504.2 - Communicable Diseases

Students with communicable diseases will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. The term “communicable disease” means an infectious or contagious disease spread from person-to-person, animal-to-person, or as defined by law.

Prevention and control of communicable diseases will be included in the district’s Bloodborne Pathogens Exposure Control Plan. The procedures will include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees, and recordkeeping. The plan will be reviewed annually by the school nurses and superintendent [or designee].

The health risk to immunosuppressed students will be determined by their personal physicians. The health risk to others in the school district environment from the presence of students with communicable diseases will be determined on a case-by-case basis by the student’s personal physician, a physician chosen by the school district, or public health officials.

The parent/guardian will notify the superintendent [or designee] or school nurse when the student learns they have a communicable disease. It is the responsibility of the superintendent [or designee] when upon investigation the superintendent [or designee] or school nurse has knowledge that a reportable, communicable disease is present to notify the Iowa Department of Health & Human Services via the Linn County Health Department. Student health data is confidential and will not be disclosed to third parties.

It is the responsibility of the superintendent [or designee] in conjunction with the school nurses to develop administrative regulations stating the procedures for dealing with students with communicable diseases.


Adopted: 6/88
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 7/07; 11/07
Related Policy: 504.2-R; 504.2-E1-E4
Legal Reference (Code of Iowa): 139A.8; 641 IAC 1.2-5, 7
IASB Reference: 507.03

504.2-R - Regulations Regarding Communicable Diseases

EXCLUSION OF STUDENTS
A student with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. If, in the judgment of the building administrator [or designee], there is any risk of the student transmitting the disease to others the building administrator [or designee] will immediately exclude the student from school and may require the student be examined by a physician. The building administrator [or designee] may also require a written statement of health from a physician in order for the affected student to return to school.

ALTERNATIVE PROGRAM
If it is determined that the student will not be permitted to attend classes and/or participate in school activities, arrangements will be made to provide an alternative education program.

RETURN TO SCHOOL
Criteria will be established to determine whether a student with a communicable, contagious, and/or infectious disease including common childhood diseases will be permitted to attend classes. All cases will be reviewed on an individual basis.

CONFIDENTIALITY OF INFORMATION
Records of a student who has a communicable, contagious, and/or infectious disease other than a common childhood disease will be kept confidential and the name of the individual will not be revealed publicly.

APPEAL PROCESS
The student and/or parent/guardian may appeal decisions regarding exclusion from school. This appeal is to be submitted in writing to the superintendent [or designee]. The superintendent [or designee] will respond to the appeal within three school days. If the appeal is denied by the superintendent [or designee] the student and/or parent/guardian may continue the appeal with the Linn-Mar Board of Directors at their next regularly scheduled meeting.


Adopted: 6/88
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/02
Related Policy: 504.02; 504.02-E1-E4

504.2-E1 - Communicable Diseases Chart

CLICK HERE TO DOWNLOAD THE COMMUNICABLE DISEASES CHART


Concise descriptions and recommendations for exclusion of cases from school.
Source: Iowa Department of Health & Human Services

Disease
*Immunization
Available

Usual Interval
Between Exposure
and First Symptoms
Main
Symptoms
Minimum Exclusion
from School
*Chickenpox

10-21 Days
[Average 14-16 Days]

Mild symptoms and fever, pocks are blistery, and scabs develop for most on covered parts
of the body
Seven days from onset of rash until all blisters have crusted
Conjunctivitis
[Pink Eye]
24-72 Hours Tearing, redness, puffy lids, and discharge Until treatment begins or physician approves return
COVID-19
{SARS-CoV-2}
2-14 Days Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea Five days after symptoms start and 24 hours with no fever and improved symptoms 
Erythema Infectiosum
[5th Disease]
4-20 Days Usual age is 5-14 years, unusual in adults, brief prodrome or low grade fever followed by erythema (slapped appearance on cheeks), lace-like rash on extremities lasting a few days to three weeks, and rash seems to recur After diagnosis; no exclusion
from school
*German Measles
[Rubella]
14-21 Days Usually mild, enlarged glands in neck and behind ears, and brief rash Seven days from onset of rash; keep away from pregnant women
*Haemophilus Meningitis 2-4 Days Fever, vomiting, lethargy, and stiff
neck and back
Until physician approves return
*Hepatitis A

