Mononucleosis or "Mono" is caused by the Epstein Barr Virus which is a common respiratory virus. It is spread by kissing, hence the nickname "kissing disease," coughing, sneezing or any way salvia is transmitted from one person to another. Sharing of water bottles, cups and utensils should be avoided.
Most young children have been exposed to this virus but may have experienced only mild symptoms. In older children and adults the symptoms can be quite severe and include fatigue/weakness, sore throat, fever, swollen lymph glands and enlarged liver and spleen. In the majority of cases, the mono symptoms resolve within 2 to 4 weeks, however, some individuals, especially teens, may experience fatigue and weakness for months.
All students must be examined and monitored by their health care provider and provide the school with written documentation of the recommendations and duration of activity restrictions for the illness.