Parents and Guardians

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					Holdrege Public Schools
                                                      Empowering Students For Success                                                                          P.O. Box 2002 • Holdrege • Nebraska • 68949-2002
                                                                                                                         Rachel Wells RN
                                                                                                                                               An Equal Opportunity Agency

Recently we have had several confirmed cases of Fifth’s Disease throughout the district.
Fifth’s Disease is caused by a virus known as Parvovirus B 19. It is a common childhood
disease. You can only get this once in your lifetime!
Fifth’s Disease is spread mostly by respiratory droplets. This means when an infected
person coughs or sneezes, the virus can spread. Fifth’s Disease is ONLY contagious
during the early part of the illness, before the rash appears. By the time the child has
the characteristic “slapped cheek” rash; he or she is no longer contagious and may remain
in school. Fifth’s Disease is highly contagious in a classroom environment.
The symptoms of Fifth’s Disease are as follows:
      low grade fever (or no fever), cold-like symptoms, headache,
      Bright red rash on the cheeks (“slapped cheek” rash) followed by a fine lacy rash
        over the rest of the body that may itch. The rash may last for 5 to 7 days.
        After exposure to sunlight or heat, the rash may reappear for 1-3 weeks. Other
        symptoms are usually gone by the time the rash appears.
      20% of adults and children with Fifth’s Disease will show no symptoms
      Symptoms begin from 4-20 days after exposure
Fifth’s disease has no specific treatment because it is caused by a virus. There are also
few complications of Fifth’s Disease. However, children with sickle cell anemia, chronic
anemia, or impaired immune systems may become seriously ill and require medical care.
Also, pregnant women (who have not previously had the illness) should avoid contact with
persons who have Fifth’s Disease. The virus can infect the baby prior to birth and could
cause serious complications. If you are pregnant and think you have been exposed to
Fifth’s Disease, call your doctor as soon as possible!
If you have any questions please do not hesitate to call me at 995-8988 or email me at Thank you!

                                                                                 Rachel Wells, RN
                                                                         School Nurse, Holdrege Public Schools

         Central Office                 Holdrege High School              Holdrege Middle School        Franklin Elementary School                R-7 School
        505 14th Avenue                    600 12th Avenue                    600 14th Avenue               1015 Sherman Street                 1421 13th Street
    Phone • (308) 995-8663              Phone • (308) 995-6558             Phone • (308) 995-5421          Phone • (308) 995-4269            Phone • (308) 995-6179
     Fax • (308) 995-6956               Robert Drews, Principal            Russell Baker, Principal       LeRoy Walker, Principal                 R-4 School
Cynthia Wendell, Superintendent   Scott Schoneman, Activities Director                                                                   74204 L Road, Elm Creek 68836
    Mardell Larson, Director            Dan Atchison, Guidance                  Technology            Washington Elementary School           Phone • (308) 995-4771
        Special Services                Phone • (308) 995-8988            Brad Larson, Tech. Coord.           115 8th Avenue                LeRoy Walker, Principal
    Phone • (308) 995-4048                                                   Kathy Vetter, Tech.         Phone • (308) 995-4339
                                                                             Curriculum Coord.        Amber Porter, Admin. Coordinator

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