HEALTH BULLETIN BOARD:
We have a suspected case of mumps in our district. A high school student was diagnosed yesterday (11/22/15). Common symptoms of mumps are fever, headache, and swollen glands behind and under the jaw. Mumps are spread through direct contact with respiratory secretions and saliva (coughing and sneezing) or through fomites (objects or substances that can carry germs). Persons with mumps are usually contagious from 3 days before symptoms start through 4 days after. Students who still have symptoms beyond the 4 days, should not return to school until they are symptom-free. Once exposed, there is no immediate preventative treatment. Treatment focuses on supporting symptoms (pain relief, fever reducer, fluids, etc.). The majority of our students have had the recommended 2 dose MMR vaccines. Health office staff will attempt to call parents of students who have not had 2 vaccines.
The Iowa Department of Public Health Fact Sheet is attached for your review. We will stay in contact with our local public health department and will update you as needed. If your child is experiencing signs and symptoms of mumps, please do not send them to school until they have been cleared by their healthcare professional. Feel free to email me at firstname.lastname@example.org if you have questions or concerns.
Head Lice Information
We routinely have cases of lice in our school community. Lice are small insects or bugs that live on the human body. They
are a grayish-brown in color and smaller than a sesame seed. The eggs of lice are called nits. Nits attach to hair strands. Nits
can remain viable on clothing for about 1 month. Head lice can survive for about a week off of their human host. Lice are
transmitted from person to person with close contact or by sharing personal items. Lice may crawl from host to host, but they
do not hop, jump, or fly. In order to prevent the spread of lice, children should not share clothing, hats, helmets, combs/
brushes, or bedding (please remind your child of this). Various insecticide sprays are marketed to target head lice on inanimate
objects such as helmets, furniture, and flooring, but these are very dangerous to children and are no longer recommended.
The Iowa Department of Public Health suggests that weekly screenings at home provide the opportunity for prompt recognition
and treatment of head lice. I recommend that you screen your child once a week and if you find live lice or nits, follow the
health department’s treatment guidelines. Students should not be excluded from school because of lice.
Feel free to contact Kathy Campbell with questions or concerns regarding this matter. You may reach Kathy by email at
We have reported cases of chicken pox in one of our elementary schools (NBE). Chicken pox is a communicable disease that is usually spread from person to person by direct contact with the drainage from the blisters or by droplet or airborne spread of respiratory secretions. It can sometimes be spread indirectly through articles that have been contaminated with drainage from the blisters. There is a vaccine for chicken pox and it is now required for entry into school, but, like all other vaccines, it is not 100% effective at preventing disease.
Chicken pox begins with an itchy, blistery rash and a mild fever. The blisters usually appear in clumps and are often described as a “dew drop on a rose petal” (water blister on a pinkish-red spot). Blisters often first appear in covered, warm areas of the body such as the armpits, groin, and trunk. They quickly spread to other areas of the body, face, scalp, and extremities. The blistery rash continues to erupt for about 2-3 days. Children with chicken pox are usually contagious from about 1-2 days before the onset of the rash until all blisters have crusted over (approximately 5 days after the rash erupts).
Children with chicken pox should be kept out of school until all of the blisters have crusted over and they have been fever-free for at least 24 hours without the aid of fever-reducing medication. If your child experiences symptoms of chicken pox, please contact your family doctor to discuss care. Please contact me if you have questions or concerns.
Hand, Foot and Mouth Information
We have been made aware of cases of Hand, Foot, and Mouth disease in our school community. Blisters or ulcers on the palms of the hands, fingers, soles of the feet, buttocks, and inside of the mouth characterize this viral illness. Other signs and symptoms may include fever, malaise, sore throat, and poor appetite. It is spread from person to person by direct contact with nose and mouth secretions, saliva, fluid from the blisters, or feces of an infected person. Symptoms usually appear 3 to 5 days after exposure and the rash may last 7 to 10 days. The best prevention of Hand, Foot, and Mouth disease is good hand washing, covering the mouth and nose when coughing and/ or sneezing, and washing toys or other surfaces that may have saliva on them. Children with fever and/or who have ulcers in their mouth and are drooling should be excluded from school until those symptoms are gone for 24 hours. If your child experiences signs or symptoms of Hand, Foot, and Mouth Disease, please contact your family healthcare provider to discuss care.
Hand Sanitizer vs. Hand-Washing
The following information is from the Iowa Department of Public Health:
“As the winter months approach, IDPH offers a reminder about the importance of hand hygiene in preventing the acquisition and spread of disease. Both alcohol-based hand sanitizers and hand-washing are effective ways of preventing disease, but remember these important facts:
Hand hygiene is one of the best ways to prevent infections in any season,
School Dental Screenings
CERTIFICATE OF DENTAL SCREENING
New Tdap Requirement
The school nurse or office personnel will evaluate students who become ill at school. If it is determined that the child is too sick to remain in school, a parent/guardian will be called and asked to come and pick the child up.
