Download Section II COMMUNICABLE DISEASES/SCHOOL AGE ILLNESS

Section II
COMMUNICABLE DISEASES/SCHOOL
AGE ILLNESS
* Reportable Diseases/Conditions
* School Exclusion for Illness
* School Nursing Referral Form
* Referral to. Health Care Provider
* Consentfor Release of Information:
English/Spanzsh/Ghinese/Vietnamese
* Commumcable Diseases/Childhood Illness Letter &
Information Sheets More information to come in
-
W4Ds this year
SFUSI School Health Programs Department
H
2006-07 SChOOl Health Manual
______
____________
_________________________________________________
DISEASE REPORTING
San
Francis o
Departmentof
Public Heiiü
TItle 17. California Code of RegulatIons, §2500
Physicians and health care providers must report the following conditions.
Suspected, lab-confirmed, and/or clinical diagnoses are reportable within specified time intervals.
Reporting enables appropriate public health interventions.
fr’HONE
K415 554-2830, 2417 After hours,
follow prompts to page on-call MD
IMMEDIA TEL Ywiin 11w
Anthrax
Botulism*
Brucellosis*
Cholera
Dengue
Diphtheria
E-co110157/H7 infection
F-lantavirus infections
Hemolytic lJremic Syndrome
Meningococcal infections
Plague any form*
Rabies any form
Seafood poisoning
Ciguatera
Domoic Acid poisoning
Paralytic Shellfish poisoning
Scrombroid fish poisoning
Smallpox*
Tularemia*
Varicella deaths only
Viral Hemorrhagic Fever&
e.g. Crimean- Congo, Ebola,
Yellow Fever
Outbreaks of ANY Disease
Unusual diseases
New disease or syndrome not
PHONE
IK415
554-2830 OR
fax: 415 554-2848
I WITHIN ONE
WORKING DAY
Amebiasis
Anisakiasis
Babesiosis
Campylobacteriosis
Colorado Tick Fever
Cryptosporidiosis
Encephalitis infectious
Foodbome illness 2 or more cases
from different households
Haemophi!us influenzae invasive
Hepatitis, acute viral any type
Listeriosis
Lymphocytic choriomeningitis
Malaria
Measles Rubeola
Meningitis
Neonatal conjunctivitis
Pertussis Whooping Cough
Poiiomyelitis
Psittacosis
Q Fever
Relapsing Fever
Saimonellosis
Shigellosis
Streptococcal Infections,
outbreaks and individual cases in
Food handlers & Dairy workers
Syphilis
Swimmer’s itch Schistosomal
dermatitis
Trichinosis
Tuberculosis
Typhoid fever cases and carriers
Vibrio infections
Water-associated disease
Yersiniosis
*Potential bioterrorism
agents
PHONE, FAX, OR MAIL WITHIN 7 CALENDAR DAYS:
AIDS
Chancroid
Chlamydial infections
Coccidioidomycosis
Cysticercosis
Ehrlichiosis
Echinococcosis Hydatid Disease
Giardiasis
Gonococcal infections
Hepatitis, chronic B or C
Human Immunodeficiency Virus
HIV: Reporting is NON-NAME
Kawasaki syndrome
Legionellosis
Leprosy Hansen Disease
Leptospirosis
Lyme Disease
Mumps
Non-Gonococcal Urethritis
Pelvic Inflammatory Disease
Reye syndrome
Rheumatic fever, acute
Rocky Mountain Spotted Fever
Rubella infection
Rubella congenital syndrome
Tetanus
Toxic shock syndrome
Toxoplasmosis
Typhus fever
I
Cancer except 1 basal and
NONCOMMUNICABIE
Disorders Characterized by
squamous skin cancer unless
DISEASESICONDITIONS
Lapses of Consciousness
occurring
on
genitalia,
and
2
Alzheimer’s Diseases and Related
carcinoma
in-situ
and
CIN
Ill
of
the
Conditions
cervix
Animal bites iP’IiiIin1 Is
Monday -Friday 8AM to 5 PM, call San Francisco Department of Public Health
TeL 415 554-2830 2417, After hours follow prompts to page on-call MD, Fax: 415 554-2848,
11 Grove Street, Room 4’3, San Francisco, CA 34fl2
http://www.sfdph.org
CMRupdate2004O9l 7.pdf
U-i
Version 09117/2004
_____________
State of California-Health and Human SeMcea Agency
Department of HSth SeMoes
CONFIDENTIAL MORBIDITY REPORT
NOTE: For SW, Hepatitis,or TB, complete appropriate section below. Special reporting requirements and reportable diseases on back.
DISEASE BEING REPORTED:
Patient’s Last Name
Social_Security Number
I
Birth Date
First NamelMiddie Name or initial
I-I
Day
Month
State
Area Code
Code
Home Telephone
Gender
Reposting Health
DATE OF ONSET
Day
I I I
Veer
I
DATE DIAGNOSED
Month
I
Day
Veer
I
El Correctional facility
Elatber
Hawaiian
REPORT TO
Reporting Health Oar. Facility
San Francisco
Department of Public Health
city
state
Telephone Numbs,
IFas
Subnilttsdby
IDateSubnitted
I
101 Grove Street, Room 408
San Francisco, CA 94102
zlpcse
PHONE: 415
I
I
L
MonevDayltear
I
I
Syphiiis Test
fl RPR
El VORL
El FTNMHA;
El csF-vDRL;
El Other:
1 year
El Late tertiary
El congenital
El Pharyngeal El urethraUCervical
El PID
El urine
El Rectal
El Other:
I
I
Obtain additonel font,. from
El
El
Hep A
Hep B
El Acute
El Chronic
Gender of Sex Partners last 12 months: El Hop C
El Acute
El Male
El Transgender CM to F
El Chronic
I El Female El Transgender F to M
I El unknown El Refused
Hep
i
D Delta
anti-HAy gM
HBsA9
anti-HBc
antl-HBc 1gM
anti-HBs
anti-HCv
J
anti-Delta
El Untreated
El Other:
Date Treatment Initiated
El Will treat
Suspected Exposure Type
Month
Day
Veer
El Unable to contact patient
El Blood
El Other needle
I
I
I El Refused treatment
transfusion
exposure
I
I
I El Referred to;_____________
Child care
El flier
Mantoux TB Skin Test
I
Date Performed
Month
I
Day
I
Veer
chest X-Ray
Sites
Date Performed
Month
I
I
I
I
Day
I
Veer
El Pending El Not done
El Abnorma&Noncavitary
I
Data Specimen Collected
Source
Smear
Culture:
your local health daçartnent
Pot
El
El
El
El
El
El
El
Neg
El
El
El
El
El
El
El
El
El
El
El
Elsexual
contact
Not
Pend Done
El
El
El
El
El
El
El
El
El
El
El
El
El
El
I
Month
Day
I
I
Veer
El Household
contact
El Current Treatment
El INH
El RIF
El EMB
J Other
Month
El PZA
El Pos El Neg El Pending El Not done El Untreated
El Will treat
other tests
El Unable to contact patient
El Refused treatment
El Referred to:
09/04
H- 2
Veer
Day
Date Treatment
Initiated
El Pos El Neg El Pending El Not done
REMARKS
El
El
El
El
TB TREATMENT INFORMATION
Bacteriology
El Pending
Results:_____________ mm El Not Done
El Normal
El Cavitanj
Results
Titer:__________
Titer;________
El Pos El Neg
El Pos El Neg
554-2830
Fax: 415 554-2848
I
VIRAL HEPATITIS
El Late latent>
STD TREATMENT INFORMATION
El Treated Drugs, Dosage, Route :
El Pulmonary
El Extra-Pulmonary
El Both
El Laotian
El Samoan
El Vietnamese
El Other_________
El Native Arnerlcan/Pjaskan Native
El White:
El Other:
car. Provide,
Site:
El Confirmed
El Suspected
El infected, No Disease
El Convertor
El Reactor
El Korean
El Chinese
El Filipino
El Guamanian
Communicable Disease Control Unit
Syphliis
El Primary lesion present
El Secondary
El Early latent < 1 year
El Latent unknown duration
J Neurosyphilis
TUBERCULOSIS TB
Status
El Active Disease
El Cambodian
El
Ill_k-I
SEXUALLY TRANSMITTED DISEASES STD
El Chiamydia
El Gonorrhea
El Chancroid
I
Veer
L I I
PM 110 SF
Day
Address
DATE OF OEATH
Month
El AslanlPaclflc isiander I one
El Asian-indian El Japanese
Veer
Day
I I
school
o
II
Patien’sOccupationlSetting
ElDaycare
Race I one
Country of Birth
Month
I-I I [1[E1 H[E
I-I I El _ I- El
Work TelephoneArea
I
Estimated Delivery Date
Pregnant?
