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Mrs. Brockmeier

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Announcements

 1. SWINE FLU INFORMATION AND PRECAUTIONS
(for up-to-date accurate information, please visit the Centers for Disease Control and Prevention
(CDC) web site at http://www.cdc.gov/swineflu/)

* What is swine flu?
Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza viruses.
Outbreaks of swine flu happen regularly in pigs. People do not normally get swine flu, but human infections can and do happen. Most commonly, human cases of swine flu happen in people who are around pigs but it’s possible for swine flu viruses to spread from person to person also.

* Are there human infections with swine flu in the U.S.?
In late March and early April 2009, cases of human infection with swine influenza A (H1N1) viruses were first reported in Southern California and near San Antonio, Texas. CDC and local and state health agencies are working together to investigate this situation.

* Is this swine flu virus contagious?
CDC has determined that this virus is contagious and is spreading from human to human. However, at this time, it not known how easily the virus spreads between people.

* What are the signs and symptoms of swine flu in people?
The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

* How serious is swine flu infection?
Like seasonal flu, swine flu in humans can vary in severity from mild to severe. Between 2005 until January 2009, 12 human cases of swine flu were detected in the U.S. with no deaths occurring. However, swine flu infection can be serious. In September 1988, a previously healthy
32-year-old pregnant woman in Wisconsin was hospitalized for pneumonia after being infected with swine flu and died 8 days later. A swine flu outbreak in Fort Dix, New Jersey occurred in 1976 that caused more than 200 cases with serious illness in several people and one death.

* How do you catch swine flu?
Spread of swine flu can occur in two ways:

1. Through contact with infected pigs or environments contaminated with swine flu viruses.
2. Through contact with a person with swine flu. Human-to-human spread of swine flu has been documented also and is thought to occur in the same way as seasonal flu. Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.

* Are there medicines to treat swine flu?
Yes. CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with these swine influenza viruses. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms).

* How long can an infected person spread swine flu to others?
People with swine influenza virus infection should be considered potentially contagious as long as they are symptomatic and possible for up to 7 days following illness onset. Children, especially younger children, might potentially be contagious for longer periods.

* What can I do to protect myself from getting sick?
There is no vaccine available right now to protect against swine flu. There are everyday actions that can help prevent the spread of germs that cause respiratory illnesses like influenza. Take these everyday steps to protect your health:

1. Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it and wash your hands.
2. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
3. Try to avoid close contact with sick people.
4. If you get sick with influenza, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them. Avoid touching your eyes, nose or mouth. Germs spread this way.

* What should I do if I get sick?
If you live in San Diego County or Imperial County California or Guadalupe County, Texas and become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat,
nausea, or vomiting or diarrhea, you may want to contact their health care provider, particularly if you are worried about your symptoms. Your health care provider will determine whether influenza testing or treatment is needed.

If you are sick, you should stay home and avoid contact with other people as much as possible to keep from spreading your illness to others.

* If you become ill and experience any of the following warning signs, seek emergency medical care.

In children emergency warning signs that need urgent medical attention include:

~ Fast breathing or trouble breathing
~ Bluish skin color
~ Not drinking enough fluids
~ Not waking up or not interacting
~ Being so irritable that the child does not want to be held
~ Flu-like symptoms improve but then return with fever and worse cough
~ Fever with a rash

In adults, emergency warning signs that need urgent medical attention include:

~ Difficulty breathing or shortness of breath
~ Pain or pressure in the chest or abdomen
~ Sudden dizziness
~ Confusion
~ Severe or persistent vomiting

* Can I get swine influenza from eating or preparing pork?
No. Swine influenza viruses are not spread by food. You cannot get swine influenza from eating pork or pork products. Eating properly handled and cooked pork products is safe.

Last Updated: 4/25/09 - ODH/CDC

 






 

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FAQ


 Sick/Absent FAQ:

This page contains answers to common questions of students and parents.


What if my child will need medication while at school?

Administration of medication during school hours should occur only when medication schedules cannot be adjusted to permit administration of medication at home.


What do I need to do for administration of medication at school?

