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Illness and Disease Procedure

Minimum Periods of Exclusion from Nursery:
Disease/illness Minimal Exclusion Period
Vomiting 48 hours from last episode of vomiting
Conjunctivitis NONE.If an outbreak / cluster occurs consult Health Protection Unit
Diarrhoea 48 hours from last episode of diarrhoea
Chickenpox 5 days from appearance of the rash
Gastro-enteritis, food poisoning, 48 hours or until 2 clear nappies or for notifiable diseases, until advised by the relevant public health official
German Measles (rubella)* 5 days from onset of rash
Measles* 5 days from onset of rash
Mumps* Five days from onset of swollen glands
Pertussis (whooping cough)* Five days from commencing antibiotic treatment or 21 days from the onset of illness if no antibiotic treatment
Poliomyelitis Until declared free from infection by the appropriate public health official.
Scarlet fever* 5 days after commencing antibiotics
Tuberculosis* Always consult with Health Protection Unit. Not usually spread from children. Requires quite prolonged close contact for spread
Typhoid (and paratyphoid)
(enteric fever)
Until declared free from infection by the Appropriate public health official. Consult Health Protection Unit
Impetigo Until lesions are crusted or healed
Head Lice None. Treatment recommended only in cases where live lice have definitely been seen. Regular checking by parents (combing) should be carried out
Warts and Verrucae No exclusion. May need to be covered
Ringworm of scalp Until cured. Must be treated by a doctor
Ringworm of body Until treatment is commenced
E.coli 0157VTEC Exclusion is important for some children. consult doctor for guidance
Shigella (Dysentery) Exclusion may be necessary for young children. Seek guidance from Health Protection Unit
FLU (Influenza) Until recovered
Athletes foot NONE
shingles Exclude only if rash is weeping and cannot be covered
Roseola (infantum) NONE
Scabies Child can return after first treatment
Slapped cheek / fifth disease
Parvovirus B19
Glandular fever NONE
Diphtheria* Exclusion is important. Always consult with Health Protection Unit
Molluscum contagiosum NONE
HAND FOOT & MOUTH NONE, but exclusion may be considered in some circumstances.
Contact Health Protection Unit if a large number of children are affected
Tonsillitis NONE
Threadworms NONE. Treatment is recommended for the child and household contacts
Hepatitis A* Exclusion may be necessary. Always consult the Health Protection Unit
Hepatitis B* and C* NONE.
Caution to be taken when cleaning up body fluids, seek guidance on personal protection
Caution to be taken when cleaning up body fluids, seek guidance on personal protection
Meningococcal meningitis* / septicaemia* Until recovered
Meningitis viral* NONE
Meningitis* due to other bacteria Until recovered
Always contact the Health Protection Unit

* denotes a notifiable disease. It is a statutory requirement that Doctors report a notifiable disease to the proper officer. In addition organisations may be required via locally agreed arrangements to inform their local Health Protection Unit. If Acre Wood Day Nursery suspects an outbreak of infectious disease they will inform the Health Protection Unit and OFSTED. The above list and guidance notes are not exhaustive. It should be noted they are intended only as general guidance; they should never replace parents seeking guidance from a qualified medical practitioner.

General guidance for female staff if they are pregnant;
In general if a pregnant woman develops a rash or is in direct contact with someone with a potentially infectious rash this should be investigated by a doctor.

Pregnant women should seek guidance from their GP if they are in contact with someone who has Chickenpox, Shingles, German Measles (Rubella), Slapped Cheek Disease (Parvovirus B19), Measles. This list is not exhaustive.

Contact details for the Health Protection Agency are:

Bedfordshire and Hertfordshire area:

  • Health Protection Agency
  • Beacon House
  • Dunhams Lane
  • Letchworth
  • Herts
  • SG6 1BE