Need very quick advice on H&M

[Leanna]

DCM just texted...DCB (2) "probably" has H&M because he has sores in his mouth. Dr. told her he was not contagious bc he no longer has fever...can she drop off? Is that even true? Isn't it contagious all along?

[providerandmomof4]

When my dck had it, they couldn't come back until the sores were scabbed over and almost completely gone. It was a good week and a half. I'd ask for the dr. note.

[coolconfidentme]

The CDC says..., Hand, foot, and mouth disease, or HFMD, is a contagious illness caused by different viruses.

http://www.cdc.gov/features/handfootmouthdisease/

[nannyde]

Isolate contagious people. Because hand-foot-and-mouth disease is highly contagious, people with the illness should limit their exposure to others while they have active signs and symptoms. Keep children with hand-foot-and-mouth disease out of child care or school until fever is gone and mouth sores have healed. If you have the illness, stay home from work.

http://www.mayoclinic.com/health/hand-foot-and-mouth-disease/DS00599/DSECTION=prevention

[Leanna]

Well I just looked over the info and now I will exclude. I never buy the not-contagious-after-fever bit. Mom says he is drooly and has a runny nose. I don't exclude for common cold symptoms but because of the H&M and because everyone has been so runny, drooly, and secreting (ewww) AND we are all also getting over a stomach bug I am being cautious. Mom wants to know what has to change for DCB to return. How can I word...Um, when he isn't secreting bodily fluids constantly???

[Cradle2crayons]

Well I just looked over the info and now I will exclude. I never buy the not-contagious-after-fever bit. Mom says he is drooly and has a runny nose. I don't exclude for common cold symptoms but because of the H&M and because everyone has been so runny, drooly, and secreting (ewww) AND we are all also getting over a stomach bug I am being cautious. Mom wants to know what has to change for DCB to return. How can I word...Um, when he isn't secreting bodily fluids constantly???

24 hours after no fever with meds, and all sores have crusted over. And let her know with this particular issue, it may be several days. Also, their noses have to be not so snotty that it's going everywhere. Lol.

[TheGoodLife]

24 hours after no fever with meds, and all sores have crusted over. And let her know with this particular issue, it may be several days. Also, their noses have to be not so snotty that it's going everywhere. Lol.

I would maybe word the "snot" problem as, "when DCK's nasal discharge is gone" Then if she questions/argues you can say that it cannot be a constant runny nose- just normal drainage- or something along those lines.

[daycarediva]

I had one kids get HFM in summer, he was MISERABLE and I excluded until all of his sores were scabbed over and healing, he wasn't miserable/able to participate, fever was gone, and his runny nose was not constant.

I would say something like

"Because of the highly contagious nature of HFM, I have to exclude him until he has been symptom free for a minimum of 24 hours, in this case, when all of his sores are scabbed over and healing, his nasal drainage is no longer constant and he is feeling well enough to , participate. I hope he feels better soon, keep me updated!"

[Cradle2crayons]

I would maybe word the "snot" problem as, "when DCK's nasal discharge is gone" Then if she questions/argues you can say that it cannot be a constant runny nose- just normal drainage- or something along those lines.

Lol exactly. I missed the wording question so I was just advising on symptoms. I promise I don't write like I type here!! I'm a redneck but not crazy .

But I still like the word snot hahaha.

[Blackcat31]

ALL the paperwork I have says the exclusion period is only until the fever is gone. Sores AND rash may be present still.

The illness is actually contagious from 3-6 weeks PRIOR to him breaking out with anything. Also the virus can be shed in the stool for weeks afterwards.

People who were exposed (but didn't actually get sick or get symptoms) can still pass the virus onto others.

Provider sheet:

http://www.hennepin.us/files/HennepinUS/HSPHD/Public%20Health%20Protection/Epidemiology/Daycare%20Manual/1340_s6HAND%20FOOT.pdf

Parent Sheet:

http://www.hennepin.us/files/HennepinUS/HSPHD/Public%20Health%20Protection/Epidemiology/Daycare%20Manual/1345_handfoot%20parent.pdf

[cara041083]

My daughter had it about 2 weeks ago, Her doctor said she could go back to school after being fever free for 24 hours. They told me that the contagious point was about 5-10 prior to her developing the sores and fever. That was just my experience.