Varies from 15-50 Days
[Average 28-30 Days]

Abdominal pain, nausea, fever, and skin/eyes may or may not turn yellow Fourteen days from onset of clinical disease and at least seven days from onset of jaundice
Impetigo 4-10 Days Inflamed sores with pus Twenty-four hours after antibiotic therapy has started or until physician approves return; avoid contact with drainage from lesions and cover lesions when attending school
*Measles 10 Days to Fever
14 Days to Rash
Begins with fever, conjunctivitis, runny nose, cough, and then blotchy red rash Four days from onset of rash
Meningococcal Meningitis

2-10 Days
[Commonly 3-4 Days]

Headache, nausea, stiff neck, and fever

Until physician approves return
*Mumps

12-25 Days
[Average 16-18 Days]

Fever, swelling, and tenderness of glands
at angle of jaw
Five days after onset or until symptoms have resolved

Pediculosis
[Head/Body Lice]

7 Days for Eggs to Hatch Lice and nits (eggs) in hair No need to send home upon diagnosis and return to school after initial treatment; no-nit policy is recommended
Ringworm  4-10 Days Scaly red patch; usually ring shaped

No exclusion from school; exclude from gymnasiums, pools, and contact sports

Scabies

2-6 Weeks for Initial Exposure
1-4 Days After Re-Exposure

Tiny burrows in skin caused by mites Until 24 hours after treatment
Scarlet Fever Scarlantina
Strep Throat
1-3 Days Sudden onset, vomiting, fever, later a fine rash (not on face), and rash usually only with first infections Twenty-four hours after antibiotics started and no fever

*Whooping Cough [Pertussis]

6-20 Days
[Average 9-10 Days]

Head cold, slight fever, cough, and characteristic whoop after two weeks

Five days after start of
antibiotic treatment

READMISSION TO SCHOOL
It is advisable that school authorities require written permission from the health officer, school physician, or attending physician before any student is readmitted to school following any disease which requires exclusion, not mere absence, from school.


Reviewed: 7/13; 11/17; 12/20
Revised: 4/11; 10/14; 4/18; 8/21; 10/23

504.2-E2 - Communicable Disease Outbreak

ACTION STEPS

  1. Encourage staff or families with students who may have a communicable disease to alert the school;
  2. Contact the school nurse if student/staff absentee rate is greater than 10% due to illness;
  3. Report rate to building principal and superintendent [or designee];
  4. Report rate to Linn County Public Health (319-892-6000);
  5. If school cancellation is recommended by Linn County Public Health, consult with building principal and superintendent [or designee];
  6. If cancellation should occur, superintendent [or designee] will assist in getting information to the families and public; and
  7. Recommended guidelines about common communicable illnesses are available to families and staff from Linn-Mar Health Services. The school nurses will consult with administration regarding distribution of these guidelines.

Adopted: 11/07
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/09
Related Policy: 504.02; 504.02-R; 504.02-E(1); 504.02-E(3)-E(4)

504.2-E3 - Diseases Reportable to Iowa Department of Health & Human Services

CLICK HERE TO DOWNLOAD THE DISEASES REPORTABLE TO IOWA DEPARTMENT OF HEALTH & HUMAN SERVICES


Disease Reporting Hotline (1-800-362-2736)

Report information requested on disease reporting form which may be obtained by calling 1-888-398-9696.

EMERGECY REPORTABLE DISEASES OR CONDITIONS: REPORT BY PHONE IMMEDIATELY!

Botulism # Measles Rabies (Human)
Cholera > Meningococcal Invasive Disease Vancomycin-Resistant Staph Aereus
Diphtheria    Plaque Yellow Fever
> Haemophilus Influenza Type B Invasive Disease # Polio  

Also, outbreaks of any kind, unusual syndromes, and uncommon diseases should be reported immediately by phone. These could be infectious, environmental, or occupational in origin and include food-borne outbreaks and illness secondary to chemical exposure (e.g. pesticides, anhydrous ammonia).

