Health Forms and Information
When to Stay Home
When to stay home:
· Fever (100.4°F or higher): Stay home until fever-free for 24 hours without medication.
· Vomiting/Diarrhea: Stay home until 24 hours symptom-free and able to eat/drink.
· Antibiotic Treatment: Stay home until 24 hours on antibiotics.
· Persistent Cough: Stay home if it disrupts normal activities.
· Unexplained Rash: Stay home if it’s itchy, spreading, or with other symptoms. See a doctor.
· Red/Draining Eyes: Stay home until checked by a doctor.
· Respiratory Illnesses (COVID, Flu, Pneumonia, RSV): Stay home for at least 24 hours. Return to school if symptoms are improving and no fever for at least 24 hours without fever-reducing meds.
· Other Illnesses: Stay home if the student can’t participate in school activities.
Questions? Contact Nurse Sarah Kartluke at skartluke@lnsd.org or 802-521-5619.
Health Forms
Medications at School
Immunizations
Vermont law requires the following:
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Students must meet school entry requirements for immunization
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Schools must notify parents when the student does not meet school entry requirements for immunization
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Schools must assure that students initially provisionally admitted meet vaccine requirements as soon as possible, not exceeding 6 months from enrollment
If your child is newly enrolling in our school, proof of the following immunizations is required:
Immunization checklist:
Immunization Exemption Information and Forms:
Information about Vermont’s Childcare and School Immunization Exemptions
https://www.healthvermont.gov/sites/default/files/documents/pdf/ID_IZ_CCP_annual_exemption.pdf
Parent Education Required for Completion of Vermont's Religious Exemption Form
Religious Exemption form
https://www.healthvermont.gov/sites/default/files/document/ID_IZ_CCP_Religious_Exemption.pdf
Recent Health News
Dear CES Families,
The Vermont Department of Health is reporting that flu activity has moved up to "Moderate" across the state, I wanted to share a quick update on how we are keeping our schools safe and what you can do at home to help.
Right now, about 28% of people in Lamoille County have gotten their flu shots this season. While that’s a good start, it means more than half of our community is still unprotected as the flu continues to spread.
In our schools we encourage:
- Regularly cleaning of desks, doorknobs, and shared equipment.
- Making sure tissues and no touch trash cans are easy to find in every classroom.
- Reminding students to wash their hands with soap and water and to avoid sharing snacks or drinks.
How You Can Help:
The best way to keep students in the classroom
- If you or your kids haven't been vaccinated yet, now is the time! Vaccination is the best way to prevent serious illness and keep our local hospitals from getting overwhelmed.
- Remind your kids to try not to touch their eyes, nose, or mouth.
- If anyone in the house is feeling under the weather (100.4F or higher), please stay home until symptoms improve. Stay home until fever-free for 24 hours without medication and able to participate in school activities.
By working together, we can keep everyone at CES healthy!
Thank you for your support,
Nurse Sarah
Whooping Cough (Pertussis) is Circulating in the Community
The Health Department is reporting that cases of whooping cough, also known as pertussis, are on the rise in some areas of Vermont. While most cases have occurred in Washington and Lamoille Counties, cases have occurred across Vermont. Most cases have been among school-aged children. Now is a good time to make sure you and your family are up to date with whooping cough vaccination (DTap or Tdap). Be on the lookout for symptoms in your family. Please keep sick children at home to help protect our school community and if your child is diagnosed with pertussis, notify the school. Contact your health care provider with any questions or concerns.
About Whooping Cough (Pertussis)
Whooping cough is a bacterial infection that spreads easily from person-to-person through the air in respiratory droplets when someone who is infected coughs or sneezes. While vaccination against whooping cough is effective, protection from the vaccine fades over time. People who are vaccinated can still get whooping cough, but their illness is often milder, and they are less likely to spread the illness to others.
Symptoms
Early in the illness, whooping cough appears like a common cold. Symptoms may include runny or stuffy nose, low-grade fever, and a mild cough. After one to two weeks, people may develop rapid, violent, and uncontrollable coughing fits that can last six weeks or more.
Coughing fits can cause people to:
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Make a high-pitched "whoop" when they inhale
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Vomit during or after coughing
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Struggle to breathe
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Stop breathing momentarily
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Have difficulty sleeping at night
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Feel tired
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Fracture (break) ribs
Whooping cough is very serious for babies. About one in three babies who are younger than one year old and get whooping cough need hospitalization. Many babies don’t have a cough at all. Instead, they may experience choking episodes or periods where they stop breathing.
