Public Health Medicine Communicable Disease Group

1 Management of Infectious Disease in SchoolsPublic Health Medicine Communicable Disease GroupOctober 2014 Table of ContentsAcknowledgements 3 Foreword 4 Chapter 1. Introduction 5 Chapter 2: Infection 6 What is an infection 6 Who is at risk? 6 How do infections spread? 6 Chapter 3: Prevention and Control 9 Background 9 Handwashing 9 Protective clothing 11 Personal hygiene 12 Respiratory hygiene and cough etiquette 12 Preventing blood and body fluid exposures 12 Management of cuts.

2 Nose bleeds and bites 13 How to manage a spill of blood or body fluids 14 Confidentiality 16 Resources 16 Chapter 4: Immunisation 17 Childhood Immunisation 17 Immunisation Schedule 17 Chapter 5: Staff Health 19 Adult Immunisation 19 Exclusion 19 Infectious Diseases Relevant to Staff 19 Special Circumstances 20 Chapter 6.

3 Environmental Hygiene 22 Hygiene and the Environment 22 Cleaning 22 Disinfection 23 Toys and educational/recreational materials and appliances 24 Waste disposal 24 Chapter 7: Animals and Infection Control 26 Pet hygiene 26 Farm and zoo visits 26 Chapter 8: High Risk Contact and Collision Sports 28 Background 28 General Precautions for all sports 28 Blood borne infections 28 Skin infections 29 Other infections 31 HSEM anagement of Infectious Disease in Schools -1-Management of Infectious Disease in Schools - October 2014 HSE-2-Chapter 9.

4 Management of specific infectious diseases 32 Chickenpox / Shingles 33 Conjunctivitis 33 Diphtheria 34 Gastroenteritis/Food poisoning 34 Campylobacter 35 Cryptosporidium 35 Norovirus 35 Salmonella 35 Shigella 35 Verocytotoxigenic (VTEC) 36 Glandular Fever 36 Haemophilus influenza type b (Hib) 37 Hand, Foot and Mouth Disease 37 Headlice 38 Hepatitis A (Yellow Jaundice, Infectious Hepatitis)

5 38 Hepatitis B 39 HIV/AIDS Infection 39 Human Papilloma Virus (HPV) 40 Impetigo 40 Influenza and Influenza-like illness 41 Measles 42 Meningitis and Meningococcal Disease 42 Molluscum Contagiosum 43

6 Mumps 43 MRSA (Methicillin-Resistant Staphylococcus aureus) 44 Pharyngitis/Tonsillitis 44 Pneumococcus 45 Polio 45 Respiratory Syncytial Virus 46 Ringworm ()

7 Tinea ) 46 Rubella (German measles) 47 Scabies 47 Scarlet Fever/Scarlatina 48 Slapped Cheek Syndrome/Fifth Disease (Parvovirus B19) 48 Tetanus 49 Tuberculosis (TB)

8 50 Typhoid and Paratyphoid 50 Verrucae (plantar warts) 51 Viral meningitis 51 Whooping Cough (Pertussis)

9 52 Worms 52 Appendices Appendix 1: Schools on Private Water Supplies 54 Appendix 2: Hand washing poster: Wash your hands 56 Appendix 3: Hand washing poster: Be a germ buster 57 Appendix 4: Hand washing poster: Suds up and away 58 Appendix 5: Hand washing poster: 6 steps of hand washing 59 Appendix 6: Respiratory etiquette poster 60 Appendix 7: Contact Details for Public Health Offices 61 Appendix 8: Sample notification letters to parents 62 HSEM anagement of Infectious Disease in Schools - October 2014 -3-Acknowledgements This document was produced by a subgroup of the Public Health Medicine Communication Disease Group (PHMCDG).

10 This is a national Group of Consultants in Public Health Medicine with representation from each HSE Department of Public Health . Members of the PHMCDG SubgroupDr Fiona Ryan, Consultant in Public Health Medicine , HSE South (Chair)Dr Sinead Donohue, Consultant in Public Health Medicine , HSE SouthMs Helen Murphy, Infection Prevention and Control Nurse, HSE EastDr Mary Ward, Consultant in Public Health Medicine , HSE EastThis document builds on important, previously published Infection in School: A Manual for School Personnel (most recent edition 2005).