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Flu/ILI and Fever

Health Service Protocol


Flu/ILI (Influenza Like Illness)

According to CDC and the Control of Communicable Disease Manual, children and adults with influenza are most infectious 24 hours before the onset of symptoms and up to five days after symptoms begin. Viral shedding peaks at three days of illness and ceases within seven days and is correlated with the degree of fever.

KDHE recommends that persons who are symptomatic with influenza-like illness(ILI) (temperature of 100°F (37.8°C] or greater, a cough and/or a sore throat without a known cause other than influenza) and have either a positive laboratory test for influenza or been treated with antiviral medication used to treat influenza is considered to have a case of influenza. To control the spread of influenza the following isolation requirements should be followed: For each person with a case shall remain in home isolation for five days following onset of illness or until fever free for 24 hours without the aid of fever reducing medications, whichever is longer, except when seeking medical care.  

Source:  Farah Ahmed, MPH, PHD State Epidemiologist KDHE 10/23/19 

Fever

Fever is considered an oral temperature of 101. Students who are sent home from school with a fever of 101 or greater, should remain at home until fever free for 24 hours without the aid of fever reducing medications. 

Source: Managing Infectious Diseases in Child Care and Schools, 3rd edition, American Academy of Pediatrics 2013. Pg. 91

Doctor Notes

Dr. notes specifying a specific amount of time to be absent take precedence over other guidelines.