Assistance
Infectious diseases in childcare settings and schools
The “Infectious diseases in childcare settings and schools” manual informs administrators, childcare providers, caregivers, parents and guardians, and school health staff about specific infectious disease problems they may encounter in childcare settings or schools. This manual is designed to provide specific disease prevention and control guidelines which are consistent with the national standards put forth by the American Public Health Association and the American Academy of Pediatrics.
This sixth edition of this manual contains:
- 47 fact sheets specifically for parents/guardians of childcare and school-aged children. Each of these are labeled “Parent fact sheet.”
- 54 fact sheets for providers about specific infectious disease problems. Each of these are labeled “Provider fact sheet.”
Some provider fact pages indicate when immediate action is necessary. Please note that the provider must consult with the local or state health department on the fact sheets labeled “Reportable.”
Section 1 – Staff and children guidelines
Exclusion of Ill Persons
- General information about exclusion of ill persons (PDF, 1MB)
- Childcare/Preschool (PDF, 1MB)
- Schools (PDF, 1MB)
Communicable Disease Concerns for Pregnant Women
- General information about communicable disease concerns for pregnant women (PDF, 1MB)
- Cytomegalovirus (CMV) and Pregnancy (PDF, 1MB)
- Fifth Disease (Parvovirus B19) and Pregnancy (PDF, 1MB)
- Hand, Foot, and Mouth (Enteroviral Infections) and Pregnancy (PDF, 1MB)
- Hepatitis B Virus and Pregnancy (PDF, 1MB)
- Human Immunodeficiency Virus (HIV) and Pregnancy (PDF, 1MB)
- Rubella (German Measles) and Pregnancy (PDF, 1MB)
- Varicella-Zoster Virus (Chickenpox) and (Shingles) and Pregnancy (PDF, 1MB)
Human Biting Incidents
Section 2 – Environment guidelines
Cleaning, Sanitizing, and Disinfecting
- General information about cleaning, sanitizing and disinfecting (PDF, 1MB)
- Guidelines for specific items/areas (PDF, 1MB)
- How to mix bleach solutions (PDF, 1MB)
- Checklist for choosing a disinfectant other than bleach (PDF, 1MB)
- Comparison of bleach to quaternary ammonia products (PDF, 1MB)
Diapering
- General information about diapering (PDF, 1MB)
- Diapering Procedures (PDF, 1MB)
- Changing Pull-ups/Toilet Learning Procedure (PDF, 1MB)
Food Safety in Childcare Settings and Schools
Pets in Childcare Settings and Schools
Wading Pools
Section 3 – Prevention and control guidelines
Covering Your Cough
Gloving
Handwashing
- General information about handwashing (PDF, 1MB)
- Handwashing procedures (PDF, 1MB)
- Handwashing poster (PDF, 1MB)
Infection Control Guidelines
- General information about infection control guidelines (PDF, 1MB)
- Infection control recommendations for school athletic programs (PDF, 1MB)
Misuse of Antibiotics
Safe Handling of Breast Milk
Section 4 – Reporting communicable disease
Communicable Disease Reporting
General information about communicable disease reporting (PDF, 1MB)
Information includes:
- Minnesota Reporting Rule
- Reports from Parents/Guardians or Staff
- Reports to Local/State Health Department
- Local/State Health Department Disease
