School Health Issues
- School Health Advisory Committee (SHAC) Meeting Agenda - October 14, 2014 (10/7/14)
- Ebola Guidance Available for Schools(10/14)
- U.S. Department of Education Provides Resources to Superintendents on Enterovirus and Ebola(10/14)
- 2014 annual conference of Illinois Association of School Nurses (IASN) will be held Oct. 24-25 in Rockford, IL. Brochure is available for download at www.iasn.org.
- Recommendations for School Response to Enterovirus D68
- School Nurse Training Opportunities
- Immunization News:
Free Epi-Pen® to schools who have physician orders for stock epinephrineThe Illinois Emergency Epinephrine Act, PA97-0361, allows schools to stock a supply of epinephrine auto-injectors, authorizes schools to enter into an agreement with a physician to provide the school with a prescription to obtain the auto-injectors, and gives school nurses (RN) the power to administer the epinephrine to any student whom the registered nurse believes is having an anaphylactic reaction.
Mylan© Pharmaceuticals has agreed to provide free epinephrine auto-injectors (Epi-Pen®) again this school year to all schools that have a standing order for this emergency drug. The program requirements are: 1) school must have a doctor’s order for the use of this drug and 2) a representative of the school or district must sign the order form. The instructions and order forms can be accessed at www.epipen4schools.com
The Illinois Attorney General's office and other agencies and associations last year produced the “Physician’s Toolkit”, which among other objectives, can assist a physician in writing the school prescription. The “toolkit” also answers physician questions on liability.
- EpiPen (epinephrine) Guidance (PA97-0361) - Illinois Attorney General's Office
- Food Allergy Guidelines and Resources
- FDA Recommends to Discontinue Use of GenStrip Blood Glucose Test Strips (4/29/14)
- Insulin Administration Chart - Word Format PDF Format
The insulin administration chart is provided to you as stated in PA 096-1485 - Care of Students with Diabetes Act, “A diabetes care plan shall include a uniform record of glucometer readings and insulin administered by the school nurse or delegated care aide during the school day using a standardized format provided by the State Board of Education.” The carbohydrate intake may be determined by any person trained in counting carbohydrates, including the child.
- Public Act 93-0530—An explanation of PA 93-0530 Diabetes Risk Assessment
- Public Act 097-0819—Diabetes Awareness Day
- Diabetes Risk Assessment—A Memorandum from Illinois Department of Public Health (IDPH) and Department of Human Services (DHS) explaining the enforcement of PA 93-0530 Diabetes Risk Assessment
Additional Diabetes Resources
- American Diabetes Association
- Diabetes Public Health Resource
- Interesting Diabetic Research
- Lilly Glucagon Training Kit – 1-800-545-5979
- Novo Nordisk Glucagon Training Kit – 1-800-727-06500
- Pediatric Diabetes Information
- Pediatric Endocrinology and Diabetes - There are lists of related child and adolescent health topics on this page.
- Type 2 Diabetes - Healthline: A comprehensive overview
Synthetic Drug Information:
Hearing screening is required annually on all children in special education, children new to the district, and teacher/parent referrals. Hearing screening is also required beginning at age 3 in all licensed daycare/preschool programs. Once a child begins school, hearing screening is required at grades K, 1, 2 and 3.
- 2014-15 School Immunization Requirements
- Notice: Information and clarification about the start date for the new Meningococcal Vaccine Requirements (12/14/13)
House Bill 3190 was signed into law as Public Act 098-0480 to become effective in January 1, 2014; however, the new law allows that the requirement would not be implemented until at least six months after the Department of Public Health established administrative rules for implementing the law. It is anticipated the meningococcal requirement will be implemented for the 2015-2016 school year.
- Reminder: Modifications to HIPAA Rule Regarding Immunization Information (8/13)
This is a reminder about the modifications to the HIPAA rule that occurred in January 2013 that enables healthcare providers who are HIPAA covered entities to share immunization information to schools with verbal/email parent permission. Read the summary or refer to page 5617 of the Federal Register to learn more.
