Blue Valley Communicable Disease Symptoms & Illness Exclusions

 Diarrhea/Vomiting

Diarrhea-free for 24 hours without the aid of medication. No vomiting for 24 hours

Eyes inflamed with purulent discharge

No exclusion. If bacterial conjunctivitis, allowed to remain in school once any prescribed therapy is implemented.

Fever with or without other symptoms

Fever-free for 24 hours without the aid of medication. (Blue Valley nursing standard is fever =100°F or above)

Rash

Consider exclusion pending a physician evaluation for explanation of rash.

Fifth Disease

Exclude until fever-free for 24 hours without aid of medication, no longer considered contagious once rash has appeared

Hand, Foot, and Mouth Disease (HFMD)

Exclude until fever-free for 24 hours without the aid of medication and no open lesions

Hepatitis A*

Childcare: Exclude for 14 days after onset of illness or 7 days following onset of jaundice.

Impetigo

Exclude until treated for 24 hours with antibiotic or physician note

Measles* 

Exclude for 4 days after onset of rash; susceptible contacts that are not age appropriately vaccinated within 72 hours of first exposure shall be excluded for 21 days following the last exposure to an infectious case

MRSA (Methicillin-resistant Staphylococcus aureus)

If lesions can be covered, then no exclusion; if lesions cannot be covered, exclude until lesions have crusted over

Mononucleosis

Fever-free for 24 hours without the aid of medication

Mumps*

Exclude for 5 days from onset of parotitis; susceptible contacts shall be excluded from day 12 after first exposure to day 25 after last exposure to an infectious case.

Norovirus

Laboratory confirmed cases shall be excluded until 48 hours symptom free.

Pertussis (Whooping Cough)

Exclude until completion of appropriate antibiotic therapy. Susceptible contacts not excluded, only monitored for 21 days after last exposure. 

Respiratory Virus Illness (COVID-19, Flu, RSV)

See CDC Recommendations

Exclude until both are true: symptoms are getting better and no fever for 24 hours without aid of medication. Upon return to normal activities, take additional precautions over the next 5 days.

Ringworm (Tinea)

No exclusion if receiving appropriate treatment; no activities involving skin-to-skin contact until lesions are completely healed.

Rubella (German measles) *

Exclude for 7 days following onset of rash; susceptible contacts shall be excluded for 21 days following last exposure to a case

Scabies

Exclude until treated for 24 hours with appropriate anti-parasitic.

Shiga-toxin producing Escherichia coli (STEC)* 

School: Diarrhea-free for 24 hours without the aid of medication.

Shigellosis*

School: Diarrhea-free for 24 hours without the aid of medication

Shingles

If lesions can be covered, then no exclusion; if lesions cannot be covered, exclude until lesions have crusted over.

Streptococcal disease (scarlet fever and sore throat)

Exclude for 24 hours following initiation of appropriate antimicrobial therapy; if not receiving therapy exclude for 10 days following onset of symptoms.

Varicella (Chickenpox)*

Exclude until all lesions have formed scabs or crusted over; each susceptible contact not age-appropriately vaccinated within 72 hours of first exposure shall be excluded for 21 days from the last exposure to an infectious case