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Disease/
Infection
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Spread by …
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Time between
exposure & sickness
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Early Signs
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How Long is the child infectious
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Exclusion from Crèche
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Chicken Pox
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Coughing and sneezing. Also direct contact with weeping blisters
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13-17 days
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Fever and spots with a blister on top of each spot
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Upto 5 days before the appearance of a rash and until the spots are crusted.(normally 5 days) |
One week from date of rash appearance.
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Conjunctivitis
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Direct contact with discharge from the eyes or with items contaminated by the discharge
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24-72 hours
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Irritation and redness of eye with a discharge sometimes.
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While there is a discharge from the eyes, the child is infectious
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While there is a discharge from the eyes
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Gastroenteritis
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Food or water contaminated with faeces from infected person or animal direct spread from infected person
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1-3 days
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Vomiting, diarrhoea and fever
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While vomiting and diarrhoea last and up to 7 days after illness starts
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Until well with no diarrhoea for 48 hours
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Impetigo (school Sores)
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Direct contact with discharge from infected skin
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Usually 4-10 days variable
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Blisters on exposed parts of the body. Spreading at the edges that are raised, thick yellow crusts when they break
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Until 24 hours after treatment with antibiotics has started or until sores have healed
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24 hours after treatment or as advised by GP.
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Influenza
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Coughing and sneezing and direct contact with respiratory droplets
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1-3 days
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Sudden on set of fever with cough, sore throat muscular aches and headache
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From 1-2 days before illness up to 7 days.
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Restrict contact activities until well.
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Measles
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Coughing and sneezing. Also direct contact with the nose/throat secretions of infected person. White spots in the mouth 1-2 days, rash after 3-4 days on the face, neck and chest.
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Usually 10 – 15 days to rash
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Running nose and eyes, cough, fever and a rash.
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From the first day of illness until 4 days after the rash begins.
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At least 4 days from onset of rash
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Meningitis
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Close physical contact such as sharing food and drinks, kissing, sleeping in the same room.
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2-10 days, usually 3-4 days
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Generally unwell, fever, headache, vomiting, sometimes a rash.
Urgent treatment is required
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24 hours after starting antibiotics
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Until well enough to return.
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Mumps
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Contact with infected saliva et coughing, sneezing, kissing and sharing food or drink.
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Usually 16- 18 days
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Pain in jaw, then swelling in front of ear and a fever.
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For one week before swelling appears until 9 days after.
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Until 9 days after swelling develops or until the child is well.
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Ringworm
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Contact with infected person’s skin, clothes or personal items. Also through contaminated floor or showers.
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10-14 days
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Flat spreading ring shaped lesions
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While lesions are present and while fungus persists on contaminated material
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Restrict contact activities until lesion clear
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Rotavirus
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Transmitted primarily by fecal-oral contact, although airborne transmission has also been reported. Rotavirus is highly contagious and remains stable in the environment for long periods of time.
Highly contagious.
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2 days
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Symptoms of the disease include fever, vomiting and watery diarrhoea, several times per day, abdominal pain.
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Symptoms persist for 3-9 days
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48 hours after the last diarrhoea nappy.
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Rubella
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Coughing and sneezing. Also direct contact with the nose/throat secretions of an infected person
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Usually 16-18 days
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Fever, swollen neck glands and rash on the face, scalp and body. Rubella during early pregnancy is dangerous.
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From 7 days before rash starts until at least 4 days after it has appeared.
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7 days from appearance of rash.
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Threadworm
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The female worm lay eggs around the anus. Leads to itching and scratching of the area and then leads to eggs being transferred onto the fingers and passed by direct contact. |
10-11 days
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Threadworm begins with an itchy feeling around your anus (back passage), usually at night under warm sheets.
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Until 24 hours after treatment and a second treatment required in 14 days.
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24hours after treatment has commenced
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Head lice
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Head lice spread easily. You can get them when in close contact with a person who has lice, or by touching their clothing or bedding. Lice spread easily among school children.
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7-10 days from hatching to reproducing
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Itching of the scalp, Tiny white specks (eggs, or nits) on the bottom of each hair that are hard to get off
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Contagious until treated has commenced.
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Once treated has commenced.
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