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Health Concerns of WV’s Students

Rebecca J. King Coordinator WVDE-Office of Healthy Schools. Health Concerns of WV’s Students. Overweight and Obesity . Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2006. (*BMI  30, or about 30 lbs. overweight for 5’4” person). 1998. 1990. 2006.

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Health Concerns of WV’s Students

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  1. Rebecca J. King Coordinator WVDE-Office of Healthy Schools Health Concerns of WV’s Students

  2. Overweight and Obesity

  3. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1998, 2006 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1998 1990 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  4. *Sex-and age-specific BMI > 95th percentile based on the CDC growth charts.

  5. The world-famous Michelangelo Statue of David is finally returning to Italyafter a 12-week tour in the US.

  6. Diabetes • Type I-Insulin dependent • Type II- Non-insulin dependent-once upon a time known as ADULT ONSET.

  7. Rate of new cases of type 1 and type 2 diabetes among youth aged <20 years, by race/ethnicity, 2002–2003 <10 years 10–19 years CDC. National Diabetes Fact Sheet, 2007. Source: SEARCH for Diabetes in Youth Study NHW=Non-Hispanic whites; AA=African Americans; H=Hispanics; API=Asian/Pacific Islanders; AI=American Indians

  8. Diabetes 772 Type I 2006-07 data from WV Public Schools GRADES PreK-12 (313 in grades 9-12)

  9. Diabetes 178 Type II 2006-07 data from WV Public Schools GRADES PreK-12 (102 in grades 9-12)

  10. ADHD/Behavioral Disorders 2952 2006-07 data from WV Public Schools GRADES PreK-12

  11. Concerns • Therapy • Medication administration if ordered by a prescriber. • Increase in behavioral issues with high caffeine and sugar intake. • Lack of inactivity after high caffeine and sugar intake.

  12. Allergies • Prevalence estimates show that 2% of adults and about 5% of children in the U.S. have food allergies. • About 30,000 people require emergency room treatment annually -- and nearly 200 of them die -- because of allergic reactions to food.

  13. Allergies • Foods that most commonly cause the reaction in children are: • eggs • peanuts • wheat • milk Asthma and Allergy Foundation of America

  14. Allergies • The 12 million Americans with food allergies should remember that food allergens can be present in unexpected places. For example, in an effort to eliminate trans fats, many vendors have started using peanut oil or soybean oil in their fryers. American Academy of Allergy, Asthma & Immunology (AAAAI)

  15. Dental • Tooth decay is the number one unmet health need of children. • 51 million school hours are lost each year to dental related illness. • Health studies show that people with gum disease may be more at risk for: • Hearth Disease • Stroke • Diabetes • Low-birth weight babies • Tooth decay and gum disease are caused by poor oral health and both are preventable.

  16. Take Action • Brush twice daily with fluoride toothpaste • Limit sugary foods and drinks, especially between meals • Visit the dentist for regular checkups, before problems occur • Get your child’s first dental checkup by age one

  17. What is happening in your schools?

  18. CA-MRSA • Community Associated-MethicillinResistant StaphylocooccusAureus • HANDWASHING… HANDWASHING… HANDWASHING • Cover wounds • Do not touch • Do not share towels, clothes, bar soap, etc. • Do not take antibiotics unless needed • More information posted at http://wvde.state.wv.us/osshp/section6/HealthServices.htm

  19. Vaccine Preventable Diseases Outbreaks of… • Chicken pox • Mumps • Whooping Cough What is NEW? • BPH Immunization Interpretive Rule • Policy 2525-PreK Immunization Requirements

  20. Seasonal Flu • Epidemics happen yearly… • Again, HANDWASHING… HANDWASHING… HANDWASHING • YEARLY Flu Vaccination • Antivirals • Cover mouth when coughing • Reduce contact with others What is NEW? • Children and Adolescent Flu Vaccine campaigns

  21. LICE… Research-Based Evidence: • Children who had more than 5 nits within 1 cm or ¼ of an inch of the scalp were more likely to develop an infestation and then only 1/3 of those in that group actually developed an active case of lice (Williams, 2001).

