When to Keep a Child Home Due to IllnessSometimes it can be difficult for a parent/guardian to decide whether to send their child to school when they wake up with early symptoms of an illness or complaints that they do not feel well. Remind and show your child to discard used tissues promptly, not to share personal items, to cover their mouths when they cough or sneeze, to keep their hands away from their face and to wash hands thoroughly and often with soap and warm water. Suggest that they silently sing the Happy Birthday song twice while washing their hands.
There are however some situations where an appointment with your health care provider is advised. The following are a few such situations that warrant watching and possibly conferring with your health care provider:
- Persistent fever greater than 100° orally, including a fever that requires control with medication, like Tylenol
- Child is too sleepy or ill from illness, like vomiting and/or diarrhea, to profit from sitting in class all day
- Significant cough that makes a child feel uncomfortable or disrupts the class
- Sore throat that is severe, accompanied by fever and/or feeling ill, that persists longer than 48 hours, OR after known exposure to a confirmed case of Streptoococcal throat infection
- Honey-crusted sores around nose or mouth or rash on other body parts that might be impetigo; OR a rash in various stages including boils, sores and bumps that may be chicken pox; OR a significant rash accompanied by other symptoms of illness such as fever
- Red, runny eyes that distract child from learning
- Large amount of discolored nasal discharge, especially if accompanied by facial pain or headache
- Severe pain or drainage from the ear
- Severe headache, especially if accompanied by fever
- Any condition that you think may be serious or contagious to others
Whenever there is an outbreak of a specific contagious infection, the school sends out a notice to alert you to watch out for any symptoms. If your child starts to develop symptoms, it is important that you alert your own health care provider that your child had possible exposure. Be sure to ask your provider when it is safe for your child to return to school, both for your child's health and for the health of the rest of the school.Finally, if you know your child is still running a fever, it is not a good idea simply to give them Tylenol and send them onto school because as soon as the medicine wears off, you are apt to get a call from the school nurse to leave work and pick up your feverish child. It is better to let them stay home in bed with a fever and take their medication until they are off all medicines and ready to learn for a full day in a classroom.If you find a pattern of your child's asking to stay home from school, especially if they are falling behind or appear anxious by the thought of attending school, or if there does not appear to be any obvious physical symptoms, it may be a good idea to contact your school nurse and/or guidance counselor along with your health care provider to discuss your concerns. Remember, whenever you keep your child home from school, please call the attendance office in advance of the start of the school day and leave a message that your child will be absent.
Thank you for your consideration and cooperation.