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Health Information and When to Keep Your Student Home

Looking down on three elementary-age boys at a work table. All three boys are looking up at camera and smiling.

On the sidebar you will find resources to help your family stay healthy this school year.

General Illness

Communicable disease guidance

1. FEVER

Temperature equal to or greater than 100.4 ° F orally.

MAY RETURN AFTER fever-free for 24 hours without taking fever-reducing medication.

2. COUGH

Persistent cough that is not yet diagnosed and cleared by a licensed healthcare provider OR any acute (non-chronic) cough illness that is frequent or severe enough to interfere with participation in usual school activities.

MAY RETURN AFTER symptoms improving for 24 hours (no cough or cough well-controlled).

3. DIFFICULTY BREATHING OR SHORTNESS OF BREATH

Not explained by situation such as exercise; feeling unable to catch their breath, gasping for air, breathing too fast or too shallow, breathing with extra effort such as using muscles of the stomach, chest, or neck.

MAY RETURN AFTER symptoms improving for 24 hours
This symptom is likely to require immediate medical attention.

4. HEADACHE WITH STIFF NECK AND FEVER

MAY RETURN AFTER fever-free for 24 hours without taking fever-reducing medicine AND symptoms resolve.
This combination of symptoms may indicate a serious condition. Advised to seek medical attention.

5. DIARRHEA

Three or more watery or loose stools in 24 hours OR sudden onset of loose stools OR student unable to control bowel function when previously able.

MAY RETURN AFTER 48 hours after diarrhea resolves OR after seen and cleared by a licensed healthcare provider OR LPHA for specific diarrheal diagnoses.

6. VOMITING

At least 1 episode that is unexplained.

MAY RETURN AFTER 48 hours after last episode of vomiting OR after seen and cleared by a licensed healthcare provider.

7. SKIN RASH OR SORES

New rash not previously diagnosed by a health care provider OR if rash is increasing in size OR if new sores or wounds are developing day-to-day OR if rash, sores, or wounds are draining and cannot be completely covered with a bandage.

MAY RETURN AFTER rash is resolved OR until sores and wounds are dry or can be completely covered with a bandage OR after seen and cleared by a licensed healthcare provider.

8. EYE REDNESS AND DRAINAGE

Unexplained redness of one or both eyes OR colored drainage from the eyes OR eye irritation accompanied by vision changes OR symptoms such as eye irritation, pain, redness, swelling or excessive tear production that prevent active participation in usual school activities.

MAY RETURN AFTER symptoms resolve OR after seen by a licensed healthcare provider and indicated therapy has been started.
Eye redness alone, with no colored drainage, may be considered for attendance per CDC guidelines and school nurse assessment.

9. JAUNDICE

Yellowing of the eyes or skin that is new or uncharacteristic.

MAY RETURN AFTER seen and cleared by a licensed healthcare provider.

10. BEHAVIOR CHANGE

May include uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities.

MAY RETURN AFTER symptoms resolve; return to normal behavior OR after seen and cleared by a licensed healthcare provider.
This symptom can indicate a serious condition. Medical attention strongly recommended.

11. MAJOR HEALTH EVENT or STUDENT REQUIRING MORE CARE THAN SCHOOL STAFF CAN SAFELY PROVIDE

May include an illness lasting more than 2 weeks; an emergency room treatment or hospital stay; a surgical procedure with potential to affect vital signs or active participation in school activities; or a new or changed health condition for which school staff is not adequately informed, trained, or licensed to provide care.

MAY RETURN AFTER health and safety are addressed.
Medical attention strongly recommended. Written instructions from a licensed healthcare provider are likely to be required.
Schools must comply with state and federal regulations such as the Americans with Disabilities Act ensuring free and appropriate public education (FAPE). School staff should follow appropriate process to address reasonable accommodations and school health service provision in accordance with applicable laws.

12. LICE (live bugs)

May return after a pediculicide lice treatment shampoo has been applied (per manufacturer or physician instruction) and there are no live bugs. See district lice procedure in English or Spanish

13. STREP THROAT

May return after after 24 hours on antibiotics