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Division of Public Health Services  Disease Handbook for Childcare Providers 
Bureau of Infectious Disease Control   REVISED –January 2018 
Ringworm (Tinea) 
 
Tinea, more commonly called ring worm is a skin 
infection caused by a fungus that lives on the skin, 
surfaces of items, or household items –  like 
bedding, clothing, or toys. Ringworm can affect 
any part of the body including the scalp.   
 
Who get this disease? 
Anyone can get the disease. It is transmitted 
through direct contact with the fungus  including 
touching another person or surface containing the 
fungus. Ringworm can also be transmitted by 
contact with animals (e.g. cats and dogs).  
 
What are the symptoms? 
Ringworm affecting the skin causes a red, circular 
patch to form. The patch usually has a raised 
edge. Ringworm between the toes, or more 
commonly called athlete’s foot, causes the skin 
between the toes to appear cracked and peelin g. 
Ringworm of the scalp can cause redness of the 
scalp or loss of hair.   
 
Symptoms typically appear between 4 -14 days 
after contact with the fungus.  
 
 
How is it diagnosed and treated? 
A diagnosis of ringworm is made by a healthcare 
provider based on the clinical features of the skin. 
The healthcare provider may feel necessary to 
take a scraping of the skin for a culture.  
 
Ringworm of the skin can be treated with an over-
the-counter antifungal cream or lotion. Ringworm 
of the scalp can only be treated wi th a prescribed 
antifungal medication from the child’s health care 
provider. 
 
 
How can the spread of this disease be 
prevented? 
1. Items frequently touched by children (i.e. 
toys and surfaces) should be washed or 
wiped down frequently. This can be done 
with a diluted bleach solution.  
2. Children should not be allowed to walk 
barefoot 
3. Do not allow children to share personal 
items like brushes or combs.  
4. Children should wash their hands with 
soap and warm water after touching any 
animals  
5. Socks should be changed daily or if they 
become wet for any reason.  
6. While under treatment swimming pools 
should be avoided. 
 
Who should be excluded? 
The child’s parent or guardian should be 
telephoned/emailed or a note sent home 
at the end 
of the school day stating that the child needs to be 
seen by his/her health care provider related to the 
potential for infection.  
 
The child should be excluded until treatment is  
started.  
 
Reportable? 
No, ringworm is not reportable by New 
Hampshire law.  However, the Bureau of 
Infectious Disea se Control professionals are 
available for consultation at (603) 271-4496.