Exclusion of Ill Individuals
Children attending child care or school should be free of known infectious diseases, unless the facility has the capabilities to care for the sick child. Behavioral characteristics of children make for easy transmission of infectious agents.
The following table outlines the recommendations for exclusion for specific diseases. These guidelines should be followed unless a school or child care facility has a more stringent policy in place. For more information about any of these conditions, please visit www.ndhealth.gov/disease/. For disease specific resources, please see the North Dakota Department of Health (NDDoH) fact sheets at www.ndhealth.gov/disease/faq/faqs.aspx.
General Exclusion Criteria
Regardless of the disease, children should be excluded from child care or school if they meet any of the following exclusion criteria:
- The staff determines the child is unwilling or unable to participate in activities.
- The staff determines that they cannot care for the child without compromising their ability to care for the health and safety of the other children in the group.
- The child has a fever (oral temperature above 101 °F, axillary temperature above 100°F, rectal temperature above 102°F) along with difficulty breathing, changes in behavior, lethargy, irritability, or persistent crying.
- The child experiences vomiting two or more times in the preceding 24 hours, unless determined to be caused by a non-communicable condition and child is able to remain hydrated and participate in activities.
Children should be excluded from child care if they meet the following criteria:
- The child has diarrhea and stool is not contained in diaper or if fecal accidents occur in a child who is toilet trained, or if stool frequency exceeds two or more stools above normal for that child, or if stool contains blood or mucus.
Children and staff should be excluded from school if they meet the following criteria:
- The individual has diarrhea and cannot self-contain stool.
Posted: January 26, 2018