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Communicable Disease Control Measures

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In accordance with Texas Administrative Code Title 25 Part 1 Chapter 97 A rule 97.7, the school administrator shall exclude from attendance any child having or suspected of having a communicable disease designated by the Commissioner of Health (commissioner) as cause for exclusion until one of the criteria listed in subsection c) of this section is fulfilled.

(c) Any child excluded for reason of communicable disease may be readmitted, as determined by the health authority, by:

(1) submitting a certificate of the attending physician, advanced practice nurse, or physician assistant attesting that the child does not currently have signs or symptoms of a communicable disease or to the disease's non-communicability in a school setting
(2) submitting a permit for readmission issued by a local health authority; or
(3) meeting readmission criteria as established by the commissioner.

Amebiasis:

exclude until treatment is initiated

Campylobacteriosis:

exclude until after diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications

Chickenpox:

exclude until the lesions become dry or if lesions are not vesicular, until 24 hours have passed with no new lesions occurring

Common cold:

exclude until fever free for 24 hours without the use of fever suppressing medications

Conjunctivitis, bacterial and/or viral:

exclude until permission and/or permit is issued by a physician or local health authority or until symptom free

Fever (100.0° Fahrenheit):

exclude until fever free for 24 hours without use of fever suppressing medications

Fifth disease (erythema infectiosum):

exclude until fever free for 24 hours without the use of fever suppressing medications

Gastroenteritis:

exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications

Giardiasis:

exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications

Head lice (pediculosis):

exclude until free of live lice

Hepatitis A:

exclude until one week after onset of illness

Infections (wounds, skin, and soft tissue):

exclude until drainage from wounds or skin and soft tissue infections is contained and maintained in a clean dry  bandage; restrict from situations that could result in the infected area becoming exposed, wet, soiled, or  otherwise compromised

Infectious mononucleosis:

exclude until physician decides or fever free for 24 hours without the use of fever suppressing medications

Influenza:

exclude until fever free for 24 hours without the use of fever suppressing medications

Measles (rubeola):

exclude until four days after rash onset or in the case of an outbreak, unimmunized children should also be excluded until at least two weeks after the onset of the last rash

Meningitis, bacterial:

exclude until written permission and/or permit is issued by a physician or local health authority

Meningitis, viral:

exclude until fever free for 24 hours without the use of fever suppressing medications

Mumps:

exclude until five days after the onset of swelling

Pertussis (whooping cough):

exclude until completion of five days of antibiotic therapy

Ringworm:

none, if infected area can be completely covered by clothing or a bandage, otherwise exclude until treatment has begun

Rubella (German measles):

exclude until seven days after rash onset or in the case of an outbreak, unimmunized children should be  excluded until at least three weeks after the onset of the last rash

Salmonellosis:

exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications

Scabies:

exclude until treatment has begun

Shigellosis:

exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications

Streptococcal sore throat and scarlet fever:

exclude until 24 hours from time antibiotic treatment was begun and fever free for 24 hours without the use of   fever suppressing medications

Tuberculosis, pulmonary:

exclude until antibiotic treatment has begun and a physician's certificate or health permit obtained

Tuberculosis skin test, positive:

exclude for reactive skin test and TB symptoms until physician's certificate or health permit obtained

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