  22. LICE… Research-Based Evidence: • The presence of nits does not indicate active infestation; exclusion of these children for nits alone would have resulted in them missing school unnecessarily and could result in poor academic performance.

  23. LICE… Research-Based Evidence: • According to the AAP, head lice screening programs in schools do not have a significant effect on the incidence of head lice and are not cost effective. A more appropriate management tool in controlling head lice outbreaks within the classroom would be a parent education program.

  24. 2007 YRBS Sexual Health Q: Percentage of HS students who ever had sexual intercourse~53.4% = ↑ from 52.5 in 2005 Q: Percentage of HS students who ever had sexual intercourse with ONE or MORE people during the past three months~40.8% ↑ from 39.3 in 2005 Q: Among students who had sexual intercourse during the past three months, the percentage who drank alcohol or used drugs before last sexual intercourse~21.4% ↑ from 20.7 in 2005

  25. 2007 YRBS Sexual Health • WHY Sexual Health…. • High rates of ATOD lead to ↑ sexual encounters, vice versa • Risk behaviors are RELATED • Can lead to school climate, mental and physiological health issue and possibly tragedy • How can you assist your county? • Review your statistics (YRBS, HEAP, PRIDE, etc) • Work with county health educators and school nurses • Assist with evidenced based programs/curriculum for schools and/or communities • Know the resources(BPH-HIV/AIDS/STDS, BPH-Abstinence, BPH-APPI, BPH-AHI, CBO, PTA, others…)

  26. What is the problem?

  27. 2007 YRBSSexual Risk Behaviors 54% ever had sexual intercourse. 6% had sexual intercourse for the first time before age 13 years. 17% had sexual intercourse with four or more persons during their life. 41% were currently sexually active. 39% did not use a condom during last sexual intercourse. Alcohol and Other Drug Use 22% drank alcohol or used drugs before last sexual intercourse. 3% used a needle to inject any illegal drug into their body one or more times during their life.

  28. What are the solutions? • Health education • Supportive policies • Community and Parent reinforcement of education

  29. What is the status?The 2006 West Virginia School Health Profiles indicates that among middle schools and high schools:

  30. 59% required students to take two or more health education courses • 31% taught 11 pregnancy, HIV, or STD prevention topics in a required • health education course. • 92% taught abstinence as the most effective • method to avoid pregnancy, HIV, and STDs in a required health • education course. • 91% taught how HIV is transmitted in a required health education • course. Health Education

  31. 34% taught how to correctly use a condom in a required health • education course.• 81% taught how to find valid information or • services related to HIV or HIV testing in a required health education • course. • 24% had a lead health education teacher who received • staff development during the two years before the survey on HIV • prevention. Health Education

  32. Teen Pregnancy RatesBetween 1991 and 2005, the teen birth rate DECREASED 35 percent to a record low of 40.5 in 2005. However, the teen birth rate between 2005 and 2006 INCREASED 3 percent. The information reflects births per 1,000 teen girls aged 15-19 in the United States and are the most recent national data available. *Data for 2006 are preliminary

  33. Study: 1 in 4 teen girls has an STD 18% HPV 4% Chlamydia 2.5% Trichomoniasis 2% Herpes simplex CNN LIVE: http://www.cnn.com/video/?/video/health/2008/03/12/gupta.girls.and.stds.cnn

  34. Resources • WVDE-Office of Healthy Schools Website at http://wvde.state.wv.us/osshp/main/ • BPH-main website at http://www.wvdhhr.org/bph/ • BPH-Abstinence Education at http://www.wvdhhr.org/mcfh/ICAH/Abstinence/index.htm or call (800) 642-8522 • BPH-Adolescent Pregnancy Prevention Initiative at http://www.wvdhhr.org/appi/ • BPH-HIV/AIDS/STDS at http://www.wvdhhr.org/idep/aids.asp • BPH-Adolescent Health Initiative at http://www.wvdhhr.org/ahi/

  35. Coordinated School Health Model

  36. Questions……

  37. Contact info.: rjking@access.k12.wv.us (304)558-8830 THANK YOU!

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