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4000 Series - Students » 4230 Communicable Diseases

4230 Communicable Diseases

The Wilkes County Board of Education strives to provide a safe and healthy environment for all students and employees. The Board of Education also strives to maintain a balance between the need to educate all eligible students, to protect students’ and employees’ rights, and to control communicable diseases.
 
Under certain circumstances, students with communicable diseases may pose a threat to the health and safety of other students and employees. Decisions regarding the educational status of students with communicable diseases will be made on a case-by-case basis in accordance with this policy. Nothing in this policy is intended to grant or confer any school attendance or education rights beyond those existing by law.

A. Definitions

A “communicable disease” is defined as an illness due to an infectious agent (usually a virus or bacterium), or its toxic products, that is transmitted directly or indirectly to a person from an infected person or animal.
 
A “communicable condition” exists if a person is infected with a communicable agent but does not have symptoms.
 
A “reportable disease or condition” is defined as a communicable disease or condition declared to be dangerous to the public health and required by the N.C. Department of Health and Human Services to be reported after the disease or condition is reasonably suspected to exist.

B. Precautions

In order to prevent the spread of communicable diseases, school system officials shall distribute guidelines for necessary health and safety precautions that all school system employees must follow. (See Policy 7260, Occupational Exposure to Bloodborne Pathogens). Employees are also required to follow the school system’s bloodborne pathogens exposure control plan that contains universal precautions and specific work practice controls relating to the handling, disposal, and cleanup of blood and other potentially infectious materials.
 
Students should not be involved in the handling, disposal, and cleanup of potentially infectious materials unless the students have been specifically trained in the handling of such materials and are qualified to perform first aid services. Employees shall take reasonable precautions to avoid allowing students to come in contact with these substances.

C. Curriculum

The school district will include health, hygiene, and safety education, including age-appropriate information concerning safe health practices that inhibit and prevent the spread of communicable diseases (See Board of Education Policy 3540, Comprehensive Health Education Program).

D. Reporting, Notice, and Confidentiality Requirements

  1. Principal’s Report to Health Department and Superintendent
In accordance with G.S. 130A-136, school principals will report suspected cases of reportable diseases and conditions to the county health department. Such reports must be made in a manner consistent with the school system’s Family Educational Rights and Privacy Act (FERPA) obligations. Confidentiality of such reports is protected by law. School principals are immune from liability under state law for making such reports in good faith.
 
Without releasing any information that would identify the student in violation of FERPA, the principal also must report suspected cases of reportable diseases or conditions to the superintendent.
  1. Privacy and Confidentiality of Affected Persons 
    1. The local health director is responsible for determining whether and which school personnel will be informed of the identity of students with communicable diseases or conditions required to be reported.
    1. Any employee who is informed of or becomes aware of a student’s communicable disease or condition, whether reportable or not, shall respect and maintain that student’s right of privacy and the confidentiality of his or her records and may not share that information in a manner that violates FERPA.
    1. In addition, if the student has a disease or condition that is required to be reported to the local health director, employees who are informed of the student’s condition or become aware of the student’s status may not share that information with anyone, including other school personnel, unless specifically permitted to do so by the health director, by written consent of the student’s parent or guardian, or by other applicable state or federal laws or regulations.
    1. Any documents relating to a student’s reportable disease or condition, including HIV infection or AIDS, will be retained in a strictly confidential manner, and will be released or shared only as necessary to comply with this policy.
    1. Employees who are informed of the student’s reportable disease or condition will be provided appropriate information concerning necessary precautions and will be made aware of the strict confidentiality requirements. The release of confidential information or records relating to a student’s reportable disease or condition, except as permitted by law, is a misdemeanor and may subject the employee to discipline up to and including dismissal.
  1. Employee Reports of Communicable Diseases
In order to address the needs of the student within the school environment, school employees are required to notify the principal if they have reason to believe that any student is suffering from a communicable disease. Parents will be encouraged to notify the principal as well.
  1. Notice Relating to Students Who Are Immunodeficient
Students who are immunodeficient face an increased risk of severe complications from exposure to communicable diseases that appear in the school setting. Students and their parents or guardians are encouraged to inform the principal in the event a student suffers from any such immunodeficiency.
 
