Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 97 - COMMUNICABLE DISEASES
Subchapter A - CONTROL OF COMMUNICABLE DISEASES
Section 97.7 - Diseases Requiring Exclusion from Schools
Universal Citation: 25 TX Admin Code ยง 97.7
Current through Reg. 49, No. 38; September 20, 2024
(a) The school administrator shall exclude from attendance any child having or suspected of having a communicable condition. Exclusion shall continue until the readmission criteria for the conditions are met. The conditions and readmission criteria are as follows:
(1) amebiasis--exclude until treatment is
initiated;
(2)
campylobacteriosis--exclude until after diarrhea free for 24 hours without the
use of diarrhea suppressing medications and fever free for 24 hours without the
use of fever suppressing medications;
(3) chickenpox--exclude until the lesions
become dry or if lesions are not vesicular, until 24 hours have passed with no
new lesions occurring;
(4) common
cold--exclude until fever free for 24 hours without the use of fever
suppressing medications;
(5)
conjunctivitis, bacterial and/or viral--exclude until permission and/or permit
is issued by a physician or local health authority or until symptom
free;
(6) coronavirus disease
2019--exclude and readmit based upon guidance from the Department of State
Health Services on its website at
https://dshs.texas.gov/covid19readmission;
(7) fever--exclude until fever free for 24
hours without use of fever suppressing medications;
(8) fifth disease (erythema
infectiosum)--exclude until fever free for 24 hours without the use of fever
suppressing medications;
(9)
gastroenteritis--exclude until diarrhea free for 24 hours without the use of
diarrhea suppressing medications;
(10) giardiasis--exclude until diarrhea free
for 24 hours without the use of diarrhea suppressing medications;
(11) hepatitis A--exclude until one week
after onset of illness;
(12)
infections (wounds, skin, and soft tissue)--exclude until drainage from wounds
or skin and soft tissue infections is contained and maintained in a clean dry
bandage; restrict from situations that could result in the infected area
becoming exposed, wet, soiled, or otherwise compromised;
(13) infectious mononucleosis--exclude until
physician decides or fever free for 24 hours without the use of fever
suppressing medications;
(14)
influenza--exclude until fever free for 24 hours without the use of fever
suppressing medications;
(15)
measles (rubeola)--exclude until four days after rash onset or in the case of
an outbreak, exclude unimmunized child for at least 21 days after the last date
the unimmunized child was exposed;
(16) meningitis, bacterial--exclude until 24
hours after start of effective treatment and approval by health care
provider;
(17) meningitis,
viral--exclude until fever free for 24 hours without the use of fever
suppressing medications;
(18)
meningococcal infections (invasive disease)--exclude until 24 hours after start
of effective treatment and approval by health care provider;
(19) mumps--exclude until five days after the
onset of swelling;
(20) pertussis
(whooping cough)--exclude until completion of five days of appropriate
antibiotic therapy, or until 21 days have passed since cough onset, whichever
is earlier;
(21) ringworm--none, if
infected area can be completely covered by clothing or a bandage, otherwise
exclude until treatment has begun;
(22) rubella (German measles)--exclude until
seven days after rash onset or in the case of an outbreak, unimmunized children
should be excluded until at least three weeks after the onset of the last
rash;
(23) salmonellosis--exclude
until diarrhea free for 24 hours without the use of diarrhea suppressing
medications and fever free for 24 hours without the use of fever suppressing
medications;
(24) scabies--exclude
until treatment has begun;
(25)
shigellosis--exclude until diarrhea free for 24 hours without the use of
diarrhea suppressing medications and fever free for 24 hours without the use of
fever suppressing medications;
(26)
streptococcal sore throat and scarlet fever--exclude until 24 hours from time
antibiotic treatment was begun and fever free for 24 hours without the use of
fever suppressing medications;
(27)
tuberculosis disease (suspected or confirmed), pulmonary or laryngeal--exclude
until antibiotic treatment has begun and a physician's certificate or health
permit obtained; and
(28) typhoid
fever-exclude until diarrhea free for 24 hours without the use of diarrhea
suppressing medications and fever free for 24 hours without the use of fever
suppressing medications; and 3 consecutive stool specimens have tested negative
for Salmonella Typhi.
(b) The school administrator shall exclude from attendance any child having or suspected of having a communicable disease designated by the Commissioner of the Department of State Health Services (commissioner) as cause for exclusion until one of the criteria listed in subsection (c) of this section is fulfilled.
(c) Any child excluded for reason of communicable disease may be readmitted, as determined by the health authority, by:
(1) submitting a certificate of the
attending physician, advanced practice nurse, or physician assistant attesting
that the child does not currently have signs or symptoms of a communicable
disease or to the disease's non-communicability in a school setting;
(2) submitting a permit for readmission
issued by a local health authority; or
(3) meeting readmission criteria as
established by the commissioner.
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