Health Services

What to Keep an Eye out for this week-2/11/2019

Influenza A & B-In both High School and BREC as of 2/13/19
Strep Throat
Stomach virus (vomiting, fever) 
Pinkeye Eye
If you have any questions or concerns please call me at 419-736-2161.
Thank you,
Nurse Donna 

Influenza A -Currently in PreSchool Level 1/29/19

What are the symptoms of the flu?

Flu symptoms include:

  • A 100oF or higher fever or feeling feverish (not everyone with the flu has a fever)
  • A cough and/or sore throat
  • A runny or stuffy nose
  • Headaches and/or body aches
  • Chills
  • Fatigue
  • Nausea, vomiting, and/or diarrhea (most common in children)

Do I have the flu or a cold?

The flu and the common cold have similar symptoms. It can be difficult to tell the difference between them. Your health care provider can give you a test within the first few days of your illness to determine whether or not you have the flu.

In general, the flu is worse than the common cold. Symptoms such as fever, body aches, tiredness, and cough are more common and intense with the flu. People with colds are more likely to have a runny or stuffy nose.

When should I seek emergency medical attention?

Seek medical attention immediately if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Purple or blue discoloration of the lips
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting
  • Seizures
  • Flu-like symptoms that improve but then return with fever and worse cough

Nurse Donna

Strep Throat In All Buildings 1/14/19

What is Strep throat?
Strep throat and Scarlet fever (a rash that sometimes accompanies strep throat) are caused by the beta hemolytic streptococcus, type A bacteria. The organisms are spread by contact with secretions from the mouth and nose of infected persons. The incubation is short, usually 2 to 5 days. Infected persons are considered contagious until 24 hours after antibiotic treatment is begun.
What are the signs and symptoms or strep throat?
The signs and symptoms include sore throat, fever, swollen glands under the jaw and in the neck, and pus pockets on the tonsils. Vomiting and stomach pain may also occur. Additionally, with scarlet fever there is a fine, red, sandpapery skin rash.
What should I do if I think my child has strep throat?
If a sore throat is suspected, if would be recommended to go ahead and seek medical care.
A throat culture will be done to determine the diagnosis. If the culture is positive, a ten-day course of an antibiotic, is prescribed. The child should be out of school until 24 hours of antibiotic therapy is received and condition improved to return to school. If the culture is negative, the cause is probably viral and the treatment is warm salt water gargles, force fluids, rest, and Tylenol.
Can strep throat be prevented?
YES! Frequent handwashing, plenty of rest, and adequate diet will to go far to protect your child against strep throat and other germs which tend to be more prevalent this time of year. Be careful not to share cups or utensils that can also lead to the spread of germs.

New hotline helps teens quit vaping

Great Article



HealthDay Reporter

THURSDAY, Jan. 31, 2019 (HealthDay News) -- E-cigarette use is surging among American teenagers, with millions of kids flirting with nicotine addiction by regularly vaping.

Unfortunately, these kids are going to face a rocky road if they try to kick their nicotine habit, experts say.

There are no tested or approved methods for quitting e-cigarettes, said Linda Richter, director of policy research and analysis at the Center on Addiction.

"The science of vaping cessation hasn't caught up with the tremendous rise in use," Richter said. "There really isn't much out there that's been proven."

Teens addicted to vaping must rely on methods that have been shown to help tobacco quitters, but it's not clear that those methods will be useful when it comes to e-cigarettes.

"It's shocking to a lot of people in the field that we were so close to, if not eliminating, then really reducing cigarette smoking and tobacco use among young people. They just aren't interested in cigarette smoking," Richter said. "This was really going to go away, and now we have this whole generation of kids addicted to nicotine again and we just don't know what we're going to do about it."

Nearly two of every five high school seniors have tried e-cigarettes during the past year, according to a federal survey. About 37 percent of 12th graders said they'd vaped within the past 12 months, compared to about 28 percent in 2017.

Many who vape may be addicted

Teenagers also are vaping regularly enough that hundreds of thousands are likely hooked on nicotine, said Dennis Henigan, vice president of legal and regulatory affairs at the Campaign for Tobacco-Free Kids.

"We're beyond speculating that this could all be very experimental use by kids. The data is in, and it's showing that between 800,000 and 900,000 kids who use these e-cigarette products are using them regularly -- 20 days out of a 30-day month," Henigan said. "That's not experimental. That suggests mass addiction."

The U.S. Food and Drug Administration is concerned enough that it held a public hearing earlier this month asking for expert input on what strategies or treatments might best help teens quit vaping.

"A few years ago, it would've been incredible to me that we would be here today discussing the potential for drug therapy to help addicted young people quit," FDA commissioner Dr. Scott Gottlieb told CNN after the hearing.

E-cigarettes contain large amounts of nicotine, and it can be hard for kids to keep track of how much they've vaped, said Robin Koval, CEO and president of Truth Initiative. There's concern that kids hooked on vaping will eventually start smoking.

