| (a) The school administrator shall exclude from attendance
any child having or suspected of having a communicable condition.
Exclusion shall continue until the readmission criteria for the conditions
are met. The conditions and readmission criteria are as follows:
(1) amebiasis--exclude until treatment is initiated;
(2) campylobacteriosis--exclude until after diarrhea
free for 24 hours without the use of diarrhea suppressing medications
and fever free for 24 hours without the use of fever suppressing medications;
(3) chickenpox--exclude until the lesions become dry
or if lesions are not vesicular, until 24 hours have passed with no
new lesions occurring;
(4) common cold--exclude until fever free for 24 hours
without the use of fever suppressing medications;
(5) conjunctivitis, bacterial and/or viral--exclude
until permission and/or permit is issued by a physician or local health
authority or until symptom free;
(6) coronavirus disease 2019--exclude and readmit based
upon guidance from the Department of State Health Services on its
website at https://dshs.texas.gov/covid19readmission;
(7) fever--exclude until fever free for 24 hours without
use of fever suppressing medications;
(8) fifth disease (erythema infectiosum)--exclude until
fever free for 24 hours without the use of fever suppressing medications;
(9) gastroenteritis--exclude until diarrhea free for
24 hours without the use of diarrhea suppressing medications;
(10) giardiasis--exclude until diarrhea free for 24
hours without the use of diarrhea suppressing medications;
(11) hepatitis A--exclude until one week after onset
of illness;
(12) infections (wounds, skin, and soft tissue)--exclude
until drainage from wounds or skin and soft tissue infections is contained
and maintained in a clean dry bandage; restrict from situations that
could result in the infected area becoming exposed, wet, soiled, or
otherwise compromised;
(13) infectious mononucleosis--exclude until physician
decides or fever free for 24 hours without the use of fever suppressing
medications;
(14) influenza--exclude until fever free for 24 hours
without the use of fever suppressing medications;
(15) measles (rubeola)--exclude until four days after
rash onset or in the case of an outbreak, exclude unimmunized child
for at least 21 days after the last date the unimmunized child was
exposed;
(16) meningitis, bacterial--exclude until 24 hours
after start of effective treatment and approval by health care provider;
(17) meningitis, viral--exclude until fever free for
24 hours without the use of fever suppressing medications;
(18) meningococcal infections (invasive disease)--exclude
until 24 hours after start of effective treatment and approval by
health care provider;
(19) mumps--exclude until five days after the onset
of swelling;
(20) pertussis (whooping cough)--exclude until completion
of five days of appropriate antibiotic therapy, or until 21 days have
passed since cough onset, whichever is earlier;
(21) ringworm--none, if infected area can be completely
covered by clothing or a bandage, otherwise exclude until treatment
has begun;
(22) rubella (German measles)--exclude until seven
days after rash onset or in the case of an outbreak, unimmunized children
should be excluded until at least three weeks after the onset of the
last rash;
(23) salmonellosis--exclude until diarrhea free for
24 hours without the use of diarrhea suppressing medications and fever
free for 24 hours without the use of fever suppressing medications;
(24) scabies--exclude until treatment has begun;
(25) shigellosis--exclude until diarrhea free for 24
hours without the use of diarrhea suppressing medications and fever
free for 24 hours without the use of fever suppressing medications;
(26) streptococcal sore throat and scarlet fever--exclude
until 24 hours from time antibiotic treatment was begun and fever
free for 24 hours without the use of fever suppressing medications;
(27) tuberculosis disease (suspected or confirmed),
pulmonary or laryngeal--exclude until antibiotic treatment has begun
and a physician's certificate or health permit obtained; and
(28) typhoid fever-exclude until diarrhea free for
24 hours without the use of diarrhea suppressing medications and fever
free for 24 hours without the use of fever suppressing medications;
and 3 consecutive stool specimens have tested negative for Salmonella Typhi.
(b) The school administrator shall exclude from attendance
any child having or suspected of having a communicable disease designated
by the Commissioner of the Department of State Health Services (commissioner)
as cause for exclusion until one of the criteria listed in subsection
(c) of this section is fulfilled.
(c) Any child excluded for reason of communicable disease
may be readmitted, as determined by the health authority, by:
(1) submitting a certificate of the attending physician,
advanced practice nurse, or physician assistant attesting that the
child does not currently have signs or symptoms of a communicable
disease or to the disease's non-communicability in a school setting;
(2) submitting a permit for readmission issued by a
local health authority; or
(3) meeting readmission criteria as established by
the commissioner.
|
| Source Note: The provisions of this �97.7 adopted to be effective March 16, 1994, 19 TexReg 1453; amended to be effective December 20, 2000, 25 TexReg 12426; amended to be effective June 5, 2007, 32 TexReg 2997; amended to be effective November 3, 2009, 34 TexReg 7650; amended to be effective December 20, 2012, 37 TexReg 9777; amended to be effective April 20, 2014, 39 TexReg 2853; amended to be effective April 3, 2016, 41 TexReg 2317; amended to be effective January 26, 2022, 47 TexReg 85 |