- Guidelines Applicable to Medical and Religious Immunization Exemptions (2/10)
- Immunization School Survey Results
- Childhood Lead Poisoning
- Lead Questionnaire —The Childhood Lead Risk Assessment Questionnaire for Lead Poisoning Screening - includes High Risk Zip Codes (6/07)
- Lead Questionnaire—Español
- High Risk Zip Codes—The Pediatric Lead Poisoning High Risk Zip Code Areas for 2005 distributed by the IDPH
- Ebola Guidance Available for Schools(10/14)
Late last month, the Centers for Disease Control and Prevention (CDC) announced the first confirmed case of Ebola diagnosed in the United States in a person who traveled from West Africa. The United States is prepared, and has a strong health care system and public health professionals who will make sure this case does not threaten our communities. As CDC Director Dr. Tom Frieden has said, "I have no doubt that we will control this case of Ebola, so that it does not spread widely in this country." Should a school learn that a student or staff person may have traveled in an area of the world where Ebola is present, they should refer that student or staff to the school nurse. If student health clinicians determine that an individual is has a high or low risk exposure, as defined in the letter from IDPH, the clinician should contact their local health department to determine additional actions regarding evaluation and monitoring. Although Ebola is a highly destructive disease, it is not a highly contagious disease. For more information, visit the CDC website, www.cdc.gov.
- State Health Department Issues Advice Concerning Screening for Ebola Virus - Recommendations for Colleges and Universities (9/14)
With significant international travel and educational foreign exchange programs there is a possibility that student, faculty, or staff who travel from areas where Ebola virus is present could arrive in the United States. The Illinois Department of Public Health has issued an advisory letter related to the virus that is suspected to be the cause of death of more than 1,500 people worldwide. Should a school learn that a student or staff person may have traveled in an area of the world where Ebola is present, they should refer that student or staff to the school nurse. If student health clinicians determine that an individual is has a high or low risk exposure, as defined in the letter from IDPH, the clinician should contact their local health department to determine additional actions regarding evaluation and monitoring.
- Illinois Department of Public Health Measles Health Alert (3/14)
The Illinois Department of Public Health, along with the Centers for Disease Control and Prevention and local health departments, is investigating a second case of measles in McDonough County. The most recent case is an adult who attended a junior high volleyball game in Bushnell on Feb. 25. This second case was exposed to a previously reported child international visitor with measles in McDonough County. This latest instance brings the total to two cases in Illinois related to this situation. The investigation is still ongoing, and all suspect cases and exposures are continually being evaluated.
In addition, state health authorities have been made aware of two laboratory-confirmed and several probable mumps cases in a Morgan County community. Mumps, an acute vaccine-preventable viral illness transmitted by respiratory droplets and saliva, has an incubation period of 16-18 days. A statewide notification has been sent since the cases are widespread across the Morgan County community, and a common exposure has not been identified.
Schools are reminded that they are required by IDPH rule to maintain an up-to-date list of all students who are not protected against any disease for which a vaccine is required for school attendance, including those with waivers based on religious beliefs or on medical conditions. If someone has measles-like symptoms, follow isolation guidelines to prevent further spread and contact your local health department or IDPH as soon as possible.
Measles symptoms include fever and rash, history of international travel in the past three weeks or contact with international visitors and history of exposure to a confirmed case.
- IDPH Memorandum: Herpes Gladiatorum in High School Wrestlers (1/13)
Students engaging in sports often have contact with other students, whether on the basketball court or the wrestling mat or volleyball court. Due to prolonged, skin to skin contact in wrestling, student wrestlers are at higher risk for diseases spread by contact. The Illinois Department of Public Health (IDPH) has alerted us that a skin infection, herpes gladiatorum, has been tentatively identified in members of several high school wrestling teams throughout the state. Please review the guidance document from IDPH.
