Measles: Common symptoms and how it's spread: Early symptoms of measles include fever, cough, feeling tired, sore throat, runny nose, discomfort when looking at light and sore, watery eyes. 4 days from onset of rash. Impetigo (Streptococcal Group A skin infection). Until lesions are crusted or healed or 48 hours after starting antibiotics . A rash appears after 3 to 4 days. Is a vaccine available? Promote MMR for all pupils and staff. Pregnant staff contacts should seek prompt advice from their GP or midwife. Pregnant staff should seek The UK initially achieved WHO measles elimination status in 2017, based on data from 2014-2016. Measles* Medical diagnosis required – 5 days from onset of rash. However, in 2018, there was a marked increase in the number of confirmed measles cases, with 991 confirmed cases in England and Wales, compared with 284 cases in 2017. Antibiotics reduce the infectious period. Promote MMR for all pupils and staff. Rubella (German measles) Four days from onset of rash Preventable by vaccination with 2 doses of MMR (see national schedule @ www.nhs.uk). exclusion from school (guidance re: common infections) Exclusion for five days (1,2): from rash onset - chickenpox*, measles from starting antibiotics - whooping cough (pertussis) from onset of swollen glands - mumps German measles (rubella) (3) Exclusion may be considered in some circumstances. contact HPT. The spots (or blotches) are red and slightly raised. The overall aim of the routine childhood immunisation schedule for children in the UK is In 2017, the World Health Organization (WHO) announced that measles was eliminated in the UK, as there … reduces the infectious period Measles* 4 days from onset of rash and recovered Preventable by vaccination (2 doses of MMR). Mumps* Medical diagnosis required – 5 days from the onset of swollen glands. (MMR x 2 doses). Preventable by immunisation. German Measles (Rubella)* Medical diagnosis required – 5 days from onset of rash. Treatment is needed. Yes GPs see many patients presenting with viral rash illnesses and may not think of measles when making diagnostic decisions. Although the usual exclusion period is 5 days, all lesions should be crusted over before children return to nursery or school. Infection Exclusion period Comments Ringworm Not usually required. Measles spreads through droplets in the air. Chickenpox 5 days from the onset of the rash as long as the spots are crusted over. may consider exclusion. Exclusion Table for common infections The table below is correct at time of printing. Caversham Nursery School 114 Amersham Road Caversham Reading RG4 5NA 0118 937 5429 Opening Hours: 8.00am-6.00pm Monday-Friday Measles. Pregnant staff contacts should seek prompt advice from their GP or midwife Exclusion is not required but it is recommended that treatment is commenced before return to school/nursery/childcare setting (Symptomatic pets should also be treated) None Rubella (German Measles) 14 – 21 days 7 days before to 6 days after onset of rash 6 days from onset of rash None *Female staff see below Scabies Few days to 6 weeks Measles is a highly infectious viral disease easily prevented by vaccination, yet it remains an important cause of morbidity and mortality globally.
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