Food service
Health care
Month
ZIP Code
II
El Hispanic/Latino
O Non-i-lispaniciNon-Latino
Age
Apt./Unit Number
Address: Number, Street
I
I
Veer
I I
I
city/town
I-I
Ethnicity / one
I
I
Check your students
for these signs of illness:
V Coughing, with other signs of illness
V Fever or Chills
V Sore throat or trouble swallowing
V Headache
V Muscle aches
V Sneezing
V Vomiting
V Diarrhea
Send a
sick child
home
V Breathing trouble
V Unusual spots or rashes
Stop the spread of disease at school.
Caiifomia Oepartment of Health Services, Division of Communicable Disease contrel
11-3
Seliesi51g.,
-
ISA-It’ lzval
Riep Our
Scjkooi SMithy
Send
sick kids
home
* Teach kids not to
cough on others
.
Teach kids to wash hpnds
often, with soap
Califomia Department of Health Services. Division of Communicable Disease Control
* Teach kids to
cover their coughs.
TeaclingEtfer
11-4
IMM-192 12,3f
PerasNetic. eaM-leolzw
California Department of Health Services. Division of Communicable Disease Control
iMtantenga
tesS Escuela Sana
Si su niño está enfermo,
manténgalo en casa.
California Department of Health Services, Division of Communicable Disease Control
H-5
P,reit Notice
-
IMM-19012/DSt
Zo
.
Don’t spread germs.
.
Cover your cough.
1fl1**fflM
California Department of Health Services, Division of Communicable Disease Control
H-6
.
Wash you
* Don’t spread germs.
* Cover your cough.
Wash you
* No transmita xnicrobios.
* Tãpese 1* boca al
Lávese sus m
Zona Sin *Lcrobtos
Cafifcmia Deoartment of Health Services. Division of Communicable Disease Control
11-7
I
4
U
MCWIOL
MMD
CLIMFI
S
/7
S
H-s
10J1uo3 °ø!O eqeounhiJuJo3 40
SD/ti nt-itiinii
Califomia Department of Health Services, Division of Communicable Disease Control
.H- 9
Stop Disease
Alto a las enfermedades
f2tJAl2
-.
Ngtfa
BØnh
-
nfl
11-10
‘igilanaiig
Sakit
.
.
.
San Francisco Unified School District
School Health Programs Department
1515 Quintara St.
San Francisco, CA 94116
TeL 415/242-2615
Fax: 242-2618
www.sfusd.edu
SCHOOL NURSING REFERRAL
Stu dent:
Last
Middle
First
M
F
Address/Apartment number
Birth date
Telepbone number
Parent/Caregiver
School
Telephone
Home Languages
Grade
Teacher
PLEASE ATTACH A COPY OF THE STUDENT’S EMERGENCY CARD
REASON FOR REFERRAL:
PLEASE INDICATE THE INTERVENTIONS MADE PRIOR TO THIS REFERRAL
AND THE OUTCOMES: We suggest initial contact by school staff before referral is made
HISTORY: Briefly state related health and social information medications, activity
limitations, special diet, classroom behavior, social interaction, etc.
Referral Made By
Title
Signature of Site Administrator
SEND TO:
School Nursing Referral
School Health Programs Department
1515 Quintara Street
San Francisco, CA 94116
Fax: 415-242-2618
Date
H-li
LIABILITY FOR EMERGENCY CARE OF STUDENTS
LEGAL REFERENCE: EDUCATION CODE SECTION 49407
"Not withstanding any provision of any law, no school district, officer of any school
district, school principal, physician, or hospital treating any child enrolled in any school
in any district shall be held
liable for the reasonable treatment without the consent of a parent or guardian of the
child when the child is ill or injured during regular school hours, requires reasonable
medical treatment, and the parent or guardian cannot be reached, unless the parent or
guardian has previously filed with the school district a written objection to any medical
treatment other than first aid."
BUSINESS ANDPROFESSIONS CODE SECTION 1799.102
"No person who in good faith, and not for compensation renders emergency care at the
scene of an emergency shall be liable for any civil damages resulting from any act or
omission. The scene of emergency shall not include emergency departments and other
places where medical care is usually offered."
ACKINOWLEDGEMENTS: California School Nurses Organization:
San Diego/Imperial Section Revised 1995
11-12
Please use the attached form to
communicate with parents/caregivers
regarding health related problems
during the school day.
11-14
San Francisco Unified School District
School Health Programs Department
Referral to Health Care Provider
Dear ParentlCaregiver:
Please take this form to your child’s Health Care Provider and have the bottom portion
completed. Please return this form to:
[1 Principal D Grade level Counselor 0 Other______________________
SCHOOL STAFF SECTION
PLEASE PRINT
Student Name: Last
First
Middle
Date ofBirth Month/Date/Yr
School
Grade
Children’s Center/Elementary/Middle/High
Address: Street, Apartment Number
City
Zip Code
Room
ParentlCaregiver phone#:
Reason for Referral
Referral made by name
----------
Title
Telephone
Date
HEALTH CARE PROVIDER SECTION------------------------
Diagnosis
Treatment
Medications Prescribed
Dosage and Schedule
Duration
If possible, please schedule medication outside of school hours.
If medication must be given at school, the Medication Form will need to be filled out.
Should activity be restricted in any way? 0 No D Yes
If yes, for how long?
