Struggling to suppress the third largest shigella outbreak in the nation, Grayson County health officials on Friday released the details of the county’s "exclusion and readmission criteria" for local schools, daycare centers, and health care providers. While the guidelines for readmittance vary based on the symptoms, the recommendations for exclusion — removing a symptomatic child from the classroom — were uniform.

Struggling to suppress the third largest shigella outbreak in the nation, Grayson County health officials on Friday released the details of the county’s "exclusion and readmission criteria" for local schools, daycare centers, and health care providers. While the guidelines for readmittance vary based on the symptoms, the recommendations for exclusion — removing a symptomatic child from the classroom — were uniform.


Whether the case of shigella-caused dysentery is confirmed, suspected, or even possible based on partial display of symptoms, the criteria dictate automatic exclusion. However, once those students seek to be allowed back into the classroom, the health department’s criteria morph based on symptoms. Those children who have been confirmed with the disease or are considered probable will have to submit a negative stool sample before being allowed back, while those exhibiting only fever without diarrhea will only have to stay asymptomatic for 24 hours. Children who have not been confirmed but display symptoms can return to school after completing a course of antibiotics.


"The document … will be sent out to SISD, DISD, ISD officials, licensed child care centers, physicians, and hospitals," Grayson County Health Department Spokeswomen Amanda Ortez said Friday.