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Download ECDHS418-Communicable Disease Fact Notification Letter
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HARCATUS CAO Phone: (740) 922-0934 Fax: (740) 922-4128 220 Grant Street Dennison, OH 44621 Date________________ Dear Head Start Parent, We would like to inform you that a case of the COMMUNICABLE DISEASE indicated below, has been identified among one or more children in our care. Please see the enclosed fact sheet that describes the specific infectious disease. If you should have questions, please feel free to contact me at the above telephone number. Your family physician and community health department are also great sources of information. The child or children identified with the communicable disease will not return to our center until treatment is started, or the period of communicability has passed, and/or their physician gives written permission. _____ Chicken Pox (Varicella) _____ Common Cold _____ Pink-Eye (Conjunctivitis) _____ Hand, Foot, Mouth Disease (Coxsackie Virus) _____ Croup _____ Diarrheal Diseases _____ Fifth Disease (Erythema Infectiosum) _____ Head Lice (Pediculosis) _____ Hepatitis A : Infectious _____ Hepatitis B : Serum _____ Herpes (Herpes Simplex Virus) _____ Impetigo _____ Flu (Influenza) _____ Meningitis : bacterial/virus ECDHS418 _____ Mononucleosis _____ Mumps _____ Whooping Cough (Pertussis) _____ Pinworms _____ RSV (Respiratory Syncytial Virus) _____ Ringworm (Tinea) _____ German Measles (Rubella) _____ Measles (Rubeola) _____ Scabies _____ Scarlet Fever/Strep (Streptococcal Infections) _____ Thrush (Candidiass) _____ Tuberculosis _____ Other (explain)_________________ ______________________________ REV 3/11