Child may return to school on: date
Return Appointment Date if any
Health Care Provider Name and Address Print or Stamp
Signature bf Health Care Provider
SJ-IPD -8/04
H-i 5
______Psychological
_____Speech/Language
______Audiological
San Francisco Unjfied School District
School Health Programs Department
1515 Quintara Street
San Francisco, CA 94116
TEL 415-242-2615
FA1415-242-2618
wwwsfusd. edu
PARENT/GUARDIAN AUTHORIZATION FOR RELEASE OF
INFORMATION
I authorize the exchange of information between the San Francisco Unified School
District and the following agency/and/or individual:
Name of Agency/Physician/Individual
Street Address
c
Name of Student
State
Name of School
Grade
Please forward the information listed below:
IEP/Educational
Social/Developmental
Medical
Other
Vision
Mailtothe attention of the following person at the address below:
Title:
Attention:_
Phone:
Dato
Signature,
Parent/Guardian
11-16
Birthdate
______Otra
San Francisco Unified School District
School Health Programs Department
1515 Quintara St.
San Francisco, CA 94116
Tel. 415/242-2615
Fax: 242-2618
f/health/sbpd/shpdl.htrnl
AUTORIZACIO1I DEL PADRE/MADPI 0 ACUDIENTE PAM OAR. 1NFOE}IACIOLJ
Autorito .3. intercazbio 4. infornci6n entre el. Discrito Escojar Unjitcado de
San Francisco y it siguienta agencia yb individuo:
NoDbre de it Agencialhédico/Individuo
Dirección
Ciudad
Estado
Hocbre dcl Estudiante
Hocbre de
Por favor expida it inforacin
tona Postal Zip
Ia Escutia
Cndo
Fecha de
Nacimiento
indicada en La siguiente Lint:
4
Plan de Educacjdn
tndividuajjzada
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Envie esta fora
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Acencido:
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titulo:
Dir ecc±dn:
te1Eono:
FL r=a
piaiizhaare o Acuejente
Fecha
11-17
La direcc6n
indicada:
San Francisco Unified School District
School Health Programs Department
GUARDIAJ4AUTHORJZATJONFORRELEASEOF INFORMATION
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1515 Quintara Street
San Francisco, CA 94116
TEL 415-242-2615
FAX 415-242-2618
www.sfrsd.edu
San Francisco Un jfled School District
School Health Programs Department
155 Quintara Street
San Francisco, Cd 941 Jo
TEL 415-242-2615
FAX 415-242-2618
www.sfusd.edu/health/shpdfshpd.html
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SAN FRANCISCO UNIFIED SCHOOL DISTRICT
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Ten cnI6ng
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Xin 4i-vag
bang litk
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Date:
Dear Parent/Caregiver:
A student in your child’s class has recently been diagnosed with chickenpox.
What to look for: The first symptom is usually a rash with small red bumps that blister
over 3-4 days. The rash is more noticeable at first on the trunk than exposed areas. Blisters
may appear inside the ears, mouth and on the scalp. The child may have a low grade fever,
runny nose and cough. Crusts and then scabs form over the blisters within the next 6 days.
Incubation period is usually 14-16 days, occasionally as short as 10 days and as long as 21
days. The most contagious period is from 1-2 days before the rash appears until right after
it appears. The infected person no longer spreads the virus when all the blisters have scabs
and no new blisters are forming.
Exclusion: The child with chiclcenpox is excluded from school until all blisters have scabs
usually 6 days after start of rash.
How chicken pox is spread: Mostly from direct contact with mucus from eyes, nose or
mouth and from the fluid inside the blister of an infected person. It can also be spread
through the air, via droplets from coughing or sneezing.
What to do for your child with chickenpox: There is not much to do except relieve the
itching. In severe cases your medical provider may prescribe medication to relieve the itch.
DO NOT USE ASPIRIN OR PRODUCTS CONTAINING ASPIRIN. Be sure and wash
your hands carefully after contact with blisters or soiled articles.
During the first few weeks following chickenpox, you should call your medical provider if
your child has any sudden fevers or vomiting.
What if your child has been vaccinated for chickenpox or has had chickenpox:
It is possible for children to get chickenpox despite being vaccinated. The vaccine is only
about 70% to 85% effective at preventing mild disease although 95% effective at
preventing severe chickenpox. Chickenpox in previously imnt’nized children usually is
mild with less fever and fewer bumps and blisters than in unimmunized children. Rarely,
children get chickenpox a second time. These cases are usually very mild.
Please call your medical provider if you have further questions.
Adapted from the American Academy of Pediatrics, "Managing Infectious Diseases in Child Care and Schools", 2004
11-20
Feeha:
Estimados padres de familia o encargados:
Recientemente a un estudiante del aula de su hijo/a se le diagnosticó que habia contraldo Ia enfermedad de Ia
varicela.
Sintomas de Ia varicela: El primer smntoma, usualmente, es una erupción en Ia piel, que consiste de
protuberancias pequeñas de color rojizo que se transforman en ampollas vejigas a los 3 o 4 dias sigüientes.
La erupción es más visible en el tronco que en las areas expuestas. Las ampollas pueden aparecer dentro de
los oidos, boca y en el cuero cabelludo. Los niflos presentan sintomas como fiebre temperatura baja,
mucosidades y tos. Las ampollas comienzan a secarse y se forman costras, dentro de los 6 dias siguientes a
su aparecitniento.
Periodo de incubaclón: Usualmente es de 14 a 16 dias, ocasionalmente es inás corto 10 dIas y a veces rnás
largo 21 dias. El perlodo de mayor contagio es de 1 a 2 dias aMes de que aparezea la erupción e
inmediatamente después de que aparece. La persona infectada ya no transmite el vms cuando las ampollas
se secan y no se forinan más anipollas.
ExclusiOn: El estudiante no puede asistir a Ia escuela hasta que todas las ampollas se secan y se forman
costras generalmente, 6 dias después de Ia erupción cutánea.
COmo se propaga Ia varicela: La mayorIa de veces por contacto directo con las secreciones que provienen
de los ojos, nariz o boca, y del liquido de las ampoilas de Ia persona infectada. También, se puede propagar a
travës del aire, cuando tosen o estornudan.
Qué pueden hacer cuando sus hijos tienen varicela: No hay mucho que hacer, excepto calmar la picazén.
En casos severos ci mádico puede recetar la medicina para calmar la picazón. NO USEN LA ASFIRINA 0
PRODUCTOS QUE CONTENGAN LA MISMA. Asegñrense de lavarse sus manos cuidadosamente
después de estar en contacto con las ampollas u obj etos contaminados.
Durante las primeras semanas después de contraer Ia varicela, deben de comunicarse con su medico si
hijo/a ha padecido de fiebres repentinas o vómitos.
511
Qué sucede Si SUS hijos fueron vacunados para que sea inmunes a La varicela o ya padecieron de dicha
enfermedad:
Es posible que sus hijos padezcan de dicha enfermedad a pesar de que fueron vacunados. La vacuna es
solamente efectiva de tin 70 a tin 85% pan que la enfennedad sea ieve sin embargo, es efectiva en tin 95%
para quo no Ia padezcan de manera severa. La varicela que padecen los niflos que fueron inmunizados,
usualmente es una enfermedad leve, con poca fiebre, con escasas protuberancias y ampollas. Raramente, los
ninos sufren de Ia enfermedad por segunda vez. En estos casos la enfei-medad es muy insignificante.
