Exclude the affected individual until 48 hours after the diarrhoea and vomiting symptoms have stopped. For some groups (for example pre-school infants and food handlers), longer periods of exclusion may be required. For these groups, your UKHSA HPT will advise you if any action is required.

Adults can become infected with rotavirus, but the infection is usually very mild. Rotavirus infection is more common in infants and younger children than in teenagers. Re-infection is common and infectious eggs are also spread to others directly on fingers or indirectly on bedding, clothing and environmental dust. Early years and childcare Children’s centres, childcare, early years education funding for 2, 3 and 4-year-olds, information for providers There is currently no vaccination programme for genital herpes. However, as of 2008, there is an HPV immunisation programme for girls and boys aged 12 to 13 years to protect against some cancers and genital warts. Vaccinated individuals should still consider offers of cervical screening when they are invited, aged 25 years and over, as the vaccine does not protect against all subtypes of HPV. Encourage children, young people and staff to avoid touching or scratching the sores, or letting others touch them.

Coronavirus (COVID-19)

in women, untreated infections can cause pelvic inflammatory disease, long-term pain and infection or ectopic pregnancy Attending face-to-face education or childcare is hugely important for children and young people’s health and their future.

The early stages of whooping cough, which may last a week or so, can be very like a heavy cold with a temperature and persistent cough. Inform your UKHSA HPT if you have a case of iGAS in your setting. The HPT will carry out a risk assessment and undertake appropriate investigations and/or actions as required. Further information about iGAS Escherichia coli (E. coli) are bacteria found in the environment, food, and guts of people and animals. There are several different types of E. coli and most are harmless. All laboratories in England performing a primary diagnostic role must notify UKHSA when they confirm a notifiable organism. Maintain confidentiality and do not divulge personal identifiable information to non-health professionals without permission from the individual. Further information about chlamydiaAdvise individuals, parents or carers to seek prompt medical advice if the individual’s illness is worsening. Advise individuals aged 18 years and under with a positive COVID-19 test result to try to stay at home for 3 days after the day they took their test. Strongly encourage staff to adhere to toileting and sanitation guidance. Further information about hand, foot and mouth disease

Impetigo is a bacterial skin infection caused by Streptococcus pyogenes, or group A streptococcus ( GAS). It mostly affects infants and young children. It is very infectious and appears most commonly as reddish sores on the face. It may be a primary infection or a complication of an existing skin condition such as eczema, scabies or insect bites.Ensure personal hygiene items such as toothbrushes, nail cutters, razor and nail scissors are not shared. The cough becomes worse and usually, the characteristic ‘whoop’ develops. Coughing spasms are frequently worse at night and may be associated with vomiting. It may last several months. After each episode, the virus enters a dormant (inactive) phase in nearby nerves. From time to time the virus reactivates causing symptoms – in some cases a person will experience several episodes a year. However, over time, episodes tend to become less frequent, and the symptoms are milder with each recurrence.

Ringworm, also known as tinea, is a fungal infection of the skin, hair or nails. It is caused by various types of fungi and infections are named after the parts of the body that are affected, namely face, groin, foot, hand, scalp, beard area and nail. Discourage the individual from scratching the affected skin or area as it can spread to other parts of the body. The first signs are tingling, burning or itching in the area where the sore is going to appear. This phase may last for as little as 24 hours. There is reddening and swelling of the infected area resulting in fluid filled blisters which are usually clumped together in patches. Cold sores can be painful, and the blisters may form ulcers. They then dry up and crust over. Threadworm infection is an intestinal infection and is very common in childhood. They are tiny worms in stools and can spread easily.Notwithstanding the other provisions of this Section 6, we will retain documents (including electronic documents) containing personal data: Respiratory infections can spread easily between people. Sneezing, coughing, singing and talking may spread respiratory droplets from an infected person to someone close by. Exclude individuals with symptoms of the flu, until they have recovered. However, do not exclude individuals with only mild symptoms of a respiratory illness, such as a runny nose, sore throat, or mild cough, but who are otherwise well. Milder infections caused by group A streptococcus include scarlet fever, impetigo and ‘strep throat’. These can be easily treated with antibiotics. Group A Streptococcus ( GAS): what you need to do The individual may develop a fever, reduced appetite and generally feel unwell. One or 2 days later a rash may develop with blisters, on hands, feet, insides of their cheeks, gums and on the sides of the tongue. Not all cases have symptoms. The incubation period is 3 to 5 days. Persons affected are most infectious during the first week of the illness.