Thanks for your help in adhering to these guidelines that will help keep our school healthy and decrease the risks of spreading contagious diseases. Feel free to call or email CCA school nurse, Kathy Campbell, with questions or concerns.
Request for Necessary Medication in School should be completed and on file the school office. You can also get a form from your child’s attendance center.
Asthma Triggers Can Lurk in Homes,
Work and Schools
One of best ways to prevent infection is
to practice good hand washing. All surfaces
of your hands, fingers, and wrists should
be thoroughly washed with soap, water, and
friction (rubbing them together)…
If you are caring for someone with diarrhea, wash your hands with soap, water, and friction after cleaning the bathroom, after helping the person use the toilet, and after changing soiled diapers, clothes, and bedding. Be sure to have the ill person wash their hands, too.
Hand, Foot, and Mouth Disease Information
If your child experiences signs or symptoms of Hand, Foot, and Mouth Disease, please contact your family healthcare provider to discuss care.
The Iowa Department of Public Health suggests that weekly screenings at home provide the opportunity for prompt recognition and treatment of head lice. I recommend that you screen your child once a week and if you find live lice or nits, follow the health department’s treatment guidelines. Students should not be excluded from school because of lice, but please notify us if your child has lice so we can do further screening if necessary.
Please refer to the IDPH Fact Sheet for more information on how to treat lice.
Feel free to contact Kathy Campbell with questions or concerns regarding this matter. You may reach Kathy by calling the school or by email at email@example.com.
If your child experiences symptoms of chicken pox, please contact your family doctor to discuss care.
CDC - Influenza (Flu) What Everyone Should Know About Flu and the Flu Vaccine: www.cdc.gov/flu/keyfacts.htm
Some people at Clear Creek Amana School have been diagnosed with pertussis (whooping cough) recently. If your child has had close contact, you have will receive a letter from Johnson County Public Health. If you did not receive a letter, you do not need to do anything other than watch your family members for the symptoms described below.
Pertussis is spread through the air when someone who is sick with pertussis coughs. Pertussis begins with a runny nose, sneezing, and cough. The cough slowly gets worse over several weeks, and can develop into uncontrolled coughing spells and in young children a cough with a whooping noise when the child tries to breathe in after the cough. Also, after severe coughing spells, a person of any age may vomit or become blue in the face from lack of air. Between spells, the person often appears to be well. This illness can last weeks to months. In adolescents and adults, pertussis is often a long lasting cough.
If you or a family member develops these symptoms, contact your doctor or healthcare provider.
If you have questions, call Diana (319-688-5882) or Andy (688-5893) at Johnson County Public Health.
Symptoms of shingles include the eruption of blister-like lesions on one side of the body. The rash is usually painful and may last 10-15 days. Persons with shingles are contagious for approximately 24 hours before the rash occurs and up to 48 hours after breaking out.
If you suspect that your child may have chicken pox or shingles, please consult their healthcare provider.
Tanning beds, booths, and other such devices can also damage our skin – often just as much as the harmful sun’s UV rays. Exposure to the lights of these artificial tanning devices has been linked to an increased risk of developing skin cancers. Tanning sprays and lotions ("tan in a bottle") create a chemical reaction on the surface of the skin and are considered safe to use provided you don’t have an allergy to one of the ingredients.
Protecting our skin now can help protect us from serious skin diseases in the future. Consult your healthcare provider for more information on sunscreens and sun safety.
Vision screening will be done yearly on students in kindergarten through eighth grade. Hearing screens will be conducted on students in kindergarten, first, second, and fifth grades. New students, special education students due for a three-year evaluation, and students with previous known losses will also be checked. You will be notified if a child does not satisfactorily pass a test. If you do not want your child to participate in the vision and/or hearing screenings, you must notify the school in writing.
Fluoride Mouthrinse Program
Iowa Department of Public Health has notified us that, due to budget cuts, they will no longer be able to provide the school fluoride mouth rinse program. Please talk with your child’s dentist about adding supplemental fluoride to their oral health regimen. The following oral health information is from the Iowa Department of Public Health.
Oral Health for Infants, Children, and Adolescents
Infants (Birth until 2 years)
Children (Ages 2 to 12 years)
Adolescents (Ages 13 years and older)
Contacting the School Nurse
The school nurse travels to all attendance centers throughout the district. If you need to reach her, call your child's attendance center. The nurse will return your call as soon as possible or you can e-mail her at firstname.lastname@example.org.
Please report your child's illness
If your child has vision concerns (poor sight, needs new glasses, etc.) and you do not have vision insurance, contact Nurse Kathy for information on local programs offering free vision exams and glasses for school children.