Por favor, Ilame a su medico si tiene aigunas preguntas.
Translation provided by SFUSD Translation Department -Chickenpox SpanishI 2005
H-2 1
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Date:
Dear ParentlCaregiver:
Choose one
Your child
suspected of having pinkeye.
OR
A case ofpinkeye conjunctivitis has been identified in your child’s class and you are
advised to watch your child for signs and symptoms of pinkeye. Pinlceye is an
inflammation of the thin tissue covering the white part ofthe eye and the inside ofthe
eyelids. Pinkeye can be caused by bacteria, viruses or allergies.
*
Bacterial Conjunctivitis Eyes are red or pink, itchy and painful. There is green
or yellow discharge and the eyes may be crusted shut in the morning. It can affect
one or both eyes. Antibiotics are needed only for bacterial conjunctivitis and
children can return to school after the medication has been started.
*
Viral Conlunctivitis Eyes are pink, swollen, watery, and sensitive to light. It
may affect only one eye and can occur with a viral respiratory illness. Most
children with viral conjunctivitis do not need to be excluded from school, unless
they have fever.
*
AlergicConiunctivitis Eyes are itchy, red and have excessive tearing. It is
usually in both eyes. The allergic reaction may be immediate or delayed for many
hours or days after contact with the agent. It is not contagious1
-
-
-
Conjunctivitis is spread by direct contact with discharge from the infected eye or by
touching surfaces that have been contaminated by the eye discharge. Careful hand
washing before and after touching eyes, nose and mouth helps to control the spread of
conjunctivitis at home and at school.
If your child has any signs or symptoms of pinkeyc, please contact your primary health
provider.
Sincerely,
Principal
from American Academy of Pediatrics,
Conjunctivitis, SHPD, 1/05
Adapted
Mangin
11-23
Infectious
Disea s in
Childcare
and Schools, 2005.
__________________________________________
Fecha:
Estimados padres de familia o encargados:
seleccione uno
Sospechamos que su hijola:
tiene cOnjuntivitis.
0
Hemos identificado un caso de conjuntivitis infección en eI ojo en el aula de su hijo/a,
permanezcan atentos en caso de que llegue a padecer de dichos sintomas. La conjuntivitis es la
inflamacion de una membrana delgada que cubre Ia pane blanca del ojo, asI como, la que recubre
Los párpados. Esta enfermedad puede ser causada por ía presencia de bacterias, virus o alergias.
*
La
Coniutvs Bacterial produce ojos rojos, picazén y dolor. Hay una secreciOn
verdosa o amarillenta, que fonna costras que le impiden abrir los ojos por Ia mañana. La
infección puede afectar a un ojo o a los dos. Para La conjuntivitis bacterial se necesita
solamente antibióticos, los estudiahtes pueden regresar a ia escuela una vez que se inicio
el tratamiento.
-
*
La
Coniutvs
Viral produce ojos rojos, infiamaciOn, lagrimeo, y sensibilidad a Ia
-
luz. Puede afectar solarnente tin ojo y acompafiada pot una enfermedad respiratoria viral.
La mayor! a de estudiantes con conjuntivitis viral no necesitan ser excluidos de clases, a
menos que tengan fiebre.
*
La
Coniutvs Alérdca produce ojos rojos, picazón y Iagrimeo abundante.
Usualmente en ambos ojos. La reacción alérgica so puede presentar de inmediato o
posteriormente, puede aparecer horas o dias después, al contacto con el agente especIfico
alergeno. No es contagiosa.
-
La conjuntivitis se transmite por contacto directo con el ojo infectado o al tocar las superficies
contaminadas con secreciones del ojo. Las manos deben do lavarse cuidadosamente antes y
después de tocarse los ojos, la nariz y la boca, lo que previene el contagio de Ia conjuntivitis en
Ia casa y en Ia escuela.
Si su hijo/a muestra seflales o sintomas de conjuntivitis infeccion del ojo, por favor,
comunIquese con su medico.
Atentamente,
Director
Adapted from American Academy of Pediatrics,
SRPD, 1/05
Mangin
Infectious
Disea s in
Childcare
Translated by SFUSD Translation Department
11-24
and Schools. 2005. Conjunctivitis,
-
Conjunctivitis Spanish 2005
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Dear ParentlCaregiver:
A case of Fifth’s Disease has been reported in your child’s class. Fifth’s Disease, often
referred to as "Slapped Cheek Syndrome", is a common viral illness that is usually mild
and can affect children and adults.
The signs and symptoms usually are: fever, muscle aches, headache, joint pain more
common in adults, and a red, "slapped-cheek" rash that can appear 1-3 weeks after the
other signs and symptoms. The "slapped-cheek" rash may be followed by a lace-like
appealing rash on the trunk, arms, buttocks, and thighs.
A person is only contagious until the rash appears. Therefore a student can be in school
with the rash if there is no fever and is otherwise well.
A pregnant family member who has been intimately exposed to someone with the disease
should consult with her health provider about the risk of infection to her pregnancy. The
disease can also have complications in persons with sickle cell disease or in persons who
cannot fight infections normally.
Please call your health care provider if you have further questions.
Sincerely,
Principal
Adapted from the American Academy of Pediatrics, "Managing Infectious Diseases in Childcare and
Schools", 2005.
5/05 School Health Programs Department
-
Fifth’s Disease
11-26
_____________________
Fecha:
Estimados padres de familia o encargados:
Un caso de la quinta enfermedad eritema infeccioso se reportó en Ia clase de su hijo/a.
Esta enfermedad, es uno de los exantemas pediátricos más frecuentes, conocida tambien
como "sindrome de las mejillas abofeteadas", Ia cual es una enfermedad viral comün,
usualmente leve, que puede afectar a los nifios y a los adultos.
Los sIntomas comünmente son: fiebre, müsculos adoloridos, dolor de cabeza, dolor en las
articulaciones mas comUn en los adultos, y una erupcion en Ia piel de color rojizo, como
"mejillas abofeteadas", que puede aparecer de 1 a 3 semanas después de los otros
sIntomas. A continuaciOn de dicha erupción, puede que brote un exantema erupcion en
La piel en forma de "encaje" en cI tronco, brazos, glüteos posaderas y muslos.
La enfermedad de la persona solamente es contagiosa hasta que aparece la erupción en la
piel. Por lo tanto, el estudiante puede asistir a Ia escuela con el exantema, si no tiene
fiebre y esta bien.
Si en su familia, hay una persona que está embarazada, y que además, cstuvo en contacto
directo con la persona portadora de Ia enfermedad, por favor, consulten de inmediato con
su medico acerca del riesgo de adquirir la infeccion. Dicha enfermedad, puede dar lugar a
complicaciones en los casos de personas con anemia de células falcifonnes sickle cell, o
bien, de aquellas que su sistema inmunológico está bajo para combatir cualquier
infección.
