School Exclusion Times

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Doctors are often asked about incubation times for the common childhood infections, so that they can advise whether the child should go to school etc. Incubation time is the time between coming into contact with the source of the infection and symptoms showing. Infectivity is the length of time that you are infectious. Both of these can be variable, so the following is only a guide. There is a slightly fuller list at HPA guidance.

Note: * indicates a notifiable disease. These are required (by law) to be reported to government authorities.

DiseaseIncubationInfectivityExclude UntilComments
Adenovirus
gastroenteritis
8-10 days6-16 days48 hours from last episode of diarrhoea or vomiting.Exclude for 48 hours longer in children who are unable to maintain good personal hygiene.
Chickenpox11-20 daysUp to 4 days before (usually only 1 day) to 5 days after.
Cases often transmit before appearance of rash.
5 days from the onset of rash.Traditionally excluded until all lesions are crusted but no transmission recorded after day 5.
Contacts with a weak immune system need prevention.
Campylobacter1-11 daysPatients probably not infectious if treated and diarrhoea has resolved.48 hours from last episode of diarrhoea.Exclude for 48 hours longer in children who are unable to maintain good personal hygiene.
Conjunctivitis3-29 days
Mean = 8
While active (direct contact).
Infective up to 2 weeks.
NoneTransmission more likely in young children by direct contact - very few data.
Fifth disease
(slapped cheek)
13-18 days30% in families
10-60% in schools
NoneAvoid infection in pregnant women and people with a weak immune system.
Glandular fever33-49 daysAt least 2 monthsNoneNone
Hand, foot and mouth disease3-5 daysUp to 50% in homes and nurseries.NoneStool excretion continues for some weeks. Avoid infection in pregnant women.
Head licen/aWhile harbouring lice.NoneNote need for treatment of cases and contacts shown to have head lice.
Hepatitis A15-50 daysFrom 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 daysWhile lesions are moist.NoneHighly infectious, especially amongst young children.
Avoid kissing.
ImpetigoSkin 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 daysHighly 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 days10-29 days.
Moderately infective in non-immunised population.
5 days from onset of swelling.Outbreaks reported in vaccinated secondary school children.
RingwormVariesUntil lesions resolve.Exclusion not usually required.Good hygiene helps.
Rubella*13-20 days1 week before to approximately 4 days after onset of rash.6 days from onset of rash.Check all female contacts are immune.
ScabiesVariesUntil 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 daysModerate within families.
Low elsewhere.
Infective first 3 days of treatment.
24 hours after starting antibiotic treatment.Moderate within families.
Low elsewhere.
Threadwormsn/aUntil all worms are dead.NoneGood hygiene helps.
Case and family contacts should be treated.
Tuberculosis*n/aUntil 14th day of treatment.Variable, consult local health protection unit.See 2nd Reference below.
Warts and verrucasn/aNoneNoneCare needed with verrucas in swimming pools, gymnasiums and changing rooms.
Whooping cough*7-10 daysMainly 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, or 21 days from onset of illness if no antibiotic treatment.Check immunisation of contacts.
Highly infectious in non-immune populations.
Original Author:
Dr Tim Kenny
Current Version:
Peer Reviewer:
Dr Colin Tidy
Document ID:
653 (v5)
Last Checked:
03/07/2014
Next Review:
02/07/2017
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