- Guidance for Prevention of Acute Gastroenteritis (AGE) Outbreaks in Daycare Facilities and Schools (Dec. 2012)
- IDPH Guidance for Schools: Students and Community Associated Staphylococcus Aureus (CA-MRSA) Infections (Jan 2009)
- School Health Topics A-Z
- 2013 Youth Risk Behavior Survey Results for Illinois Released (CDC - June 2014)
The YRBS monitors six categories of priority health-risk behaviors among high school students—behaviors that contribute to unintentional injuries and violence; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; unhealthy dietary behaviors; and physical inactivity—plus the prevalence of asthma and obesity. To view national data visit http://www.cdc.gov/HealthyYouth/yrbs/index.htm
In Illinois contact Jessica Gerdes, principal consultant, school health at JGerdes@isbe.net
- Blood Borne Pathogen Exposure Control Plan (12/12)
- Carrying Backpacks: Physical Effects (ISBE 6/06)
- Illinois Enhanced P.E. Strategic Plan
- Medication Administration in Schools - Recommended Guidelines
- MRSA Infections
- What's New in School Health Services and Health Education - Applications for Special Education PowerPoint Presentation (8/14)
- Wind Chill and Heat Index Charts
Students should be encouraged to engage in physical activity year-round, including winter, when they are adequately protected from exposure to extreme weather. Attached is a chart, created by Iowa Department of Public Health and distributed nationally, which may help school districts decide when to limit outdoor play and other activities. The chart explains both wind chill and heat index and is based on information provided to Iowa DPH by the US National Weather Service. To be most useful, the chart, if printed, should be printed in color.
Although health teachers must implement the Illinois Learning Standards for physical development and health, health teachers are also advised to review the CDC’s standards on health education, found at: http://www.cdc.gov/healthyyouth/sher/standards/.
Offered here are two links to documents from the CDC that provide a listing of evidence-based instruction in HIV prevention and in pregnancy prevention.
- Listing of Risk Reduction Evidence-based Behavioral Interventions (EBI) for Youth
- Listing of Effective Teen Pregnancy Prevention Programs
Staff Training to Support Safe and Supportive Environments Related to Sex Education:The Centers for Disease Control (CDC) has provided to ISBE funding to support sex education and the creation and maintenance of safe and supportive environments for all students, including those who have different sexual identities from the heterosexual norm. As part of the project, ISBE encourages all school staff to learn skills to provide students with such safety and support. Step In Speak Up! – Supporting LGBTQ Students is a free training offered by Illinois Department of Public Health. The training is self-paced and has proven effective in assisting school staff to create and maintain safe and supportive environments for such students.
To take the online training:
- Go to http://illinois.kognito.com/.
- Select the training and create your account. (Choose “Other” if you work with multiple schools.).
- Take the brief pre-training survey, followed by the training (can be completed in one or multiple sittings).
- Please also take the post training survey to assist in the program evaluation.
- Print your certificate of completion.
- Bullying Resources
- “Residential Treatment for Youth With Mental Health Needs: A Guide for Parents and Guardians”
- Comprehensive System of Learning Supports
- School Health Services and Health Education - What's New? Applications for Special Education Presentation (8/14)
- Section 504 on the Rehabilitation Act of 1973
- Special Education Course for Registered Nurses (pursuant to 226.160 Special Education, Medical Review)
- Special Education Section 226.840 Guidance: Qualifications of Personnel to Conduct Medical Review - Under Revision
- New School Nurse Preparation Program Approved
The Illinois State Educator Preparation and Licensure Board (SEPLB) at ISBE has just approved the new school nurse licensure/endorsement program at Lewis University. Classes will be held at the Oakbrook campus and will be blended in class and online. Applications are now being accepted for the fall semester. Future plans include a master’s degree option in either or both nursing and education. For questions, contact Linda Gibbons at email@example.com. Program and application information can be found online at http://www.lewisu.edu/academics/nursing/graduate/schoolnurse/index.htm.
This brings the number of Illinois universities offering school nurse preparation programs back to four. The programs prepare registered nurses to obtain professional educator licensure endorsed for school nursing. The other programs are
• Millikin University, Decatur— firstname.lastname@example.org.
• Southern Illinois University, Edwardsville— email@example.com.
• University of Illinois at Chicago— firstname.lastname@example.org.
- Special Education Course for Registered Nurses - Updated information for the Fall/Winter/Spring sessions! (pursuant to 226.160 Special Education, Medical Review)