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Appendix C – Communicable Disease Procedures

Little League® Rulebook

Proper precautions are needed to minimize the potential risk of the spread of communicable disease and skin infections during athletic competition. These conditions include skin infections that occur due to skin contact with competitors and equipment. The transmission of infections such as Methicillin-Resistant Staphylococcus aureus (MRSA) and Herpes Gladiatorum, blood-borne pathogens such as HIV and Hepatitis B, and other infectious diseases such as Influenza can often be greatly reduced through proper hygiene.

Infectious Skin Diseases

Strategies for reducing the potential exposure to these infectious agents include:

  • Athletes must notify a parent/guardian and coach of any skin lesion prior to any competition or practice. An appropriate health-care professional shall evaluate all skin lesions before returning to practices or competition.
  • If an outbreak occurs on a team, especially in a contact sport, all team members should be evaluated to help prevent the potential spread of the infection. All shared equipment shall be properly cleaned/disinfected prior to use.
  • Coaches, officials, and appropriate health-care professionals must follow Little League, state, or local guidelines on “time until return to competition.” Participation with a covered lesion may be considered if in accordance with Little League, state, or local guidelines and the lesion is no longer contagious.

Blood-borne Infectious Diseases

Strategies for reducing the potential exposure to these agents include following Universal Precautions such as:

  • An athlete who is bleeding, has an open wound, has any amount of blood on his/her uniform, or has blood on his/her person, shall be directed to leave the activity (game or practice) until the bleeding is stopped, the wound is covered, the uniform and/or body is appropriately cleaned, and/or the uniform is changed before returning to activity.
  • Athletic trainers or other caregivers must wear gloves and use Universal Precautions to prevent blood or body fluid-splash from contaminating themselves or others.
  • In the event of a blood or body fluid-splash, immediately wash contaminated skin or mucous membranes with soap and water.
  • Clean all contaminated surfaces and equipment with disinfectant before returning to competition. Be sure to use gloves when cleaning.
  • Any blood exposure or bites to the skin that break the surface must be reported and immediately evaluated by an appropriate health-care professional.

Other Communicable Diseases

Means of reducing the potential exposure to these agents include:

  • Appropriate vaccination of athletes, coaches, officials and staff as recommended by the Centers for Disease Control (CDC).
  • During times of outbreaks, follow the guidelines set forth by the CDC as well as state and local Health Departments.

Additional information is available from your state high school association and from the National Federation TARGET program.

This Policy was modified with permission from the National Federation of State High School Associations’ Communicable Disease and Skin Infection Procedures Policy.