Alison Hillen, BSN RN CSN-NJ

SBS School Nurse #(732)-747-0882 (Ext. 301)


Important Travel Quarantine Information:

● The NJDOH has recently updated their guidance regarding quarantines for any type of travel. This

communication home is not meant to encourage travel outside of the state or country. Nor should

this letter be interpreted as any type of guidance contrary to the CDC, NJDOH, of Governor of New

Jersey. The Shrewsbury Borough School will require all students who travel to quarantine for ten (10) days,

as the NJDOH has outlined. Upon guidance from and in consultation with the MCRCH#1, SBS will not allow

students to “test out” of this quarantine period for the shorter 7 days.

○ New Jersey strongly discourages all non-essential interstate travel at this time.

○ Travelers and residents returning from any U.S. state or territory beyond the immediate region

(New York, Connecticut, Pennsylvania, and Delaware) should self-quarantine at their home, hotel,

or other temporary lodging following recommendations from the CDC:

■ If travel is unavoidable, travelers should consider getting tested with a viral test (not an

antibody test) 1-3 days before the trip and again 3-5 days after the trip.

■ If travelers test positive, they should self-isolate for at least 10 days and should

postpone travel during that time.

■ If testing is not available (or if the results are delayed), travelers should quarantine for 10

days after travel.

■ The advisory is no longer specific to certain states. Because of the rising number of case

counts across all states, there is an increased risk of spread of COVID-19 upon return

from any travel.

Coronavirus COVID-2019 Updates:

Please check CDC for updates:

Handwashing is one of the best ways to prevent the spread of germs. What you need to know about handwashing:

CDC Hand washing Video

  • My Stay-at-Home Lab Shows How Face Coverings Can Block the Spread of Disease

There is this link below for a HIGH Speed video demonstration showing how facial covering work to prevent Coronavirus (COVID-19) spread.

When and How to Wash Your Hands

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Handwashing is one of the best ways to protect yourself and your family from getting sick. Learn when and how you should wash your hands to stay healthy.

Wash Your Hands Often to Stay Healthy

You can help yourself and your loved ones stay healthy by washing your hands often, especially during these key times when you are likely to get and spread germs:

  • Before, during, and after preparing food

  • Before eating food

  • Before and after caring for someone at home who is sick with vomiting or diarrhea

  • Before and after treating a cut or wound

  • After using the toilet

  • After changing diapers or cleaning up a child who has used the toilet

  • After blowing your nose, coughing, or sneezing

  • After touching an animal, animal feed, or animal waste

  • After handling pet food or pet treats

  • After touching garbage

Follow Five Steps to Wash Your Hands the Right Way

Washing your hands is easy, and it’s one of the most effective ways to prevent the spread of germs. Clean hands can stop germs from spreading from one person to another and throughout an entire community—from your home and workplace to childcare facilities and hospitals.

Follow these five steps every time.

  1. Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.

  2. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.

  3. Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.

  4. Rinse your hands well under clean, running water.

  5. Dry your hands using a clean towel or air dry them.

Why? Read the science behind the recommendations.

Use Hand Sanitizer When You Can’t Use Soap and Water

You can use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.

Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not readily available, you can use an alcohol-based hand sanitizer that contains at least 60% alcohol. You can tell if the sanitizer contains at least 60% alcohol by looking at the product label.

Sanitizers can quickly reduce the number of germs on hands in many situations. However,

  • Sanitizers do not get rid of all types of germs.

  • Hand sanitizers may not be as effective when hands are visibly dirty or greasy.

  • Hand sanitizers might not remove harmful chemicals from hands like pesticides and heavy metals.

Caution! Swallowing alcohol-based hand sanitizers can cause alcohol poisoning if more than a couple of mouthfuls are swallowed. Keep it out of reach of young children and supervise their use. Learn more here.

How to use hand sanitizer

  • Apply the gel product to the palm of one hand (read the label to learn the correct amount).

  • Rub your hands together.

  • Rub the gel over all the surfaces of your hands and fingers until your hands are dry. This should take around 20 seconds.

