communicable disease & infection control...communicable disease & infection control...
TRANSCRIPT
Communicable Disease & Infection Control
Information for school, nursery & childcare settings
This document is to be used in conjunction with the national document ‘Infection Prevention and Control in Childcare Settings’ (Health Protection Scotland, 2011). Together they provide helpful advice for those working with children in a variety of settings to assist them in providing a safer environment. Information on a range of infections is given but is not intended to diagnose individual cases. This should only be done by an appropriately trained health professional from which advice should be sought if doubts exist about an unwell child. Readers are encouraged to refer to these guidelines before consulting NHS Borders Public Health Department for specific advice.
a) Contents (this document) Communicable Disease & Infection Control - information for school, nursery & childcare settings
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b) Contents (supporting national document) Infection Prevention and Control in Childcare Settings cìää=íÉñí=aî~áä~ÄäÉ=Ñêçã==ÜííéWLLïïïKÇçÅìãÉåíëKÜéëKëÅçíKåÜëKìâLÜ~áLáåÑÉÅíáçåJÅçåíêçäLÖìáÇÉäáåÉëLáåÑÉÅíáçåJéêÉîÉåíáçåJÅçåíêçäJÅÜáäÇÅ~êÉKéÇÑ==
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Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 1
1. Introduction =qÜáë=ÇçÅìãÉåí=ëÜçìäÇ=ÄÉ=êÉ~Ç=áå=ÅçåàìåÅíáçå=ïáíÜ=íÜÉ=å~íáçå~ä=ÇçÅìãÉåí=ÚfåÑÉÅíáçå=mêÉîÉåíáçå=~åÇ=`çåíêçä=áå=`ÜáäÇÅ~êÉ=pÉííáåÖëÛ=EeÉ~äíÜ=mêçíÉÅíáçå=pÅçíä~åÇI=OMNNFK=qÜÉ=ä~ííÉê=éêçîáÇÉë=ÜÉäéÑìä=ÖÉåÉêáÅ=áåÑçêã~íáçå=íç=éêÉîÉåíI=çê=Åçåíêçä=íÜÉ=ëéêÉ~Ç=çÑ=áåÑÉÅíáçå=~åÇ=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉ=ïáíÜáå=a~ó=`~êÉ=~åÇ=`ÜáäÇãáåÇáåÖ=ëÉííáåÖë=~åÇ=ëÉíë=çìí=éêçÅÉÇìêÉë=íç=ÑçääçïI=ëÜçìäÇ=ëìÅÜ=~å=áåÑÉÅíáçìë=ÇáëÉ~ëÉ=áåÅáÇÉåí=çÅÅìêK=fí=ÇçÉë=åçí=ëéÉÅáÑáÅ~ääó=~ÇÇêÉëë=ëÅÜççäëI=ÅÜáäÇêÉåÛë=êÉëáÇÉåíá~ä=ëÉííáåÖë=çê=çìíÇççê=åìêëÉêáÉëK=pçãÉ=ÖÉåÉê~ä=éêáåÅáéäÉë=ïáää=ÜçïÉîÉê=ÄÉ=çÑ=áåíÉêÉëí=íç=íÜçëÉ=ïçêâáåÖ=áå=íÜÉëÉ=éä~ÅÉëK==mêáã~êáäóI=ÄçíÜ=å~íáçå~ä=~åÇ=äçÅ~ä=ÇçÅìãÉåíë=~êÉ=ïêáííÉå=Ñçê=éÉçéäÉ=ïÜç=ïçêâ=ïáíÜ=ÅÜáäÇêÉå=áå=~=î~êáÉíó=çÑ=ÉÇìÅ~íáçå~ä=~åÇ=Åçããìåáíó=Å~êÉ=ëÉííáåÖëK===qÜÉ=áããìåÉ=ëóëíÉãë=çÑ=ÅÜáäÇêÉå=~êÉ=ëíáää=ìåÇÉê=ÇÉîÉäçéãÉåí=~åÇ=íÜÉêÉÑçêÉ=íÜÉó=Å~å=ÄÉ=îìäåÉê~ÄäÉ=íç=ëçãÉ=áåÑÉÅíáçìë=ÇáëÉ~ëÉëK=qÜÉ=çééçêíìåáíó=íç=ëéêÉ~