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School and Childcare Exclusion List: Information for Parents
In an effort to help protect well children from unnecessary exposure to contagious or infectious diseases, South
Carolina requires that children and staff with certain diseases and conditions stay home from school or
childcare while contagious.
DHEC publishes the School and Childcare Exclusion List each year. The Exclusion List explains how long ill
children and staff should stay out of school or childcare, and what is needed before the child/student or
employee is permitted to return.
For a complete list of excludable illnesses and the information required to return to childcare or school please
see the School and Childcare Exclusion Brochure for Parents. (pdf)
If you have any questions about the School and Childcare Exclusion List, please contact your child's school,
childcare or your local health department.
If you think that your child has an illness that can be spread to others, please keep him or her home
from school or childcare and call your health care provider.
Questions to Consider When Your Child is Sick:
- Does your child's illness keep him/her from comfortably taking part in activities?
- Does your sick child need more care than the staff can give without affecting the health and safety of
- Could other children get sick from being near your child?
If the answer to any of these questions is "Yes," please keep your child out of school or
Frequently Asked Questions
- When should my sick child stay home from school or childcare?
If your child feels too sick to go to school or childcare, or has one of the illnesses on this website,
please keep him or her home.
- Does my child need to stay home when he or she just has a cold?
Most children with mild colds who have no fever and who feel well enough to go to school or childcare do not
need to stay home. Most colds spread in the 1-3 days before children show symptoms such as a runny nose or
- Does my child need to be out of school or childcare if he or she has pinkeye?
It is helpful to think of pinkeye like the common cold. It can be spread to others, but it usually clears up
without medicine. The best way to keep a child from spreading pinkeye is to encourage good hand washing. If
your child has pinkeye and a fever or severe eye pain, take him or her to see a doctor.
- How long will my child need to stay home if he or she is sick?
This website explains how long children should stay home after they become sick with certain illnesses.
- Would my child ever be required to stay out of school or childcare if he or she was not
Sometimes children will also have to stay home from school or childcare if they are exposed to some
diseases that are preventable by vaccines. Your school, childcare center or local health department
will discuss this amount of time with you.
- If my child is excluded from attending school or childcare, what will he or she need to return to
school or childcare?
The list on this website shows whether a medical note or parent note is
required for your child to return to school or childcare after exclusion for illness.
- Could an illness prevent my child from participating in sports or other activities?
Children with illnesses spread by close contact, like lice, scabies, shingles, staph or strep skin
infections may not be allowed to participate in some sports or Physical Education (PE) activities. Children
with mononucleosis (Mono) or cytomegalovirus (CMV) may be told not to participate in PE or sports in order
to avoid injuries. Children with diarrhea should not participate in water activities like swimming, splash
pads, or water tables until two weeks after diarrhea stops.
Help your child stay healthy and ready to learn.
We hope that your child never has to miss school because of illness. The best protection from disease is
prevention. You can help prevent many illnesses by making sure your child receives immunizations and washes his
or her hands often.
If there is an outbreak of disease in your child's school, DHEC may change the exclusions found in this document
in order to stop the spread of disease.
If your child has not received immunizations to protect against diseases like Measles, Mumps, Rubella (German
measles), or Chickenpox, he or she may need to be removed from school or childcare if there are cases of these
illnesses in the school or childcare. Your school nurse will provide more information if there is an exposure or
OK to Attend
Children with the following conditions do not have to be excluded from school or childcare, if they feel
well enough to participate in regular activities:
- Canker Sores
- Chronic Hepatitis B or C
- Colds or coughs, without fever or other signs of illness
- Cold Sores
- Cytomegalovirus (your child may need to stay out of PE and sports)
- Disease spread by mosquitos: Malaria, West Nile Virus
- Diseases spread by ticks: Babesiosis, Ehrlichiosis, Lyme Disease, Rocky Mountain Spotted Fever, Tularemia
- Ear Infection
- Fifth Disease
- HIV infection
- Mononucleosis (your child may need to stay out of PE and sports)
- MRSA, if child is only a carrier
- Rash without fever or behavior change
- Roseola, once the fever is gone
- Urinary Tract Infection
- Warts, including Molluscum contagiosum
- Yeast Diaper Rash
Updated January 31, 2017