Si tienen más preguntas, por favor, comuniquense con su medico.
Atentamente,
Director/a
Adapted from the American Academy of Pediatrics, "Managing Infectious Diseases in Childcare and
Schools", 2005.
5/05 School Health Programs Department
Reqll 0506-05
-
Fifth’s Disease
Translation Provided by SFUSD Translation Department
11-27
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11-28
2005
5
..
HEAD LICE DECISION CHART
‘I,
Lice &/or nits present
I
L__*Box
2nd
Readmit Criteria:
*Signed parent letter
toplcontainer of product used
1
Inspection within 8-11 days of
return to be done by school
personnel
No nits found within
½" of scalp. No
further action is
Lice presents &/or nits found within
approximate 14" of scalp
EXCLUSION
Readmit Criteria:
440 NITS
*Signed parent letter
*Box top/container of
roduct used
11-29
Date:
Dear Parent/Caregiver:
A case of head lice has been reported in your child’s classroom.
Head lice are parasitic insects that are transmitted by contact with an infested person or
item such as a rug, couch or car seat and/or by the exchange ofhats, clothing, helmets,
headphones, or personal hair items. Head lice are more likely to be transmitted at home
than in the school setting.
It is important that you inspect your child’s hair now and weekly for the next few weeks.
Please refer to Section 1. Inspecting a Child’s Head for Lice and Nits in the
"Guidelines for Parents to Control Head Lice".
If you identify lice or nits, please refer to Section 2. Treatment for Head Lice, and
Section 3. Lice Biology and Washing Recommendations for how to treat your child
and prevent further infestations.
If you have further questions please contact your health care provider.
Principal
Parent Notification Letter, SHPD, 1/05
11-30
GUIDELINES FOR PARENTS TO CONTROL HEAD LICE
Head lice are parasitic insects that are transmitted by contact with an infested person or item such as a rug,
couch or car seat and/or by the exchange ofhats, clothing, helmets, headphones, or personal hair items..
Head lice are more likely to be transmitted at home than in the school setting.
1. INSPECTING A CHILD’S READ FOR LICE AND NITS
* Inspect all family members’ hair thoroughly, especially in areas close to the scalp at the neckline and
behind the ears for lice and nits head lice eggs. Nits are firmly attached to hair shafts and are
usually yellow to white. The adult louse is about the size pf a sesame seed and is greyish-white to
tan. It may be helpfUl to use a magnifying glass when inspecting your child’s head.
* Correct identification of actual nits head lice eggs is critical. Anything that slides along the hair
shaft is not a nit.
* Crawling lice are difficult to see, but finding nits within a ‘/4, of the scalp confirms the presence of
live lice and the need for treatment.
LICE
Permethrin or pyrethrins is the active ingredient in most over-the-counter products. The active
ingredient of choice is permethrin, which is currently in Nix® cream rinse formulation. Follow the
label directions carefully, fir st washing the hair with a non-conditioning shampoo.
Treat individuals with lice/its. It is important to apply one treatment per infested person. Do not
divide treatments among infested people. Do not treat a second time until at least 7-10 days
following the first treatment. Repeat treatments may be dangerous and are unnecessary.
Daily removal of lice and their nits from a child’s hair with a nit or flea comb with long metal teeth is
the most effective lice control measure. Complete nit combing of the entire head has to be
performed every day dampen hair for easier combing until no more lice or nits are found. Any nits
that cannot be combed out must be removed either by picking them out with the fingernails or
snipping the hair above where the eggs are attached. A useful method for nit combing is to part the
hair into small sections. After each section is combed, secure each section to keep track of what has
been combed.
If permethrin or pyrethrin products are not effective, consider contacting your health provider about
the prescription, Ovide® which research has shown to be very effective.
2. TREATMENT FOR READ
*
*
*
*
3. LICE BIOLOGY AND WASHING RECOMMENDATIONS
* Lice die quickly within 2 days without a human blood meal off a person
* Nits take 8-10 days to hatch and then about 9 or more days to become adults and lay eggs
The following may be done to decrease the chance of re-infestation from lice orits:
* Clothing and bedding may be washed in hot water 130°F then dried on a hot cycle for at least 20
minutes.
* Items that are not washable may be dry cleaned or put in a sealed plastic bag for two weeks to
prevent lice hatched from nits from re-infesting
* Soak combs, brushes, hair bands, and bantttes in rubbing alcohol or Lysol® for 1 hour, or boil for
five minutes.
*
Carpets and furniture should be vacuumed. Do not use household lice sprays.
may
decrase
measure
re-infstaion, but
should not be
Thes subti ed for
above treatment.
Adapted from "Guidelines for Parents to Control Head
Lice", California Department of Health Service, 2001
11-31
Please circle if first or second exclusion
FIRST EXCLUSION
Date______________________________________
Name
Room
Dear ParentlCaregiver:
Today your child was found to have head lice/nits. It is important that you treat your
child with a pediculocide lice-killing product and remove the nits head lice eggs from
the hair. Please refer to the "Guidelines for Parents to Control Head Lice" information.
In order for your child to return to school you must sign this letter below AND send in
the box top or container from the product used.
I have treated my child according to the directions on this product I have also done
household measures to prevent re-infestation.
Date of
Treatment Name of Product Used________________________
Parent/Caregiver Signature
Your child will be re-inspected at school between 8-11 days after treatment and will
receive a second exclusion if head lice and/or nits are found within ¼ inch of the scalp.
SECOND EXCLUSION
Dear Parent/Caregiver:
Today your child was re-inspected and found to have head lice/its within ¼ inch of the
scalp indicating a current infestation. It is important that you treat your child with a
pediculocide lice-killing product and remove Lnits. In order for your child to return
to school you must sign this letter below, send in the box top or container from the
product used, and remove jLnits.
I have treated my child according to the directions on this product. I have also done
the household measures to prevent re-infestation.
Date of
Treatment Name of Product Used__________________________
Parent/Caregiver Signature
Your child will be inspected upon return to school and will be excluded if head lice/nits
are found.
Proof of Treatment Letter, SHPD, 2005
11-32
SIiO
Fecha:
Estirnado padre de familia o encargado:
En el aula de su hijo/a se reportó un caso de infestacion de piojos.
Los piojos son insectos parásitos que se transmiten por medio del contacto con una
persona infestada o articulos, tales como, alfombras, asientos del automovil, por
compartir sombreros, ropa, cascos, audIfonos, o artIculos personales para el pelo. Los
piojos se transmiten con más frecuencia en el hogar que en Ia escuela.
Es importante quc inspeccioncn el pelo de su hijo/a ahora mismo y semanalmente durante
las próximas semanas. Por favor, reflerase a Ia Sección 1 de "Consejos a los Padres de
Familia para Controlar los Piojos" que se refiere a Ia Inspección dc Piojos y
Liendres.
Si encuentra piojos o liendres, por fivor, refierase a la Seccion 2. Tratamiento para Ia
Eliminación de Los Piojos, y la Seccion 3. Ciclo de Vida de los Piojos y
Recomendaciones para Lavarse el Pelo y prevenir más Infestaciones.