Ç=áåÑÉÅíáçå=áë=ÖêÉ~íÉê=áå=ëÉííáåÖë=ïÜÉêÉ=ÅÜáäÇêÉå=Ü~îÉ=êÉÖìä~ê=~åÇ=ÑêÉèìÉåí=Åçåí~Åí=ïáíÜ=çíÜÉêëK=lìíÄêÉ~âë=Å~å=~åÇ=Çç=çÅÅìê=~åÇ=~=ëïáÑí=êÉëéçåëÉ=áë=åÉÉÇÉÇ=íç=éêÉîÉåí=ÑìêíÜÉê=ëéêÉ~ÇK===e~îáåÖ=~=ÅÜáäÇI=çê=ãÉãÄÉê=çÑ=ëí~ÑÑI=çå=íÜÉ=éêÉãáëÉë=ïÜç=áë=ëìÑÑÉêáåÖ=Ñêçã=~=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉ=Å~å=éçëÉ=~=íÜêÉ~í=íç=íÜÉ=ÜÉ~äíÜ=çÑ=çíÜÉêë=íÜÉó=Ü~îÉ=ÅäçëÉ=Åçåí~Åí=ïáíÜK=m~êÉåíë=ëÜçìäÇ=ÄÉ=ÉåÅçìê~ÖÉÇ=íç=áåÑçêã=ãÉãÄÉêë=çÑ=ëí~ÑÑ=áÑ=íÜÉáê=ÅÜáäÇ=Ü~ë=ÄÉÉå=ìåïÉääI=íç=Éå~ÄäÉ=~ééêçéêá~íÉ=~Åíáçå=íç=ÄÉ=í~âÉå=~åÇ=ëìêîÉáää~åÅÉ=çÑ=íÜÉ=êÉã~áåáåÖ=Öêçìé=íç=í~âÉ=éä~ÅÉK=páãáä~êäóI=áåÑÉÅíÉÇ=ëí~ÑÑ=Ü~îÉ=~=Çìíó=çÑ=Å~êÉ=íç=Ñçääçï=çÅÅìé~íáçå~ä=ÜÉ~äíÜ=ÖìáÇÉäáåÉë=ïÜÉå=ÇÉÅáÇáåÖ=íÜÉáê=ÑáíåÉëë=íç=ïçêâK===oáëâë=Å~å=ÄÉ=ëáÖåáÑáÅ~åíäó=êÉÇìÅÉÇ=Äó=íÜÉ=ÑçääçïáåÖ=ãÉ~ëìêÉëW=
• oçìíáåÉ=áããìåáë~íáçåë=• eÉ~äíÜó=ÇáÉí=~åÇ=ÉñÉêÅáëÉ=• eáÖÜ=ëí~åÇ~êÇë=çÑ=ÉåîáêçåãÉåí~ä=ÅäÉ~åäáåÉëë=~åÇ=éÉêëçå~ä=ÜóÖáÉåÉ=• bñÅäìÇáåÖ=ÅÜáäÇêÉå=~åÇ=~Çìäíë=ïáíÜ=ëçãÉ=áåÑÉÅíáçåë=Ñçê=~=éÉêáçÇ=çÑ=íáãÉK=j~åó=áåÑÉÅíáçåë=
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• nìáÅâäó=ëÉÉâáåÖ=çìí=éêçÑÉëëáçå~ä=ÜÉäé=~åÇ=íêÉ~íãÉåí=====
Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 2
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2. Local Contacts =qáíäÉ= hÉó=Åçåí~Åí= qÉäÉéÜçåÉ==içÅ~ä=dm==
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3. Roles & responsibilities within Infection Control: School, nursery and other childcare settings ===
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• eÉ~äíÜ=mêçíÉÅíáçå=kìêëÉ=péÉÅá~äáëí=qÜÉ=eÉ~äíÜ=mêçíÉÅíáçå=kìêëÉ=péÉÅá~äáëí=EemkpF=áë=Ä~ëÉÇ=ïáíÜáå=íÜÉ=aÉé~êíãÉåí=çÑ=mìÄäáÅ=eÉ~äíÜ=~í=kep=_çêÇÉêë=ÜÉ~Çèì~êíÉêëK=qÜÉ=emkp=Ü~ë=~å=~Çîáëçêó=ÑìåÅíáçå=~åÇ=ïçêâë=ÅäçëÉäó=ïáíÜ=íÜÉ=`mej=E`aCbeF=~åÇ=`çããìåáíó=fåÑÉÅíáçå=`çåíêçä=kìêëÉK=^ÇîáÅÉ=ÖáîÉå=êÉä~íÉë=íç=áåÑÉÅíáçå=Åçåíêçä=~ëéÉÅíë=çÑ=Å~êÉ=ÇÉäáîÉêó=íç=é~íáÉåíëI=ÅäáÉåíëI=~åÇ=ëÉêîáÅÉ=ìëÉêë=é~êíáÅìä~êäó=áå=çìíÄêÉ~â=ëáíì~íáçåëK=líÜÉê=~êÉ~ë=áå=ïÜáÅÜ=íÜÉ=emkp=ã~ó=~ÇîáëÉ=áåÅäìÇÉI=Ñçê=Éñ~ãéäÉI=ÇáëáåÑÉÅíáçåI=ÇçãÉëíáÅ=ÅäÉ~åáåÖI=ä~ìåÇêóI=ï~ëíÉ=ã~å~ÖÉãÉåí=áåÅäìÇáåÖ=ëÜ~êéëI=Ü~åÇLÅäáÉåí=ÜóÖáÉåÉ=~åÇ=ÅäáÉåí=áëçä~íáçåK==
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Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 3
Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 4
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Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 5