Vaccination
The best way to prevent whooping cough is to get vaccinated with the DTaP or Tdap vaccine, which are recommended for everyone. It’s recommended that pregnant people get vaccinated during the third trimester of every pregnancy to provide protection to their baby before birth.
Treatment
It’s very important to treat whooping cough early, before coughing fits begin. Antibiotic treatment early in the illness can help make symptoms less severe, shorten the length of illness, and decrease the contagiousness of the person who is sick. People with whooping cough are no longer considered contagious after just five days of appropriate antibiotic treatment. Without appropriate treatment, they are considered contagious for 21 days after the start of their cough.
After Exposure to Whooping Cough: Preventive Treatment with Antibiotics
People may need to receive antibiotics if they’ve had close or prolonged contact with someone with whooping cough. People with an uncertain amount of exposure should talk to their healthcare provider if they live in a household with a person at high risk of severe pertussis such as a young infant or pregnant woman, or a person who has contact with infants. Preventive antibiotics are also known as postexposure antimicrobial prophylaxis (PEP). These are medicines given to someone who has been exposed to harmful bacteria to help prevent them from getting sick and to prevent further spread of the disease. These medicines are very effective. They may have side effects, which are often mild and go away on their own.
If you are notified that your child may have been in close contact with a person with pertussis while at school, you should consult with their healthcare provider to determine if PEP is needed.
It’s Ok to Have Questions about Vaccines
Many people may have questions and concerns about vaccines. Asking questions helps you make the best choices for yourself and your family. Your doctor or pharmacist can provider answers and help you decide which vaccines are right for you.
Like any medicine, vaccines can cause side effects. They're usually mild, like a sore arm or feeling tired for a day or two.
Recommended sources of information:
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Your health care provider, pediatrician, and pharmacists
For more information about whooping cough, visit HealthVermont.gov/whoopingcough.
Help Prevent The Spread Of Illness
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Wash Hands Often With warm water and soap for at least 20 seconds. Hand sanitizer is good in a pinch.
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Keep Hands Away From mouth, nose, or eyes to avoid transferring germs.
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Clean And Disinfect Frequently used surfaces like counters, light switches, doorknobs and remotes.
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Cover Coughs & Sneezes With a tissue, then throw tissue away and wash your hands.
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If You Feel Sick, Stay Home From work, school, or other activities and avoid close contact with others.

Head Lice
Parents/guardians will be notified when head lice have been identified on their child. The Vermont Department of Health and the Department of Education do not support the practice of exclusion (nit free, no nit) policies or practices.
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Parents should be encouraged to proactively check their child's hair for lice (especially if the child is symptomatic) periodically throughout the school year. The school nurse may inspect a student's head upon request of a parent. However, a regular inspection by a parent or guardian by combing through wet hair with a fine-tooth comb is much more effective.
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If live (crawling) lice are found the parent is notified of the suspected infestation with the understanding that the student may remain in school the rest of the day.
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Information is provided to the parent as to the biology of lice and methods to eliminate infestation.
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Parents are expected to treat the child's hair before they return to school.
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The school nurse may recheck the student's head upon their return following treatment, if requested to do so by the parent
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It is NOT justifiable to notify the classmate's families, do mass screenings, bag clothes or restrict the use of headphones, helmets or similar items.
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The parent should notify the parents of their child's close contacts of the infestation
Further information on head lice can be obtained on the Vermont Department of Health website or by calling our local Vermont Department of Health office in Morrisville at 888-7447.
Tick Season
Information on Ticks in Vermont-
https://www.healthvermont.gov/disease-control/tick-bite-illnesses/tick-activity-vermont
Be Tick Smart: Protect, check, remove & watch
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Sarah Kartluke
School Nurse
802-521-5619
SKartluke@lnsd.org
Insuring that all Students have Access to Healthcare
Cambridge Elementary School supports the American Academy of Pediatrics (AAP) recommendations for an annual comprehensive well care visit to the medical home (primary care provider) for all school age children
Cambridge Elementary School recommends that all students have a dental home. Primary care physician or health providers recommend, based on oral health risk assessments, referrals to the dentist as early as six months of age and no later than 12 months of age (AAPD,2018)
Cambridge Elementary School recommends establishing the use of Asthma Action Plans in collaboration with parents/caregiver and medical home for students with asthma.
