Time Out

Recommended minimum periods of exclusion from school, preschool and child care centres for cases of and contact with infectious diseases.
(National Health and Medical Research Council, January 1997)

Condition Exclusion of Cases Exclusion of Contacts
Amoebiasis Exclude until there has not been a loose bowel motion for 24 hours. Not excluded
Bronchiolitis and Bronchitis Exclude until appropriate medical treatment is given and the child is feeling well. Not excluded
Campylobacter Exclude until there has not been a loose bowel motion for 24 hours. Not excluded
Chickenpox Exclude until fully recovered for at least five days after the eruption first appears. Note: Some remaining scabs are not a reason for continued exclusion. Any child with an immune deficiency eg. leukaemia or receiving chemotherapy should be excluded for their own protection.
Otherwise not excluded
Common Cold Exclusion is not necessary. Not excluded
Conjunctivitis Exclude until discharge from eyes has ceased unless non-infectious conjunctivitis. Not excluded
Croup Exclude until fully recovered. Not excluded
Cryplosporidlosis Exclude until there has not been a loose bowel motion for 24 hours. Not excluded
Cytomegalovirus
(CMV Infection)
Exclusion is not necessary. Not excluded
Diarrhoea Exclude until there has not been a loose bowel motion for 24 hours. Not excluded
Diphtheria Exclude until medical certificate of recovery is received following at least two negative throat swabs, the first not less than 24 hours after finishing a course of antibiotics and the other 48 hours later. Exclude family/ household contacts until cleared to return by an appropriate health authority
Hand, Foot & Mouth Disease Exclude until all blisters have dried. Not excluded
Haemophilus Influenzae
Type B (Hib)
Exclude until person has received appropriate antibiotic treatment for at least 4 days. Not excluded
Head Lice
(Pediculosis)
Exclusion is not necessary if effective treatment is commenced prior to the next day at child care. Not excluded
Hepatitis A
(Infectious Hepatitis)
Exclude until a medical certificate of recovery is received, but not before 7 days after the onset of jaundice. Not excluded
Hepatitis B Exclusion is not necessary. Not excluded
Hepatitis C Exclusion is not necessary. Not excluded
Herpes
(Cold Sores)
Exclusion is not necessary if the person is developmentally capable of maintaining hygiene practices to minimise the risk of transmission.
If the person is unable to comply with these practices they should be excluded until the sores are dry. Sores should be covered by a dressing where possible.
Not excluded
Hib Infection
(Haemophilus Influenzae Type B)
Re-admit when well. Not excluded
Hookworm Exclusion is not necessary. Not excluded
Human Immuno – Deficiency Virus Infection
(HIV-AIDS virus)
Exclusion is not necessary. If the person is severely immunocompromised, they will be vulnerable to other people’s illnesses. Not excluded
Hydatid Disease Exclusion is not necessary. Not excluded
Impetigo Exclude until appropriate antibiotic treatment has commenced.
Any sores on exposed skin should be covered with a watertight dressing.
Not excluded
Influenza Exclude until well. Not excluded
Leprosy Exclude until approval to return has been given by an appropriate health authority. Not excluded
Measles Exclude for 4 days after the onset of rash. Immunised and immune contacts are not excluded.
Non-immunised contacts should be excluded from child care until 14 days after the first day of appearance of rash in the last case, unless immunised within 72 hours of first contact during the infectious period with the first case.

All immunocompromised children should be excluded until 14 days after the first day of appearance of rash in the             last case.

Meningitis
(bacterial)
Exclude until well. Not excluded
Meningococcal Exclude until appropriate antibiotic treatment has been completed. Not excluded
Molluscum Contagiosum Exclusion not necessary. Not excluded
Mumps Exclude for 9 days after the onset of swelling. Not excluded
Psittacosis
(also called Ornithosis)
Exclusion is not necessary. Not excluded
Poliomyelitis Exclude for at least 14 days from onset. Re-admit after receiving medical certificate of recovery. Not excluded
Ringworm Exclude until the day after anti-fungal treatment has commenced. Not excluded
Rotavirus
(Diarrhoea)
Exclude until there has not been a loose bowel motion or vomiting for 24 hours. Not excluded
Rubella
(German Measles)
Exclude until fully recovered or for at least 4 days after the onset of rash. Not excluded
Salmonella
(Shigella)
Exclude until there has not been a loose bowel motion for 24 hours. Not excluded
Scabies Exclude until the day after appropriate treatment begins. Not excluded
School Sores Exclude until appropriate antibiotic treatment has commenced.
Any Sores on exposed skin should be covered with a watertight dressing.
Not excluded
Streptococcal Infection
Sore Throat including (Scarlet Fever)
Exclude until the child has received antibiotic treatment for at least 24 hours and the person feels well. Not excluded
Thrush Exclusion is not necessary.  Not excluded
Toxoplasmosis Exclusion is not necessary.  Not excluded
Tuberculosis Exclude until a medical certificate from an appropriate health authority is received.  Not excluded
Viral Gastroenteritis
(Viral Diarrhoea)
Exclude until there has been no loose bowel motions or vomiting  for 24 hours. Not excluded
Warts
(Common, Plane and Plantar)
Exclusion is not necessary. Not excluded
Whooping Cough

Contacts that live in the same house as the case and have received less than three doses of pertussis vaccine are to be excluded from care until they have had 5 days of an appropriate course of antibiotic.

If antibiotics have not been taken, these contacts must be excluded for 21 days after their last exposure to the case while the person was infectious.

Worms Exclude if loose bowel motions present  Not excluded