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=oÉëçìêÅÉë=^å=çìíÄêÉ~â=çÑ=áåÑÉÅíáçå=Å~å=Ü~îÉ=êÉëçìêÅÉ=áãéäáÅ~íáçåë=Ñçê=åìêëÉêáÉëK=qç=áãéäÉãÉåí=Åçåíêçä=ãÉ~ëìêÉë=íç=êÉÇìÅÉ=ÑìêíÜÉê=ëéêÉ~ÇI=íÜÉêÉ=ã~ó=ÄÉ=~=åÉÉÇ=Ñçê=Éñíê~=ëí~ÑÑ=~åÇ=áåÅêÉ~ëÉÇ=ìëÉ=çÑ=éÉêëçå~ä=éêçíÉÅíáîÉ=ÉèìáéãÉåí=~åÇ=çíÜÉê=Çáëéçë~ÄäÉ=áíÉãë=~ë=ïÉää=~ë=ä~ìåÇêóK=bëí~ÄäáëÜãÉåíë=ã~ó=ïáëÜ=íç=ÅçåëáÇÉê=áåëìêáåÖ=~Ö~áåëí=ëìÅÜ=ÅçëíëK==bÇìÅ~íáçå=~åÇ=qê~áåáåÖ=b~ÅÜ=Å~êÉ=Éëí~ÄäáëÜãÉåí=ëÜçìäÇ=Ü~îÉ=~å=ÉÑÑÉÅíáîÉ=áåÇìÅíáçå=~åÇ=çåÖçáåÖ=íê~áåáåÖ=éêçÖê~ããÉ=áå=éêÉîÉåíáçå=~åÇ=Åçåíêçä=çÑ=áåÑÉÅíáçåK=qÜÉ=éêçÖê~ããÉ=ëÜçìäÇ=áåÅäìÇÉ=íê~áåáåÖ=áå=íÜÉ=ÖÉåÉê~ä=éêáåÅáéäÉë=çÑ=áåÑÉÅíáçå=ÅçåíêçäI=áåÅäìÇáåÖ=íÜÉ=ìëÉ=çÑ=pí~åÇ~êÇ=fåÑÉÅíáçå=`çåíêçä=mêÉÅ~ìíáçåëI=~åÇ=ÑççÇ=ÜóÖáÉåÉ=íê~áåáåÖ=Ñçê=~ää=êÉäÉî~åí=ëí~ÑÑK=^=êÉÅçêÇ=çÑ=ëí~ÑÑ=~ííÉåÇ~åÅÉ=~í=ÉÇìÅ~íáçå~äLíê~áåáåÖ=ëÉëëáçåë=ëÜçìäÇ=ÄÉ=ã~áåí~áåÉÇK=^ää=ãÉãÄÉêë=çÑ=ëí~ÑÑI=áåÅäìÇáåÖ=~åó=~ÖÉåÅóLÄ~åâ=ëí~ÑÑ=~åÇ=îçäìåíÉÉêëI=ãìëí=ìåÇÉêëí~åÇ=íÜÉáê=êÉëéçåëáÄáäáíáÉë=áå=êÉëéÉÅí=çÑ=Åçåíêçä=çÑ=áåÑÉÅíáçå=~åÇ=ÄÉ=Ñ~ãáäá~ê=ïáíÜ=áåÑÉÅíáçå=Åçåíêçä=éçäáÅáÉëK=qÜÉ=`çããìåáíó=fåÑÉÅíáçå=`çåíêçä=kìêëÉ=ã~ó=éêçîáÇÉ=~=ìëÉÑìä=éçáåí=çÑ=Åçåí~Åí=íç=ÇáëÅìëë=íê~áåáåÖ=åÉÉÇëK====
Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 7
=
4. Immunisation qÜÉ=êçìíáåÉ=ÅÜáäÇÜççÇ=áããìåáë~íáçå=ëÅÜÉÇìäÉ=áå=pÅçíä~åÇ=áë=ÖáîÉå=ÄÉäçïK=====
WHEN TO IMMUNISE
WHAT IS GIVEN HOW IT IS GIVEN
2 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + pneumococcal conjugate vaccine (Prevenar®)
Two injections
3 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + Men C
Two injections
4 months oldDiphtheria, tetanus, pertussis, polio and Hib (DTaP/IPV/Hib) + Men C + pneumococcal conjugate vaccine
Three injections
12/13 monthsHib/MenC, Measles, mumps and rubella (MMR) + pneumococcal conjugate vaccine
Three injections
3 years 4 months to 5 years old
Diphtheria, tetanus, pertussis and polio (dTaP/IPV or DTaP/IPV)
Measles, mumps and rubella (MMR)
Two injections
Around 12/13 years(girls only)
Human papillomavirus (HPV) Three injections
13 to 18 years old Diphtheria, tetanus, polio (Td/IPV) One injection
=_`d=î~ÅÅáå~íáçå=áë=~ééêçéêá~íÉ=Ñçê=ÅÜáäÇêÉå=Äçêå=áåI=çê=ïÜç=ã~âÉ=éêçäçåÖÉÇ=îáëáíë=íç=ÅçìåíêáÉë=çÑ=ÜáÖÜ=q_=áåÅáÇÉåÅÉK=`çåí~Åí=íÜÉ=mìÄäáÅ=eÉ~äíÜ=aÉé~êíãÉåí=Ñçê=ãçêÉ=ÇÉí~áäë=Ó=MNUVS=UORRSM==eÉé~íáíáë=_=î~ÅÅáå~íáçå=áë=~ééêçéêá~íÉ=Ñçê=ÅÜáäÇêÉå=Äçêå=íç=ãçíÜÉêë=ïÜç=Ü~îÉ=ÉîáÇÉåÅÉ=çÑ=ÅÜêçåáÅ=áåÑÉÅíáçåK===
