"You cannot educate an unhealthy child and you cannot keep an uneducated child healthy."
-Dr. M. Jocelyn Elders, former US Surgeon General
The Kenton County School District Health Services Department agrees with the opinion of Dr. M. Jocelyn Elders. Our mission is to support education by advancing and promoting health for all students through the implementation of professional nursing skills, health education, and the development of individualize health management so that all students can achieve their greatest potential as lifelong learners and to be responsible, contributing citizens in an ever-changing global society.
We recognize each child's individual needs and acknowledge the importance of a cooperative relationship between families, health care providers, and the school community to provide a holistic approach and a supportive system that meets the needs of students. Using this holistic approach and professional school nursing practice, our vision is to promote a supportive and health conscious environment which will provide optimal learning for all students.
IMPORTANT MESSAGE FOR ALL PARENTS/GUARDIANS
CABINET FOR HEALTH AND FAMILY SERVICES
DEPARTMENT FOR PUBLIC HEALTH
October 9, 2017
Dear Parent or Guardian:
Re: New Kentucky Immunization Requirements for School Entry
A recent amendment to the Kentucky Administrative Regulation on the immunization schedules for attending school added new immunization requirements for the school year beginning on or after July 1, 2018.
Effective July 1, 2018:
- ALL students in kindergarten through twelfth grade must show proof of having received two doses of Hepatitis A vaccine to attend school
- Students aged 16 years or older, must show proof of having received two doses of Meningococcal ACWY vaccine (MenACWY) to attend school. If the first dose of MenACWY was received at age sixteen (16) years or older, the second dose is not required for school entry.
To meet this requirement, a current Certificate of Immunization Status must be provided to the school showing the dates your child received these vaccine(s). If your child has already received the age-appropriate vaccines for school entry, he or she will not be required to receive the vaccine(s) again.
Hepatitis A and MenACWY vaccines are available from your doctor, clinic or healthcare provider and are covered as a no-cost preventive service by most health insurance plans when administered by network providers. All local health departments administer Hepatitis A and MenACWY vaccines, especially for children who do not have health insurance. If your child is not up-to-date on immunizations, please contact your healthcare provider or local health department to schedule an appointment or to find out the hours when vaccines are given.
Online information about Hepatitis A and MenACWY vaccines is available from the Centers for Disease Control and Prevention, https://www.cdc.gov/vaccines/index.html
The actual letters from the Department for Public Health can be found on the right margin.
The KCSD is asking all parents/guardians to obtain an up to date immunization certificate from your child's healthcare provider.
Many students have received the Hepatitis A vaccine, but the dates were not indicated on the certificate currently at school. The two doses of Hepatitis A vaccine must be given 6 months apart. If both doses of Hepatitis A can't be administered before the start of the 2018-19 school year, your healthcare provider will give you a new certificate when the first dose is received that will allow your child to start school. The nurse at your child's school will gladly accept new certificates as soon as they are available. Please make a copy or ask the school to make a copy to keep for your records.
Do not let children with diarrhea swim. They can spread germs in the water and make other people sick.
Do not swallow the pool water and avoid getting water in mouth.
Practice good hygiene. Shower with soap before swimming and wash your hands after using the toilet or changing diapers.
Change diapers in a bathroom or a diaper-changing area and not at poolside. Germs can spread in and around the pool.
KIDS AND CARS
Heatstroke can occur in temperatures as low as 57 degrees
Never leave a child alone in a parked car, even with the windows rolled down or air conditioning on.
Always look in both the front and back of the vehicle before locking the door and walking way.
Never let children play in an unattended vehicle. Teach them not to play in a vehicle.
Always lock your vehicle doors and trunk and keep the keys out of a child’s reach. If a child is missing, quickly check all vehicles, including the trunk.
Wear a properly fitted bicycle helmet.
See and be seen—always wear bright colors, or something that reflects light when riding.
Avoid riding at night.
Research the area you are visiting.
Make sure your child is up to date on immunizations and ask your pediatrician if they need any travel vaccines.
Remember prescription medications.
Plan to bring car seats because they may not be available.
Tell children to never touch unfamiliar or wild animals
In the U.S., more raccoons have rabies than other wild animals, but bites from bats most often cause rabies in people.
If you or your child is bitten, wash out the wound for five minutes with soap and water and then get to a health care provider right away.
FIGHT MOSQUITO BITES
Protect your family from illnesses spread by mosquitoes
Watch for areas/objects that can hold water and support mosquito breeding, such as birdbaths, clogged gutters or flower pots.
