All students, K-12, are required to be have two doses of the chickenpox, or Varicella, vaccine, unless that student has had the chickenpox. Below is a link to the form you should fill out and sign and send to your child's school to aid in the process of verifying all our students have met this requirement.



What immunizations are required for the 2016-2017 School Year?

Strep Throat

´┐╝Streptococcal Sore Throat/Scarlet Fever

Streptococcal sore throat (strep throat) and scarlet fever (a strep throat with a rash) are common infections in young children. These illnesses are usually not serious. However, complications such as rheumatic fever or kidney disease may rarely develop if children do not receive proper antibiotic treatment. Cause: Streptococcus bacteria (Group A beta hemolytic strep) Symptoms: Sudden onset of fever, sore throat, swollen glands, headache, abdominal pain. Nausea and vomiting may occur with severe cases. With scarlet fever, a very fine, bright red, raised rough texture rash (feels like sandpaper) is present. A fuzzy white tongue followed by a beefy-red "strawberry tongue" may occur. The rash appears most often on the next, chest, inner thigh, and in folds of the armpit, elbow, and groin. Later on, there may be peeling of the skin on the fingertips and toes. Spread: Person-to-person from nose and throat secretions of infected persons (those with and without symptoms). Incubation: It usually takes 1 to 3 days from the time a person is exposed until symptoms develop. Contagious Period: Until at least a full 24 hours after treatment begins and fever is gone. Exclusion: Until at least a full 24 hours after treatment begins and until child is without fever for 24 hours. Prevention/Control 1. If your child does not appear well or develops a sore throat and other symptoms listed above, keep him/her home and call your physician. 2. Diagnosis: Confirmed by identification of strep in the throat, either by throat culture, or by using a rapid test which can provide results the same day. 3. Treatment: If the culture is positive, a penicillin shot or antibiotics taken by mouth (usually 10 days) are prescribed. This treatment will help to prevent more serious illness such as rheumatic fever, which can damage the heart valves.

Whooping Cough/Pertussis

As recent as the Fall of 2016, the number of cases of Pertussis or "Whooping Cough" have risen significantly across the country, including Nebraska and Nebraska City. Due to these recent outbreaks of Whooping Cough, parents and care givers should be on the look out for illness that includes cough, sometimes to the point of vomiting and sometimes accompanied by fever. In it's early phase, the disease is characterized by sinus congestion, runny nose, slight sore throat and a low grade or absent fever. The cough progressively becomes more severe. Coughs may come so close together that the person cannot take a breath between coughs, then the person may gasp for air. Vomiting may follow the coughing spell. Those exhibiting these symptoms should be seen by their doctor. At this time, the Southeast District Health Department recommends "Students and staff who are coughing should be excluded from school pending physician evaluation. Individuals diagnosed with pertussis may return after completing 5 days of antibiotic therapy." Questions regarding these recommendations may be directed to: Rosanne Bedea, RN, 877-777-0424

Here are our guidelines for exclusion from school:
1) Those who are tested for Whooping Cough should stay out of school until the results of the test are known
- If the results are negative, the student may return to school.
- If the results are positive, the student should be started on an antibiotic and stay home until the day after the last dose
is taken.
2) Those clinically diagnosed with Whooping Cough should be started on an antibiotic and stay home until the day after the
last dose is taken.
3) Those started on antibiotics because of exposure to a close contact positive for Whooping Cough may attend school so