For Parents: Multisystem Inammatory Syndrome in Children (MIS-C) associated with COVID-19 MIS-C Info for Parents Updated May 20, 2020 Print What to do if you think your child is sick with MIS-C Contact your child’s doctor, nurse, or clinic right away if your child is showing symptoms of MIS-C: Fever Abdominal pain Vomiting Diarrhea Neck pain Rash Bloodshot eyes Feeling extra tired Be aware that not all children will have all the same symptoms. Seek emergency care right away if your child is showing any of these emergency warning signs of MIS-C or other concerning signs: Trouble breathing Pain or pressure in the chest that does not go away New confusion Inability to wake or stay awake Bluish lips or face Severe abdominal pain What we know about MIS-C Multisystem inammatory syndrome in children (MIS-C) is a condition where dierent body parts can become inamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C. However, we know that many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19. MIS-C can be serious, even deadly, but most children who were diagnosed with this condition have gotten better with medical care. Coronavirus Disease 2019 (COVID-19) MENU 9/10/2020 For Parents: Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 | CDC 2/2 p How doctors will care for your child Doctors may do certain tests to look for inammation or other signs of disease. These tests might include: Blood tests Chest x-ray Heart ultrasound (echocardiogram) Abdominal ultrasound Doctors may provide supportive care for symptoms (medicine and/or uids to make your child feel better) and may use various medicines to treat inammation. Most children who become ill with MIS-C will need to be treated in the hospital. Some will need to be treated in the pediatric intensive care unit (ICU). Parents or caregivers who have concerns about their child’s health, including concerns about COVID-19 or MIS-C, should call a pediatrician or other healthcare provider immediately. Healthcare providers can follow CDC recommendations to keep children and their parents or caregivers safe if an in-person visit is needed. What we don’t know about MIS-C CDC is still learning about MIS-C and how it aects children, so we don’t know why some children have gotten sick with MIS-C and others have not. We also do not know if children with certain health conditions are more likely to get MIS-C. These are among the many questions CDC is working to try to understand. All CDC recommendations are based on the best data and science available at the time, and we will update them as we learn more. How to protect your child from COVID-19 Based on what we know now about MIS-C, the best way you can protect your child is by taking everyday actions to prevent your child and the entire household from getting the virus that causes COVID-19

The onset of cooler weather does not mean that mosquito season is over. Mosquitoes can remain active until the first frost. Take precautions to protect yourself and your family from mosquito bites. Use insect repellent, limit time outdoors when and where mosquitoes are biting, especially at dawn and dusk; wear long sleeves and long pants and consider treating clothing with Permithrin.

Use this checklist to help you find and eliminate all the places that mosquitoes breed around your home.

Mosquito habitat checklist.

Information on Tick-borne Disease Education

Fight the Bite, NJ!

When infected blood-sucking insects (such as mosquitoes and ticks) bite a person, they can spread vector-borne illnesses such as West Nile Virus and Lyme disease. There are many types of vector-borne illness. The best defense against them is to take steps to avoid being bitten by infected insects.

The Communicable Disease Service has staff dedicated to the monitoring, control and prevention of vector-borne diseases.

Specific activities performed by vector-borne illness staff include:

  • Surveillance of vector-borne diseases

  • Identifying risk factors

  • Monitoring geographic trends

  • Providing technical assistance and training

  • Educating the public

Please see the attached memo regarding the New Jersey School-Based Tick-borne Disease Education Toolkit available online at

As we begin a new school year, it is a good opportunity to remind people of all ages about the importance of the identification, prevention, and treatment of Lyme disease and other tickborne diseases. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis. Information on preventing tickborne diseases is available online at the NJDOH website mentioned above.

August is National Immunization Awareness Month

National Immunization Awareness Month (NIAM) is an annual observance held in August highlighting the importance of vaccination for people of all ages. NIAM encourages people to make sure they are up to date on the vaccines recommended for them.

MCHD provides childhood immunizations free to children from birth to 18 years old who are uninsured and live in a participating town with the Monmouth County Board of Health. With parental permission, the children will be entered into a statewide immunization registry, which encourages timely and age appropriate immunizations.

