School exclusion for health reasons

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What are school exclusions for health reasons?

Sometimes children must be kept away from school or childcare. This is called being ‘excluded’. It can happen if a child has a certain type of sickness.

Some sicknesses are caused by germs that can spread to other people. A person who is sick from these germs is sometimes ‘infectious. This means the germs can be spread from that person to someone else. A child may need to stay away from school or childcare if they are ‘infectious. Staying away can stop the germs spreading to other children or people in the community.

Read below to find out what happens if your child needs to be excluded (kept away) from school.

Who decides if the child will be excluded and how will I know?

Each state and territory have their own rules on school exclusion. These rules help reduce the chances of infection at schools and childcare centres.

The rules include ways to tell parents and carers what is happening. See ‘Further information’ below on the rules used in your state or territory.

How long will my child be excluded from school?

This depends on:

  • the germ that causes their sickness
  • how easily the germ can spread
  • how long it takes for a person to show signs of illness
  • how severe the illness is

Many schools have a written policy on staying away from school for health reasons. This policy is based on government guidelines for recommended minimum exclusion periods.

Sometimes other people will need to be excluded too. These other people have usually been in contact with a child who has the illness. They could be classmates of the child or a teacher.

Your school or childcare will let you know when you child can return. This depends on the type of illness. Different illnesses have different exclusion times.

Some useful terms

Infectious disease — an illness caused by a germ that can be spread from one person to another

Incubation period — the time between coming into contact with the germ and when the first signs of illness show

Infectious period — the time period when someone with an infectious disease can spread it to another person

Chain of infection — the steps that happen when germs are spread. They are:

  • The germ comes from somewhere.
  • The germ spreads from that place or person.
  • The germ infects another person.

Exclusion period — the amount of time that your child will be asked to stay away from school. If your child is not infectious anymore, you can get a letter from a doctor or public health worker. You can give the letter to your school. Your school will let you know when your child can come back.

Notifiable disease — illnesses that the school needs to tell the government about. This is so they can watch for outbreaks. They can put plans in place to stop more infections.

When should I send my child back to school?

Your school will most likely have a written policy about how long someone should stay away. The policy should be based on national health guidelines. These guidelines protect other children and staff at the school.

Sometimes it can be difficult for a parent or carer to keep a child home. Parents and carers may be busy with work and other commitments. However, it is important for the school to have a policy and to make sure it is used properly.

Using guidelines can help slow or stop the germs spreading to the rest of the community.

What if I do not agree with the school’s decision?

Your school may ask for a medical certificate from your doctor. Sometimes a medical certificate does not match the school’s exclusion policy. In this case, the school may still ask for your child to stay at home.

It is your doctor’s job to say what is causing your child to be sick.

It is the school’s job to follow their exclusion guidelines to protect other children and staff.

If you have questions or concerns, you can phone your local public health unit. See the links below for more information on your state or territory exclusion guidelines.

If your child has an infectious condition, you may need to keep them home from day care or school to stop it from spreading. Here’s a list of common childhood illnesses and their recommended exclusion periods. In some cases, the school or day care facility may require you to keep your child at home.

If you would like to learn more about any of these conditions, click on their names below. You can also find out what may happen if your child needs to be excluded from school for health reasons here.

Sometimes people who have been in contact with an infected child — such as friends, siblings or family members — may also need to be excluded from school or work. Your doctor can advise you about this.

 

 

Chickenpox
Common symptoms and how it’s spreadChickenpox causes mild fever and a rash of red, itchy patches. These turn into fluid-filled blisters before they crust over to form scabs and eventually drop off. Chickenpox spreads through close person-to-person contact and droplets in the air (from sneezing and coughing, for example).
Is a vaccine available?Yes
Should I keep my child home from school?Yes, until all blisters have dried, which is usually around 5 days after the rash first appeared.
Colds
Common symptoms and how it’s spreadCommon symptoms of a cold include coughing, low-grade fever, a sore throat, sneezing and a blocked or runny nose. Colds are spread through droplets in the air – from coughs or sneezes, for example – and on surfaces.
Is a vaccine available?No
Should I keep my child home from school?

No, there is no need to exclude a child with the common cold if they seem well; however, colds and flu symptoms are very similar to the symptoms of COVID-19. Even if your child’s symptoms are mild, they should get tested for COVID-19 immediately and isolate at home until they have received a negative test result.

Conjunctivitis
Common symptoms and how it’s spreadConjunctivitis, or ‘pink eye’, causes redness and swelling of the outer layer of the eye and inside the eyelid. It can also cause sore and watery eyes, with pus. Conjunctivitis spreads through contact with the discharge from an infected eye, nose or throat.
Is a vaccine available?No
Should I keep my child home from school?Yes, until the discharge (pus) from their eyes has stopped — unless otherwise advised by your doctor.
COVID-19
Common symptoms and how it’s spread

COVID-19 symptoms range in severity. The following symptoms are considered mild symptoms in children:

  • mild upper respiratory tract symptoms such as congested or runny nose, sneezing, or a scratchy or sore throat
  • cough with no difficulty breathing
  • not drinking their usual amount of fluid (such as water) in the past 24 hours
  • mild vomiting and diarrhoea (fewer than 4 times in the past 24 hours)
  • mild headache or body aches
  • mild fever
  • mild fatigue

 

It’s also possible to have COVID-19 but have no symptoms at all.

Is a vaccine available?

Yes. Children aged 5 years and over are eligible to receive certain doses of the COVID-19 vaccine.

