Symptoms

Fever, sore throat, swollen glands, headache, nausea, and vomiting.

Incubation Period

2-5 days

Mode of Transmission & Communicability

The virus is spread directly by droplets from coughing and sneezing and indirectly through hands or objects contaminated with nose or throat discharges of infected persons. Communicable 24 hours before the onset of symptoms and for 5 days after nasal involvement.24-48 hours after the treatment is started.

School Action

1. Refer for medical diagnosis and treatment.

2. Exclude from school until at least 12 hours after antibiotic treatment begins, the child is without fever and the child is clinically well.

3. For negative quick strep tests, recommend children remain out of school until the 24-hour throat culture results are available.