5. Infections …. at a glance!
pçãÉ=ÇÉÑáåáíáçåë==fåÅìÄ~íáçå=mÉêáçÇ=Ó=qÜÉ=íáãÉ=áí=í~âÉë=Ñêçã=ÄÉáåÖ=ÉñéçëÉÇ=íç=ÄÉÅçãáåÖ=áää==fåÑÉÅíáçìë=mÉêáçÇ=Ó=qÜÉ=íáãÉ=íÜÉ=ÅÜáäÇ=ÅçìäÇ=éçëÉ=~å=áåÑÉÅíáçå=Ç~åÖÉê=çÑ=ëéêÉ~Ç=íç=çíÜÉêë==bñÅäìëáçå=mÉêáçÇ=Ó=qÜÉ=íáãÉ=íÜÉ=ÅÜáäÇ=ëÜçìäÇ=ÄÉ=âÉéí=~ï~ó=Ñêçã=åìêëÉêó=ÉíÅK=qÜáë=ëÜçìäÇ=ÄÉ=ÑçääçïÉÇ=ÉîÉå=áÑ=íÜÉ=ÅÜáäÇ=áë=ÑÉÉäáåÖ=ïÉääK
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cçê=éÉêëçåë=áå=ëéÉÅá~ä=êáëâ=Öêçìéë==EëÉÉ=çîÉêäÉ~ÑFI=áåÇáîáÇì~ä=ã~å~ÖÉãÉåí=Ñçê=ëéÉÅáÑáÅ=ÇáëÉ~ëÉë=ã~ó=áåÅäìÇÉ=~=éÉêáçÇ=çÑ=ÉñÅäìëáçå=Ñêçã=åìêëÉêóI=ëÅÜççä=çê=ïçêâX=ëíççä=ë~ãéäáåÖ=íç=éêçîáÇÉ=ä~Äçê~íçêó=ÉîáÇÉåÅÉ=çÑ=áåÑÉÅíáçå=ÅäÉ~ê~åÅÉX=~åÇ=ëÅêÉÉåáåÖ=çÑ=Åçåí~ÅíëK==aáëÉ~ëÉë=íÜ~í=ã~ó=êÉëìäí=áå=ëìÅÜ=~Åíáçå=áåÅäìÇÉ=bK=Åçäá=MNRT=áåÑÉÅíáçåI=p~äãçåÉää~I=pÜáÖÉää~I=eÉé~íáíáë=^=áåÑÉÅíáçåI=qóéÜçáÇ=~åÇ=m~ê~íóéÜçáÇ=ÑÉîÉêëK= qÜÉ=ÅáêÅìãëí~åÅÉë=çÑ=É~ÅÜ=é~íáÉåíI=ÉñÅêÉíÉêI=Å~êêáÉê=çê=Åçåí~Åí=áå=íÜÉëÉ=Öêçìéë=ëÜçìäÇ=ÄÉ=ÅçåëáÇÉêÉÇ=áåÇáîáÇì~ääóK==c~Åíçêë=ëìÅÜ=~ë=íóéÉ=çÑ=ÉãéäçóãÉåíI=éêçîáëáçå=çÑ=ë~åáí~íáçå=Ñ~ÅáäáíáÉë=~í=ïçêâI=ëÅÜççä=çê=çíÜÉê=áåëíáíìíáçå=~åÇ=ëí~åÇ~êÇë=çÑ=éÉêëçå~ä=ÜóÖáÉåÉ=ëÜçìäÇ=~ää=ÄÉ=í~âÉå=áåíç=~ÅÅçìåíK==qÜÉ=í~ÄäÉ=ÄÉäçï=ëÉíë=çìí=~å=^Jw=äáëí=çÑ=áåÑÉÅíáçåë=~åÇ=~=ëìãã~êó=çÑ=Üçï=íÜÉó=~êÉ=ìëì~ääó=ÄÉëí=ã~å~ÖÉÇK=cçê=ãçêÉ=ÇÉí~áäÉÇ=~ÇîáÅÉ=çå=Üçï=íç=ã~å~ÖÉ=~=é~êíáÅìä~ê=ëáíì~íáçåLáåÑÉÅíáçå=áí=ã~ó=ÄÉ=åÉÅÉëë~êó=íç=Åçåí~Åí=íÜÉ=eÉ~äíÜ=mêçíÉÅíáçå=qÉ~ã=çå=MNUVS=UORRSM=
Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 8
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Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 9
Ver
sion
: Fin
al 8
th N
ov 2
011
NH
S B
orde
rs H
ealth
Pro
tect
ion
Rev
iew
Nov
201
4
P
age
10
A-Z
of i
nfec
tions
In
fect
ions
In
fect
ious
Per
iod
E
xclu
sion
Per
iod
of C
ase
Exc
lusi
on o
f Con
tact
s Sp
ecifi
c A
dvic
e or
Info
rmat
ion
A
thle
te’s
Foo
t
Unt
il sk
in is
fully
hea
led
Non
e
Non
e
Excl
usio
n fr
om b
aref
oot a
ctiv
ities
in c
omm
unal
ar
eas (
incl
udin
g sw
imm
ing)
not
requ
ired
but
treat
men
t is a
dvis
ed
Bro
nchi
oliti
s (cr
oup)
eg
resp
irato
ry
sync
ytia
l viru
s (R
SV)
Few
day
s prio
r to
onse
t of
sym
ptom
s and
up
to 1
w
eek
afte
r
Unt
il th
e ch
ild fe
els w
ell
Non
e
Chi
cken
pox
(V
aric
ella
zos
ter v
irus)
2
days
bef
ore
to 5
day
s af
ter s
pots
dev
elop
U
ntil
spot
s hav
e cr
uste
d ov
er a
nd c
hild
feel
s w
ell,
usua
lly 5
day
s N
one
If
con
tact
is p
regn
ant o
r im
mun
e co
mpr
omis
ed,
seek
adv
ice
from
GP
C
onju
nctiv
itis
Whi
le e
ye is
red
and
disc
harg
ing
(if d
ue to
an
infe
ctio
n)
Non
e un
less
out
brea
k or
clu
ster
occ
urs a
nd
then
onl
y un
til tr
eatm
ent c
omm
ence
d if
prov
ided
, esp
ecia
lly fo
r pre
-fiv
es.
