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Lincoln Public Schools

Communicable Diseases

A student with a communicable disease will be excluded from school according to Massachusetts Department of Public Health guidelines. In situations where one or more cases of vaccine preventable disease are present in school, all susceptible persons, including those with medical or religious exemptions, are subject to exclusion as described in the Reportable Disease and Isolation and Quarantine Requirements (105 CMR 300.00). A parent/guardian is responsible for notifying Health Office staff that his/her child has a communicable disease. Health Office staff will send home a Communicable Disease Notice with all students in the affected class.
VARICELLA (CHICKEN POX): Exclusion from school until all spots have dried and crusted over or until no new lesions appear, usually by the 5thday after rash onset. (Count onset of rash as day zero).
CONJUNCTIVITIS (BACTERIAL): Exclusion from school until after antibiotic treatment for 24 hours.
RUBELLA (GERMAN MEASLES): Exclusion from school for 7 days after rash onset. Count the day of rash onset as day zero. Pregnant women exposed to german measles with no definite history of the disease should contact a physician because of hazards during pregnancy.
HEAD LICE (PEDICULOSIS):  See Head Lice Policy
INFECTIOUS HEPATITIS: Exclusion from school for 7 days after onset of illness. Consult family physician or protection with gamma globulin.
IMPETIGO: Exclusion from school for 24 hours regardless of type of medication prescribed. Loose covering of exposed areas of impetigo is recommended upon return to school
MEASLES: Exclusion from school through 4 days after onset of rash. Count the day of rash onset as day zero. Consult family physician about gamma globulin protection to prevent spread to unimmunized family members.
MONONUCLEOSIS: Exclusion from school until acute symptoms have subsided (1-2 weeks). When spleen is enlarged, exclusion from sports as determined by the family physician. Virus may be shed for 3 or more months. CLOSE contact (sharing drinking cups/toothbrushes, mouth to mouth kissing) should be avoided.
MUMPS: Exclusion from school through 9 days after onset of gland swelling. Count initial day of swelling as day zero.
RINGWORM: May return to school once treatment has begun.
SCABIES: Exclusion from school until the day after the treatment has begun.
SCARLET FEVER: See Strep Throat. Scarlet fever occurs only when a strep infection is present.
STREP THROAT: Exclusion from school for 24 hours after beginning antibiotic treatment.
PERTUSSIS (WHOOPING COUGH): Exclusion from school for 21 days from onset of cough OR until 5 days after initiation of appropriate antibiotics. If disease occurs in a household with infants and children who have not been immunized, seek immediate protection by immunization. Highest number of deaths occurs in infants under 6 months. Important to protect those under age 3 against contact with known or suspected cases.
Last Modified on February 3, 2014
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