School Nurse Teachers Infectious Diseases Reference
THE RHODE ISLAND SCHOOL NURSE TEACHERS INFECTIOUS DISEASE REFERENCE MANUAL
THE RHODE ISLAND SCHOOL NURSE TEACHERS
INFECTIOUS DISEASE REFERENCE MANUAL
"SAFE AND HEALTHY LIVES IN SAFE AND HEALTHY COMMUNITIES"
DONALD L. CARCIERI
GOVERNOR
PATRICIA A. NOLAN, MD, MPH
DIRECTOR OF HEALTH
THE RHODE ISLAND DEPARTMENT OF HEALTH DIVISION OF DISEASE PREVENTION AND CONTROL
2003
THE RHODE ISLAND SCHOOL NURSE TEACHERS INFECTIOUS DISEASE REFERENCE MANUAL
RHODE ISLAND DEPARTMENT OF HEALTH DIVISION OF DISEASE PREVENTION AND CONTROL
ROOM 106, 3 CAPITOL HILL PROVIDENCE, RI 02908-5097
health.
TELEPHONE NUMBERS
8:30 AM ? 4:30 PM MONDAY ? FRIDAY...................... TEL: (401) 222-2577
FAX: (401) 222-2488 AFTER HOURS, WEEKEND & HOLIDAYS...................TEL: (401) 272-5952 (FOR DISEASES REPORTABLE IMMEDIATELY)
CONTACT TELEPHONE NUMBERS FOR REPORTABLE DISEASES
COMMUNICABLE DISEASE
222-2577
CHILDHOOD LEAD POISONING
222-2312
HIV/AIDS
222-2320
OCCUPATIONAL DISEASES
222-2438
SEXUALLY TRANSMITTED DISEASES 222-2577
TUBERCULOSIS
222-2577
VACCINE-PREVENTABLE DISEASES
222-2312
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THE RHODE ISLAND SCHOOL NURSE TEACHERS INFECTIOUS DISEASE REFERENCE MANUAL
ACKNOWLEDGMENTS
We would like to acknowledge the Massachusetts Department of Public Health for allowing use of its Comprehensive School Health Manual to be adapted for use in Rhode Island.
Governor: Donald L Carcieri Director: Patricia A Nolan, MD, MPH Medical Editor: Utpala Bandy, MD, MPH Chief Editor: Linda M. Tetu ? Mouradjian, R.N. Assistant Editor: Rebecca N. Simpson Staff Contributors: Linda D'Agostino, R.N.
Carol Browning, R.N. Margaret Driscoll, R.N. School Nurse Teacher Contributors: Pat Beauchaine, R.N., C.S.N.T.
Norma Davies, R.N., C.S.N.T. Sandra DeLack, R.N., C.S.N.T. Theresa Smith Dorry, R.N., C.S.N.T. Mary Ann Kish, R.N., C.S.N.T. Wendy Krupa, R.N., C.S.N.T. Diane O' Brien, R.N., C.S.N.T. Marie Radoccia, R.N., C.S.N.T. Kathy Tipirneni, R.N., C.S.N.T. Janet Watkinson, R.N., C.S.N.T.
