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Escondido Union HSD  |  AR  5141.22  Students

Infectious Diseases   

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The Superintendent or designee shall immediately report to the local health officer the presence or suspected presence of any communicable disease. (17 CCR 2508)

Universal Precautions in the Classroom

Before students work with blood, blood products, or other body fluids, the teacher shall explain the potentially hazardous nature of blood and body fluids in the transmission of various agents from one person to another and the specific procedures and safety precautions to be used in the lesson.

The following precautions shall be used when students are working with blood or other body fluids:

1. Before and after exposure to blood or other body fluids, students shall wash their hands with soap and water and cover any existing cut, wound, or open sore with a sterile dressing.

2. Students shall wear gloves or other personal protective equipment as appropriate.

(cf. 5142 - Safety)

3. Blood typing or similar experiments may be conducted by teacher demonstrations. When being performed individually, students shall work with their own blood or use prepackaged ABO/Rh blood cell kits that have vials of blood previously tested for transmissible agents.

a. Students shall use individual sterile lancets for finger punctures and shall not reuse them.

b. Before the finger is punctured, it shall be wiped with a piece of cotton that has been immersed in alcohol.

c. If bleeding persists after the finger is punctured, the student shall apply a sterile bandage using moderate pressure.

4. Lancets and any other materials contaminated with blood or body fluids shall be discarded into a solution consisting of one part bleach to 10 parts water (1:10), made fresh daily.

5. At the end of the class, surfaces shall be wiped with alcohol or a solution of one part bleach to 10 parts water.

(cf. 4119.42/4219.42/4319.42 - Exposure Control Plan for Bloodborne Pathogens)

(cf. 4119.43/4219.43/4319.43 - Universal Precautions)

(cf. 6142.1 - Sexual Health and HIV/AIDS Prevention Instruction)

(cf. 6142.8 - Comprehensive Health Education)

(cf. 6142.93 - Science Instruction)

In determining whether to exclude a child with a suspected or diagnosed infectious disease, the Superintendent or designee may consult the child's parent/guardian, the student's physician, and The Health and Human Services Agency's (HHSA) TB Control Program for assistance in this determination

The following protocol shall be followed for any student who has a positive TB skin test:

1. The parent/guardian must provide the school with documentation of chest x-ray by a licensed health care provider. If no x-ray has been done, the parent/guardian shall be given a TB follow-up form to take to his/her personal physician or to a HHSA public health clinic. The student must then obtain a chest x-ray and bring proof that the film was taken. The student may be excluded from school if proof of chest x-ray is not returned to school within a reasonable time frame (20 days).

2. Students determined or suspected to have active tuberculosis by the health care provider will not be permitted to attend school until the school administration is notified by the HHSA TB Program that the student is cleared to return to school. The TB Clearance Certificate for School Attendance provided by the district must be completed by a licensed health care provider.

3. Parents/guardians may request a list of health care providers who provide TB skin testing and x-ray from the district. Students who have been cleared to attend school but require treatment to TB infection or disease may request the school district to administer daily medication.

4. If the x-ray is negative and the student admitted, the Superintendent or designee may contact the student and family again in four to six weeks to determine that they have followed through with a medical appointment for the preventive medication program, if needed.


The Superintendent or designee shall ensure that student confidentiality rights are strictly observed in accordance with law. No district employee shall release medical information, including knowledge of a bloodborne pathogen infection, without written consent from the parent/guardian. Such information may be shared only with those persons specifically named in the written permission.

(cf. 5141.21 - Administering Medication)

Review Team

The parents/guardians of a student with an infectious disease may ask the Superintendent or designee to convene a review panel to make recommendations regarding appropriate programs and services for their child. The review panel may refer the decision to an individualized education program or 504 team as appropriate.

(cf. 5141.21 - Administering Medication and Monitoring Health Conditions)

(cf. 6159 - Individualized Education Program)

(cf. 6164.4 - Identification of Individuals for Special Education)

(cf. 6164.6 - Identification and Education Under Section 504)


approved: June 17, 2014 Escondido, California