AGENTS OF TERRORISM
Diseases or syndromes of any kind caused by a biological, chemical, or radiological agent or toxin when the provider reasonably believes or suspects that the agent or toxin may be the result of a deliberate act such as terrorism. Examples of these agents or toxins include but are not limited to anthrax, mustard gas, sarin gas, ricin, tularemia, and smallpox.

DISEASES REPORTABLE BY MAIL OR PHONE

Common-Reportable Diseases Rare-Reportable Diseases
  Campylobacteriosis   Anthrax
  Cryptosporidiosis   # Brucellosis
  COVID-19 [SARS-CoV-2]   Cyclospora
> Encephalitis, Arboviral   # Hansen's Disease (Leprosy)
# Escherichia Coli O157:H7 (And Related Diseases HUS & TTP)   Hantavirus Syndromes
  Giardiasis    Listeria Monocytogenes Invasive Disease
# Hepatitis A, B, C, D, and E   # Malaria
> Legionellosis   Mumps
# Lyme Disease   Psittacosis
# Pertussis   # Rocky Mountain Spotted Fever
  Rabies (Animal)   # Rubella (Including Congenital)
# Salmonellosis (Including Typhoid Fever)   # Tetanus
# Shigellosis   > Toxic Shock Syndrome
# Tuberculosis   # Trichinosis

DISEASES REPORTABLE ONLY BY SENDING ISOLATES TO STATE HYGIENIC LAB (319) 335-4500

Enterococcus Invasive Disease Methicillin-Resistant Staphylococcus Aereus Invasive Disease
Group A Streptococcus Invasive Disease Streptococcus Pneumonia Invasive Disease

# Diseases that require follow-up by local health agency
> Diseases that require follow up by hospital infection control practitioner
Isolates in bold type should be sent to State Hygienic Laboratory
Report on a quarterly basis to UHL: Total number of Invasive Staphylococcus Aereus isolates


Adopted: 9/98
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07; 8/21
Related Policy : 504.02; 504.02-R; 504.-02-E(1)-E(2); 504.02-E(4)

504.2-E4 - Disease Reporting Card

CLICK HERE TO DOWNLOAD THE DISEASE REPORTING CARD


Disease reporting is required by Iowa Administrative Code [641]-1 (139A).
To report call (800) 362-2736 or fax (515) 281-5698 or Iowa Disease Surveillance Systems (IDSS).

DISEASE AND REPORTING INFORMATION

Disease/Event: Species/Type/Group:
Specimen Source: Date Collected:
Onset Date: Date Reported to IDPH:
Epi Link?  Yes   No   Unknown Isolate to UHL?  Yes   No   Unknown
Reporter's Name: Phone:
Reporting Facility's Name:

PATIENT INFORMATION

Name (Last, First, Middle): Date of Birth:
Address: Age:
City/State/Zip/County: Gender:   M   F   Unknown
Marital Status:  Single  Married   Divorced   Widowed   Unknown Pregnant: Yes   No   Unknown
Race: White    Black/African American    American Indian/Alaska Native      Asian    Hawaiian/Pacific Islander     Other       Unknown
Ethnicity:    Hispanic/Latino      Not Hispanic/Latino  Unknown
If minor, parent/guardian name(s): Home Phone:
Work Phone: Other Phone:
Long-Term Care Facility Resident:   Yes   No   Unknown Facility Name:
Is the Case Employed:   Yes   No   Unknown Employer Name:
City: State:
In this case does the case:     Handle Food     Work in a healthcare setting        Work in a lab setting
Is the case enrolled in school or attending a childcare facility:     Yes   No   Unknown
School/Childcare Name: City:                                      State:
Hospitalized for this disease:    Yes   No Where:
Admission Date: Was death due to this disease:   Yes   No

HEALTHCARE PROVIDER AND LABORATORY INFORMATION

Name and Title of Healthcare Provider: Name of Laboratory:
Facility or Clinic: Laboratory Phone:
City and State: City and State:
Phone: Does the case have clinical symptoms:   Yes   No
Is the case lab confirmed:                           Yes  No
Comments:

Adopted: 9/98
Reviewed 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 11/07
Related Policy: 504.02; 504.02-R; 504.02-E(1)-E(3)