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.