Schools should expect students and staff to get sick during the school year:

When students or anyone in direct contact with students get sick, schools should follow the following guidelines:

Exclusion of sick students or staff:

  • Fever, especially with a new rash or behavioral changes.
  • Persistent vomiting.
  • Persistent diarrhea. Diarrhea that causes ‘accidents,’ is bloody, or is more than two bowel movements above what is ‘normal’ for the person in 24 hours.
  • Sores that are draining fluid and cannot be covered.
  • Worsening respiratory virus symptoms (stuffy or runny nose, cough, sore throat) not caused by something else, like allergies.

Specific readmission guidelines include:

  • No fever for at least 24 hours (without using fever-reducing medicine – ie Tylenol, Motrin, etc).
  • Fever with a new rash has been checked by a doctor and fever is gone.
  • Fever with productive cough has been checked by a doctor and fever is gone.
  • Open sores are crusted over and under medical treatment.
  • Vomiting has resolved overnight, and the child can hold down food/liquids in the morning.
  • Diarrhea has improved, no more accidents and no more than two bowel movements above what is ‘normal’ for the child in 24 hours. Bloody diarrhea should be evaluated by a healthcare provider before return.
  • Respiratory symptoms are getting better overall for at least 24 hours. Consider additional actions to prevent spreading the illness after return (normally for five days).

Source:  Schools | Department of Health | Commonwealth of Pennsylvania

Please contact our school health service team if you have questions.