Health Concerns of

WV’s Students

Rebecca J. King CoordinatorWVDE-Office of Healthy Schools

Overweight and Obesity

1998

Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1998, 2006

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2006

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Prevalence of Overweight* Among U.S. Children and Adolescents(Aged 2 –19 Years)

National Health and Nutrition Examination Surveys *Sex-and age-specific BMI > 95th percentile based on the CDC growth charts.

The world-famous Michelangelo Statue of David is finally returning to Italy after a 12-

week tour in the US.

Diabetes

Type I-Insulin dependent

Type II- Non-insulin dependent-once upon a time known as ADULT ONSET.

Rate of new cases of type 1 and type 2 diabetes among youth aged <20 years, by race/ethnicity, 2002–2003

0

10

20

30

40

50

ALL NHW AA H API AI ALL NHW AA H API AI

Rate

(per

100

,000

/yea

r) Type 1 Type 2

CDC. National Diabetes Fact Sheet, 2007.Source: SEARCH for Diabetes in Youth StudyNHW=Non-Hispanic whites; AA=African Americans; H=Hispanics; API=Asian/Pacific Islanders; AI=American Indians

<10 years 10–19 years

Diabetes

772 Type I

2006-07 data from WV Public Schools GRADES PreK-12

(313 in grades 9-12)

Diabetes

178Type II

2006-07 data from WV Public SchoolsGRADES PreK-12(102 in grades 9-12)

2952 2006-07 data from WV Public Schools

GRADES PreK-12

ADHD/Behavioral Disorders

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.

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.

Allergies Foods that most commonly cause the

reaction in children are:

eggs peanutswheat milk

Asthma and Allergy Foundation of America

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)

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.

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

What is happening in your schools?

CA-MRSA

Community Associated-Methicillin Resistant Staphylocooccus Aureus

•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

Vaccine Preventable Diseases

Outbreaks of…Chicken poxMumpsWhooping Cough

What is NEW?BPH Immunization Interpretive RulePolicy 2525-PreK Immunization

Requirements

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

Seasonal Flu

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).

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.

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.

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

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…)

2007 YRBS Sexual Health

What is the problem?

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.

What are the solutions?

• Health education • Supportive policies

• Community and Parent reinforcement of education

What is the status?The 2006 West Virginia School Health Profiles

indicates that among middle schools and high schools:

•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

• 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

Teen Pregnancy Rates

Between 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

Study: 1 in 4 teen girls has an STD

18% HPV4% Chlamydia2.5% Trichomoniasis2% Herpes simplex

CNN LIVE: http://www.cnn.com/video/?/video/health/2008/03/12/gupta.girls.and.stds.cnn

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/

Resources

Coordinated School Health Model

Questions……

THANK YOU!

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