Wear long-sleeved shirts and pants or use an Environmental Protection Agency-registered, skin applied insect repellent. Follow the product label instructions, reapplying as directed. Adults should spray insect repellent onto their own hands and then apply to a child’s face.
National Association of School Nurses, 2016
"School nursing, a specialized practice of public health nursing, protects and promotes student health, facilitates normal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders that bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potentials."
Meeting health requirements for school attendance is an important part of making sure your child is ready for school. These requirements provide the assurance that your child is not only up-to-date on necessary immunizations, but also that he/she is healthy to attend school. Keep your child “on track” by making sure that he/she meets the health requirements every school year. The Essential Health Enrollment Information and Forms located on the right margin of this webpage outlines the health information required for students. If you have additional questions or concerns, refer to the school nurse assignments below and contact your child's school nurse or the District Health Coordinator.
Student Accident Insurance
The Kenton County School District has selected the Student Insurance Plan from K&K Insurance Group to make reliable coverage available to parents. If you don’t have other insurance, this plan may be a resource to consider. Additionally, even if you have other coverage, this plan can help fill expensive “gaps” caused by deductible and co-pays. Coverage may be purchased at any time during the school year by visiting www.studentinsurance-kk.com.
Visit this webpage to learn more about the importance of immunizations
The Centers for Disease Control and Prevention Immunization Schedules
The Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics (AAP), and The American Academy of Family Physicians (AAFP) have updated their childhood immunization “basics” disease fact sheets in English and Spanish. and they are now available on CDC’s website.
These fact sheets, now available on CDC's website, are written for parents of children birth-2 years old. Each of the 14 sheets provides an overview of a vaccine-preventable disease and vaccine information.
The Importance of Sleep
Many of the common complaints seen in the nurse's office (headache, stomachache, etc.) are the result of sleep deprivation. The following article from the Center for Disease Control and Prevention discusses the importance of sleep and the recommended hours of sleep needed.
“… Sufficient sleep is not a luxury—it is a necessity—and should be thought of as a vital sign of good health.”
Wayne H. Giles, MD, MS, Director,
Division of Adult and Community Health,
National Center for Chronic Disease Prevention and Health Promotion
Join our efforts to reduce obesity and improve physical activity and nutrition in Kentucky.
A Look at the Numbers
KY ranked 10th highest in the US for adults who were obese.1
Kentucky is one of 12 states with obesity rates greater than 30%.1
66.2% of adult Kentuckians are overweight or obese.1
72.6% of men and 60% of women in Kentucky are overweight or obese.1
What’s The Cost?
Being overweight or obese greatly increases the risk of developing other chronic diseases and unwanted health conditions like diabetes, stroke, arthritis, sleep apnea, asthma, heart attack, and certain cancers.2
In 2013, Kentuckians are estimated to spend close to $2,402,000 in medical costs linked to obesity.3
Experts project Kentucky health care costs attributable to obesity will be $6 million in 2018, or $1,836 a year per adult.4
To find out more information on the health of our community, go to:
Looking for ways to get your family active, go to:
Parents are invited to use the MyPlate Kids' Place Resources for Parents and Educators for “teachable moments” that will influence children’s choices at home and at school. More materials for kids and parents with kids can be found on the Team Nutrition website.
Parents and caregivers of children 2-5 years old can explore ways to help preschoolers grow up healthy, play actively every day, develop healthy eating habits, try new foods, and more.
Public Health Concerns
Hand, Foot, and Mouth Disease
Hand, foot and mouth disease is a viral infection usually in young children. It is commonly seen in the spring and the fall. It is usually mild and self limiting. The disease is not reportable, but the Northern Kentucky Health Department has received several calls from schools and child care centers that are experiencing cases. The problem is not limited to Northern Kentucky. Increased reports of hand, foot and mouth are coming from throughout the United States.
Children present with fevers, followed by tiny blisters on fingers, hands and soles of feet. The blisters can be painful, and if in the mouth, create uncomfortable swallowing and eating. Cold-like symptoms may also be seen with a sore throat and runny nose or cough. Hand, foot and mouth is not the same virus that causes the animal illness of a similar name (Hoof and mouth disease).
Hand, foot and mouth is spread two ways, through both respiratory droplets and stool. Coughing and sneezing cause infected droplets to come in contact with objects or people. Infected droplets can also be rubbed into the eyes or mouth causing infection. The virus also leaves the body through the stool of an infected person and enters another person when hands, food or objects (such as toys) contaminated with stool are placed in the mouth.
