Marion County Oregon - Disease and Exclusion Information

Childcare

Disease and Exclusion Information

General Guidlines for Exclusion - Childcare

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Childcare
Disease Information

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General Guidelines for Exclusion--Childcare

OAR 333-018-0000 and OAR 333-018-0015: Each health care provider knowing of or attending a case or suspected case of any of the diseases, infections, or conditions listed in OAR 333-018-0015 shall report such cases specified. Where no health care provider is in attendance, any individual knowing of such a case shall report in a similar manner. Please see http://www.ohd.hr.state.or.us/acd/oars/div18.cfm

A Exclude? Report to Marion County Health Department?

AIDS General Information No Yes

Athlete?s Foot General Information No No

C

Chicken Pox General Information Yes, until 6 days after onset of rash or until all blisters are dried and crusted.
In the event of an outbreak, children who have not been vaccinated as required by Oregon Law may be excluded. Contact Marion County Health Department if you have questions (503) 588-5621.
No

D

Diarrheal Disease Diarrhea may have blood or pus. Fever, vomiting, fatigue. Yes, symptomatic preschool children should be excluded or physically separated from other children until diagnosed. If diagnosed as having an excludable disease such as E coli O157:H7 or shigella, continue exclusion until return is OK?d by the health department. Otherwise, may return after diarrhea is resolved. Only if a large number of children become ill.

E

Fifth Disease General Information No No

G

German Measles (Rubella or 3-Day measles) General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010) Yes, immediately

H

Hand, Foot, & Mouth Disease General Information No No

Headlice General Information No (Marion County Health Department recommends exclusion until treatment has been completed)
Childcare may require nit free
No

Hepatitis A General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010) Yes, immediately

Hepatitis B General Information No Yes

Hepatitis C General Information No Yes, acute cases only

Herpes Simplex Virus (Cold Sores/Fever blisters) General Information If it is a first time infection involving mouth and gums, YES. If it is a recurrent cold sore, NO. No

HIV Infection & AIDS General Information No Yes

I

Impetigo See ?Staph Skin Infections?

Influenza General Information No; may exclude for other reason such as fever If unusual number of children absent (20% or higher).

M

Measles General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010) Yes, immediately

Meningococcal Disease (Neisseria meningitidis) General Information Yes, until 24 hours after antibiotics Yes, within 24 hours

Mononucleosis General Information No No

Mumps General Information Yes No

P

Pertussis General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010). Yes, immediately

Pink Eye General Information Only exclude children with purulent conjunctivitis (red or pink eye with white or yellow eye discharge, and eye pain or redness of the eyelids or skin surrounding the eye) until cleared by a physician No

Pinworms General Information No No

R

Ringworm (body) (fungus) Tinea Corporis General Information No No

Ringworm (scalp) Tinea Capitis General Information No. Severe cases may require scalp cover. No

Roseola Infantum (Exanthem Subitum) General Information No No

Rubella (3-days or German Measles) General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010) Yes, immediately

Rubeola (Measles) General Information Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-0010) Yes, immediately

S

Scabies General Information Yes, until treated. No

Shingles General Information Exclude only if blisters are not coverable (exclude until blisters are crusted over). No

Staph Skin Infections (boils, impetigo, etc.) General Information Yes, until treated with antibiotics for 24 to 48 hours. No

Strep Infection General Information Yes, until treated with antibiotics for 24 hours No

T

Thrush General Information No No

Tuberculosis Yes. Child only allowed to return to childcare by statement of the Marion County Health Department (OAR 333-019-00010) Yes

V

Viral Meningitis General Information May exclude for other reasons, such as fever or an illness that results in a greater need for care than what the staff can provide without compromising the health and safety of other children. No

Cleaning & disinfecting surfaces contaminated with blood or body fluids

(Note: Staff who clean up blood/body fluids should be immunized for Hepatitis B)

Wear disposable rubber gloves

Blot up excess blood or body fluid

Wash the area with soap and water

Spray the area with disinfectant solution** until it is wet and allow it to air dry.

Wash your hands.

If blood or body fluids get on your skin or in your eyes, nose or mouth, wash them out and seek medical evaluation as soon as possible.

**Disinfectant solution:

Mix 1 part bleach + 9 parts water (e.g.- 1 oz bleach + 9 oz water)

Mix it Fresh on the day used.

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