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School Nurse: Leigh Ann Garrison, RN, MSN 


During this Covid-19 outbreak  in our county, state, country and the world, it is easy to be misinformed.  If you are interested in Covid-19 information please use a reputable site to answer your concerns and/or update yourself.  Here are some links that you might find helpful:

Virginia Department of Health

Center for Disease Control (CDC)
National Institute of Health (NIH)
World Health Organization (WHO)


Please help us keep our children well. Please refer to the following Prince William County School regulation for keeping child at home while they are sick.
Regulation 757-1

Illness or Injury Exclusion Criteria
Reasons for which a child will be sent home from school/School Age Child Care (SACC) or for a parent to keep the child home from school/SACC. Students with the following conditions will not be permitted to ride the school bus home. The student must be released to a parent/guardian or adult designee.

I. Fever of 100.4° F and over – exclude until student has been fever-free without the use of fever reducing medication for at least 24 hours.
II. Conjunctivitis (pink eye), strep infections, ringworm, and impetigo are all infections and must be treated with medication for a minimum of 24 hours before returning to school. Please do not allow affected students back before this time so that other students are not infected unnecessarily.
III. Rash of unknown origin with fever and/or behavioral changes, until a primary care provider has determined that the illness is not a communicable disease.
IV. Head injury.
V. Severe coughing or difficulty breathing.
VI. Colds – a child with thick or constant nasal discharge should remain home.
VII. Diarrhea – sudden increase in frequency to more than three loose/watery stools per day. Exclude until student has been symptom free for at least 24 hours.
VIII. Vomiting – unless the vomiting is determined to be caused by a diagnosed non-communicable/non-infectious condition (such as dysmenorrhea, dysphagia, etc.).
IX. Abdominal pain that continues for more that two hours or intermittent abdominal pain associated with fever or other signs or symptoms.
X. Stiff neck associated with fever and/or a recent injury.
XI. Inadequate immunizations with known disease outbreak in school.
XII. Refer to the Virginia Department of Health’s “Communicable Disease Reference Chart for School Personnel” for other exclusions/information.

 Mary F. Williams Elementary School has many children with severe food allergies.  Many of these are peanut/tree nut.   Elementary schools in Prince William County are no longer serving peanut butter and jelly as a lunch option.  The schools are however serving sun butter, which is a sunflower seed based spread, instead.   

 Any items that are brought from home to be shared with classmates must be peanut tree/ nut free, must be store bought, and must have and ingredient label.  Please check with the classroom teacher to see if there are any additional allergy restrictions/health conditions to consider for your child’s class.


Please note that any medication brought to school must be transported to school by a parent.  In addition medication authorization forms must be completed.  All prescription medication requires authorization from a physician.  Please call the school nurse or follow the links below to obtain the appropriate forms.

Tdap immunization required for sixth graders
The Virginia General Assembly passed a law in the 2014 legislative session requiring that all students entering sixth grade must have a diphtheria, tetanus, pertussis vaccine (Tdap) booster. Students who have received a Tdap booster between the age of 7 and 11 do not need another dose. By state law, without proof of this immunization or an exemption on file, children will not be able to enroll in school for the 2019-2020 school year. 

The booster shot may be listed as T, Td, DTap, and/or Tdap. Parents are urged to call their child’s doctor or local health district if they have questions. 

Shots may be obtained from a doctor, military clinic, or the Prince William County Health District. Documentation should be taken to your child’s middle school or Central Registration. 

The Prince William County Health District may be reached at these locations and telephone numbers: 9301 Lee Avenue, Manassas, VA 20110, 703.792.6300, and 4001 Prince William Parkway, Ste. 101, Woodbridge, VA 22192, 703.792.7300. 

Important Links