Children aged 6 months to less than 5 years with certain health conditions that put them at greater risk of severe illness from COVID-19 may be eligible for certain doses of the COVID-19 vaccine.

Should I keep my child home from school?

If your child displays symptoms of COVID-19, or is diagnosed with COVID-19, keep them home from school.

If your child tests positive for COVID-19, they should stay at home until their acute symptoms have gone. They are generally considered infectious from 2 days before their symptoms begin. If their symptoms worsen, contact your healthcare provider for advice.

If your child is a close contact of someone who has COVID-19, you should follow the close contact recommendations of the state or territory that you are in.

For more information, see these guidelines for isolation and recovery and advice for close contacts.

Diarrhoea
Common symptoms and how it’s spreadDiarrhoea is loose, watery stools occurring more than 3 times in 1 day. It can be caused by a virus, bacteria, parasite, food poisoning, allergy, or other conditions. Stomach cramps, nausea, a fever, headache and loss of appetite are common associated symptoms.
Is a vaccine available?No
Should I keep my child home from school?Yes, until they have not had a loose bowel motion or other symptoms for 24 hours and if there is no cause identified. They may need to stay home for 48 hours until the cause has been identified.
Gastroenteritis
Common symptoms and how it’s spreadGastroenteritis, also known as ‘gastro’, can cause vomiting and diarrhoea, as well as nausea and stomach pains. It spreads easily from having contact with an infected person (or their vomit or stools). It can also spread via contaminated food or water.
Is a vaccine available?No
Should I keep my child home from school?Yes, until they have not had a loose bowel motion or other symptoms for 24 hours and if there is no cause identified. They may need to stay home for 48 hours until the cause has been identified.
Hand, foot and mouth disease
Common symptoms and how it’s spreadThe main symptoms of hand, foot and mouth disease are fever and tiny blisters on the cheeks and gums, inside the mouth and on the hands and feet. Children pass it on easily by touching other kids, or toys that other children will play with.
Is a vaccine available?No
Should I keep my child home from school?Yes, until all blisters have dried.
Head lice
Common symptoms and how it’s spreadHead lice are tiny insects about the size of a sesame seed that live in the hair of humans. They bite and cause itching of the skin. Lice can be passed between people by close head-to-head contact and sharing personal items, such as combs.
Is a vaccine available?No
Should I keep my child home from school?No, as long as effective treatment begins before the next school day.
Influenza (flu)
Common symptoms and how it’s spreadInfluenza, or ‘the flu’, commonly causes symptoms such as high fever, dry cough, muscle ache and fatigue. Less common symptoms include sore throat and a runny nose. Children may also have abdominal pain, nausea and vomiting. It spreads from person to person through droplets in the air.
Is a vaccine available?Yes
Should I keep my child home from school?

Yes, until they are well.

Even if your child’s symptoms are mild, they should get tested for COVID-19. If your child tests positive for COVID-19, they should stay at home until their acute symptoms have gone.

For more information see these COVID-19 FAQs about close contacts and carers.

Measles
Common symptoms and how it’s spreadEarly symptoms of measles include fever, cough, feeling tired, sore throat, runny nose, discomfort when looking at light and sore, watery eyes. A rash appears after 3 to 4 days. The spots (or blotches) are red and slightly raised. Measles spreads through droplets in the air.
Is a vaccine available?Yes
Should I keep my child home from school?Yes, from the onset of symptoms to 4 days after the rash appears.
Mumps
Common symptoms and how it’s spreadMumps is recognisable by the painful swellings on the side of the face under the ears. Other symptoms include headache, joint pain and a high temperature. It’s spread by close contact or by coughing and sneezing.
Is a vaccine available?Yes
Should I keep my child home from school?Yes, for 9 days or until the swelling goes down (whichever is sooner).
Rubella
Common symptoms and how it’s spreadSymptoms of rubella, or ‘German measles’, include a distinctive red-pink skin rash, swollen glands (nodes), and cold-like symptoms such as a mild fever, sore head and runny nose. Rubella is spread through personal contact, or by coughing and sneezing.
Is a vaccine available?Yes
Should I keep my child home from school?Yes, until they have recovered fully, or for at least 4 days after the rash first appeared.
Scabies
Common symptoms and how it’s spreadScabies is an infestation of mites (tiny insects) that burrow under the skin causing intense itching and sometimes a rash. Scabies is passed from person to person through close skin contact or the sharing of clothing, towels and bedding. It’s not caused by poor personal hygiene.
Is a vaccine available?No
Should I keep my child home from school?Yes, until the day after they start appropriate treatment.
Threadworms
Common symptoms and how it’s spreadThreadworms, or ‘pinworms’, look like 1cm-long pieces of white thread. The main symptom is itching in the anal area or around the vagina. Kids are often infected by getting threadworm eggs on their hands and then putting their hands in their mouth.
Is a vaccine available?No
Should I keep my child home from school?No, exclusion is not necessary.
Whooping cough (pertussis)
Common symptoms and how it’s spreadWhooping cough, or ‘pertussis’, usually begins with a persistent dry cough that progresses to intense bouts of coughing, including a ‘whooping’ noise as the child breathes in. It’s passed on through close personal contact, sneezing and coughing.
Is a vaccine available?Yes
Should I keep my child home from school?Yes, until 5 days after they started antibiotics, or for 21 days from the beginning of their cough.
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Dr. Ahmed Hafez
CEO & Founder of MEDICINE21 corporation

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