Si tiene más preguntas, por favor, comuniquese con su medico.
Dimector
Parent Notification Letter, SHPD, 1/0SSP
H-33
CONSEJOS A LOS PADRES DE FAMILIA PARA CONTROLAR LOS PIOJOS
que se transmiten pom medio del contacto con una persona infestada o artIculos, tales
como, alfombras, asientos del automovil, por compartim sombreros, ropa, cascos, audifonos o articulos personales para
el cabello. Los pioj Os se transmiten con más frecuencia en el hogar que en la escuela.
Los piojos son insectos parásitos
1. INSPECCIONE LA CABEZA DE SUS ifiJOS.
* Inspeccione completamente el cabello de todos los miembros de familia, sobre todo en las areas cerca del
cuero cabelludo, el cuello y detras de las orejas. Las liendres larvas de los piojos se pegan firmemente a
las hebras de pelo y por lo general son del color amarillo o blanco. El piojo adulto es del tamaño de una
semilla de sésamo y es grisáceo blanco o bronceado. Utilice una lupa cuando inspeccione Ia cabeza de su
hijo/a para que le ayude a detectarlos.
* La identificación correcta de las liendres es importante. No cualquier cosa que aparezca en el pelo es
necesamiamente una liendre.
* Los piojos que caminan son dif’iciles de ver, pero si se descubren liendres de un ¼ de pulgada en ci cuero
cabelludo, esto confirma la presencia de piojos vivos y Ia necesidad de que se aplique ci tratanliento.
2. TRATAMIENTO PARA LA ELIMINACION DE LOS PIOJOS.
* Pem,ethrin o pyrethrins es ci ingrediente más activo en la mayoria de los productos que se pueden comprar
sin meceta médica. El ingrediente mas activo de preferencia es permethrin, ci cual es un acondicionador que
se conoce como Nix®*. Siga las instrucciones del tratamiento cuidadosamente, primero lavando el cabello
con in
champü aue no contenga acondicionadom.
* Use este producto solamente en las personas infestadas con piojos. Es importante aplicar un tratamiento por
cada persona infectada. No divida el tratamiento entre las personas infestadas, no aplique in segundo
tratamiento hasta después de 7 6 10 dias después del primero. El repetir ci tratamiento puede ser peigroso y
es innecesaro.
* La remocion diana de los piojos y sus iarvas con un peine metalico de dientes largos, es Ia medida más eficaz
de eliminar los piojos. Peine Ia cabeza completamente todos los dlas moje ci peio pan que sea más fácii
peinanlo hasta que no encuentre mas pioj os o larvas. Cualquier liendre que no se puede remover con el
peine se tiene que remover con las unas, jalando del cabeiio entre ci cuero cabeiludo y las liendres pegadas al
cabelio. Un método átil para peinar las liendres es separar ci cabello en secciones pequeflas. Peine cada
sección, sostenga esa sección del cabello al cuero cabelludo. Esto le ayudará a mantener control de lo que ya
ha peinado.
* Si los productos permthrin o pyrethrin no son efectivos, consulte a su medico acerca del producto Ovide®, ci
cual ha mostrado ser más efectivo en las investigaciones.
3.
CICLO DE VIDA DE LOS PIOJOS Y RECOMENDACIONES PARA LAVARSE EL PELO Y
PREVENIR MAS JNFESTACIONES
* El piojo muere rápidamente 2 dias sino se alimenta de La sangre de twa persona.
* Las larvas de los piojos toman de 8 a 10 dias para nacer y toma ai menos 9 dias para que una hendrc se
convierta en piojo y se reproduzca.
Las siguientes recomendaciones son Utiles pan evitar infectarse nuevamente de
*
*
*
*
Os:
La ropa y sábanas sc deben lavar en agua cahente 130°F y se deben secar en in ciclo cahente al menos por
20 minutos.
Los anticulos que no se puedan iavar se pueden envian a la tintorerIa o se pueden poner en una bolsa plástica
seliada por dos semanas, para evitar quc los piojos se alimenten de sangre.
Remoje los cepilios, peines y accesorios para ci cabello en alcohol o Lysol®* por una hora o hiérbaios en
agua por 5 minutos.
Limpic las alfombras y muebles con aspiradora. No rocie con aerosoles caseros, para combatir las liendres.
mcdi as
pued n
gue se
Estas
dismnuir la
posiblda
de
re-infstacOn,
pero
no
se
deben
de
mencioa anteriormente.
por el
tramiento
Adapted from "Guidelines for Parents to Control Head Lice", California Department of Health Service, 200SF
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subtiur
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Tr,inckHnn
14-14
______
_____
________________
_______________
Par favor, encierre en Un circulo
EXCLUSION
Si
______________________
_____________________
es Ia primera a Ia segunda exclusion de Ia escuela.
DELA ESCUELA
PRIMEA
Fecha
Nombre
Aula
Estimada padre de familia o encargada:
El dia de hoy se encontraron piajos/liendres en el pelo de su huola. Es importante que le aplique un tratamiento para
eliminar piojos, conocido como pediculicida" y remueva las liendres larvas de los piojos del cabello. Por favor, lean Ia
información tonseios a los Padres de Famlila pars Controlar los Piojos".
Para que su hijo/a pueda regresar a Ia escuela, debe de firmar esta carta en Ia secciôn inferior V envlar Ia etiqueta
o el embase del producto que utilizó.
Aplique el tratamiento a ml hlJo/a de acuerdo a las instrucciones de este producto. Aslmlsmo, tome las medidas
necesarias en ml hogar para prevenir Ia re-lnfestaclôn de plojos.
Fecha en que apilcé el tratamiento:
Nombre del producto que utlllzo:
Firma del padre de familia 0 encargado
le inspeccionará nuevamente el cuero cabelludo a
encuentran piajos yb liendres de ¼ de pulgada, se le
Se
SEGUNDA
EXCLUSION
DE
su hjo/a entre 8-11 dias después del tratamiento y si se le
excluirã de Ia escuela por segunda vez.
L.A ESCUELA
El dia de hay se inspeccionó nuevamente a su hijo/a y se encantraran piojos/liendres de de ¼ de pulgada en su cuera
cabelludo. Es importante que le aplique un tratamiento para eliminar piojos, conacida coma "pediculicida" y remueva
todas las liendres del cabello. Para que su hijo/a pueda regresar a Ia escuela, debe de firmar esta carts en Ia
section Inferior, enviar Ia etiqueta o el envase del producto que utilizO y debe de remover todas las liendres.
Apliqué el tratamiento a ml hijo/a de acuerdo a las Instrucciones de este producto. Asimismo, tome las medidas
necesarias en ml hogar para prevenir Ia re-infestaclón de piojos.
Nombre del producto que utIlIze
Fecha en que aplicO el tratamlento:
Firma del padre de familia 0 encargado
A su hijo/a se le inspeccianaré el cuero cabelludo cuanda regrese a Ia escuela, no se le permitirá asistir a clases 51 se le
encuentran piojos/ liendres en su cabeza.