Non
e
Info
rm H
PT if
an
outb
reak
occ
urs
Dia
rrho
ea a
nd
vom
iting
Sa
lmon
ella
C
ampy
loba
cter
G
iard
ia
Cry
ptos
porid
ium
D
ysen
tery▲
E.
coli
0157▲
C
hole
ra▲
Ty
phoi
d▲
Para
typh
oid▲
N
orov
irus
Rot
aviru
s
Whi
le h
avin
g sy
mpt
oms
of v
omiti
ng a
nd
diar
rhoe
a
Min
imum
48
hour
s sym
ptom
-fre
e an
d th
e ch
ild fe
els w
ell.
How
ever
, chi
ldre
n un
der 5
re
quire
neg
ativ
e st
ool s
ampl
es fo
r all
dise
ases
mar
ked ▲
. Exc
lusi
on m
ay b
e re
quire
d by
HPT
for a
ny a
ge g
roup
de
pend
ing
on ri
sk a
sses
smen
t
Non
e ex
cept
E.c
oli
0157
, ty
phoi
d or
par
atyp
hoid
, w
hen
excl
usio
n m
ay b
e re
quire
d by
HPT
afte
r a ri
sk
asse
ssm
ent
If th
ere
is m
ore
than
one
cas
e, se
ek a
dvic
e fr
om
Hea
lth P
rote
ctio
n N
urse
Spe
cial
ist.
En
viro
nmen
tal H
ealth
Off
icer
s co-
ordi
nate
the
colle
ctio
n of
stoo
l sam
ples
and
liai
se w
ith H
PT
on e
xclu
sion
from
nur
sery
etc
. C
rypt
ospo
ridi
um- E
xclu
sion
from
swim
min
g fo
r 2 w
eeks
afte
r las
t epi
sode
of d
iarr
hoea
is
reco
mm
ende
d fo
r all
age
grou
ps
Fifth
dis
ease
(P
arvo
viru
s / sl
appe
d ch
eek
synd
rom
e)
Infe
ctio
us b
efor
e on
set
of ra
sh o
nly
U
ntil
child
feel
s wel
l N
one
If
con
tact
is p
regn
ant o
r im
mun
e co
mpr
omis
ed,
seek
adv
ice
from
GP
Gla
ndul
ar F
ever
Ep
stei
n B
arr v
irus
Whi
le v
irus p
rese
nt in
sa
liva
U
ntil
child
feel
s wel
l N
one
Sp
read
s onl
y by
ver
y cl
ose
cont
act
Hae
mop
hilu
s in
fluen
zae
Whi
lst o
rgan
ism
s pr
esen
t in
nose
or t
hroa
t. U
ntil
48 h
ours
of a
ntib
iotic
trea
tmen
t N
one
Prev
entiv
e an
tibio
tics f
or c
lose
con
tact
s may
be
mad
e by
the
CPH
M
Han
d, fo
ot a
nd m
outh
(C
oxsa
ckie
viru
s)
Dur
ing
acut
e st
ages
of
illne
ss
Unt
il ch
ild fe
els w
ell
Non
e
Viru
s can
be
pres
ent f
or w
eeks
afte
r rec
over
y in
fa
eces
. Car
e ne
eded
with
hyg
iene
Hea
d an
d bo
dy li
ce
Unt
il ‘B
ug B
ustin
g (m
anua
l rem
oval
te
chni
que)
’ or 2
ch
emic
al tr
eatm
ents
7
days
apa
rt
Non
e
Non
e
Che
ck a
ll co
ntac
ts a
nd tr
eat o
nly
thos
e w
ith
evid
ence
of l
ive
lice
Ver
sion
: Fin
al 8
th N
ov 2
011
NH
S B
orde
rs H
ealth
Pro
tect
ion
Rev
iew
Nov
201
4
P
age
11
A-Z
of i
nfec
tions
In
fect
ions
In
fect
ious
Per
iod
E
xclu
sion
Per
iod
of C
ase
Exc
lusi
on o
f Con
tact
s Sp
ecifi
c A
dvic
e or
Info
rmat
ion
H
epat
itis A
2
wee
ks b
efor
e un
til 7
da
ys a
fter o
nset
of
jaun
dice
or s
ympt
oms
Unt
il 7
days
afte
r ons
et o
f jau
ndic
e or
sy
mpt
oms a
nd th
e ch
ild fe
els w
ell
Non
e
Hou
seho
ld c
onta
cts s
houl
d se
ek a
dvic
e fr
om
GP.
