Typhoid Fever

Cause/Symptoms: Bacteria. Low grade fever, headache, malaise, myalgia, dry cough, anorexia, nausea, and abdominal discomfort. Constipation is more common than diarrhea in adults but diarrhea is more common in children.

Transmission: Fecal-oral route. Direct contact with contaminated water, shellfish, particularly oysters, milk, ice-cream, raw fruit and vegetables grown in fields fertilized with fecal matter.

Incubation: From 3 days to over 60 days; usual range is 8-14 days.

Period of Communicability: Variable. Usually 1 to 2 weeks.

Your child can return to daycare, once all the following criteria has been meet:
~ Diarrhea

• 24 hours from the time the diarrhea reducing medication are out of your child system (8 to 10 hours after taking last dose) and diarrhea has not returned
• 24 hours free of any diarrhea reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 24 hours starting one (1) hour after your child's last diarrhea bowel movement

~ Fever

• 24 hours from the time the fever reducing medication are out of your child system (8 to 10 hours after taking last dose) and fever has not returned
• 24 hours free of any fever reducing medication or any other medication that can mask symptoms of illness.
• If no medication is given: 24 hours starting one (1) hour after you discover your child’s fever has broken

~ your child can eat and drink normally
~ your child can participate in all daycare activities
~ your provide a Dr.'s note stating: your child has had three (3) consecutive stool specimens are negative.

Be prepared to have your child home for one (1) week or longer