Disease Incubation Infectivity Exclude Until Comments

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Disease

Incubation

Infectivity

Exclude Until

Comments

Adenovirus
gastroenteriti
s

8-10 days

6-16 days

48 hours from last


episode of
diarrhoea or
vomiting.

Exclude for 48 hours


longer in children
who are unable to
maintain good
personal hygiene.

Chickenpox

11-20 days

Up to 4 days before
(usually only 1 day)
to 5 days after.
Cases often transmit
before appearance
of rash.

5 days from start of


skin eruption.

Traditionally excluded
until all lesions are
crusted but no
transmission
recorded after day 5.
Contacts with a weak
immune system need
prevention.

Campylobacte
r

1-10 days

Patients probably
not infectious if
treated and
diarrhoea has
resolved.

24 hours from last


episode of
diarrhoea.

Exclude for 48 hours


longer in children
who are unable to
maintain good
personal hygiene.

Conjunctivitis

3-29 days
Mean = 8

While active (direct


contact).
Infective up to 2
weeks.

None.

Transmission more
likely in young
children by direct
contact - very few
data.

Fifth disease
(slapped
cheek)

13-18 days

30% in families.
10-60% in schools.

None.

Avoid infection in
pregnant women and
people with a weak
immune system.

Glandular
fever

33-49 days

At least 2 months.

None.

None.

Hand, foot
and mouth
disease

3-5 days

Up to 50% in homes
and nurseries.

None - good
hygiene helps.

Stool excretion
continues for some
weeks. Avoid
infection in pregnant
women.

Head lice

n/a

While harbouring
lice.

None.

Note need for


treatment of cases
and contacts shown
to have head lice.

Hepatitis A

15-50 days

From 2 weeks before


to 1-2 weeks after
jaundice onset.

Exclude until 7 days


after onset of
jaundice (or 7 days
after symptom
onset if no
jaundice).

Good hygiene needs


emphasising.

Herpes
simplex virus
(cold sores)

1-6 days

While lesions are


moist.

None.

Highly infectious,
especially amongst
young children.
Avoid kissing.

Impetigo

Skin carriage 2-33


days before
development of
impetigo
(streptococci).

High (streptococci).
Low (staphylococci).
(Variable infectivity
depending on
causative bacteria.)

Until lesions healed


or crusted or 48
hours after starting
antibiotic
treatment.

None.

Measles*

6-19 days

Highly contagious in
non-immune
population.
A few days before to
6-18 days after
onset of rash.

4 days from onset


of rash.

Check immunisation.
Risk of serious
infection in people
with a weak immune
system (give
preventative
treatment).

Mumps*

15-24 days

10-29 days.
Moderately infective
in non-immunised
population.

5 days from onset


of swelling.

Outbreaks reported
in vaccinated
secondary school
children.

Ringworm

Varies

Until lesions resolve.

Exclusion not
usually required.

Good hygiene helps.

Rubella*

13-20 days

1 week before to
approximately 4
days after onset of
rash.

6 days from onset


of rash.

Check all female


contacts are
immune.

Scabies

Varies

Until mites and eggs


are dead.

Can return after


first treatment.

Risk of transmission
is low in schools but
outbreaks do occur.
Close contacts
should also be
treated.

Scarlet fever*

1-3 days

Moderate within
families.
Low elsewhere.
Infective first 3 days
of treatment.

24 hours after
starting antibiotic
treatment.

Moderate within
families.
Low elsewhere.

Threadworms

n/a

Until all worms are


dead.

None.

Good hygiene helps.


Case and family
contacts should be
treated.

Tuberculosis*

n/a

Until 14th day of


treatment.

Variable.

See 2nd Reference


below.

Warts and
Verrucas

n/a

None.

None.

Care needed with


verrucas in
swimming pools,
gymnasiums and
changing rooms.

Whooping
cough*

7-10 days

Mainly early
catarrhal stage, but
until 4 weeks after
onset of cough
paroxysms.
Shorten to 7 days if
given antibiotics.

5 days from
commencing
antibiotic
treatment;
otherwise 21 days
from onset of
illness.

Check immunisation
of contacts.
Highly infectious in
non-immune
populations.

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