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12: Health, Hygiene and Safety Policy Infectious diseases Policy Policy Number – 12.5 Link to National Regulations and National Quality Framework o Quality Area 2: Children’s health and safety – Standard 2.1 - Element 2.1.4 – Steps are taken to control the spread of infectious diseases and to manage injuries and illness, in accordance with recognised guidelines o National Regulations: 88: Infectious diseases o National Regulations 173: Prescribed information to be displayed National Quality Framework (October 2011) Education and Care Services National Regulations (13.12.2011) Staying Healthy: Preventing infectious diseases in early childhood education and care services, 5th edition, 2012. Aim The aim of exclusion is to reduce the spread of infectious disease. The less contact between people who are at risk of catching the disease, the less chance the disease has of spreading. Excluding ill children, educators, and other staff is an effective way to limit the spread of infection in education and care services (Staying healthy: preventing infectious diseases in early childhood and care services fifth edition, 2012, page 13). Implementation Exclusion Procedures Children and staff with infectious diseases must be excluded from the centre in accordance with the recommended minimum Exclusion Policy Guidelines from the NHMRC 2012. Children, educators and other staff who are unwell should stay home from education and care services. Even if they do not have a condition that requires exclusion, the best place for an ill child to rest and recover is with someone who cares for them. Reviewed 23rd August 2012 -1- 12: Health, Hygiene and Safety Policy Sometimes people who have been in contact with an infected person may need to be excluded too. This depends on the disease, and a public health unit will be involved to ensure exclusion is appropriate. If a child has not been medically vaccinated (‘not medically vaccinated’ includes children who may have been naturopathically or homeopathically vaccinated), they will be excluded from care during outbreaks of some infectious diseases (such as measles and pertussis), even if their child is well. If people whose work involves food handling have vomiting or diarrhoea, they should not return to work until they have been symptom-free for 48 hours. The centre Director should notify their local Public Health Unit by phone as soon as possible after they are made aware that a child enrolled at the centre is suffering from one of the following vaccine preventable diseases: Diphtheria, Mumps, Poliomyelitis, Haemophilus influenzae Type b (Hib), Meningococcal disease, Rubella (german measles), Measles, Pertussis (whooping cough) and Tetanus. The centre Director are also encouraged to seek advice from their local Public Health Unit when they suspect an infectious disease outbreak is affecting the centre, such as outbreaks of a gastrointestinal or respiratory illness A medical certificate is required before a child or adult having: Diphtheria, Mumps, Poliomyelitis, Haemophilus influenzae Type b (Hib), Meningococcal disease, Rubella (german measles), Measles, Pertussis (whooping cough) and Tetanus.can return to the centre. In the event that one or more children have presented with the same diagnosis of an infectious disease which is listed in the NSW Health Department Guidelines as requiring exclusion, the Director will: place a ‘Infectious Disease Notification’ about the occurrence in the front foyer. This notice will endorse confidentiality at all times, merely stating symptoms and exclusion guidelines. Parents will be emailed notice of any infectious disease, with the provision of a ‘fact sheet’ form Staying Healthy. Children experiencing diarrhoea and/or vomiting are not permitted to return to the centre until 24 hours after the diarrhoea or vomiting has ceased. When a serious infection occurs, the advice of the Public Health Unit will be sought requesting that a letter be provided to each child’s parents. The letter should make the parents aware of the presence of the infection in the centre and provide advice about prevention and any action to be taken in the event of illness of their own child. Immunisation Procedures Reviewed 23rd August 2012 -2- 12: Health, Hygiene and Safety Policy Each family is to provide a copy of their child’s individual immunisation history on enrolment. All vaccinations will be checked recommended for the child’s age group. If a child has not been medically vaccinated, the parents are informed of the exclusion policy relating to a outbreak of some infectious diseases (such as measles and pertussis), even if their child is well. Each child’s records will be reviewed and email reminders provided if a child’s vaccinations fall behind. Each room is provided with a 2013 National Immunisation program schedule. Reviewed 23rd August 2012 -3-