Proof of Treatment Letter, SHPD, 2005 SP
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FEnSIUPIOP .Deparnneo
*THPW pediculocide
_____________________
Date:
Dean Parent/Caregiver:
Your child
may have ringworm.
Ringworm is a name given to several different kinds of flingal infections that are
contagious and appearon the skin and/or scalp.
What to look for?
On the skin there can be red, circular patches with raised edges and clearing in the
middle. The lesions can be itchy.
On the scalp the infection causes areas of redness and scaling with broken hairs or
patches of hair loss.
How is it ringworm spread?
Ringworm is spread by contact with infected persons, animals or contaminated objects or
surfaces. Ringworm is also spread by direct person-to-person contact by sharing combs,
brushes, towels, clothing, or bedding.
How is ringworm treated?
Ringworm on the skin can usually be treated with an anti-fungal medication that is
applied to the rash.
Ringworm ofthe scalp and nails must be treated with an anti-fungal medication taken by
mouth that must be prescribed by a health provider.
How is ringworm controlled?
Children with ringworm should be treated as soon as possible. Siblings and other
household contacts should be examined for ringworm and also treated if ringworm is
identified. Refrain from sharing combs, brushes, helmets, towels, bedding and other
personal items. Children can attend school as long as they have started treatment. It may
be helpthl to loosely cover areas ofinfected skin to reduce the spread of infection to
others.
Please call you health care provider for further information and treatment.
Sincerely,
Principal
Adapted from American Academy of Pediatrics,
Mani g
Infectious
Ringworm, 5FIPD, 1/05
11-39
Disea s in
Childcare
and Schools, 2005.
_____________________________
Fecha:
Estimados padres de familia o encargados:
Puede que su hijo
"tifla".
tenja Ia infecciOn cutanea comünmente conocida coiio
La tifla es una infeccion causada por un hongo que afecta a Ia piel y el cuero cabelludo.
Sintomas
En Ia piel pueden ser parches rojos circulares, con bordes definidos y con apariencia clara en el centro. Las
lesiones puede que causen comezén.
En el cuero cabelludo, enrojecimiento y escamas con el pelo quebnado o panches con apariencia de calvicie.
Contagio
La tifia se transmite por contacto con las personas infectadas, animales, asi como, objetos y supenficies
contaminadas. También, se pasa directamente de persona a persona al compartir los peines, los cepillos, las
toallas, Ia ropa y Ia nopa de cama. Es poco contagioso silas lesiones no han sido tratadas.
Tratamiento
Pnacticamente,
la tifla corporal puede ser tratada con medicamento antimicóticos que se aplica a las lesiones. La
tifla en el cuero cabelludo y las uflas se trata con medicamento oral antimicóticos.
Control
Los alumnos con tifla deben de ser tratados lo más pronto posible. Se debe de examinan a sus hermanos y a
todos aquellos en el hogar con los cual estuvo en contacto. Absténgase a compartir los peines, los cepillos, los
cascos, las toallas, la ropa de cama y otros articulos personales. Los estudiantes pueden asistir a la escuela
mientras estén bajo tratamiento. Es conveniente cubnin las lesiones de una forma cómoda para pnevenir
cualquier tipo de contacto.
Comuniquese por favor, con su medico para mas informaciOn y tnatamiento.
Atentamente,
Director
Adapted from American Academy of Pediatrics, Managing
Infectious
Disease in
Cbildcare
and
Schols. 2005.
Translation provided by SFUSD Translation Department- Ringworm Spanish 2005
11-40
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American Academy of Pediatrics
2005 1 fl
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2005
Translation Provided by SFUSD Translation Department Ringworm 2005
-
11-41
Date:
Dear Parent/Caregiver:
A student in your child’s class has been recently diagnosed with a "strep throat". Not all sore throats are
caused by streptococcal bacteria, but those that are must be treated with antibiotics for the prescribed
of
time to avoid complications from the "strep" bacteria.
length
What to look for: Group A streptococcal bacteria can cause a sore throat, fever, stomachache, headache,
swollen glands in the neck and decreased appetite. When "strep throat" is accompanied by a fine, red rash
that makes the skin feel like sandpaper, then the infection is referred to as "scarlet fever". The presence
of the rash does not increase the severity of the disease.
Incubation period: The incubation period is from 2 to 5 days after exposure to the disease.
What to do for your child with sore throat and rash: If your child has a severe sore throat with or
without a rash or a severe sore throat that lasts more than 24 hours and is not associated with other cold
symptoms, your child must be seen by a health professional to determine if the cause is "strep throat".
The health professional will do a "throat culture" to see if there is streptococcal bacteria in the throat and
will prescribe antibiotics based on the results.
Exclusion period: The child is no longer contagious after he/she has been on antibiotics for 24 hours. A
child can return to school when he/she is feeling better and after 24 hours of antibiotic treatment.
How is streptococcal infection spread: "Strep" infection is spread by direct coniact and by exposure to
respiratory droplets from an infected person. Good hand-washing can prevent further spread of the
disease.
Please contact your child’s health professional if you have any further questions.
Adapted from American Academy of Pediatrics, "Managing Infectious Diseases in Child Care and
Schools", 2004.
11-42
Fecha:
Estimados padres de familia o encargados:
A un estudiante en el ada de su hijo/a se le diagnosticé recientemente con una infeccion de Ia garganta
producida por estreptococos. No todos los dolores de garganta son causados por Ia bacteria estreptocócica, pero
se les debe de tratar con antibioticos el tiempo necesaria para évitar enfermedades producidas por Ia bacteria del
"estreptococo".
Sintomas: La bacteria estreptocócica del grupo A puede causar dolor de garganta, fiebre, dolor abdominal,
dolor de cabeza, inflamación en Las amIgdalas y disminucion del apetito. Cuando La infección de Ia garganta es
aconipaflado por enipciones en Ia piel de color rojo escarlata, que al palparse tiene una textura de papel de lija
fino, a Ia infección se le conoce como "fiebre escarlatina". El hecho de que broten erupciones no aumenta Ia
severidad de Ia enfermedad.
Perlodo de incubación: es de 2 a 5 dias después de haber estado expuesto a la enfermedad.
Qué pueden hacer cuando sus hijos tienen dolor de garganta y pequeflas erupciones en Ia pie: SI su hijo/a
tiene pequeflas erupciones en Ia piel o dolor de garganta severo por más de 24 horas, sin sintomas de resfrio,
necesita ver a un medico para determinar la causa del "dolor de garganta". El medico hará un "cultivo con Ia
muestra del mucus de la faringe" para ver si existe Ia bacteria estreptocOcica y le prescribirá antibiOticos
dependiendo de los resultados.
Periodo de Exclusion: Después de que el estudiante haya tornado antibióticos por 24 horas, ya no habrá peligro
de contagio. El estudiante puede regresar a clases una vez que se sienta mejor y después de estar bajo
tratamiento de antibióticos por 24 horas.
