Appendix 2: Infectious diseases for criterion HS26

Te tāpiringa tuarua: Ngā mate tino hopuhopu mō te paearu HS26

Kōhanga reo licensing criterion HS26 requires that the actions specified in this appendix are taken for any person (adult or child) suffering from particular infectious diseases.

Rashes and skin infections

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Vaccine-preventable and/or on the National Immunisation Schedule

Pregnant women should seek advice from their maternity provider or GP.

How the disease is spread
Coughing, sneezing and contact with weeping blisters

Early symptoms
Fever and spots with a blister on top of each spot

Time between exposure and sickness
10 to 21 days after being exposed

Exclusion from school, early childhood centre or work
1 week from appearance of rash, or until all blisters have dried
Seek further advice from a healthcare professional or public health service.

How the disease is spread

Coughing, sneezing and poor hand washing

Early symptoms

Fever, flu-like symptoms – rash on soles and palms and in the mouth

Time between exposure and sickness

3 to 5 days

Exclusion from school, early childhood centre or work

Exclude until blisters have dried. If blisters are able to be covered, and child feeling well, they will not need to be excluded.

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Direct contact with an infested person's hair, and less commonly by contact with contaminated surfaces and objects

Early symptoms

  • Itchy scalp, especially behind ears

  • Occasionally, scalp infections that require treatment may develop

Exclusion from school, early childhood centre or work

None, but ECC/school should be informed. Treatment recommended to kill eggs and lice.

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

Notifiable disease (Doctors notify the public health service)

Pregnant women should seek advice from their maternity provider or GP.

How the disease is spread

  • Coughing and sneezing

  • Direct contact with an infected person

  • Highly infectious

Early symptoms

Runny nose and eyes, cough and fever, followed a few days later by a rash

Time between exposure and sickness

7 to 21 days

Exclusion from school, early childhood centre or work

5 days after the appearance of rash. Non-immune contacts of a case may be excluded.

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Contact with infected skin, bedding and clothing

Early symptoms

Flat, ring-shaped rash

Time between exposure and sickness

4 to 6 weeks

Exclusion from school, early childhood centre or work

None, but skin contact should be avoided

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

Notifiable disease (Doctors notify the public health service)

Pregnant women should seek advice from their maternity provider or GP.

How the disease is spread

  • Coughing and sneezing

  • Direct contact with an infected person

Early symptoms

Fever, swollen neck glands and a rash on the face, scalp and body

Time between exposure and sickness

14 to 23 days

Exclusion from school, early childhood centre or work

Until well and for 7 days from appearance of rash

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Contact with infected skin, bedding and clothing

Early symptoms

Itchy rash

Time between exposure and sickness

4 to 6 weeks (but if had scabies before it may develop within 1 to 4 days)

Exclusion from school, early childhood centre or work

Exclude until the day after appropriate treatment

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Direct contact with infected sores

Early symptoms

Blisters on the body which burst and turn into scabby sores

Time between exposure and sickness

Variable

Exclusion from school, early childhood centre or work

Until sores have dried up or 24 hours after antibiotic treatment has started

Seek further advice from a healthcare professional or public health service.

Pregnant women should seek advice from their maternity provider or GP.

How the disease is spread

Coughing and sneezing. The virus may be passed from mother to child during pregnancy

Early symptoms

Red cheeks and a lace-like rash on body

Time between exposure and sickness

4 to 20 days

Exclusion from school, early childhood centre or work

Unnecessary unless unwell

Seek further advice from a healthcare professional or public health service.

Diarrhoea and vomiting illnesses

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Notifiable disease (Doctors notify the public health service)

How the disease is spread

Undercooked food, contaminated water. Direct spread from an infected person or animal

Early symptoms

Stomach pain, fever, nausea, diarrhoea and/or vomiting

Time between exposure and sickness

Campylobacter: 1 to 10 days

Cryptosporidium: 1 to 12 days

Giardia: 3 to 25 days

Salmonella: 6 to 72 hours

Exclusion from school, early childhood centre or work

Until well and for 48 hours after the last episode of diarrhoea or vomiting

Seek further advice from a healthcare professional or public health service.

Cryptosporidium

Do not use public pool for 2 weeks after symptoms have stopped.

Salmonella

Discuss exclusion of cases and contacts with public health service.

