Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.7 - Diseases Requiring Exclusion from Schools

Current through Reg. 49, No. 28; July 12, 2024
(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.