ALL medication must be delivered to the school by a parent/guardian or

responsible adult designated by the parent. Do not send medication on the bus,to school, by your child.


How do I bring the medication to school?

Prescription medication must be prescribed by a licensed

prescriber and should be in the ORIGINAL PACKAGE with

instructions for administering the medication. Parents should ask their

pharmacists for a separate bottle for in-school medications. For

non-prescription medication (Tylenol, Ibuprofen, Motrin, Cough Remedies, Benadryl etc.) it must be in original package.

How are medications kept at school?

All medications are kept in a designated, locked area.

Do I need to fill out paperwork?

For each medication, the parent or guardian MUST complete, sign and return a "Request to Administer Medication" form to the office. Any changes in the dose or time of administration MUST be accompanied by another "Request to Administer Medication" form.

What if this is a new medication for my child?

Parents are encouraged to give the first dose of medication at home in case any reaction should occur.

Can my child carry emergency medication during the day?

Written permission from your child's physician, and you is needed to carry asthma inhalers, EpiPens or Insulin. Form is available in the school

office. This is considered to be a prescription

medication and prescription guidelines will also be followed (original

package, directions and "Request to Administer Medication" form in addition to the physician's written permission).

Who will administer medication to my child during school?

The school nurse, secretary or principal.

How will I be notified my child is sick or injuried while at school?

Information on your child's Emergency Card will be utilized to contact you.

Keep your phone numbers up-to-date! List at least two other people to be contacted if you are unavailable. You will be notified anytime there is a serious health concern. Basic first-aid will be administered in the clinic. Emergency Medical Services (911) will be contacted for serious illness/injury.

What health screenings are done in school?

Vision/Hearing screening is done for PS, K, 1, 3, 5 and 7th graders.

Scoliosis screening is done for 5, 6, 7, and 8th graders.

Can my child attend school with nits in his/her hair?

All nits must be removed from the hair.
Your child will be sent home again if nits are found when checked by the school nurse/secretary/principal.

How do I get my child excused from PE due to illness/injury?

Your doctor must provide written notice to be excused from PE for more than one day.

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Health Information

1. RSV may look like a cold but it isn’t...

It’s the viral master of disguise, and every year it sends more than 2 million young children to the doctor or hospital for treatment.

Respiratory syncytial virus – or RSV – can masquerade as the common cold, causing symptoms such as congestion, runny nose and coughing. But it can also progress to more serious respiratory infections, such as pneumonia and bronchiolitis.

The highly contagious virus has been known to pose a severe health threat to infants and children with medical complications. However, a new study has shown that the virus is far more widespread and more serious among older children.

According to the report in the New England Journal of Medicine:

  -  The majority (78 percent) of children with RSV are older than 12 months.

  -  Most have no other medical conditions that would place them at high risk.

  -  The RSV infection is the cause of one in every 13 outpatient visits to physicians each year by children under age 5, and one in 38 emergency room visits.

  -  Only 3 percent of children with the virus who are not hospitalized received a proper diagnosis of RSV.

RSV often occurs in epidemics that last from late fall through early spring. The infection can be spread through droplets containing the virus when a person coughs or sneezes. It can also live on surfaces such as countertops, doorknobs or toys, and on hands and clothing.

Call the doctor if your child has these symptoms:

  -  High fever with ill appearance
  -  Thick nasal discharge that is yellow, green or gray
  -  Worsening cough or cough that produces yellow, green or gray mucus
  -  Dehydration
  -  Wheezing, difficulty breathing, or breathing rapidly
  -  Lethargy
  -  Blue tinge to lips or fingernails
  -  Irritability and restlessness

Prevent the spread of RSV by:

  -  Washing hands frequently. Pay particular attention to hand washing after having contact with someone who has symptoms of a cold.
 
  - Cough/sneeze into your elbow

  - Remind children (and yourself) not to put your fingers in your mouth

  - Keeping older children with symptoms of a cold away from infants.

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2.ASTHMA INHALER CHANGE
As of December 31, 2008, all drug stores must give out asthma inhalers with a new type of propellant called “HFA Propellant”. This change was made for environmental reasons.
There has been no change in the medicine itself in the inhalers.