Notifiable disease (Doctors notify the public health service)

How the disease is spread

Contaminated food or water, direct spread from an infected person or animal

Early symptoms

Nausea, stomach pains, general sickness with jaundice (yellow skin) appearing a few days later

Time between exposure and sickness

15 to 50 days

Exclusion from school, early childhood centre or work

7 days from the onset of jaundice

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Contact with secretions from infected people

Early symptoms

Nausea, diarrhoea and/or vomiting

Time between exposure and sickness

1 to 2 days

Exclusion from school, early childhood centre or work

Until well and for 48 hours after the last episode of diarrhoea or vomiting

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

How the disease is spread

Direct spread from infected person

Early symptoms

Nausea, diarrhoea and/or vomiting

Time between exposure and sickness

1 to 2 days

Exclusion from school, early childhood centre or work

Until well and for 48 hours after the last episode of diarrhoea or vomiting

Seek further advice from a healthcare professional or public health service.

Notifiable disease (Doctors notify the public health service)

How the disease is spread

Contaminated food or water, contact with an infected person

Early symptoms

Diarrhoea (may be bloody), fever, stomach pain

Time between exposure and sickness

12 hours to 1 week

Exclusion from school, early childhood centre or work

Discuss exclusion of cases and their contacts with public health service.

Seek further advice from a healthcare professional or public health service.

Notifiable disease (Doctors notify the public health service)

How the disease is spread

  • Contaminated food or water, unpasteurised milk

  • Direct contact with animals or infected person

Early symptoms

  • High incidence of bloody diarrhoea, stomach pain

  • High rate of hospitalisation and complications

Time between exposure and sickness

2 to 10 days

Exclusion from school, early childhood centre or work

Discuss exclusion of cases and their contacts with public health service.

Seek further advice from a healthcare professional or public health service.

Respiratory infections

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Vaccine-preventable and/or on the National Immunisation Schedule

How the disease is spread

  • Coughing and sneezing

  • Direct contact with infected person

Early symptoms

Sudden onset of fever with cough, sore throat, muscular aches and a headache

Time between exposure and sickness

1 to 4 days (average about 2 days)

Exclusion from school, early childhood centre or work

Until well

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Contact with secretions of a sore throat. (Coughing, sneezing and so on)

Early symptoms

Headache, vomiting, sore throat

An untreated sore throat could lead to Rheumatic fever.

Time between exposure and sickness

1 to 3 days

Exclusion from school, early childhood centre or work

Exclude until well and/or has received antibiotic treatment for at least 24 hours

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

Notifiable disease (Doctors notify the public health service)

Pregnant women should seek advice from their maternity provider or GP.

How the disease is spread

Coughing. Adults and older children can pass on the infection to babies

Early symptoms

Runny nose, persistent cough followed by "whoop", vomiting or breathlessness

Time between exposure and sickness

5 to 21 days

Exclusion from school, early childhood centre or work

  • 5 days from commencing antibiotic treatment, or

  • If no antibiotic treatment, then 21 days from onset of illness or until no more coughing, whichever comes first

Seek further advice from a healthcare professional or public health service.

Other infections

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How the disease is spread

Direct contact with discharge from the eyes or with items contaminated by the discharge

Early symptoms

Irritation and redness of eye. Sometimes there is a discharge

Time between exposure and sickness

2 to 10 days (usually 3 to 4 days)

Exclusion from school, early childhood centre or work

While there is discharge from the eyes

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

Notifiable disease (Doctors notify the public health service)

How the disease is spread

Close contact with oral secretions. (Coughing, sneezing, and so on)

Early symptoms

Generally unwell, fever, headache, vomiting, sometimes a rash. Urgent treatment is required.

Time between exposure and sickness

3 to 7 days

Exclusion from school, early childhood centre or work

Until well enough to return

Seek further advice from a healthcare professional or public health service.

How the disease is spread

Spread through different routes including coughing, sneezing, faecal-oral route

Early symptoms

Generally unwell, fever, headache, vomiting

Time between exposure and sickness

Variable

Exclusion from school, early childhood centre or work

Until well

Seek further advice from a healthcare professional or public health service.

Vaccine-preventable and/or on the National Immunisation Schedule

Notifiable disease (Doctors notify the public health service)

How the disease is spread

Coughing, sneezing and infected saliva

Early symptoms

Pain in jaw, then swelling in front of ear and fever

Time between exposure and sickness

12 to 25 days

Exclusion from school, early childhood centre or work

Exclude until 5 days after facial swelling develops, or until well

Seek further advice from a healthcare professional or public health service.