- Practice and teach good hand hygiene, coughing and sneezing etiquette.
- Be sure children use frequent, careful hand washing before eating, and after using the toilet.
- Teach children to cover mouths when coughing and sneezing, either into a tissue or into the sleeve.
- Disinfect commonly touched surfaces, such as light switches, toilet and faucet handles, desks, handrails and door knobs
- Disinfect toys daily.
Measles is a highly contagious respiratory disease caused by a virus. It spreads through the air through coughing and sneezing. Measles starts with a fever, runny nose, cough, red eyes, and sore throat, and is followed by a rash that spreads all over the body. About three out of 10 people who get measles will develop one or more complications including pneumonia, ear infections, or diarrhea. Complications are more common in adults and young children.
From January 1 to January 30, 2015, 102 people from 14 states were reported to have measles. Most of these cases are part of a large, ongoing multi-state outbreak linked to an amusement park in California.
Measles can be serious, especially for children younger than 5 years old. It can lead to pneumonia, encephalitis (swelling of the brain), and death. Learn how you can protect your child from measles.
Click on theses links for more information:
Enterovirus D68 (EV-D68)
Almost all of the Centers for Disease Control and Prevention (CDC) confirmed cases this year of EV-D68 infection have been among children. Many of the children had asthma or a history of wheezing. Many parents continue to be worried about the outbreak and want information about what they can do to prevent illness and protect themselves and their families. The CDC has developed information and resources for parents about EV-D68.
Web Feature, “What Parents Need to Know About Enterovirus D68”
General questions and answers for the public
Recently the CDC developed a new lab test for EV-D68 which will allow more rapid testing of specimens. Because of this new test, confirmed cases of EV-D68 will appear to rise rapidly over the next 7-10 days as specimen testing accelerates. However, changes in case counts won’t represent a real-time influx of new cases.
Remember, too, as enterovirus season is expected to taper off, flu activity usually begins to increase in October. While there is not a vaccine to prevent illness from enteroviruses, the single best way to protect against the flu is to get vaccinated each year. Many resources for parents and others can be found on the CDC flu website. CDC recommends that ALL children 6 months old or older get a flu vaccine.
Our national health system has the capacity and expertise to quickly detect and contain this disease and is working with states and school districts to ensure the safety of our students and school employees. As you likely know, the CDC is continually updating its information on Ebola; information that can be found here: http://www.cdc.gov/vhf/ebola/index.html.
Talking with Children about Ebola
Recognizing and Reducing Signs of Anxiety in Times of Crisis
The Kentucky Department for Public Health is warning consumers about the dangers of consuming unpasteurized milk and other products (juices and ciders) that could lead to E. coli infection, following a recent outbreak in North Central Kentucky.
In addition to only consuming pasteurized milk, the public can help prevent E. coli infections by:
- Thoroughly washing fruits and vegetables before eating
- Washing hands often for at least 20 seconds with soap and water, especially after going to the bathroom, handling raw meat and eggs, or petting animals
- Thoroughly cooking meat
- Cleaning and sanitizing food preparation areas
- Avoiding swallowing lake or pool water
- Drinking only pasteurized apple cider
- Frequently cleaning and sanitizing restrooms, including door knobs and faucets
- Reporting diarrhea to your physician.
Zika Virus Disease
Zika virus disease (Zika) is a disease caused by the Zika virus, which is spread to people primarily through the bite of an infected Aedes species mosquito. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week after being bitten by an infected mosquito. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika. For this reason, many people might not realize they have been infected. However, Zika virus infection during pregnancy can cause a serious birth defect called microcephaly(http://www.cdc.gov/ncbddd/birthdefects/microcephaly.html), as well as other severe fetal brain defects. Once a person has been infected, he or she is likely to be protected from future infections. To learn more about the Zika Virus, visit the Centers for Disease Control and Prevention website: http://www.cdc.gov/zika/index.html
To help reduce the risk of virus transmission, students and staff should:
- Wash hands often with soap and water for 20 seconds, especially after changing diapers if soap and water are not available use an alcohol based hand sanitizer.
- Avoid touching eyes, nose, and mouth with unwashed hands.
- Cover your mouth and nose with a tissue when you cough or sneeze and put your used tissue in the waste basket. If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands.
- Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick.
- Stay home when feeling sick, and consult their health care provider as needed. Children with cold like symptoms that experience difficulty breathing should consult their health care provider for further evaluation.
- Disinfect frequently touched surfaces, such as handrails and doorknobs, especially if someone is sick.
