May 20th, 2013

Pertussis (Whooping Cough)

Washington State is experiencing a widespread pertussis outbreak.

Due to the high number of cases in our state and county, the health department is asking us to remind our school communities to review information about this illness and take appropriate measures.

Pertussis is a bacterial illness that may begin with symptoms like the common cold: a runny nose, scratchy throat and cough. The cough continues to get worse over one to two weeks. Fever is usually mild or absent. Most children and adults don’t get seriously ill, but pertussis can be life threatening for infants. Last year, two infants in Washington state died from pertussis infection.

There are many things you can to do protect your family and your community from pertussis:

§  Make sure that everyone in your family, including teens, parents and grandparents, are up-to-date on all of their shots There is a one-time pertussis booster shot that all teens and adults should receive if they have not already had it.

§  Keep coughing people away from babies and pregnant women.

§  See a doctor for symptoms of pertussis. These include:

o Coughing a week or more with any of the following: uncontrollable fits of coughing, vomiting after coughing, or coughing until difficult to breathe.

o Coughing two weeks or more.

o See a doctor if someone close to you has recently had pertussis and you develop a cough.

o Infants, pregnant women in their 3rd trimester and people in close contact with them should see a doctor for any new or worsening unexplained cough.

§  If you have pertussis, stay out of work and school until you have finished five days of antibiotic medicine for pertussis. People who have pertussis and don’t take antibiotics should stay out of work or school for three weeks or until the cough is completely gone.

§  Cover coughs and sneezes, wash hands frequently with soap and water, and stay home from work or school when sick. 

Thank you for taking these steps to protect the health of your family and community. If you have questions about pertussis or are concerned that you might have pertussis, please call your health care provider. For more information you may also call Public Health at 206-296-4774, your school nurse or visit the King County Public Health Web site that contains a current listing of where to get vaccinations, www.kingcounty.gov/healthservices/health/communicable/diseases/whoopingcough.aspx.

Snohomish County Immunization Resources:

http://www.snohd.org/Shd_CD/CDHotTopic.aspx

 


  (image credit : MedicineNet.com)

Basic Head Lice Facts from the School Nurse

Please note: if there is a case of lice in your child’s classroom you will receive notification.

The most important step in preventing an outbreak is to check your child's head weekly for signs of infestation. Teach your child not to share hats, scarves, combs, and headbands, or play with each other's hair, as these are ways that lice are most frequently spread. Lice are contagious and anyone, no matter how clean, may become infested.

Head lice are very small (adult size of a sesame seed) dark colored insects that crawl from head to head. They hide from light and are difficult to see. It is easier to spot their eggs or "nits". Nits are tiny, pearly/shiny oval specks firmly attached to the hair. While dandruff flakes, hair spray residue, etc., can be easily removed, nits need to be scraped or picked off. Nits can appear white, gray or brown, and are best seen in sunlight or fluorescent light. Small red bite marks may be visible on the neck and scalp, especially evident around the nape of the neck and behind ears, and some people experience an itchy scalp.

If you find nits or lice in your child's hair, there are several treatment options. Louse killing shampoos (pesticides) as well as non-toxic preparations are available at pharmacies. There are also a number of remedies utilizing household products. No treatment will kill all the un-hatched lice. All nits must be removed to insure successful treatment.Combing and nit removal may take numerous sessions to accomplish. A metal nit comb (i.e. LiceMeister) may be helpful with this task.

If lice are identified, each family member should be checked daily for at least two weeks. Treat only those family members who actually have evidence of lice. Follow the laundering and cleaning instruction provided with the treatment product. A brochure is available in the Health Room with helpful instructions and ideas for getting rid of lice. There is also a link to the left of this page that has more information regarding lice treatment along with a VIDEO that shows how to remove nits.  Thorough vacuuming of all carpeted and upholstered surfaces, including the car, is more effective and safer than using sprays.

Please inform the school, day-care and playmates if you have identified and treated your child for lice. Students must be free of live lice and the nits removed before they return to school. Children need to be accompanied to school by an adult and cleared through the health room before they can return to class.


WEEKLY HEAD LICE CHECKS OF YOUR CHILD'S HEAD IS THE BEST FORM OF PREVENTION. Thank you for you cooperation.