Appendix 2: Infectious diseases for criterion HS26

Note: Conditions marked with an asterisk (*) are notifiable diseases.

Disease Time between exposure and sickness This disease is spread by... Early signs Infectious period Action to be taken
Chicken Pox 13 - 17 Days

Coughing and sneezing.
Also direct contact with weeping blisters.

Fever and spots with a blister on top of each spot

From up to 5 days before appear-ance of rash until lesions have crusted (usually about 5 days).

Exclude from service for one week from date of appear-ance of rash.
* Hepatitis A 15 - 50 days (average 28 - 30 days). From food or water con-taminated with faeces from an infected person; or by direct spread from an infected person.

Nausea,
stomach pains, general sickness.
Jaundice a few days later.

From about 2 weeks before signs appear until 1 week after jaundice starts. Exclude from service for 7 days from onset of jaundice.
* Hepatitis B 6 weeks - 6 months (usually 2 - 3 months). Close physical contact with the blood or body fluids of an infected person. Similar to Hepatitis A. The blood and body fluids may be infectious several weeks before signs appear and until weeks or months later. A few are infectious for years. Exclude from service until well or as advised by GP.
* Measles (immun-isation usually prevents this illness) Usually 10 days to onset, 14 days to rash. Coughing and sneezing. Also direct contact with the nose / throat secretions of an infected person. Running nose and eyes, cough, fever and a rash. From the first day of illness until 4 days after the rash begins. Exclude from service for at least 4 days from onset of rash.
* Meningitis (Meningo-coccal) 2 - 10 days (usually 3 - 4 days). Close physical contact such as sharing food and drinks, kissing, sleeping in the same room. Generally unwell, fever, headache, vomiting, sometimes a rash.
Urgent treatment is important!
Until 24 hours after starting treatment with antibiotics. Exclude from service until well enough to return.
* Mumps (immun-isation usually prevents this illness) Usually 16 - 18 days. Contact with infected saliva - coughing, sneezing, kissing and sharing food or drink. Pain in jaw, then swelling in front of ear, and fever. For one week before swelling appears until 9 days after. Exclude from service until 9 days after swelling develops, or until child is well, whichever is sooner.
Ringworm  10 - 14 days

Contact with infected person's skin or with their clothes or personal items.
Also through con-taminated floors and shower stalls.

Flat spreading ring-shaped lesions. While lesions are present, and while fungus persists on con-taminated material. Restrict contact activities e.g. gym and swimming until lesions clear.
* Salmo-nella 6 - 72 hours (usually 12 - 36 hours). Under-cooked food like chicken, eggs and meat; food or water con-taminated with faeces from an infected person or animal; or direct spread from an infected person or animal. Stomach pain, fever and diarrhoea. Until well, and possibly weeks or months after. Exclude from service until well with no further diarr-hoea.
Strepto-coccal
Sore Throat
1 - 5 days Usually contact with the secretions of a strep sore throat. Headache, vomiting, sore throat. For 24 - 48 hours after treatment with antibiotics is started. Exclude from service until 24 hours after anti-biotics started.
* Whooping Cough (immun-isation usually prevents this illness) 4 - 10 days Coughing. Adults and older older children may pass on the infection to babies. Running nose, persistent cough followed by "whoop", vomiting or breathless-ness.. For 3 weeks from the first signs if not treated with antibiotics. If the child has had antibiotics, until 5 days of the antibiotic treatment. Exclude from service until 21 days from onset of coughing or after 5 days anti-biotics.

Last updated: 7 July 2009