Con
tact
Hea
lth P
rote
ctio
n if
ther
e is
an
outb
reak
H
epat
itis B
and
C
Not
infe
ctio
us u
nder
no
rmal
scho
ol
cond
ition
s
Non
e
Non
e
Each
cas
e sh
ould
be
disc
usse
d w
ith C
PHM
Her
pes s
impl
ex
(col
d so
res)
Unt
il le
sion
s are
hea
led
N
one
N
one
A
void
kis
sing
whe
n so
re is
pre
sent
HIV
infe
ctio
n
Not
infe
ctio
us u
nder
no
rmal
scho
ol
cond
ition
s
Non
e
Non
e
Each
cas
e sh
ould
be
disc
usse
d w
ith C
PHM
Impe
tigo
A
s lon
g as
sept
ic sp
ots
are
disc
harg
ing
pus
Unt
il sp
ots h
ave
crus
ted
over
or a
fter 2
day
s of
ant
ibio
tics
Non
e
Influ
enza
3-
5 da
ys a
fter s
tart
of
sym
ptom
s, up
to 9
day
s in
chi
ldre
n
Unt
il th
e ch
ild fe
els w
ell
Non
e
Mea
sles
5
days
bef
ore
sym
ptom
s un
til 5
day
s afte
r ons
et
of ra
sh
Unt
il 5
days
afte
r ons
et o
f ras
h an
d th
e ch
ild
feel
s wel
l N
one
If
con
tact
is p
regn
ant o
r im
mun
e co
mpr
omis
ed,
seek
adv
ice
from
GP
Men
ingi
tis d
ue to
m
enin
goco
ccal
dis
ease
W
hils
t org
anis
m is
pr
esen
t in
naso
phar
ynx
but n
ot in
fect
ious
und
er
norm
al sc
hool
co
nditi
ons
Unt
il th
e ch
ild fe
els w
ell
Non
e
Con
tact
Hea
lth P
rote
ctio
n im
med
iate
ly fo
r ad
vice
A
ntib
iotic
s for
con
tact
s giv
en o
nly
on a
dvic
e of
H
PNS/
CPH
M
Mol
lusc
um
cont
agio
sum
As l
ong
as ra
sh p
ersi
sts
Non
e
Non
e
MR
SA
Not
infe
ctio
us u
nder
no
rmal
scho
ol
cond
ition
s
Non
e N
one
G
ood
hand
hyg
iene
nee
ded
Mum
ps
7 da
ys b
efor
e an
d up
to
9 da
ys a
fter o
nset
of
swel
ling
9 da
ys fr
om o
nset
of s
wol
len
glan
ds a
nd th
e ch
ild fe
els w
ell
Non
e
If c
onta
ct is
pre
gnan
t, se
ek a
dvic
e fr
om G
P
Rin
gwor
m -
scal
p or
bo
dy
(see
als
o A
thle
tes f
oot)
As l
ong
as u
ntre
ated
le
sion
s are
pre
sent
N
one
once
trea
tmen
t sta
rted
N
one
th N
ov 2
011
NH
S B
orde
rs H
ealth
Pro
tect
ion
Rev
iew
Nov
201
4
P
age
12
A-Z
of i
nfec
tions
In
fect
ions
In
fect
ious
Per
iod
E
xclu
sion
Per
iod
of C
ase
Exc
lusi
on o
f Con
tact
s Sp
ecifi
c A
dvic
e or
Info
rmat
ion
R
oseo
la in
fant
um
W
hils
t fev
eris
h an
d un
wel
l U
ntil
the
child
feel
s wel
l N
one
D
ram
atic
impr
ovem
ent o
n da
y 4/
5 of
rash
. O
ften
mis
take
n fo
r mea
sles
R
ubel
la
(Ger
man
Mea
sles
) 7
days
bef
ore
and
at
leas
t 4 d
ays a
fter o
nset
of
rash
Unt
il 5
days
from
ons
et o
f ras
h an
d th
e ch
ild
feel
s wel
l N
one
If
con
tact
is p
regn
ant,
seek
adv
ice
from
GP
Scab
ies
Unt
il tre
ated
. 2
treat
men
ts 7
day
s apa
rt
Afte
r 1st tr
eatm
ent
Non
e
All
hous
ehol
d co
ntac
ts sh
ould
be
treat
ed a
t sam
e tim
e
Scar
let f
ever
Fr
om st
art o
f sor
e th
roat
un
til 2
4 ho
urs a
fter
antib
iotic
s sta
rted
Unt
il cl
inic
ally
reco
vere
d or
min
imum
of 1
da
y an
tibio
tics.
Cou
ld b
e as
long
as 5
day
s. N
one
R
isk
asse
ssm
ent n
eede
d. L
onge
r exc
lusi
on m
ay
be a
ppro
pria
te in
pre
-sch
ool s
ettin
gs b
ut sh
orte
r in
mild
er c
ases
in o
lder
chi
ldre
n Sh
ingl
es
(Her
pes z
oste
r viru
s)
2 da
ys b
efor
e to
5 d
ays
afte
r spo
ts d
evel
op
Non
e if
expo
sed
lesi
ons c
an b
e co
vere
d w
hils
t wee
ping
N
one
If
con
tact
is p
regn
ant o
r im
mun
e co
mpr
omis
ed,
seek
adv
ice
from
GP
Th
read
wor
ms
Whe
n eg
gs a
re sh
ed in
th
e fa
eces
(sto
ols)
N
one
once
trea
ted
N
one
H
ouse
hold
con
tact
s sho
uld
be tr
eate
d at
sam
e tim
e
Tube
rcul
osis
(TB
) D
epen
ds o
n si
te o
f in
fect
ion
U
ntil
the
child
feel
s wel
l but
usu
ally
at l
east
2
wee
ks a
fter s
tarti
ng tr
eatm
ent
Non
e
Seek
adv
ice
from
HPT
. M
anag
emen
t of c
ase
and
cont
acts
is c
o-or
dina
ted
by th
e H
PNS
Avo
id d
irect
con
tact
with
lesi
ons.
