Fifth Disease/ Erythema Infectiosum (Human paravirus B 19)


Low-grade fever, slight generalized body weakness and achiness and a "slapped cheek" appearance 1-2 days before the rash.  The rash is small, flat or slightly raised pink spots, can be blotchy appears on the extremities and trunk.

Incubation Period

4-21 days

Mode of Transmission & Communicability

The virus is spread directly by droplets from coughing and sneezing and indirectly through hands or objects contaminated with nose or throat discharges of infected persons. Most contagious before the beginning of the rash.

School Action

1. Refer for medical diagnosis is the questions remain regarding the cause of the rash.

2. If other rash-causing illnesses are ruled out, there is no need to exclude the child.