- Prevention and Control Resources in Minnesota
Section 5 – Communicable disease control and management
General information about communicable disease control and management (PDF, 1MB)
Information includes:
- Control and Management of Exposures and Outbreaks
- Reports to Local/State Health Departments
- Notification of Parents/Guardians and Childcare or School Staff
- Sample line list (PDF, 1MB)
Section 6 – Fact sheets for communicable disease
How and when to use fact sheets (PDF, 1MB)
Bedbugs
Bronchitis, acute (chest cold/bronchiolitis)
Campylobacteriosis
- Campylobacteriosis parent fact sheet 2023 (PDF, 1MB)
- Campylobacteriosis provider fact sheet 2023 (PDF, 1MB)
C. Diff
Chest cold (see Bronchitis, acute)
Chickenpox (varicella)
- Chickenpox parent fact sheet 2024 (PDF, 1MB)
- Chickenpox parent fact sheet – Hmong (PDF, 1MB)
- Chickenpox parent fact sheet – Somali (PDF, 1MB)
- Chickenpox parent fact sheet – Spanish (PDF, 1MB)
- Chickenpox provider fact sheet 2024 (PDF, 1MB)
Conjunctivitis (pink eye)
- Conjunctivitis parent fact sheet 2023 (PDF, 1MB)
- Conjunctivitis parent fact sheet - Somali (PDF, 1MB)
- Conjunctivitis parent fact sheet – Spanish (PDF, 1MB)
- Conjunctivitis provider fact sheet 2023 (PDF, 1MB)
COVID-19
- COVID-19 parent fact sheet 2024 (PDF, 1MB)
- COVID-19 parent fact sheet 2024 Somali (PDF, 1 MB)
- COVID-19 parent fact sheet 2024 Spanish (PDF, 1MB)
- COVID-19 provider fact sheet 2024 (PDF, 1MB)
Croup
Cryptosporidiosis
- Cryptosporidiosis parent fact sheet 2023 (PDF, 1MB)
- Cryptosporidiosis provider fact sheet 2023 (PDF, 1MB)
Cytomegalovirus (CMV) infection
- Cytomegalovirus parent fact sheet 2023 (PDF, 1MB)
- Cytomegalovirus provider fact sheet 2023 (PDF, 1MB)
Diarrhea (infectious)
- Diarrhea parent fact sheet 2023 (PDF, 1MB)
- Diarrhea parent fact sheet – Hmong (PDF, 1MB)
- Diarrhea parent fact sheet – Somali (PDF, 1MB)
- Diarrhea parent fact sheet – Spanish (PDF, 1MB)
- Diarrhea provider fact sheet 2023 (PDF, 1MB)
E. coli O157:H7 infection and hemolytic uremic syndrome (HUS)
Enteroviral infection
Fifth disease (erythema infectiosum)
- Fifth disease parent fact sheet 2023 (PDF, 1MB)
- Fifth disease parent fact sheet – Somali (PDF, 1MB)
- Fifth disease parent fact sheet – Spanish (PDF, 1MB)
- Fifth disease provider fact sheet 2023 (PDF, 1MB)
Giardiasis
H1N1 influenza (see Influenza)
Haemophilus influenzae type B (Hib) disease
Hand, foot, and mouth disease
- Hand, foot and mouth parent fact sheet 2024 (PDF, 1MB)
- Hand, foot and mouth provider fact sheet 2024 (PDF, 1MB)
Head lice
- Head lice parent fact sheet 2024 (PDF, 1MB)
- Head lice parent fact sheet – Somali (PDF, 1MB)
- Head lice parent fact sheet – Spanish (PDF, 1MB)
- Head lice provider fact sheet 2024 (PDF, 1MB)
Hepatitis A
Hepatitis B
- If you have a concern about hepatitis B, please contact Epidemiology at 612-543-5230.
Hepatitis C
- If you have a concern about hepatitis C, please contact Epidemiology at 612-543-5230.
Herpes gladiatorum
- Herpes gladiatorum parent fact sheet 2023 (PDF, 1MB)
- Herpes gladiatorum provider fact sheet 2023 (PDF, 1MB)
Herpes, oral
Human immunodeficiency virus (HIV) infection/AIDS
- If you have a concern about HIV, please contact Epidemiology at 612-543-5230.
