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

2. Overweight and Obesity

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

4. Prevalence of Overweight. Among U. S
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.

5. The world-famous Michelangelo Statue of David is finally returning to Italy after 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. 2006-07 data from WV Public Schools GRADES PreK-12
Diabetes
772
Type I
data from WV Public Schools GRADES PreK-12
(313 in grades 9-12)

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

10. ADHD/Behavioral Disorders
2952
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 HANDWASHING… HANDWASHING… HANDWASHING Cover wounds
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

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… What is NEW?
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 YRBS Sexual Risk Behaviors 54% ever had sexual intercourse
2007 YRBS Sexual 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 Rates Between 1991 and 2005, the teen birth rate DECREASED 35 percent to a record low of 40.5 in However, the teen birth rate between 2005 and 2006 INCREASED 3 percent. The information reflects births per 1,000 teen girls aged 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:

34. Resources
WVDE-Office of Healthy Schools Website at
BPH-main website at
BPH-Abstinence Education at
or call (800)
BPH-Adolescent Pregnancy Prevention Initiative at
BPH-HIV/AIDS/STDS at
BPH-Adolescent Health Initiative at

35. Coordinated School Health Model

36. Questions……

37. THANK YOU!
Contact info.:
(304)