Health Information

NOTICE TO PARENTS/GUARDIAN

• If as a nursery if we get heighten cases of illnesses, it may be necessary to introduce an exclusion period to help stop the spread. 

Infection or Complaint

Exclusion period to be kept away from Nursery

Comments

Athletes Foot 

None

Athletes Foot is not a serious condition. Treatment is recommended. 

Chicken Pox 

Five days from the onset of the rash 

Blisters on the rash must be dry and crusted over. 

Pregnant staff/parents should seek prompt advice from their GP or Midwife

Cold Sores 

None

Avoid kissing contact with the sores. Cold sores are generally mild and heal without treatment 

Conjunctivitis 

48 hours after starting medication

None

Respiratory infections including coronavirus (COVID19) 

Children and young people should not attend if they have a high temperature and are unwell
Children and young people who have a positive test result for COVID-19 should not attend the setting for 3 days after the day of the test

Children with mild symptoms such as runny nose, and headache who are otherwise well can continue to attend school.

Diarrhoea and Vomiting

Whilst symptomatic and 48 hours after the last symptoms 

Diarrhoea is defined as 3 or more liquid or semi-liquid stools in a 24 hour period. Same applies with vomiting if vomited once or if both infections occur at the same time.

Diphtheria 

Exclusion is essential

Preventable by vaccination

Flu (influenza) 

Until recovered 

None

German Measles (Rubella) 

Five days from onset of rash

Preventable by vaccination (MMR x2). Pregnant staff/parents should seek prompt advice from their GP or Midwife. 

Glandular Fever 

None  

None

Hand, Foot and Mouth 

None  

Exclusion minimum of 48 hours may be considered in some circumstances.

Head Lice 

None  

Treatment is recommended only in cases where live lice have been seen. 

Impetigo

Until lesions are crusted and healed, or 48 hours after starting antibiotic treatment 

Antibiotic treatment speeds up healing and reduces the infectious period 

Measles 

Four days from the onset of rash and recovered. 

Preventable by vaccination (MMR x2) 

Pregnant staff/parents should seek prompt advice from their GP or Midwife. 

Hepatitis A 

Exclude until seven days after onset of jaundice (or 7 days after symptom onset if no jaundice)

None

Hepatitis B, C, HIV 

None  

Hepatitis B, C and HIV are blood borne viruses that are not infectious through casual contact. 

Meningococcal Meningitis/septicaemia 

Until recovered 

Meningitis ACWY and B are preventable by vaccination. (see national schedule @ www.nhs.uk) 

Meningitis (bacteria) 

Until recovered 

Hib and Pneumococcal meningitis are preventable by vaccination (see national schedule @ www.nhs.uk) 

Meningitis Viral 

None

Milder illness than bacterial meningitis. Siblings and other close contacts of a case need not be excluded. 

MRSA 

None  

Good hygiene, in particular handwashing and environmental cleaning, are important to minimise spread. 

Mumps 

Five days after onset of swelling 

Preventable by vaccination (MMR x2)

Ringworm 

Exclusion not usually required 

Treatment is required 

Scarlet Fever 

Child can return 48 hours after starting appropriate antibiotic treatment 

A person is infectious for 2-3 weeks if antibiotics are not administered. 

Scabies 

Can return after first treatment 

Household and close contact require treatment at the same time. 

Slapped Cheek/ Fifth disease/ Parvo virus B19 

None (once rash has developed) 

Pregnant contacts of case should consult with their GP or Midwife. 

Threadworms 

None  

Treatment is recommended for the child and household contacts 

Tonsillitis 

48 hours after starting medication if prescribed antibiotics.

There are many causes, but most are due to viruses and do not need an antibiotic treatment

Tuberculosis (TB) 

Until at least 2 weeks after the start of effective antibiotic treatment (if pulmonary TB
Exclusion not required for non-pulmonary or latent TB infection
Always consult your local HPT before disseminating information to staff, parents and carers

Only pulmonary (lung) TB is infectious to others. Needs close prolonged contact to spread. 

Warts and Verrucae 

None  

Verrucae should be covered in swimming pools, gyms and changing rooms. 

Whooping Cough (pertussis)

Two days from starting antibiotic treatment, or 21 days from onset of illness if no antibiotic treatment

Preventable by vaccination. After treatment non-infectious coughing may continue for many weeks. 

Temperature 

Until temperature is normal for 24 hours or a letter from the doctor. 

A temperature over 38 would be classed as a fever. 

Antibiotics 

Where children have been prescribed antibiotics, parents are asked to keep them at home for 48 hours before returning to the setting.

None

Please seek medical advice if you are unsure or concerned. Please note we only administer medication that has a clear and correct prescription label. We may contact your doctor if we have any concerns. We do not administer Calpol unless your child is under 2 with a concerning temperature. Any child on regualr medication needs their medication on site with them at all times, this medication must be labelled correctly and pescribed with a Health care plan completed by the office prior to the child starting nursery.