"The evidence shows kids who would otherwise not have smoked who start vaping are four times as likely to go on and use combustible tobacco," Koval said.

Nicotine replacement therapy is a cornerstone for adults who want to quit smoking, but the gum and patches are not readily available to teenagers, she noted.

"For adults, lozenges and patches are available over the counter, but not for those who are under 18," Koval said.

Nicotine replacement therapy may not work for young vapers

A doctor can prescribe nicotine replacement therapy off-label for teens hooked on nicotine, Richter said, "but there isn't strong evidence they're particularly effective for kids. It's possible the level of nicotine in the nicotine replacement [products] are not high enough for people who are vaping."

Some adults also use antidepressants to help them quit smoking, but these medications are worrisome for teenagers, she added.

"There are concerns about giving antidepressants to kids," Richter said. "Some studies have shown it can increase suicidal thoughts in kids."

Smoking cessation programs might help, Richter suggested, but these also have not been tested when it comes to quitting vaping.

Koval said, on top of that, it's not clear whether kids addicted to e-cigarettes would see smoking cessation programs as a legitimate option.

"For young people, quitting vaping is not the same as quitting cigarettes," Koval said. "A lot of young people will say to us, well, I'm not a smoker. I would never smoke cigarettes. They don't want to be part of a quit program designed for smokers."

It's also easier for kids to maintain an e-cigarette addiction compared to a smoking addiction, Koval said.

"Cigarettes are hard for young people to use. You can't smoke in your classroom. You probably can't smoke in your room at home. They're harder to get," Koval said. "E-cigarettes are easy to conceal, so you can do them a lot more secretly."

New hotline helps teens quit vaping

To help teenagers quit vaping, Truth Initiative has come up with a first-of-its-kind program that offers support.

Kids who text "QUIT" to (202) 804-9884 will start receiving text messages offering assistance and guiding them to resources, Koval said.

"We'll enroll you and send you a series of messages every day that will help you set a quit date, help give you encouragement, tips and tools for how to quit," Koval said. "If you're feeling like you're craving, you can text us and we will immediately respond with some real-time help."

Koval and Richter said some other strategies that might help include:

  • Preparing to quit by leaving your e-cigarette at home during the day.
  • Identifying things in your life that prompt you to reach for your e-cigarette.
  • Figure out the types of cravings you have, and have strategies ready to counter your cravings.
  • Ask friends and family members to help you quit.

More information

The Truth Initiative has more about quitting e-cigarettes.

SOURCES: Linda Richter, Ph.D., director, policy research and analysis, Center on Addiction, New York City; Dennis Henigan, vice president, legal and regulatory affairs, Campaign for Tobacco-Free Kids, Washington, D.C.; Robin Koval, CEO and president, Truth Initiative, Washington, D.C.; CNN

Last Updated: 

Hand, Foot and Mouth~All Buildings Currently "Informational Only at this time"

Hand-foot-and-mouth disease In Your Child’s School


Hand-foot-and-mouth disease is a mild, but highly contagious viral infection common in young children. Hand-foot-and-mouth disease is characterized by sores in the mouth and a rash on the hands and feet. It spreads from person to person, usually through unwashed hands or contaminated surfaces. The most common cause of hand-foot-and-mouth disease is coxsackievirus infection.



The signs and symptoms of hand-foot-and-mouth disease include:

§  Fever

§  Sore throat

§  Painful red blister-like lesions on the tongue, mouth, palms of the hands or soles of the feet                   

§  Headache

§  Fatigue

§  Irritability in infants and toddlers

§  Loss of appetite

The usual period from initial infection to the onset of signs and symptoms (incubation period) is three to seven days. Fever is often the first sign of hand-foot-and-mouth disease, followed by a sore throat and sometimes a poor appetite and the feeling of being sick (malaise). One or two days after fever begins, painful sores may develop in the mouth or throat. Rash on the hands and feet can follow within one or two days, and may also appear on the buttocks. Hand-foot-and-mouth disease may cause all of the above signs and symptoms or just a few of them.

Treatments and drugs

There's no specific treatment for hand-foot-and-mouth disease, and antibiotics aren't effective because it's a viral infection. The illness simply must run its course. To help lessen discomfort, doctors often recommend:

§  Rest, increase fluids- milk-based fluids may be easier to tolerate than acidic liquids, such as juice or soda. Over-the-counter pain relievers, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others), if needed

Signs and symptoms of hand-foot-and-mouth disease usually clear up in seven to 10 days.


Certain precautions can help to reduce the chances of infection with hand-foot-and-mouth disease:

§  Wash hands carefully.

§  Disinfect common areas.

§  Teach good hygiene.

§  Isolate contagious people.

Because hand-foot-and-mouth disease is highly contagious, people with the illness should limit their exposure to others while they have active signs and symptoms. Hand-foot-and-mouth disease is most contagious during the first week of illness. However, it may spread for weeks after signs and symptoms have disappeared. Keep children with hand-foot-and-mouth disease out of child care or school until fever is gone and mouth sores have healed. If you have the illness, stay home from work.