Many drug stores began giving customers new inhalers early in 2008. Check for “HFA” in the name of the inhaler to see if you received a new type the last time you had a prescription filled.

There are many changes in these new inhalers which include:
• Spray is “finer”
• Taste and “feel” is different, some patients say it feels “warmer”
• Plastic (mouthpiece) casing must be cleaned regularly to prevent clogging
• Inhaler must be “primed” prior to first use and on a regular basis
• Several brands should be stored upright
• Cost is higher

Each brand of inhaler comes with different directions. One standard set of directions can be used for all HFA inhalers.
• If used occasionally, the inhaler must be “primed” (sprayed) prior to each use and the plastic case must be cleaned after each use – remember to spray into the air, away from the face.
• If used every day, the plastic case must be cleaned once per week.

Please read the information that came with your child’s inhaler carefully. Take time to discuss these changes with your child and be sure they know how to use and take care of this newer type
of inhaler.

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Calendar

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Health Links

Kids Health
http://kidshealth.org

 
 
Ohio Department of Health
http://www.odh.ohio.gov

 
 
Center for Disease Control and Prevention
http://www.cdc.gov

 
 
Healthy Smiles/Health Children
http://www.aapd.org

 
 
Food Allergy and anaphylaxis Network
http://www.foodallergy.org

 
 
Cincinnati Children's Hospital
http://www.cincinnatichildrens.org

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Immunizations

Immunization Summary for Child Care, Head Start, Pre-School and

School Attendance VACCINES

FALL 2009

IMMUNIZATIONS FOR CHILD CARE/HEAD START AND PRE-SCHOOL ATTENDANCE

FALL 2009

IMMUNIZATIONS

FOR SCHOOL ATTENDANCE

DTaP/DTP/DT/Td

Diphtheria,

Tetanus,

Pertussis

4 doses of DTaP, DTP, or DT or any combination.

Kindergarten

5 doses of DTaP, DTP, or DT, or any combination, if the fourth dose was administered prior to the 4th birthday Grades 1-12 * 3-4 doses of DTaP, DTP, DT or Td or any combination.

POLIO

3 doses of OPV or IPV or any combination of OPV or IPV.

K-12 **

4 doses if a combination of OPV or IPV was administered.

4 doses of all OPV or all IPV is required if the third dose of either vaccine was administered prior to the 4th birthday.

MMR

Measles,

Mumps,

Rubella

1 dose of MMR administered on or after the first birthday

K-12

2 doses of MMR. Dose 1 must be administered on or after the first birthday. The second dose must be administered at least

28 days after dose 1.

Hib

Haemophilus

Influenzae

Type b

3 or 4 doses depending on the vaccine type, the age when the child began the 1st dose and the last dose must be after 12 months

or

1 dose if given on or after 15 months of age

None

HEP B

Hepatitis B

3 doses of Hepatitis B

K-10

3 doses of Hepatitis B. The second dose must be administered at least 28 days after the first dose. The third dose must be given at least 16 weeks after the first dose and at least 8 weeks after the second dose. The last dose in the series (third or fourth dose), must not be administered before age 24 weeks.

Varicella

(Chickenpox)

None

K-3

1 dose of varicella vaccine must be administered on or after the first birthday


2. St. Vivian School Tuberculosis Screening Policy

for Students and Staff

The following policy is based on requirements from the Hamilton County Public Health TB Control Unit in accordance with Ohio Revised Codes 3313.71 and 3701.13, and Ohio Administrative Code 3701-15-02.

1.      The following students and staff must provide documented evidence of having a negative TB test within 90 days of their first day of employment or enrollment in the school.

·        All foreign-born, newly enrolled students who have been in the USA for 5 years or less.

·        All foreign-born, newly hired staff who have been in the USA for 5 years or less.

2.      The TB test that is required must be either a Mantoux Test 5 TU PPD (skin test) or a QuantiFERON blood test. 

3.      Students and staff in the process of completing the TB testing may begin attendance or employment for no more than 30 days as long as they do not have TB symptoms as verified by a licensed physician or nurse. 

