NOVEL CORONAVIRUS・1, INFLUENZA･ 2 PROGRESS OBSERVATION SHEET (FILLED IN BY PARENTS)
Measure your body temperature twice in the morning and evening, fill in the record table below, and watch the progressof your fever while creating a line graph. After the suspension period has passed, fill in the name of the guardian andsubmit it to the school.
[Criteria for the period of suspension of attendance] *The day of onset, the day of symptom remission, and the day offever resolution shall be day 0.
● Novel coronavirus: Until 5 days have passed since the onset of symptoms and 1 day has passed after symptoms
have subsided* "Symptoms are relieved" means that the fever is relieved without the use of antipyretics, and the respiratory symptoms
are improving.
*1The pathogen is a coronavirus of the genus Betacoronavirus (limited to those newly reported from the People's Republicof China to the World Health Organization in January 2020 as having the ability to infect humans). Limited to things.
● Influenza: Until 5 days have passed since the onset of symptoms and 2 days have passed since the fever subsided* If the school doctor or other doctors confirm that there is no risk of infection, you can come to school.
* Fever is the state in which the body temperature is less than 37.4 degrees both in the morning and in the evening.
※2 Excluding pandemic influenza, avian influenza, etc.

Iwata City

Elementary/Junior High School Grade＿ Class＿ Name＿＿＿＿＿＿＿

Date when symptoms appeared: Reiwa__ Month__ Day___*If the "antigen test kit" is positive, the test date (specimen collection date) is the "onset date".
*When using the "antigen test kit", please use "in vitro diagnostic drugs" or "class 1 drugs".
Di agn o s is D a te : R ei w a _ _ Y ea r _ _ M o n th _ _ D ay Dia gn o si s Name_________________________
Temperature

Date Onset

1st Day

2nd Day

3rd Day

4th Day

5th Day

6th Day

7th Day

8th Day

月日/////////Temp.℃AM

PM

Am PMAM

PMAM

PM

Am PMAM

PMAM

PM

AM

PM

AM

PM℃℃℃℃℃℃℃℃℃℃℃℃℃℃℃℃℃℃

40℃

39℃
38℃

37.5℃
37℃

36℃

Dear School Principal
Asthe above haspassed, please lift the suspension of attendanceReiwaYearMonth

こ のBe日まtoでず dayお 休 み
surerestは必until thisDay Parent’sName ____________________________________________________________

Novel Coronavirus*1 and Influenza*2 Follow-up Chart (Entered by parents)
entry
exampleMeasure your body temperature twice in the morning and evening, fill in the record tableGuardian
below, andwatch
the progress of your fever while making a line graph. After the suspension period, please fill in the name ofthe parent or guardian and submit it to the school.
【Criteria for suspension of attendance] * The date of onset, the day of symptom relief, and the day offever reduction shall be 0 days.】● New coronavirus: Until 5 days have passed since the onset of the disease and 1 day after thesymptoms have been relieved* "Mild symptoms" means that the fever is relieved without the use of antipyretic drugs and the respiratory
symptoms are improving.
*1
The pathogen is limited to coronaviruses of the genus Betacoronavirus (limited to those newly reported
to have the ability to transmit to humans from the People's Republic of China to the World HealthOrganization in January Reiwa 2).
● Influenza: Until 5 days have passed since the onset of the disease and 2 days have passed since
the fever has been eliminated* If the school doctor or other doctor recognizes that there is no risk of infection, you can come to school.
*Antipyretic is a condition in which the body temperature is below 37.5 degrees Celsius in both morningand evening.
*2Excludes new strains of influenza and avian influenza

Iwata Municipal Iwata Elem and Junior High School 5th grade 5 groups Name: Hanako Iwata
Date of symptom: May 8, Reiwa＊If the "antigen test kit" is positive, the test date (sample collection date) is the "onset date".
*When using an antigen test kit, use an in vitro diagnostic reagent or a first-class drug.
Please note.
Date of diagnosis: May 9, Reiwa 5 Diagnosis name Novel Coronavirus Infection
Temperature

Date Onset

1st Day

2nd day

3rd day

4th Day

5th Day

6th Day7th Day

8th Day

Date

5/8

5/9

5/10

5/11

5/12

5/13

5/14

5/15

5/16

AM

AMAMAMPMAMPMAM

PM

AM

PM

38.9 38.5 39.0 38.3 38.0 38.3 37.4

36.9 36.6 36.8 36.7 36.6

36.6℃

℃

℃

℃

℃

℃

℃

℃

AM
Temp℃

PM℃

AM

℃

PM℃

℃

PM℃

℃

PM℃

PM℃

℃

℃

40℃

39℃
38℃

37.5℃
37℃
解熱日

36℃
Dear School Principal,

Be sure torest until thisday

Asthe above haspassed, please lift the suspension of attendance.

Reiwa５年５月 14sun Parent's Name IwataTaro