- In addition, we encourage staff and students, especially those with chronic respiratory diseases such as asthma, to be vaccinated against influenza as soon as the vaccine becomes available. Getting the flu along with an upper respiratory virus could be very serious for someone with chronic respiratory diseases.
- Do not come to school if you are sick.
Use the following guidelines to determine when students should stay home.
Please keep your child home if any of the following are present:
- a fever of 100º F (37.8º C) in the past 24 hours
- Tylenol or Ibuprofen used to control fever in the past 24 hours
- an undiagnosed rash
- vomiting or diarrhea in the past 24 hours
- suspected conjunctivitis (pink eye) or yellow eye drainage
- strep throat- if awaiting culture results or less than 24 hours of antibiotic treatment
It's often difficult to tell how sick your child is in the morning. Remember if they stay home and improve, you can always bring them in to school. We appreciate your help as we work to prevent the spread of viruses and other communicable diseases throughout our communities. If you have any questions, contact the school nurse.
Information and resources available to help guard against the spread of flu
Each flu season, flu causes millions of illnesses, hundreds of thousands of hospitalizations and thousands or sometimes tens of thousands of deaths.Vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations. Flu most commonly peaks during the month of February. If you have not gotten vaccinated yet this season, you should get vaccinated now— It's Not Too Late!
Healthy people can get very sick from the flu and spread it to friends and loved ones.
Following are the most important steps to help protect your family against the flu this season.
For more information visit the Centers for Disease Control and Prevention website:
Flu facts from the
Northern Kentucky Independent District Health Department
How do I know if I have a cold or the flu?
The symptoms of a cold and the flu are similar and it can be difficult to determine which one you have.
Typical symptoms of a cold include:
- Scratchy sore throat
- Runny nose
- Mild cough
- Children may run a low fever (up to 102°F)
Typical symptoms of the flu include:
- Sudden headache
- Dry cough
- Runny nose
- Sore throat
- Muscle aches
- Extreme fatigue
- Fever up to 104°F
Want your child to learn more about their immune system and how it works? Visit the links below for videos, games, and other interactive materials to help them learn about their body.
Your Immune System – Read or listen to this article and learn what the immune system is and how everyone needs it to fight off illness and infections
Human Body Videos: Immune System (video) – Reading about the immune system can be confusing. Watch this video to better understand what antibodies, pathogens, and a healthy blood stream are.
Dr. Allevable and Regenerobot’s Exploration Adventure: The Immune System (PDF) – This fun and interactive lesson teaches viewers all about the immune system. Players learn by helping Sergeant Cell put together a special operations team for the immune system police station.
Worksheet: Inside-Out Anatomy: The Immune System – Use this worksheet to learn the parts of the immune system and where each part is located within the body.
Science Lab Immune System – Want to learn how truly impressive the human immune system is? Try this immune system experiment at home.
The Great Flu Game - Play the Great Flu Game and try to save the world from a wide spreading flu. Wisely spend the available funds on preventative strategies and save the world.
What are Germs? – Watch and learn about major types of diseases and infections from this animated video.
Health Games Allergy – Match it Sentences – Play this online game of matching words to their sentences to learn about allergies.
Just for Kids – Mr. Nose-it-All – On this site, Mr. Nose-it-all helps kids play games, do puzzles, and color pages all while teaching them about allergies.
Types of Allergies (video) – Watch this video to learn about the most common types allergies and what causes them.
Arthur Family Health Peanut Allergy – Peanut allergies are more common than ever before which makes it likely for children to be around someone with this type of allergy. It can be tough to know what to do, but Arthur’s friend Binky has lots of information on peanut allergies and shares it here.
SCHOOL NURSE ASSIGNMENT
2017-18 school year
|Paula Rust, RN, NCSN
||DISTRICT HEALTH COORDINATOR
|Lois McCubbin, LPN
|Patti Blank, LPN
|Michelle Racke, RN
|Patricia Gausepohl, RN
||TAYLOR MILL & KENTON ELE
|Cheryl Smith, LPN
||RIVER RIDGE ELEMENTARY
|Evelyn Stetter, RN
||RYLAND & WHITE'S TOWER
|Dee North, RN
||J. A. CAYWOOD & TURKEY FOOT
||SUMMIT VIEW ACADEMY
|Jenifer Cook, LPN
||SCOTT & WOODLAND
||TWENHOFEL & PINER
|Elizabeth (Niki) Hon, RN
||SIMON KENTON & KCAIT
|Amy Marx, RN