Sickness Policy

It is Footsteps Daycare policy for staff to reserve the right to exclude any child from the Nursery should they be considered not well enough to attend or if they are suffering from a contagious illness. Whilst we have a realistic attitude towards the needs of the parents we do request that parents refrain from bringing their children to the nursery should they be deemed not well enough.

Sickness and Diarrhoea
Symptoms can consist of a sudden bout of sickness and Diarrhoea with occasional stomach cramps. One symptom or the other may follow, not all persons will experience the same symptoms. Children can return to their setting 24 hours after the last bout of illness.

Bronchiolitis
Bronchiolitis is caused by a virus and is the most common respiratory illness in infants. The incubation period is approximately 2-8 days.
The child can return once he or she feels better.

Chickenpox and Shingles
Chickenpox and shingles are caused by the same virus and are characterised by spots. Following infection, the virus remains hidden in nerve cells of the body and may appear later in life as shingles. The illness may appear between 13 and 17 days after contact with an infected person. A person should stay away for at least 5 days after the appearance of the last crop of spots and vesicles are crusted over and until they feel well.
A person with shingles can return once all the spots have dried and crusted over and they feel well again.

Common Cold
It’s a virus affecting the upper respiratory tract.
The incubation period is between 12 and 72 hours usually 48 hours. A person may remain in their setting if the symptoms are not severe.

Conjunctivitis
Conjunctivitis is an inflammation of the thin, clear membrane (conjunctiva) that covers the white of the eye and the inside of the eyelid. It can be caused by bacteria, virus or an allergy (as in hay fever). The incubation period is between 12 hours and 3 days. The infected person should remain absent for 24 hours or until at least 3 doses of eye drops or ointment has been administered.

Gastroenteritis
Gastroenteritis is an infection, which causes stomach upset. Eating infected food can cause some cases. The incubation period varies from a few hours to a few days, depending on the bug and how much food has been eaten. In general, people should stay off nursery until they are free from symptoms for 48 hours.

Fifth Disease ‘Slapped cheek’
A virus (human parvovirus) causes Fifth Disease. The illness may occur 4 – 20 days after contact with an infected person. The Infected person may return once they are physically well as they do not have to stay off nursery.

Glandular Fever
A virus (Epstein-Barr virus) causes Glandular Fever. The incubation period is usually between 4 – 6 weeks. Often the illness is caught from someone who has no symptoms. The infected person may return to nursery when they feel better.

Hand, Foot and Mouth Disease
A virus causes Hand, Foot and Mouth. The illness usually appears 3 to 5 days after a person has been in close contact with an infected person. Keep your child away from nursery whilst they are feeling unwell. Official government advice is that if your child has hand, foot and mouth but is feeling well, they do not need to stay away from the nursery.

Impetigo
Impetigo is an antibacterial skin infection. The incubation period is usually between 4 to 10 days. The child can return 48 hours after starting to use the medication prescribed by the GP or once the spots have crusted or healed and the child is feeling well again if you do not get treatment.

Influenza (Flu)
Influenza is an acute viral Disease of the respiratory tract. There are several types of influenza virus, which keep changing to overcome the immunity in the population. The incubation period is usually 24- 72 hours. People are thought to be infectious for about 3 days from the onset of illness. Ability to attend school/work will depend on the severity of symptoms.

Measles
Measles is caused by a virus. The incubation period is about 10 days (varying from 7-14 days) from exposure to measles to the onset of fever. The child should stay away from their setting at least until 5 days after the rash first appeared and until the person feels well.

Mumps
Mumps is caused by a virus. The incubation period is normally 18 days but can be 12-25 days. The child should not return until they feel well again but no sooner than 5 days from the onset of swollen glands.

Ringworm
Ringworm is a fungal infection of the skin. The incubation period is 4 to 10 days. Children can return to their setting once treatment has started. Children should avoid swimming pools etc while treatment is underway.

Rubella (German Measles)
A virus causes Rubella (or German measles). The incubation period is 16-18 days but may between 14 and 23 days. A child with Measles can return to their set when they feel well enough, but no sooner than four days after the rash first appeared.

Scabies
Scabies is a skin infection due to a mite. Scabies symptoms may start from several days to about 6 weeks after contact with infected person. Children can return back to their setting 24hrs after the first treatment.

Scarlet Fever
Scarlet Fever is caused by bacteria and is characterised by a rash. The incubation period is usually 1-3 days. The child can return to their setting once they feel well enough to do so and 24hrs after starting antibiotic treatment.

Threadworms
Threadworms are white tiny worms that live in the bowl. The incubation period is between 2-6 weeks after contact with a source of infection before the life cycle is completed and eggs are laid in the newly infected person. Children can return to their setting once they have received treatment (after their first treatment dose). Bathing, trimming and scrubbing of nails are encouraged.

Tuberculosis
Tuberculosis (TB) is caused by a Bacterium called Mycobacterium tuberculosis. The incubation period is usually between 4-12 weeks. You must keep your child off until advised by GP.

Whooping Cough
A whooping Cough (Pertussis) is a chest infection caused by bacteria. The incubation period is usually between 7-10 days. Children can return to their setting as soon as they feel well. No sooner 48hrs after starting antibiotic treatment.

Swine Flu
Swine flu is a highly infectious illness caused by the flu virus.
Expected course: like regular flu, the fever lasts 2-3 days, the runny/congested nose 1-2 weeks and the cough 2-3 weeks. With some flu viruses, the fever lasts 4 or 5 days.

Contagious period: A person is contagious for 1 day prior to and for 7 days after the onset of symptoms (e.g., the fever and cough).

Incubation period: After exposure, a person will come down with swine flu symptoms in 4 to 6 days (5 days on the average). An outer limit rarely could be 7 days. This virus has a longer incubation period than seasonal flu (1 to 3 days).

If your child becomes ill during the day, the nursery seniors will contact the parent/guardian. It is the parent’s responsibility to ensure any changes of contact are communicated to the setting.

This information is only intended to ensure that Footsteps Daycare remains a safe and healthy environment for our children. This information must not be used for a non-health professional to make a diagnosis or to be a substitute for advice from your GP. If your child is suffering from any of the above or is showing symptoms then please seek medical advice.

This information has been supplied from Infections in Children Fact sheets and the NHS website.