Fifth Disease (Parvovirus B19)

What is it?

• Fifth disease is sometimes called “slapped cheek” syndrome because of the red rash it causes. It is a common infection of the airway and lungs.
• It’s most common in late winter to early spring.

Signs and symptoms?

• There may be no symptoms or mild symptoms that may include: Low-grade fever, headache, mild cold-like symptoms, upset stomach, sometimes joint pain or swelling.
• It starts as a very red rash on the cheeks that looks like the face has been slapped.
• After 1 to 4 days, a red, lace-like rash appears, first on the torso and arms, and then spreads to the rest of the body.
• The rash may last from 1 to 3 weeks, rash may come and go. It can be worse with changes in temperature, exposure to sun, and exercise.

How does it spread?

• This virus spreads:
  • By touching the hands of someone who has the infection and then putting your hands in your mouth.
  • By touching an object (such as a toy) that has been touched by someone who has the infection and then putting your hands in your mouth.
  • By coming in contact with the virus in the air, after an infected person has coughed or sneezed.
• The virus is most contagious a few days before the rash starts. Once the rash appears, your child can no longer pass it to anyone else.
• This virus can spread from a pregnant woman to her unborn child.

How to decrease the spread?

• Handwashing is the best way to prevent the spread of infection.
• Careful disposal of used facial tissue.
• Not sharing drinking cups or eating utensils.
• Covering nose and mouth while coughing and sneezing.

Pregnant Women

If you’re pregnant and develop a rash or have sore joints and have been exposed to someone with fifth disease (or to anyone with an unusual rash), call your health care professional.

Recommended Absence:

Only when the child is not well enough to participate or according to your policy. Your child can attend school while they have the rash.