It is
of v
alue
to
kee
p th
e le
sion
cov
ered
whe
n ta
king
par
t in
P.E.
, sw
imm
ing,
or o
ther
com
mun
al sp
ortin
g ac
tiviti
es.
War
ts a
nd v
erru
cae
A
s lon
g as
war
ts a
re
pres
ent.
N
one
N
one
Vul
nera
ble
clos
e co
ntac
ts m
ay n
eed
treat
men
t W
hoop
ing
coug
h (p
ertu
ssis
) Fo
r 7 d
ays b
efor
e bu
t re
duci
ng se
vera
l wee
ks
afte
r sta
rt of
cou
ghin
g
For 5
day
s if t
reat
ed w
ith a
ntib
iotic
s, or
21
days
from
ons
et o
f illn
ess i
f not
trea
ted
N
one
Ver
sion
: Fin
al 8
Version: Final 8th Nov 2011 NHS Borders Health Protection Review Nov 2014 Page 13
6. Notifiable Diseases =^äíÜçìÖÜ=ÇÉ~íÜë=Ñêçã=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉë=áå=_êáí~áå=~êÉ=êÉä~íáîÉäó=ê~êÉ=íÜÉëÉ=Ç~óëI=íÜÉó=ëíáää=çÅÅìêK= `çããìåáÅ~ÄäÉ= ÇáëÉ~ëÉë= Çç= åçí= êÉëéÉÅí= ÖÉçÖê~éÜáÅ= çê= ~Çãáåáëíê~íáîÉ= ÄçìåÇ~êáÉë= ~åÇ=ÉÑÑçêíë= íç= éêÉîÉåíI= Åçåíêçä= ~åÇ= íêÉ~í= íÜÉã= ÇÉéÉåÇ= çå= ~= î~êáÉíó= çÑ= äçÅ~äI= å~íáçå~ä= ~åÇ=áåíÉêå~íáçå~ä=~ÖÉåÅáÉëK=kçíáÑáÅ~íáçå=Ç~í~= áë=~=âÉó=ëçìêÅÉ=çÑ= áåÑçêã~íáçå=~Äçìí= íÜÉ= áåÅáÇÉåÅÉ=çÑ=ÅÉêí~áå=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉë=áå=íÜÉ=éçéìä~íáçåK==qÜÉ=äÉÖáëä~íáçå=ÚmìÄäáÅ=eÉ~äíÜ=ÉíÅK=EpÅçíä~åÇF=^Åí=OMMUW=åçíáÑá~ÄäÉ=ÇáëÉ~ëÉëI=çêÖ~åáëãë=~åÇ=ÜÉ~äíÜ=êáëâ=ëí~íÉëÛ=éä~ÅÉë=~=äÉÖ~ä=Çìíó=êÉëíë=çå=~ää=êÉÖáëíÉêÉÇ=ãÉÇáÅ~ä=éê~ÅíáíáçåÉêë=ïÜç=~êÉ=~ííÉåÇáåÖ=éÉçéäÉ=ëìëéÉÅíÉÇ=çÑ=Ü~îáåÖ=ÅÉêí~áå=ëéÉÅáÑáÉÇ=áåÑÉÅíáçìë=ÇáëÉ~ëÉë=íç=åçíáÑó=íÜÉ=å~ãÉë=~åÇ=~ÇÇêÉëëÉë=çÑ=íÜÉëÉ=é~íáÉåíëK=kçíáÑáÅ~íáçå=ëÜçìäÇ=í~âÉ=éä~ÅÉ=çå=íÜÉ=Ä~ëáë=çÑ=ÅäáåáÅ~ä=ëìëéáÅáçåX=~=Çá~Öåçëáë=ÇçÉë=åçí=Ü~îÉ=íç=ÄÉ=ä~Äçê~íçêó=ÅçåÑáêãÉÇ=Ñçê=åçíáÑáÅ~íáçå=íç=í~âÉ=éä~ÅÉK=qÜÉ=éìêéçëÉ=çÑ=åçíáÑáÅ~íáçå=áë=íç=~ääçï=éìÄäáÅ=ÜÉ~äíÜ=~Åíáçå=íç=ÄÉ=í~âÉå=ïáíÜáå=íÜÉ=áåÅìÄ~íáçå=éÉêáçÇ=çÑ=íÜÉ=ÇáëÉ~ëÉ=áå=èìÉëíáçåK=t~áíáåÖ=~=ÅçìéäÉ=çÑ=Ç~óë=Ñçê=Çá~Öåçëáë=íç=ÄÉ=ä~Äçê~íçêó=ÅçåÑáêãÉÇ=ãáÖÜí=ãÉ~å=íÜ~í=ëÉÅçåÇ~êó=ëéêÉ~Ç=Ü~ë=~äêÉ~Çó=í~âÉå=éä~ÅÉK==kçíáÑáÅ~íáçåë=~êÉ= ëÉåí= íç= íÜÉ=aÉé~êíãÉåí=çÑ=mìÄäáÅ=eÉ~äíÜ=~í=_çêÇÉêë=kep=_ç~êÇK=kçíáÑáÅ~íáçå=Ç~í~= áå= pÅçíä~åÇ= áë= Åçää~íÉÇ= Äó= íÜÉ= fåÑçêã~íáçå= ~åÇ= pí~íáëíáÅë= aáîáëáçå= EfpaF= çÑ= íÜÉ= `çããçå=pÉêîáÅÉë= ^ÖÉåÅó= E`p^FI= ~åÇ= éìÄäáëÜÉÇ= áå= ~= ïÉÉâäó= êÉéçêí= éêçÇìÅÉÇ= Äó= eÉ~äíÜ= mêçíÉÅíáçå=pÅçíä~åÇ=EempFK==qÜÉ= äáëí= çÑ= åçíáÑá~ÄäÉ= ÇáëÉ~ëÉë= áå= pÅçíä~åÇ= ÇáÑÑÉêë= Ñêçã= íÜ~í= áå= íÜÉ= êÉëí= çÑ= íÜÉ= rhK= kçíáÑá~ÄäÉ=ÇáëÉ~ëÉë=áå=pÅçíä~åÇ=~êÉW====^åíÜê~ñ=_çíìäáëã=_êìÅÉääçëáë=`ÜçäÉê~=`äáåáÅ~ä=ëóåÇêçãÉ=ÇìÉ=íç=bKÅçäá=lNRT======áåÑÉÅíáçå=aáéÜíÜÉêá~=e~ÉãçäóíáÅ=rê~ÉãáÅ=póåÇêçãÉ=EerpF=e~ÉãçéÜáäìë=áåÑäìÉåò~É=íóéÉ=Ä=EeáÄF=jÉ~ëäÉë=jÉåáåÖçÅçÅÅ~ä=ÇáëÉ~ëÉ=jìãéë===kÉÅêçíáòáåÖ=Ñ~ëÅááíáë=m~ê~íóéÜçáÇ= = = =mÉêíìëëáë=
