For School Health
Topics of Concern for Schools
CCCHD no longer conducts case investigations or contact tracing in the community, outside of high-risk settings, such as congregate residential settings, or for certain circumstances, such as outbreaks in schools.
What this means for schools:
- Please report positive cases of COVID-19 to CCCHD by click here.
- Additionally, you may encourage your families to self-report their at-home tests on our website.
- Please keep an eye out for disease clusters or outbreaks in your schools and reach out to CCCHD when you suspect a cluster or outbreak so that we may assist you in case investigation and contact tracing. During times of significant community
spread, it is difficult to draw a line between in-school transmission and community transmission, so please use your best judgement. Never hesitate to reach out to our Communicable Disease Team for advice/assistance – we are here to help!
- Masking in schools:
- At a high COVID-19 Hospital Admission Level, universal indoor masking in schools and ECE (Early Care and Education) programs is highly recommended, as it is in the community at-large.
- At medium or low transmission levels, anyone who chooses to wear a mask should be supported in their decision to do so.
Without structured contact tracing in place, it is more important now than ever that you encourage mitigation strategies that work against the transmission of COVID-19, such as vaccination, proper masking, physical distancing, improving ventilation, hand washing, cough etiquette, testing, and staying home if you are sick.
- COVID-19 Isolation & Exposure Guidance
Measles infections classically are described as having a prodromal period with a fever of 103-105°F, runny nose (coryza), red, watery eyes (conjunctivitis), cough, and photophobia for 2-4 days. Then a maculopapular rash appears on the face which spreads to the trunk and finally to the extremities. The rash and other symptoms normally subside in 7-9 days. Koplik spots may be observed on the buccal mucosa just prior to and on the first day of the rash. Complications of measles include otitis media, pneumonia, cardiac manifestations, encephalitis, and occasionally death.
Measles can be dangerous, especially for babies and young children.
For individuals with documentation of one or two doses of measles-containing vaccine: Two doses of MMR vaccine are about 97% effective at preventing measles; one dose is able 93% effective.
Clark County has had ONE confirmed case of measles, which is linked to the Central Ohio outbreak.
If you suspect measles case, call the health department immediately, 937-390-5600. If it is after hours call 937-390-5600 then dial *500 to leave a message.
- Measles in Schools – Document
- Infectious Disease Control Manual: Measles
- CDC: Signs and Symptoms
- CDC: Vaccine for Measles
If you have any questions or concerns, please give CCCHD a call at 937-390-5600 and ask for a member of the CD Team.
Similar to infections in adults, the most common sign of monkeypox in children and adolescents is a rash that progresses from maculopapular lesions to vesicles, pustules, and finally scabs. If a child has not had any contact with a confirmed case and has none of the risk factors, but has a rash, please consider other diagnoses such as be varicella (chickenpox); hand, foot, and mouth
disease; measles; scabies; molluscum contagiosum; herpes; syphilis (including congenital syphilis); allergic skin rashes; and drug eruptions. A doctor should be consulted to determine the cause of the rash.
Monkeypox can be found in any individual regardless of sexual orientation.
In Clark County, the risk is low for a child to catch monkeypox. Higher risk for a child is if someone else in their family or a close contact is a confirmed case.
Monkeypox is not common in children in areas where the disease is not endemic. Monkeypox can spread through contact with the fluids (e.g., lesion exudates and respiratory secretions) of people or animals with monkeypox or through contact with fomites (e.g., shared clothing, towels, toiletries, and bedding).
- Monkeypox in Children Handout
- CDC: What you need to know about Monkeypox if you are a Teen or Young Adult Handout
- CDC: FAQ for Schools, ECE Programs and Other Settings Serving Children or Adolescents
- US Map and Case Count
- CDC: What to do if you are sick
- CDC: Preventing Spread to others
Children have many different illnesses that can cause a rash (i.e., varicella (chickenpox); hand, foot, and mouth disease; measles; scabies, etc), schools should continue their normal mitigation strategies for children who show up to school with an unknown rash.
Resources for School Nurses
The School Nursing Program supports the provision of quality health services in schools to promote student health and success. In addition, the School Nursing Program assists schools with an all-hazards approach to emergency preparedness.
This calendar includes recommendations for the nurse working in the school setting as you go through the school year. It includes due dates and links for mandatory reporting, as well as activities such as planning an communicating; documentation and student plans; staff training; professional development opportunities; documentation; screenings; and more.
The Children’s Hearing and Vision program sets the screening requirements and guidelines for school-based preschool and K-12 schools. The Ohio Department of Health (ODH) sets the requirements for what grades are routinely screened each year; what equipment is acceptable to use; what specific hearing and vision tests are needed to perform the screenings; and the referral criteria. Schools providing medical services are required to screen school-aged students for hearing and vision.
Contact List for Programs and Translators
Immunizations are given according to the schedule recommended by the Centers for Disease Control (CDC), Advisory Committee on Immunization Practices, American Academy of Pediatrics, and the Ohio Department of Health. For the most up to date immunization schedule, please visit the CDC’s Webpage.
Required Vaccines for Child Care and School in Ohio can be found on the ODH webpage.
Youth Risk Behavior Survey (YRBS)
The Youth Risk Behavior Survey (YRBS) is a survey that monitors health risk behaviors that contribute to the leading causes of death and disability among 9th-12th grade students. Topics include behaviors that contribute to unintentional injuries and violence, sexual behaviors, alcohol and drug use, tobacco use, dietary behaviors, physical activity, and the prevalence of obesity and asthma.
To see the most recent reports, please click here.