4.      If the TB skin test or blood test is positive, the person may remain in the school, but must provide proof of the following: within 90 days of their first day of attendance or employment with the school.  

·        a normal chest x-ray

·        verification from a physician of the absence of communicable tuberculosis

 

***** Please note:  A positive skin test does not indicate active TB disease.  Only those persons who display signs and symptoms of active TB disease, with or without a positive skin test, will be removed from school.

 

5.      Any person with either: (1) a documented history of tuberculosis, or (2) a positive PPD or blood test and a normal chest x-ray, must provide documented proof of the absence of TB symptoms, as determined by symptom screening by a licensed physician or nurse. Repeated chest x-rays are not required in the absence of symptoms of tuberculosis.

6.      Any current staff member or currently enrolled student who travels at any time to a *high-risk country, as defined by World Health Organization Global TB Control*, in a non-tourist capacity, must provide documented evidence of having a negative skin test or blood test in no less than 60 days but no more than 90 days after their return from travel.

7.      Retesting is not required unless the person returns to a high-risk country for at least one week in a non-tourist capacity.

·        A “non-tourist capacity” is defined as:

·   a mission trip,

·  staying with family/friends in a private residence,

·  spending most of the travel time in a home or facility where the residents of the foreign country live.

*See below for an  up to date list of the “High-Risk” countries as defined by the World Health Organization Global TB Control

 

Countries with a high rates of tuberculosis (TB)*

 

Afghanistan

DR Congo

Mali

Sao Tome and Principe

Algeria

Ecuador

Marshall Islands

Saudi Arabia

Angola

El Salvador

Mauritania

Senegal

Argentina

Equatorial Guinea

Mauritius

Seychelles

Armenia

Eritrea

Mexico **

Sierra Leone

Azerbaijan

Ethiopia

Micronesia

Solomon Islands

Bangladesh

Gabon

Mongolia

Somalia

Belarus

Gambia

Morocco

South Africa

Belize

Georgia

Mozambique

Sri Lanka

Benin

Ghana

Myanmar

Sudan

Bhutan

Guam

Namibia

Suriname

Bolivia

Guatemala

Nauru

Swaziland

Bosnia & Herzegovina

Guinea

Nepal

Tajikistan

Botswana

Guinea-Bissau

Nicaragua

Thailand

Brazil

Guyana

Niger

Togo

Brunei Darussalam

Haiti

Nigeria

Turkmenistan

Burkina Faso

Honduras

Niue

Tuvalu

Burundi

India

Northern Mariana Island

Uganda

Cambodia

Indonesia

Pakistan

Ukraine

Cameroon

Iraq

Palau

UR Tanzania

Cape Verde

Kazakhstan

Papua New Guinea

Uzbekistan

Central African Republic

Kenya

Paraguay

Vanuatu

Chad

Kiribati

Peru

Viet Nam

China

Kyrgyzstan

Philippines

Wallis & Futuna

China, Hong Kong SAR

Lao PDR

Qatar

Yemen

China, Macao SAR

Latvia

Rep. of Korea

Zambia

Colombia **

Lesotho

Poland **

Zimbabwe

Comoros

Liberia

Portugal **

Yemen

Congo

Lithuania

Rep. Korea

Zambia

Côte d'Ivoire

Madagascar

Republic of Moldova

Zimbabwe

Djibouti

Malawi

Romania

Zimbabwe

Dominican Republic

Malaysia

Russian Federation

Zambia

DPR Korea

Maldives

Rwanda

Zimbabwe

 

 

            * World Health Organization, Global Tuberculosis Control: Estimated burden of TB in 2005;

                http://www.who.int/tb/publications/global_report/2007/xls/global.xls

 

                             Countries with TB case rate of 50 or more per 100,000 people

                            ** Countries with TB case rate <50 per 100,000 but contribute to TB cases in the US                           

 

 

 

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Biography

Peggy Brockmeier, RN, School Nurse

St. Vivian Clinic - 7:30 am - 3:00 PM - Tuesday and Thursday

522-6858 ext. 347

email: peggy.brockmeier@stvivianschool.org

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