Cómo se propaga La infecciOn estreptocócica: La mayoria de veces por contacto directo con las secreciones
que provienen de la nariz y la boca de la persona infectada. Lavandose las manos correctamente puede eliminar
Ia transmisiOn de Ia enfermedad.
Por favor, liame a su medico si tiene algunas preguntas.
Transitajion provided by SFUSD Translation Department - Strep Throat 2005
11-43
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San Francisco UnifIed School District
School Health Programs Department
1515 Quintara Street
San Francisco, CA 94116
TEL 415-242-2615
FAX 415-242-2618
wwwsfusd.edulhealthlshpd.html
THIS FORM IS TO GO HOME
WITH EVERY CHILD WHO
SUSTAINS A HEAD BUMP
Date:
Time of Injury;
HEAD INJURY
Head injuries among children are very common and probably no child grows up without
"hitting his head" at some time. Most ofthe time these injuries are not serious.
Occasionally, however, a head injury can be sezious meaning that there is bleeding or
swelling under the skull or a broken bone in the skull.
-
Immediate First Aid
* Keep student quiet and lying down on his back, unless he/she is unconscious, lay him/her
on his side.
* If there is no evidence ofneck injury, place a small pillow under his neck and shoulders.
* Do not give fluids by mouth
* Noti& pai-ent
* Control bleeding by elevating head without bending the neck and applying gentle
pressure to wound with a sterile dressing.
Bow can I tell if my child’s bead injury is serious?
You should observe your child following any head injury. The following are some basic
signs and symptoms indicating your child’s head injury could be serious and needs to see a
doctor.
I. A headache that persists
2. Vomiting
3. Child seems confused, irritable, drowsy, acting "differently" or "strangely"
4. One pupil is larger than the other one
Normally, the pupils the round, black spot that is inside the colored part of the eye, see
diagram are round and equal in size to each other. To check this, simply have the child open
his eyes widely and see if the pupils are equal.
over
11-45
___
6
1
I
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Normal -Rowi
Abnormal
larger
-One ouvil
thanthe other
It is normal for the pupils to become large in a dark room; in a light room they will become
small. However they should be equal in size to each other.
5.
Blurred vision or dizziness
6.
Unusual weakness or numbness in the arms or legs.
If any of the above abnormal sigs pr symptoms are present, or you are in any doubt as to
whether or not your child’s head injury is serious, the child should see a doctor without
delay.
HPO-N-1091-lflfo-Ol
11-46
San Francisco Unified School District
School Health Programs Department
1515 Quinsara Street
San Francisco, CA 94116
TEL 415-242-2615
FAX 415-242-2618
www.sfissd.edu/healthJshpd. hun!
Fecha:________________
Hora de Ia heridas:___________________
DELACABEZ
HERIDAS
Las heridas de ía cabeza son rnuy comunes en Its fliflOS y probabiemente
occs crecen habièndose golpeado Ia cabeza alguna vez. La mayor cane del
tiemac estos golpes no son serbs. De vez en cuando. sin embargo, alguno
puece ser serf o-- esto significa que hay hemorragia interna a algiTh hueso
quebrado en el cráneo.
cuedo
saber si es
aooe eserio?
c6mo
Debe observar al nicJa despus de golpe. Las siguientes seaies y
sintcmas ndican que & gctpe cuede ser sent y necesita atenci&i niédica:
Dolor de cabeza cersistente.
2.
V6mitcs.
El niño/a aparece ccniuso. irdtable,soñciiento con sueo
diferente c raro.’
Una pudila es mu grande cue Ia cfl.
Ncrrraim9nte las pupilas el c&cuio recro dentrc ce a pane ce ccior del
dibuic scn redondas y ce igual tamañc. Para revisar esto.
:ic. yea
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as cucilas
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11-47
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Es normal que las pupiias se agrancen en un lugar oscuro; dccde hay
rnucna luz se achican. Sin ernbargo,Ias dos siempre deben ser del mismo
tarnano
5.
Visidn borrosafmnareo
s.
Debilidad poco usal a adormec&niento de las braz:s o piernas.
Si aiguna de las seales c sfntornas es dresente, O si tiene dudas de que
el gcipe sea serio, Ileve el nio/a at medico sin demora.
11-48
HEAD INJURY
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11-49
___________
______
San Francisco Unified School District
School Health Programs Department
W
-
1515 Quintara Street
San Francisco, CA 94116
TEL 415-242-2615
FAX 415-242-2618
wPirw.sfiud.edufhealthishpd.hftfll
.
MAtJ
?Jgày tháng:
Thai gianbi thtictg
BI
NAY
FilM
Thl.IONG O
DItC
cAcHOC TRO
D7¼UOEM Vt NRA
BITHUCNGODAU
t14 cht!a t&ng em nb ldn ten nil thông bi
Tie em thuông hay hi thttong a dàu, và
"dung dàu cüa rninW nit vii Ian. Hau bet nhCi’ng 54 ‘a dt3 nay khOng ttm trçng.
It hi thtiang 6 dau tzt nén trm trvng--- nghia là dàu bj chSy rru
Thy nhiên,
hay sung Li ten, hcc là xu’o’ng so bi ye
Lam sac nil bet thtqc st% hi thuiang 6 dàu ct can ciii là ttm trcng?
Qu9 vj phái can sth tinh trang cüa cii ensau khi hi thUc’ng. Nhng cifu lieu
va triu chGng cn bàn thói dày theta tMyst$bj thtlorig 6 t
anem cr5 th
là nghiêm trcng vi cm di klan, bat si.
1.
St$nhtIcdubjkthiaudài
2.
Conemcmüa
3.
on em tà ye th i.
gin d. hay bun ngü, hành dQng ‘that ia" hay
"lc$’ cd’.
4.
Cr5 rrtt con ngudi ln ban con ngtict 6 St kit
Thee dnh thüang, hal con nguth hinI trãn den nrn tragphàncOrnàucC’a r
nt, xn xern hlnh ye là tit, trn vâ to bang nhau.
ki4rn st. qui vi cli cmii
:4
baa con em itt rng dO rrát và mrnh nhin xem hai con niJci
thông.
Head InjurY Vietnarne
11-50
to nhu nhau
-C----..
I.
I.
Khong th± thtIbng: Môt on ngu’ci to
E’unh thUäng: Hal c ngubi birth trOn,
to
ldn han con kit
bng rthau.
Trong Si phong
4
con nguai rrth rng it là diu bhnh thu’ông. t41 nd
árth
sing conflgtc êthu nhth li, nhu’ng S hal an dêu thai to cLing nat th.
5.
Doi mat an em nhin khong no r±ng hay là Sin tháv chcáng yang.
6.
Cinh Lay vâ hat than Sm tháy yéu
Néu cu’J vi nh*n
it
at
h
là bi
St Sm giic hay
té di.
nhU’ng hin Wang hay tniEu chüng khác thiiang lc trtn, hoac là
khong hithi bi& V b thtflng âdu coi cn cth ttàni trptg hay khóng. thi phái dt.la con
em di khm bat si gp.
i-iPC.N.1091-intO-Oi
Head :nitlry Vietr.arrae
H-5 1