The bacteria Neisseria meningitidis causes meningococcal meningitis and meningococcal septicaemia (known collectively as ‘meningococcal infection’). Consider carefully before sending letters and notifications to parents or carers. These generally do not reduce the risk of transmission and may provoke anxiety. Advise the individual, parents or carers to seek advice from a general practitioner for recommended treatment. Once treatment has started, individuals can return to their setting. Exclude affected children from nursery or primary school settings until after the first treatment has been completed. Family support The Family Information Service, Family Group Conference Plus, Drug and alcohol services and domestic violence support

A helpful exclusion table to indicate time periods an individual should not attend a setting during an infectious stage Clean kitchen and toilet areas regularly (for more details, see cleaning) Further information about typhoid and paratyphoid fever HIV is managed by taking daily medication that is effective and safe. This means that the immune system stays healthy and can continue to fight infections normally. HIV medication is available to everyone living or studying in the UK, and free of any cost. If an individual is taking their medication correctly, they can lead a healthy life with a normal life expectancy.Exclude the infected individual until 48 hours after symptoms have stopped and they are well enough to return. If medication is prescribed, ensure that the full course is completed and there is no further diarrhoea and/or vomiting for 48 hours after the course is completed.

Correct use of condoms remains an effective and safe way to protect against HIV infection, as well as other STIs and pregnancy. Post exposure prophylaxis ( PEP) Further public health action may be required when 2 or more individuals who are linked at the setting have confirmed or probable meningococcal disease within a short period of time (usually 4 weeks). The illness is usually mild, but skin lesions and blisters can be painful, and most people will recover fully within a few weeks. Severe cases may occur in young children, pregnant women, or people with suppressed immune systems (including those with HIV).

Coronavirus (COVID-19)

The individual may develop a fever, reduced appetite and generally feel unwell. One or 2 days later a rash may develop with blisters, on hands, feet, insides of their cheeks, gums and on the sides of the tongue. Not all cases have symptoms. The incubation period is 3 to 5 days. Persons affected are most infectious during the first week of the illness. Scalp ringworm is treated with oral anti-fungal agents. An anti-fungal cream is used to treat ringworm of the skin and feet. There are a number of ways to treat genital warts, such as creams, freezing, laser or surgery. In most cases the body’s immune system eventually gets rid of the virus without causing long-term problems.

Devon Safeguarding Children Partnership Information about child abuse, keeping children safe and reporting a safety concernFlu can affect anyone but if people have a long-term health condition the effects of flu can make it worse even if the health condition is well managed and they normally feel well.

As this new document is an online version it allows for more regular updates. Please follow the link on the right to access the full document. After each episode, the virus enters a dormant (inactive) phase in nearby nerves. From time to time the virus reactivates causing symptoms – in some cases a person will experience several episodes a year. However, over time, episodes tend to become less frequent, and the symptoms are milder with each recurrence.

Advise the individual who had a cold sore to avoid touching their eyes, including taking extra care when applying or removing make-up. Further information about cold sores Symptoms of typhoid fever are fatigue, fever, general aches and pains, and constipation, whereas those of paratyphoid fever are fever, diarrhoea and vomiting. The severity of the illness varies – infection can be life-threatening with typhoid, but infected people may also not show any symptoms. A liquid stool is more likely to contaminate hands and the environment than a formed stool and is therefore a greater risk. Vomit, like liquid stool, may also be highly infectious such as when there is norovirus circulating in the setting. Infection can also be spread when the affected person vomits. This is because aerosols can spread the organism directly to others and contaminate the environment. A person will be infectious while symptoms remain. Advise any individuals who have symptoms of an STI to visit a genitourinary medicine ( GUM) or local sexual health clinic where they can access free, confidential advice and treatment.