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Policy statement: Illness infectious diseases and exclusions policy

It is my policy to keep children safe when they are in my care, promote good health and take necessary steps to prevent the spread of infection within my childcare setting and while I am off site.

Procedures (how I will put the statement into practice)

Sick children

If there is a child in my setting who becomes ill whilst in my care, or whom I believe has an infectious illness or disease (for example a severe cold or stomach upset) I will;

• Contact the parents as agreed to arrange for the immediate collection of the child

• Ensure the child is excluded from my setting until they have been well for 48 hours, or in accordance with Health Authority guidelines. Please see below for a list of infectious diseases and the exclusion time that applies to each one in my setting.

If a child arrives at my setting with a disease or illness that I believe to be infectious or that poses a risk to the other children in the setting or myself, I will ask that the parents collect the child. I will then expect the child not to attend my setting until they have been excluded for the recommended period.

As I understand from my own experiences that parents need childcare they can rely upon, I will continue to work if I, or a member of my family, have a minor ailment such as a common cold.

If I believe a child in my setting is suffering from a disease or illness which requires notification I will inform the parents/guardians of my concerns and act on advice given by Public Health England(details of which can be found at as to when they will be able to return to my setting.  I will also inform Ofsted of any action taken.

In accordance with the contract agreed with parents I expect to be paid for the child’s place even if they are excluded from my setting due to an illness or infectious disease.

If I, or one of the members of my family, has a confirmed infectious disease, I will inform parents as soon as I am able.

As I will not be able to offer my childminding service I do not charge parents for the time the service is unavailable, as agreed in the contract.

I will inform the parents of the other children in my setting if a child I care for has a diagnosed infectious disease.

Hygiene

I ensure all adults and children in my setting are aware of good hand-washing procedures, before eating or handling food and after using the toilet.

I will provide a face flannel and towel for each individual children, which I wash regularly.

I ensure there is a supply of tissues available for children.

I immediately clean up any spillage of body fluids using a disposable cloth and gloves.

I wear disposable gloves for changing nappies. I will discard these gloves after each change.

I ensure that any animals on the premises are safe to be around children and do not pose a health risk.

I ensure that pet food dishes are kept away from children.

|Date policy was written |28/2/16 |

|This policy is due for review |28/2/17 |

|on the following date | |

This policy supports the following requirements and standards:

England

Meeting the Early Years Foundation Stage Safeguarding and Welfare Requirements

Health, Medicines

Infectious disease/illness and exclusion period:

ATHLETES FOOT - This is a fungal infection of the skin usually affecting the areas between the toes. Transmission is usually by direct or indirect contact with skin lesions of infected people or contaminated floors, shower stalls and other articles used by infected people. The incubation period is unknown.

Exclusion Period - If the infected area can be kept covered the child need not be excluded.

CHICKEN POX - A highly infectious disease caused by a virus. Transmission is by direct person-to-person contact, by airborne spread of vesicular fluid or respiratory secretions, and by contact with articles recently contaminated by discharges from vesicles and mucous membranes. The incubation period is usually about 15 – 18 days. Cases are infectious for up to 5 days before the onset of the rash until 5 days after the first crop of vesicles appear Exclusion Period - Children should be excluded for 5 days from the appearance of the rash.

CONJUNCTIVITIS - Conjunctivitis is an inflammation of the surfaces of the eye and the inside of the eyelids. It causes discomfort, redness, and a discharge from the affected eye. The discharge may be clear and watery or thicker and yellowish. Transmission is from contact with the discharge from the eye, from contaminated fingers and other articles such as shared eye makeup applicators. The incubation period is usually 24 – 72 hours.

Exclusion Period - Children should be excluded until the redness and discharge have gone.

DIARRHOEA AND VOMITING - Diarrhoea can be the result of taking certain medicines, a change in diet or some bowel conditions associated with chronic diarrhoea. Diarrhoea may not always be due to an infection. However, unless there is documented evidence from a reliable source, any child with diarrhoea should be considered infectious.

Exclusion Period Children should be excluded until recovered and free from symptoms for 48 hours. Viral gastroenteritis - This is an illness in which diarrhoea is accompanied by repeated and persistent vomiting. Exclusion Period - Children should be excluded until recovered and free from symptoms for 48 hours.

HAND, FOOT AND MOUTH DISEASE - This is a viral illness of low infectivity. Usually a mild infection characterised by ulcers in the mouth and blisters on the hands, feet and sometimes the buttocks. Transmission is by direct contact with faeces and nose and throat

discharges. The incubation period is 3 – 5 days before the symptoms appear.

Exclusion Period - Children who are unwell should be excluded.

HEAD LICE - It is a very common problem and anybody with head hair can get head lice. People of any social class, age or ethnic group can be affected. Transmission requires head to head contact with an infected person. Head lice cannot jump or fly but can occasionally be flicked from head to head during combing or brushing. A person will remain infectious as long as there are adult, live lice on the head.

Exclusion Period - Children should return to setting after treatment.

