Information for schools from the National Public Health Service for Wales


Swine flu is now circulating in many parts of the UK, and more cases are expected in the next few months, with widespread activity in Wales by the time schools return from the summer vacation.

There are a few simple measures you can use to reduce the spread of flu in your school. Everyone can play their part by practicing good hygiene:

Washing hands frequently with soap and water to reduce the spread of virus from your hands to face or to other people.
Cleaning hard surfaces (e.g. door handles) frequently using a normal cleaning product.
Covering your nose and mouth when coughing or sneezing, using a tissue when possible.
Disposing of dirty tissues promptly and carefully.
Making sure children follow this advice.

If people think they may have flu and want to check their symptoms they can call the Swine Flu Information Line on 0800 1 513 513. If they are still concerned they should contact NHS Direct Wales on 0845 4647.

Staff or students with flu like illness should stay at home until they are well and have finished any treatment their doctor has prescribed. Where people become ill during the day they should be sent home. Siblings and other household members can continue to attend school while they remain well.

With swine flu circulating within the country, closing a school would not help to slow the spread of the virus as people could still be exposed outside the school. However, where there is high staff absenteeism it may be necessary to close the school or after-school club until there is sufficient staff to safely care for the children.

It is important that any woman who is pregnant and has flu-like symptoms (headache, cough, sore throat and fever) should call NHS Wales Direct on 0845 4647 or call their GP as soon as possible. Pregnant women who are diagnosed with any type of flu may require close monitoring as they are one of the groups who have a higher risk of developing complications. Infection with the flu virus during pregnancy has not been associated with an increased risk to the unborn baby.

Other groups who are at higher risk of complications include:

people with chronic lung disease including people who have had drug treatment for their asthma within the past three years
people with chronic heart disease
people with chronic kidney disease
people with chronic liver disease
people with chronic neurological disease
people with suppressed immune systems (whether caused by disease or treatment)
people with diabetes
pregnant women
people aged 65 years and older
children under five years old.

People in these high risk groups should seek medical advice as soon as possible if they become ill with a flu-like illness.

Attached is a letter that you could send out to parents in advance of the school holidays (Appendix A).

The National Public Health Service for Wales (NPHS) has also been asked about the risks to pregnant staff or those staff in “at risk” groups from children who may attend school with flu. At Appendix B is a copy of a risk assessment exercise conducted by the Health Protection Agency, which we would commend to you. The opinion, which we endorse, is that for pregnant staff or staff with other “at risk” conditions, there is no overall excess risk associated with schools compared to the communities in which they live. Clearly, under health and safety legislation, it is for the employer to satisfy themselves that they are managing any risks in the workplace and own their risk assessments.

Your local authority will wish to be advised if the school is being affected by swine flu and the NPHS Health Protection Team would be pleased to assist in outbreak management where this would be helpful or for general advice.

Your regional NPHS Health Protection Team can be contacted on:


Cardiff, Merthyr Tydfil, Rhondda Cynon Taf, and Vale of Glamorgan call 02920 402478
Appendix A

Draft letter for headteachers to send to parents on own letterhead

Dear Parent,

By the time we return from the summer holiday break, all the evidence suggests that flu will be circulating in our communities and we will expect to see cases in the school.

Please remember that if your child is ill with flu like symptoms you must keep them at home until they are fully recovered. Siblings and other household members who are well can continue to come to school. With swine flu circulating within the community, public health advice states that closing the school will not help to slow the spread of the virus as people could still be exposed outside the school.

Equally, over the summer, many children will enjoy various activities and holiday clubs. As is usual practice, if they become ill, they should not attend until they are fully recovered.

Symptoms of flu include a fever, cough, sore throat, aching muscles, sneezing, fatigue, runny nose and lack of appetite. Some people with swine flu have also reported vomiting and diarrhoea.

For most children swine flu is a mild illness. However, if you think you or your child may have flu and want to check the symptoms call the Swine Flu Information Line on 0800 1 513 513. If you are still concerned contact NHS Direct Wales on 0845 4647.

Everyone can play their part in reducing the spread of flu by practicing good hygiene:
Washing hands frequently with soap and water to reduce the spread of virus from your hands to face or to other people.
Cleaning hard surfaces (e.g. door handles) frequently using a normal cleaning product.
Covering your nose and mouth when coughing or sneezing, using a tissue when possible.
Disposing of dirty tissues promptly and carefully.Making sure children follow this advice.