Services for children are provided at the Monmouth County Social Services Building, 3000 Kozloski Rd. Freehold, NJ 07728. To make an appointment, call 732-294-5458. Year round clinic days are Mondays, from 9 a.m.-12 p.m., and 1:30 p.m.-3:30 p.m.

For Adults (18 and over) Influenza, Tetanus, Diphtheria and Pertussis, Hepatitis A and B and Meningococcal immunizations are available. To make arrangements, call 732-431-7456.

Ticks And Mosquitoes Precautions for 2019

County Resources to Help You

Free Tick Identification Service To learn the species, tick development age, gender and engorgement level, bring a dead or living tick sealed in zippered plastic bag or container, in person to the Monmouth County Mosquito Control Division at 1901 Wayside Rd. Tinton Falls, NJ 07724. This data can be used to help inform you and your physician what illness a bitten individual may potentially develop. Request a Courtesy Mosquito Inspection A County inspector can visit your property to look for standing water sources that support mosquito larvae. If larvae are found, the inspector will either treat the water to kill the larvae or drain containers like buckets. Visit the Monmouth County Mosquito Control Division website for more information and resources on how to manage ticks and mosquitoes to prevent disease.

  • Ticks and mosquitoes disrupt our enjoyment of the outdoors with their creepy crawly bodies and itchy bites, but they can also threaten our long term health. Ticks and mosquitoes spread a variety of diseases, from debilitating to life threatening. Learning about how these pests live and the threats they pose will help you understand how to protect your family and pets.

  • Which Ticks Are in Monmouth County? The three most common tick species in the County are the black-legged or “deer tick,” the lone star, and the American dog tick.1 Deer ticks prefer to live in cool moist conditions and are commonly found in dense shrubs and piles of fallen leaves. Often they are encountered at forest edges. Lone star ticks can tolerate a drier habitat than deer ticks. They are often found in shrubs, fallen leaves, and at forest edges. Immature American dog ticks are commonly in old-fields, along trails and in pastures. Adult American dog ticks are likely to inhabit overgrown areas in urbanized settings like vacant lots.2

  • Tick Borne Diseases & Their Symptoms While Lyme disease is the most common vector-borne illness in Monmouth County, it is only carried by black-legged ticks, otherwise known as deer ticks. Each of the common ticks in Monmouth County are capable of carrying a transmittable disease. In general, symptoms of tick-borne illnesses include fever, chills, headache, body aches, fatigue and nausea.3 If you develop any of these symptoms, see a physician immediately, especially if you recently removed a latched tick.

We have noticed an increase in the Stomach Bug for April 2018. Please be advised of the below facts and info.

Norovirus is a germ that spreads quickly and easily. It causes vomiting and diarrhea that come on suddenly. Millions of people get ill with norovirus each year. You can help protect yourself and others by washing your hands often and following simple tips to stay healthy.

Noroviruses are a group of related viruses that can cause inflammation of the stomach or intestines, also known as gastroenteritis (GAS-tro-en-ter-I-tis). This leads to cramping, nausea, vomiting, and diarrhea.

*********Norovirus Is the Most Common Cause of Gastroenteritis in the U.S.

****Protect Yourself and Others from Norovirus:

    • Practice proper hand hygiene

Wash your hands carefully with soap and water, especially after using the toilet and changing diapers, and always before eating or preparing food. If soap and water aren’t available, use an alcohol-based hand sanitizer. These alcohol-based products can help reduce the number of germs on your hands, but they are not a substitute for washing with soap and water.

    • Handle and prepare food safely

    • Wash laundry thoroughly. Immediately remove and wash clothing or linens that may be contaminated with vomit or poop

Washing hands with soap and water is the best way to reduce the number of germs on them in most situations. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Alcohol-based hand sanitizers can quickly reduce the number of germs on hands in some situations, but sanitizers do not eliminate all types of germs and might not remove harmful chemicals.

Hand sanitizers are not as effective when hands are visibly dirty or greasy.