IMPETIGO - This is a bacterial infection of the skin. Symptoms include itchy blisters or sores, which burst and produce a discharge that forms thick crusts. Impetigo mainly affects the hands and face. The incubation period is variable, but is usually 4 days.

Exclusion Period - It is infectious while the sores are discharging pus and, if the lesions cannot be kept covered, children should be excluded until the sores have crusted over.

MEASLES - This is a viral infection that is highly infectious. Symptoms include fever, rash, conjunctivitis and respiratory disease. Transmission is from person to person by direct contact with nose and throat secretions or respiratory droplets, and less commonly indirectly by articles freshly soiled with nose and throat secretions. The incubation period is 8 – 13 days. Children are infectious 2 days before the onset of symptoms until four days after the rash appears. Children should be immunised with the MMR vaccine at 12 -15 months and again at 3 to 5 years to protect against measles.

Exclusion Period - Children should be excluded for five days after the appearance of the rash.

MUMPS - This is a viral infection. Symptoms include swelling of the parotid glands, fever, meningitis (which is usually mild), orchitis and pancreatitis. Transmission occurs through droplet spread and direct contact with saliva of a case. The incubation period is 2 – 3 weeks and cases are infectious for up to a week before the swelling occurs until 5 days after the swelling. Children should be immunised with the MMR vaccine at 12 – 15 months and 3 – 5 years.

Exclusion Period - Children should be excluded for 5 days from the onset of the swelling.

RINGWORM - This is a fungal infection of the skin, which can affect other tissues such as hair and nails. Symptoms start as a small red spot, which spreads leaving a scaly patch in the centre surrounded by a red margin.

Transmission is by direct skin-to-skin contact with an infected person or animal or by indirect contact with objects or environmental surfaces contaminated with hair or skin scales, such as combs, brushes, showers, or changing rooms. The incubation period varies with the site of infection, but it usually takes 3 – 5 days for infection to become established and a further 2 – 3 weeks for symptoms to appear. A person is infectious as long as the organism is present

Exclusion Period - If the infection is on an exposed part of the body, children should be excluded until treatment is started. If the infected area can be kept covered, there is no need to exclude the child. Once treatment has been started there is no need to exclude the child, however activities involving physical contact or undressing should be restricted.

RUBELLA (GERMAN MEASLES) - This is a virus of moderate infectivity. Symptoms include fever, sore throat, conjunctivitis and a rash. Transmission is by direct person-to-person contact by respiratory droplets. The incubation period is 2 – 3 weeks. The period of infectivity is from one week before the onset of the rash to about 4 days after. Children should be immunised with MMR vaccine to protect against rubella at 12 – 15 months and again at 3 – 5 years. Pregnant staff that have been in contact with a confirmed case of rubella may be offered screening.

Exclusion Period - Children should be excluded for five days from the onset of the rash.

SLAPPED CHEEK (FIFTH) DISEASE - This is a viral illness that usually affects children, but can also affect adults. Symptoms include fever, rash (the cheeks often have a bright red “slapped cheek” appearance) and sometimes joint pains. Transmission is from person to person by respiratory droplets. The incubation period is usually between 13 – 18 days. The infectious period is from 7 days before the onset of the rash. Once the rash appears, a person is no longer infectious. Children who are immunocompromised or have certain types of anaemia’s can have more severe symptoms.

Exclusion Period - Children should be excluded if they are unwell. There is no need to exclude children who have the rash.

SHINGLES - This is a viral illness caused by a reactivation of the chicken pox virus. It occurs in people who have already had chicken pox. Symptoms include fever, general malaise and a painful blistering rash. Shingles cannot be “caught” from anyone as it is a reactivation of the chicken pox virus, however, someone who has never had chicken pox could get chicken pox from a person with shingles.

Exclusion Period - Children should be excluded for 7 days from the onset of the rash unless the rash can be covered completely, the child is well.

THREADWORM - This is a common intestinal infection, which is often asymptomatic. Symptoms include itching around the anus particularly at night. Transmission is by the eggs being transferred from the anus to the mouth. The infectious eggs are also spread to others directly on fingers or indirectly on bedding, clothing and in environmental dust. Toilets must be regularly and thoroughly cleaned. Toys and equipment must be cleaned with hot, soapy water and dried. Play with water, sand and play-dough should be suspended and the sand/play-dough discarded where several cases occur. Hand washing should be supervised and children of all ages should be encouraged to wash their hands after visiting the toilet.

Exclusion Period - Children do not need to be excluded.

WHOOPING COUGH (PERTUSSIS) - This is a bacterial infection affecting the respiratory system. Early symptoms include coughing and fever. Later, the cough develops the typical “whoop.” Transmission is by droplet spread from an infectious case. The incubation period is 7 – 10 days, but can be up to 3 weeks. A person is highly infectious during the early stages of the disease, before the typical cough. Children should be immunised to protect against whooping cough at 2, 3, and 4 months of age and again at 3 – 5 years of age, as part of the childhood immunisation programme.

Exclusion Period - Children should be excluded for five days after antibiotic treatment has been started, although non-infectious coughing may persist for many weeks.

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