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PUBLIC HEALTH REGULATION 2018 - SCHEDULE 4

SCHEDULE 4 – Contagious conditions

Part 1 - Interpretation

1 Definitions for schedule

In this schedule—

"confirms" means confirms in writing.

"diagnosed" , for a child with a contagious condition, means a doctor or laboratory test confirms the child has the condition.

"isolation period" ...

"quarantine period" ...

"relevant contact" , of a child for a contagious condition, means—

(a) for diphtheria—the child’s first close contact with a person (the
"infected person" ) who is, or is suspected of being, infected with the condition during the period—
(i) starting 7 days before the onset of symptoms in the infected person; and
(ii) ending when the treating doctor confirms 2 negative throat swabs have been taken from the person at the following times—
(A) the first swab taken at least 24 hours after the person finishes a course of an appropriate antibiotic;
(B) the second swab taken at least 24 hours after the first swab; or
(b) for a contagious condition other than diphtheria—contact with a person who has been diagnosed with the condition while the person is infectious for the condition.

"relevant public health direction" ...

"suspected" means suspected under chapter 5 of the Act .

"symptoms" , for a contagious condition, means symptoms of the condition.

2 Low risk of transmitting or contracting contagious condition

For this schedule, in deciding whether the risk of the child transmitting or contracting a contagious condition is low, the chief executive must consider—

(a) the way the contagious condition is transmitted; and
(b) the nature of the environment at the child’s school, education and care service or QEC approved service.

Part 2 - Prescribed period for contagious condition for child suspected of having condition

Column 1 Column 2 Column 3
Contagious condition Start of period End of period
diphtheria the earlier of the following—(a) the onset of symptoms;(b) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms—the treating doctor confirms 2 negative throat swabs have been taken from the child with—(i) the first swab taken at least 24 hours after the child finishes a course of an appropriate antibiotic; and(ii) the second swab taken at least 24 hours after the first swab; or(b) otherwise—the treating doctor confirms 1 negative throat swab has been taken from the child
enterovirus 71 neurological disease the onset of symptoms the treating doctor confirms the virus is no longer present in the child’s bowel motions
gastroenteritis illness the onset of symptoms the child—(a) has no symptoms; and(b) has not had a loose bowel motion—(i) if a laboratory test for a norovirus has not been performed or a test has been performed and returns a negative result—for at least 24 hours; or(ii) if a laboratory test confirms a norovirus—for at least 48 hours.
haemophilus influenzae type b (invasive) disease the onset of symptoms the earlier of the following—(a) the treating doctor confirms the child is not infectious after the child has taken 4 days of an appropriate antibiotic;(b) the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
hepatitis A the earlier of the following—(a) the onset of symptoms;(b) the child is diagnosed the earlier of the following—(a) the treating doctor confirms the child is not infectious, but not earlier than 7 days after the onset of jaundice;(b) the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
human influenza with pandemic potential the earlier of the following—(a) the onset of symptoms;(b) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms—the treating doctor confirms the child is not infectious but not earlier than 5 days after the onset of the symptoms; or(b) otherwise—7 days after the child’s last contact with a person who is, or is suspected of being, infected with the condition
measles the earlier of the following—(a) the onset of symptoms;(b) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms—the treating doctor confirms the child is not infectious, but not earlier than 4 days after the onset of the rash caused by the condition; or(b) otherwise—the earliest of the following—(i) if the child is vaccinated for measles within 72 hours of the relevant contact—the child is vaccinated;(ii) if the child receives normal human immunoglobulin (
"NHIG" ) within 7 days after the relevant contact—the child receives NHIG;(iii) 18 days after the child’s last contact with a person who is, or is suspected of being, infected with the condition
meningococcal disease (invasive) the onset of symptoms the treating doctor confirms the child is not infectious after the child has finished at least 24 hours of a course of an appropriate antibiotic
paratyphoid the earliest of the following—(a) the onset of symptoms;(b) the child is diagnosed;(c) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms or is diagnosed—the treating doctor confirms the child is not infectious after—(i) the child has finished a course of an appropriate antibiotic; and(ii) at least 48 hours after finishing the course of antibiotics, the child has a negative stool specimen; and(iii) at least 1 week after the negative stool specimen, the child has another negative stool specimen; or(b) otherwise—the earlier of the following—(i) the treating doctor confirms the child is not infectious after the child has 2 negative stool specimens at least 24 hours apart;(ii) the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
pertussis the earlier of the following—(a) the onset of symptoms;(b) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms—the treating doctor confirms the child is not infectious, but not earlier than—(i) 5 days after the child starts a course of an appropriate antibiotic; or(ii) if the child has an onset of paroxysmal coughing caused by the condition—14 days after the onset of the coughing; or(iii) otherwise—21 days after the onset of coughing that is not paroxysmal coughing; or(b) otherwise—the earlier of the following—(i) the treating doctor confirms the child is not infectious but not earlier than 14 days after the relevant contact;(ii) the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
poliomyelitis infection the earliest of the following—(a) the onset of symptoms;(b) the child is diagnosed;(c) the child has relevant contact with a person infected with the condition the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
rubella the onset of symptoms 4 days after the onset of the rash caused by the condition
tuberculosis the onset of symptoms the treating doctor confirms the child is not infectious
typhoid the earliest of the following—(a) the onset of symptoms;(b) the child is diagnosed;(c) the child has relevant contact with a person infected with the condition either—(a) if the child has had symptoms or been diagnosed—the treating doctor confirms the child is not infectious after—(i) the child has finished a course of an appropriate antibiotic; and(ii) at least 48 hours after finishing the course of antibiotics, the child has a negative stool specimen; and(iii) at least 1 week after the negative stool specimen, the child has another negative stool specimen; or(b) otherwise—the earlier of the following—(i) the treating doctor confirms the child is not infectious after the child has 2 negative stool specimens at least 24 hours apart;(ii) the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child transmitting the condition is low
varicella-zoster virus infection (chickenpox) the onset of symptoms all blisters caused by the condition have dried, but not earlier than 5 days after the onset of symptoms

Part 3 - Prescribed period for contagious condition for child suspected of not being vaccinated and at risk

Column 1 Column 2 Column 3
Contagious condition Start of period End of period
measles the chief executive gives a direction there is an outbreak of the condition at the school, education and care service or QEC approved service attended by the child the earlier of the following—(a) if the child is not vaccinated—the chief executive gives a direction that the outbreak of the condition at the school, education and care service or QEC approved service is over;(b) if the child is vaccinated during the outbreak—the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child contracting the condition is low
the chief executive gives a direction there is an outbreak of the condition in the community, if there is a risk of children and staff at the school, education and care service or QEC approved service attended by the child contracting the condition the chief executive advises a parent of the child that the chief executive is satisfied the risk of the child contracting the condition is low



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