pinworms/Thread worms |
None |
In some cases, treatment is recommended for the child and household contacts. |
Tonsillitis |
Exclude until fever-free for 24 hours without the use of fever-reducing medications |
There are many causes, but most cases are due to viruses and do not need an antibiotic. |
For more details, see the
.
In the event of an outbreak of an infectious disease at a Bermuda school or childcare facility, the Department of Health urges staff to use its
to track illnesses.