SIGNS AND SYMPTOMS:
Symptoms mimic those of many other infectious diseases. Headache, malaise, fever, fatigue, sore throat, enlarged lymph nodes in neck; an enlarged liver and spleen may develop. Sometimes there will be a rash.
Usually last 10-20 days but may persist for weeks.
MODE OF TRANSMISSION:
Communicable before symptoms develop. Spreads from person-to-person by oral-pharyngeal route via saliva.
Provide health education on modes of transmission and the use of Universal Precautions.
Exclusion is not required.
PERIOD OF COMMUNICABILITY:
May prolong for up to 1 year or more.
IMPLICATIONS FOR SCHOOL:
For a mild case of mononucleosis, some healthcare providers are now recommending that students return to school with limited activities. Rest is often recommended as treatment for students having a severe case. A health care provider recommends when a student may return to school and if any activities should be limited. A healthcare provider’s note is required if student is to remain at home. Student’s parents should be advised about the Hospital Homebound Program if the student will be out for a significant period of time. Report confirmed cases to Coordinated Student Health Services 754-321-1575.