Fifth Disease.
(Parvovorus B19, Erythema infectiosum, "Slapped Cheek Syndrome")

Your child is required to remain home

Cause/Symptoms:

• Virus
  
• Fever, headache, malaise, anorexia, infrequent stools and possible rash on trunk
  

Transmission:

• Person to person by direct or indirect contact with respiratory secretions; mother to fetus
  

Incubation:

• 4 to 14 days; can be as long as 21 days
  

Period of Communicability

• Most infectious a few days before the onset of rash
  

We can discuss your child's return to daycare once all the following criteria has been met:

• The daycare fever policy has been followed
  
• A doctor's note is required stating the rash is no longer contagious
  

Infected children with sickle cell or other forms of chronic anemia and pregnant personnel are advised to consult with their health care provider.

Your child is required to remain home for at least forty-eight (48) hours, if not longer.