Haycock - Fifth Disease

Dear Parent or Guardian: 

It is our concern to promote quality health for the students in our school and to control and manage communicable diseases.  In cooperation with the Fairfax County Health Department, we are sending this health information letter home because there has been one confirmed case of fifth disease in the school and several other students with symptoms of fifth disease. 

Fifth disease, which most commonly occurs in children, is caused by infection with parvovirus B19.  The child will typically develop a “slapped-cheek” rash on the face and a lacy red rash on the trunk and limbs.  The child may also have a low-grade fever and cold symptoms a few days before the rash breaks out.  Usually, the child is not very ill and the rash resolves in 7 to 10 days. However, people who have sickle-cell disease or a weakened immune system from conditions such as leukemia, cancer, human-immunodeficiency virus (HIV), or organ transplant history may develop a more serious illness.  Finally, it should be noted that pregnant women who have been exposed to fifth disease may want to consult their physicians. 

A person infected with parvovirus B19 is contagious during the early part of the illness before the rash develops.  The infection is thought to spread in droplets from the nose or throat of an infected person, usually when a person coughs or sneezes. There is no vaccine or medicine to prevent parvovirus B19 infection.  

The Health Department recommends the following preventive measures: 

  • Wash hands often with soap and water, especially after coughing or sneezing. Teach your children to wash their hands frequently with soap and water for 20 seconds.  Be sure to set a good example by doing this yourself. If soap and water are not available, alcohol-based hand sanitizers are also effective.
  • Avoid sharing drinks and eating utensils.
  • Frequently clean items that may become soiled with nose or throat secretions.  

Excluding people with fifth disease from school or day-care is not helpful in preventing the spread of the virus, since people are no longer infectious when the rash appears.  The rash may be mistaken for other illnesses that do require medical care and would warrant exclusion from school.  Therefore, if your child develops any of the above symptoms, please contact your physician.  As with all illnesses associated with a rash, a note from your physician confirming the diagnosis of fifth disease is needed before your child can return to school.   

If you have questions regarding this information, please contact your physician or the Fairfax County Health Department School Public Health Nurse, Carol McDevitt, RN at cjmcdevitt@fcps.edu.

                                                                                           

                                                            Sincerely,

                                                                                   

                                                            Jereme Donnelly

                                                            Principal

                                                            Haycock Elementary School