Impetigo
- Impetigo parent fact sheet 2024 (PDF, 1MB)
- Impetigo parent fact sheet – Hmong (PDF, 1MB)
- Impetigo parent fact sheet – Somali (PDF, 1MB)
- Impetigo parent fact sheet – Spanish (PDF, 1MB)
- Impetigo provider fact sheet 2024 (PDF, 1MB)
Influenza - seasonal influenza, H1N1 influenza (also called swine flu), and influenza-like illness (ILI)
- Influenza parent fact sheet 2025 (PDF, 1MB)
- Influenza parent fact sheet – Hmong (PDF, 1MB)
- Influenza parent fact sheet – Somali (PDF, 1MB)
- Influenza parent fact sheet – Spanish (PDF, 1MB)
- Influenza provider fact sheet 2025 (PDF, 1MB)
Lice (see Head lice)
Measles
- Measles parent fact sheet 2025 (PDF, 1MB)
- Measles parent fact sheet – Somali (PDF, 1MB)
- Measles parent fact sheet – Spanish (PDF, 1MB)
- Measles provider fact sheet 2025 (PDF, 1MB)
Meningococcal disease
Methicillin-resistant staphylococcus aureus (MRSA)
Molluscum contagiosum
Mononucleosis
MRSA (see Methicillin-resistant staphylococcus aureus)
Mumps (parotitis)
Norovirus
- Norovirus parent fact sheet 2024 (PDF, 1MB)
- Norovirus parent fact sheet – Somali (PDF 1MB)
- Norovirus parent fact sheet – Spanish (PDF, 1MB)
- Norovirus provider fact sheet 2024 (PDF, 1MB)
Parapertussis
Pertussis (whooping cough)
- Pertussis parent fact sheet 2025 (PDF, 1MB)
- Pertussis parent fact sheet – Somali (PDF, 1MB)
- Pertussis cough parent fact sheet – Spanish (PDF, 1MB)
- Pertussis cough provider fact sheet 2025 (PDF, 1MB)
Pinworms
Pneumococcal infection
Pneumonia
Respiratory infection (viral)
- Respiratory infection parent fact sheet 2024 (PDF, 1MB)
- Respiratory infection provider fact sheet 2024 (PDF, 1MB)
Respiratory syncytial virus (RSV) infection
Ringworm
- Ringworm parent fact sheet 2024 (PDF, 1MB)
- Ringworm parent fact sheet – Somali (PDF, 1MB)
- Ringworm parent fact sheet – Spanish (PDF, 1MB)
- Ringworm provider fact sheet 2024 (PDF, 1MB)
Roseola
Rotaviral infection
- Rotaviral infection parent fact sheet 2024 (PDF, 1MB)
- Rotaviral infection provider fact sheet 2024 (PDF, 1MB)
Rubella (also called German measles)
Salmonellosis
Scabies
- Scabies parent fact sheet 2024 (PDF, 1MB)
- Scabies parent fact sheet – Somali (PDF, 1MB)
- Scabies parent Fact Sheet – Spanish (PDF, 1MB)
- Scabies provider Fact Sheet 2024 (PDF, 1MB)
Shigellosis
Shingles (zoster)
Staph skin infection
- Staph skin infection parent fact sheet 2024 (PDF, 1MB)
- Staph skin infection provider fact sheet 2024 (PDF, 1MB)
Streptococcal infection (strep throat/scarlet fever)
- Streptococcal infection parent fact sheet 2025 (PDF, 1MB)
- Streptococcal infection parent fact sheet – Hmong (PDF, 1MB)
- Streptococcal infection parent fact sheet – Somali (PDF, 1MB)
- Streptococcal infection parent fact sheet – Spanish (PDF, 1MB)
- Streptococcal infection provider fact sheet 2025 (PDF. 1MB)
Streptococcus pneumoniae (see Pneumococcal infection)
Tuberculosis
- If you have a concern about tuberculosis, please contact Epidemiology at 612-543-5230.
Viral meningitis
- Viral meningitis parent fact sheet 2025 (PDF, 1MB)
- Viral meningitis provider fact sheet 2025 (PDF, 1MB)
Warts
Yeast infection (candidiasis)
Section 7 – Health care provider evaluation form
Section 8 – Immunization resource
Section 9 – Minnesota laws related to childcare/schools
Section 10 – Emergency preparedness
Section 11 – Glossary
Measles
Measles cases have been increasing in Minnesota, nationally and internationally. Measles is a serious disease that spreads easily and can lead to hospitalization and death.
The best way to prevent measles is to get the MMR vaccine. The vaccine is safe, effective, and widely available. Find providers for the MMR vaccine.
Measles fact sheets
Hennepin County HIV outbreak response
Hennepin County HIV outbreak
In February 2020, the Minnesota Department of Health (MDH) declared an HIV outbreak in Hennepin and Ramsey counties. The outbreak is concentrated among people who inject drugs, most of whom are experiencing homelessness or are unstably housed.
Since March 2020, Hennepin County has been responding to the outbreak. Hennepin County continues to work in the community, conducting outreach to homeless encampments, including testing and treatment, providing case management, HIV treatment, housing assistance and PrEP. The county collaborates with the Minnesota Department of Health and community prevention and care partners to coordinate response efforts.
Case characteristics for the HIV outbreak (PDF, 1MB)
HIV outbreak in persons who inject drugs (PWID): Supplement to MDH health advisory
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