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=================
==
^ééÉåÇáÅÉë
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pí~åÇ~êÇ=NW=lêÖ~åáë~íáçå=
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qççíÜÄêìëÜÉë=~åÇ=ÄêìëÜáåÖ=íÉÅÜåáèìÉë=~êÉ=~ééêçéêá~íÉ=~åÇ=~êÉ=~ÄäÉ=íç=ÄÉ=ìëÉÇ=ÉÑÑÉÅíáîÉäó=Äó=É~ÅÜ=ÅÜáäÇ=
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qççíÜÄêìëÜáåÖ=áë=çêÖ~åáëÉÇ=áå=~=ë~ÑÉ=~åÇ=ÉÑÑÉÅíáîÉ=ï~ó=ïÜáÅÜ=áë=áåíÉÖê~íÉÇ=ïáíÜ=åìêëÉêóI=ëÅÜççä=~åÇ=ÜçãÉ=êçìíáåÉë=
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qççíÜÄêìëÜ=ëíçê~ÖÉ=ëóëíÉãë=Åçãéäó=ïáíÜ=ÄÉëí=éê~ÅíáÅÉ=áå=íÜÉ=éêÉîÉåíáçå=çÑ=ÅêçëëJÅçåí~ãáå~íáçå=
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^ééêçéêá~íÉ=ÅäÉ~åáåÖ=éêçÅÉÇìêÉë=~êÉ=áå=éä~ÅÉ=íç=ÉåëìêÉ=íÜ~í=ÅêçëëJáåÑÉÅíáçå=êáëâë=~êÉ=ãáåáãáëÉÇ=
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cìêíÜÉê=ÇÉí~áäë=çå=ê~íáçå~äÉ=~åÇ=ÅêáíÉêá~=Å~å=ÄÉ=ÑçìåÇ=~íW=
ÜííéWLLïïïKÅÜáäÇJëãáäÉKçêÖKìâLìéäç~ÇëLÇçÅìãÉåíëLNSNNNJqççíÜÄêìëÜáåÖpí~åÇ~êÇëKéÇÑ
açïå=çå=íÜÉ=c~êãW==cìå=Äìí=p~ÑÉ= What should I do before the visit? Wear strong, comfortable shoes for
your day out. Wellingtons are perfect Keep cuts, grazes etc on hands covered
with a waterproof dressing Learn some important rules
- Don’t eat anything while you’re walking around the farm - Don’t climb on any walls or fences - And don’t make lots of noise and scare the animals - But most important of all – do have loads of fun!
What should I do on the visit? Always wash your hands after touching one of the animals. And never touch
one of the animals unless an adult says you can. Don’t kiss any of the animals, no matter how cute they look Always wash and dry your hands before eating and drinking anything and after
using the toilet Only have snacks and packed lunches in special, clean eating areas. You will be
told where these are Remember not to pick up or touch any tools which are lying around because
they may be dirty and dangerous What should I do after the visit? Make sure your shoes or wellington boots are as clean as you can get them –
taking special care to check for animal droppings. Ask an adult to check them for you.
Top tip! It’s always important to wash and dry your hands, but even more so when you’ve been around animals. Remember to wash your hands very carefully before you leave, using
plenty of warm soapy water.