If your child is diagnosed with ANY contagious condition, including, but not limited to, the ones listed below, please email the school nurse at nurse@theprimarydayschool.org to report the illness.

Condition	When the child may return to school
Any physical condition that prevents a child from fully participating in their school day.	When they are again able to fully participate in an educational environment.
Asthma that cannot be controlled with an inhaler	After being seen by a physician and with a physician’s note stating what protocol should be followed at school for this condition.
Chicken pox	After all lesions have dried over or 7 days after the onset of the rash AND no new lesions appear for at least 24 hours.
Conjunctivitis (infectious)	After the eye(s) are without discharge or the child is on an antibiotic for a minimum of 24 hours.
COVID-19 (coronavirus)	Per CDC guidelines and Maryland State Department of Health, after the child has been fever free for 24 hours without fever-reducing medications, symptoms improved, and child feels well enough to participate. Extra precautions may be considered for an additional 5 days after fever subsides to minimize transmission including good hand hygiene, wearing a mask, and distancing.
Cough (persistent)	When the cough no longer interferes with school-related activities or the learning process.
Diarrhea (2 or more loose stools in the past 12 hours or any loose stool with blood or mucus)	24 hours after stools return to normal. If caused by infectious disease (E. coli, norovirus, Shigella), child may return 48 hours after the last diarrhea stool with a note of medical clearance from a medical provider.
Ear Infections	After the child is without pain (no medication necessary to control pain) and fever free for at least 24 hours without fever-reducing medication.
Fever	After being fever free for a minimum of 24 hours (temperature less than 100°F) without the use of fever-reducing medication.
Hand, Foot, and Mouth Disease (HFMD)	After being fever free for at least 24 hours (temperature below 100°F) without the use of fever-reducing medication, when there is no uncontrolled drooling associated with mouth sores, and when there are no open or draining sores or blisters.
Head Lice	May return to school 24 hours after the first treatment has been completed.
Hepatitis (all types)	Contact the school nurse for guidance.
Impetigo	After 24 hours of antibiotic treatment and fever free for at least 24 hours without the use of fever-reducing medications. Lesion(s) must be kept covered while at school. If lesion(s) cannot be kept covered, child may not return to school until it is healed.
Measles	With a physician’s note submitted to the Health Office stating the student is no longer contagious and is permitted to attend school.
Mouth sores (with drooling)	After drooling has stopped and the child is pain free.
Mumps	Per CDC and Maryland State Department of Health guidelines, child must isolate for at least 5 days after onset of parotid gland swelling or after onset of first symptom and must continue isolation until child is fever free for at least 24 hours without the use of fever-reducing medication and symptoms improve. Child will need a physician’s note of medical clearance stating the child is no longer contagious and is permitted to attend school submitted to the Health Office.
Pertussis	After 5 consecutive days of antibiotic treatment and the child is fever free (less than 100°F) without the use of fever-reducing medication. Child will need a physician’s note submitted to the Health Office stating the student is permitted to attend school.
Rash (unknown origin)	After the rash is gone or with a physician’s note submitted to the Health Office stating the student is not contagious and is permitted to attend school.
Ringworm	After antifungal treatment has been started and the student can keep from touching or scratching the area. The area must be covered at all times while at school.
RSV	After child has been fever free for at least 24 hours without fever-reducing medication, once respiratory symptoms have improved for at least 24 hours, and once child feels well enough to participate.
Scabies	After treatment course is completed and with a physician’s note submitted to the Health Office stating the student is permitted to attend school.
Scarlet Fever	After 24 hours of antibiotic treatment has been completed and once child has been fever free for at least 24 hours without the use of fever-reducing medications. A physician’s note submitted to the Health Office stating the student is permitted to attend school is required.
Strep throat	After 24 hours of antibiotic treatment has been completed and once the child has been fever free for at least 24 hours without fever-reducing medication.
Tuberculosis	After a note from the physician is submitted to the Health Office stating that the student is no longer contagious and is permitted to attend school.
Vomiting	24 hours after the last episode of vomiting without the use of medication to control vomiting.

Revised March 2026