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THE RHODE ISLAND SCHOOL NURSE TEACHERS INFECTIOUS DISEASE REFERENCE MANUAL
TABLE OF CONTENTS
Contact Telephone Numbers For Reportable Diseases..................................... 2 Acknowledgments ................................................................................................. 3 Introduction........................................................................................................... 6 Reportable Diseases .............................................................................................. 8
Acquired Immunodeficiency Disease............................................................................. 8 Human Immunodeficiency Virus ................................................................................... 8 Anthrax ......................................................................................................................... 15 Botulism ....................................................................................................................... 17 Brucellosis .................................................................................................................... 19 Campylobacter.............................................................................................................. 21
Sample Letter To Parents About Diarrheal Diseases .............................................. 23 Chickenpox And Shingles ............................................................................................ 25
Sample Letter To Parents About Chickenpox........................................................... 28 Chlamydia..................................................................................................................... 30 Colds And Influenza..................................................................................................... 32 Conjunctivitis (Pinkeye) ............................................................................................... 33
Sample Letter To Parents About Conjunctivitis ....................................................... 35 Cytomegalovirus (Cmv) Infection................................................................................ 36 Diphtheria ..................................................................................................................... 38 Escherichia Coli 0157:H7............................................................................................. 39
Sample Letter To Parents About Diarrheal Diseases .............................................. 41 Fifth Disease ................................................................................................................. 43
Sample Letter To Parents About Fifth Disease ........................................................ 45 Genital Herpes .............................................................................................................. 47 Genital Warts................................................................................................................ 49 Giardia Lamblia............................................................................................................ 51
Sample Letter To Parents About Diarrheal Diseases .............................................. 53 Glanders........................................................................................................................ 55 Gonorrhea ..................................................................................................................... 57 Haemophilus Influenza Type B Illness (Hib Disease) ................................................. 59
Sample Letter To Parents About Hib Disease.......................................................... 62 Sample Letter To Parents Of Close Contacts About Hib Disease............................ 63 Hand, Foot And Mouth Disease ................................................................................... 65 Hepatitis A.................................................................................................................... 67 Sample Letter To Parents About Hepatitis A ........................................................... 69 Hepatitis B .................................................................................................................... 71 Hepatitis C .................................................................................................................... 76 Herpes Simplex Infection ............................................................................................. 80 Impetigo........................................................................................................................ 82 Sample Letter To Parents About Impetigo ............................................................... 84 Lyme Disease ............................................................................................................... 85 Measles ......................................................................................................................... 89 Meningococcal Illnesses............................................................................................... 91 Sample General Letter To Parents About Meningococcal Illnesses ........................ 94 Sample Letter To Parents Of Close Contacts About Meningococcal Illnesses........ 95 Mononucleosis.............................................................................................................. 96 Mumps.......................................................................................................................... 97
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THE RHODE ISLAND SCHOOL NURSE TEACHERS
INFECTIOUS DISEASE REFERENCE MANUAL
Otitis Media (Middle Ear Infection) ............................................................................. 99 Pediculosis (Head Lice).............................................................................................. 101
Sample Letter To Parents About Head Lice........................................................... 104 To Get Rid Of Head Lice........................................................................................ 106 Pertussis (Whooping Cough)...................................................................................... 107 Pinworms.................................................................................................................... 109 Plague ......................................................................................................................... 111 Polio............................................................................................................................ 112 Q Fever ....................................................................................................................... 113 Rabies ......................................................................................................................... 115 Ricin Poisoning .......................................................................................................... 118 Ringworm (Tinea) ...................................................................................................... 120 Roseola (Sixth Disease).............................................................................................. 122 Rubella........................................................................................................................ 123 Salmonella .................................................................................................................. 125 Sample Letter To Parents About Diarrheal Diseases ............................................ 127 Scabies........................................................................................................................ 129 Sample Letter To Parents About Scabies ............................................................... 131 Severe Acute Respiratory Syndrome (Sars) ............................................................... 132 Shigella ....................................................................................................................... 134 Sample Letter To Parents About Diarrheal Diseases ............................................ 136 Smallpox..................................................................................................................... 138 Sports Related Infectious Diseases............................................................................. 140 Staphylococcal Enterotoxin B Poisoning ................................................................... 142 Streptococcal Infections ............................................................................................. 144 Sample Letter To Parents About Strep Throat ....................................................... 146 Syphilis ....................................................................................................................... 147 Tetanus ....................................................................................................................... 150 Tuberculosis ............................................................................................................... 151 Tularemia.................................................................................................................... 153 Viral Hemorrhagic Fevers .......................................................................................... 155
Additional Information And Stop-Spread Guidelines .................................. 157
Diseases Spread Through Blood Contact ................................................................... 158 Diseases Spread Through The Intestinal Tract........................................................... 159 Vaccine Preventable Diseases .................................................................................... 160 General Infections And Systemic Infections .............................................................. 162 Diseases Spread Through The Respiratory Tract ....................................................... 163 Diseases Spread Through Direct Contact ................................................................... 164 General Guidelines For Diarrheal Diseases: Giardia, Shigella, E. Coli, Salmonella And Campylobacter............................................................................................................ 166
Rules, Regulations, Policies And Guidelines .................................................. 168
Instructions For Physician Reporting Of Communicable, Environmental And Occupational Diseases................................................................................................ 169 Vaccines For Children (Vfc) State Supplied Vaccine Policy ..................................... 171 Recommendations On The Prevention And Control Of Meningococcal Disease...... 173 Head Lice - Principles That Should Guide School Policies ....................................... 174 Guidelines For School Departments Related To SARS ............................................. 176
Additional Resources ........................................................................................ 178
Antibiotic Use............................................................................................................. 179 Ten Things To Do To Prevent Infectious Diseases .................................................... 180
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