If notified that a student suffers from an immunodeficiency, the principal should request that the notifying party provide information about what types of exposures might put the student at risk and what reasonable practices can be taken in the school setting to minimize risk to the student. Whenever possible, the principal of a school should notify the parents or guardians of an infected or immunodeficient student (or the student himself or herself, where appropriate) of the existence of chicken pox, influenza, meningococcus, measles, or tuberculosis, or other contagious diseases occurring in the school that may represent a serious threat to the student’s health. Students who are removed from school as a result of such conditions will be provided an appropriate alternative educational setting.
  1. Notification to Parent/Guardian of Exposure to Infectious Agent
Parents or guardians will be notified in a timely manner when their child has potentially been exposed to an infectious agent, such as an instance of blood-to-blood contact, and will be encouraged to contact their private physician or the county health department for consultation.

E. Education/School Attendance for Students with AID/HIV Infection for Hepatitis B 

Students with AIDS or HIV infection or hepatitis B infection will be permitted to attend school without special restrictions except in accordance with 10A N.C.A.C. 41A .0201-.0203 and this subsection.
  1. Appointment of an Interdisciplinary Committee
When the local health director notifies the superintendent that a student with AIDS, HIV infection, or hepatitis B infection may pose a significant risk for transmission, the superintendent, in consultation with the local health director, shall appoint an interdisciplinary committee in accordance with state health regulations and procedures established by the superintendent. The committee shall consult with the local health director regarding the risk of transmission and advise the superintendent regarding the placement of the student. The committee will include appropriate school system personnel, medical personnel, and the student’s parent or guardian and may include legal counsel. The superintendent shall inform the Board of Education whenever a committee has been formed and shall advise the Board of Education of the professional composition of the committee.
  1. Determination of Educational Placement
The interdisciplinary committee shall review each case individually in consultation with the local health director to determine (1) the degree to which the student’s conduct or presence in school exposes others to possible transmission or other harm and (2) what risk the school environment may pose to the infected student. If the local health director concludes that a significant risk of transmission exists in the student’s current placement, the committee will determine if an appropriate adjustment can be made to the student’s school program to eliminate this risk. If that is not possible, the student will be provided instruction in an alternative educational setting that incorporates protective measures required by the local health director.
  1. Referral for Special Education Services as Appropriate
If the administrative or instructional personnel on the committee determine that the student has limited strength, vitality, or alertness due to a chronic or acute health problem that adversely affects the student’s educational performance, they will make a referral of the student for possible identification and placement as a student with special needs.
  1. Confidentiality
All deliberations of the interdisciplinary committee will be kept strictly confidential and shared only as allowed by law. Any student records related to the deliberations of the committee will be retained in a strictly confidential manner.

F. Education/School Attendance for Students with Communicable Diseases Other than AIDS or HIV or Hepatitis B Infection

In some circumstances, students with communicable diseases or conditions may pose a threat to the health and safety of other students and school employees. In other cases, students may have only mild illness and be able to attend school and participate in all activities. Accordingly, decisions regarding the educational status of students with signs and symptoms of communicable disease will be made on a case-by-case basis with input from the students’ health care provider, public health specialists, and the school nurse.

A student with an acute or chronic communicable disease who remains in school shall observe any protective procedures or other control measures recommended by the student’s physician, the school nurse, or other relevant medical authority.
 
Students with a chronic communicable disease may be referred for special education services or a Section 504 plan of accommodation, as consistent with law.

G. Other Control Measures

School personnel shall implement measures to control the spread of communicable disease as directed by the state or local health department. In the case of emerging illnesses not addressed by state or local health department rules or guidance, school personnel shall implement control measures recommended by the CDC unless directed otherwise by the school nurse or other relevant medical authority.
 
 
 
 
Legal References:  Family Educational Rights and Privacy Act, 20 U.S.C. 1232g; 34 C.F.R. pt. 99; G.S. 115C-36, 130A-25, -136, -142 to -145, -152 to -157; 10A N.C.A.C. 41A, subchapter A
 
Cross References:  Comprehensive Health Education Program (policy 3540), Occupational Exposure to Bloodborne Pathogens (policy 7260)
 
Adopted:  May 17, 2004
 
Revised:  August 10, 2020