I thought we might have some shift this week in our health report, but we are at least consistent! Allergies are the number one annoyance for our students right now. We are seeing itchy eyes, scratchy throats, and snuffly noses. I am encouraging students to rinse their faces when they come in from recess to clear out the pollen and irritants. If your child is prone to hay fever, get them started on your anti-histamine of choice. Since we are still seeing cold viruses (which are contagious) it is important to be able to recognize the difference. Below are some guidelines from the Mayo Clinic.
Our middle school seems to be occupied by a stomach virus that includes fever and vomiting and that is probably intensified by the close traveling about the U.S.
Strep is still lurking about - especially in grades K,2 & 3 Look for achy sore throat, headache, stomach ache, sometimes a fever and generally the absence of cold. Sometimes your child may seem very fragile and out of sorts. Call me if you have any questions.
Have a healthy week and look for another update next week!
Cold or allergy: Which is it?
Q.
I seem to get a cold every spring and fall. I'm wondering if these "colds" are really seasonal allergies. How can I tell?
A.
If you tend to get "colds" that develop suddenly and occur at the same time every year, it's possible that you're actually suffering from seasonal allergies. Although colds and seasonal allergies may share some of the same symptoms, they are very different diseases.
Signs and symptoms of a "common cold" - which is caused by a virus - usually include cough, sore throat, runny or stuffy nose, and sneezing. You may also feel tired and, occasionally, experience body aches and pains. Rarely, you may have a mild fever. A common cold is easily spread from person to person and usually lasts from three to 14 days.
Seasonal allergies - which are an immune system response triggered by exposure to an allergen - have symptoms that are similar, but not identical, to the common cold. The most common signs and symptoms of seasonal allergies are itchy eyes and a runny or stuffy nose. Signs and symptoms may sometimes include fatigue, cough and sore throat, but never fever or general body aches and pains.
Seasonal allergies cannot be passed from person to person and usually last for several weeks. The only way to truly know if you have allergies is to be tested for them in your doctor's office.
Treatment of a common cold may include rest, pain relievers and over-the-counter cold remedies, such as decongestants. Treatment of seasonal allergies may include over-the-counter or prescription antihistamines, nasal steroid sprays and decongestants, and avoidance of exposure to allergens where possible.
Symptom checker: Is it a cold or allergy?
Symptom Cold Allergy
Cough Usually Sometimes
General aches and pains Sometimes Never
Fatigue Sometimes Sometimes
Itchy eyes Rarely Usually
Sneezing Usually Usually
Sore throat Usually Sometimes
Runny nose Usually Usually
Stuffy nose Usually Usually
Fever Rarely Never
Source: Adapted from National Institute of Allergy and Infectious Disease
Lice Information
Background Information (from "Head Lice - Wikpedia) The number of cases of human louse infestations has increased worldwide since the mid-1960s, reaching hundreds of millions annually (1). About 6-12 million people, mainly children, are treated annually for head lice in the United States alone (2). High levels of louse infestations have also been reported from all over the world including Israel, Denmark, Sweden, U.K., France and Australia (3,4). Normally head lice infest a new host only by close contact between individuals, making social contacts among children and parent child interactions more likely routes of infestation than shared combs, brushes, towels, clothing, or beds. Head-to-head contact is by far the most common route of lice transmission. The number of children per family, the sharing of beds, hair washing habits, local customs and social contacts, healthcare in a particular area (e.g. school) and socio economic status were found to be significant factors in head louse infestation . Girls are 2-4 times more frequently infested than boys. Children between 4 and 13 years of age are most frequently infested group (5).
The "no-nit" policy, which is implemented in approximately 80% of schools in the United States and in parts of Canada and Australia, requires the dismissal of a child from a school, camp or childcare setting until all head lice, eggs and nits have been removed from the hair of an infested individual. Because in most screenings diagnosis of a head louse infestation is based in the presence of nits on the hair, it is assumed that all eggs/nits found on the scalp are viable and therefore must be removed. The "no-nit" policy is commonly adopted because it is assumed that health professionals cannot differentiate between live and dead eggs or because the screeners refuse to use a louse comb for the examination of the child's head to find living lice. Therefore, parents are forced to remove every single nit from the scalp of their children. This involves long hours of picking nits, repeated treatments with pediculicides and absence from school for the child and possibly from work for at least one parent. The policy also has negative effects on the parent-child relationship, especially when combing becomes painful and the parent and/or child become impatient. Moreover, even if the visible nits are removed from the scalp, it does not necessarily mean that the person is no longer infested with lice. The immediate expulsion of children from a camp, kindergarten or school must cause significant damage to their self-esteem and also upsets and embarrasses their parents. The efficacy of the no-nit policy has been called into question by different groups of scientists and by several agencies, including The American Academy of Pediatrics and The National Association of School Nurses (USA). There are no convincing studies proving that enforced exclusion policies are effective in reducing the transmission of lice. Therefore, some scientists and policy makers argue that the "no-nit" policy is ineffective and harmful and should be discontinued (25). In Australia, the National Health and Medical Research Council's Guidelines for Infectious Diseases warranting school exclusion have been recently amended to exclude head lice.
Resource and Practical Information:
First, thank you for your continuing support in controlling head lice. We are in a good place concerning head lice, yet I continue to receive reports from other north side schools regarding this issue. It seems that lice are everywhere again this year. Your child is susceptible wherever children gather, not just school. Overnights, camps, after school programs, travel, neighborhood are all sources for head lice. It is important that weekly lice checks become regular part of your family life and that all our parents work to become educated in this area. Head lice are a fact of life...the only mom to blame is Mother Nature.
Ø Keep checking your child's head for live lice and nits after shower/bath time. The life cycle of a louse and egg will span a 10-14 day period. It is easy to miss a nit or two as they are so small. Inspect by examining one inch sections of the hair in good light and look close to the scalp. If you find lice, please call the school nurse to discuss treatment possibilities.
Ø As you check your child, manually remove the nits. The combs are only so effective in "de-nitting." Manual picking is the most effective approach. It will take lots of time and checking to de-nit, so expect to stay with the task over a period of days.
Ø If you have had to treat your child, please remember to re-treat him/her within 7-10 days of the first treatment. It is important to stop the life cycle of any nit that has not been affected by the treatment shampoo. If you continue to see new nits or active lice after 2 treatments, please contact your physician for advice.
Ø Please have your daughter's hair styled so that is not hanging free.
Ø There are two sites to find information. 1st: www.hsph.harvard.edu/headlice<http://www.hsph.harvard.edu/headlice> is a website that presents lice information based on scientific research. There are good pictures and lots of interesting information. 2nd: www.HeadLice.org<http://www.headlice.org/> is sponsored by the National Pediculosis Society. This site has great practical information and some good video clips on how to check for lice. This site promotes policy primarily based on anecdote and observation so be careful to compare information with the Harvard site.
Read our Head Lice Policy on page 43-44 in your school handbook. Please call me if you have any concerns and questions. We are always willing to help in anyway that we can. I have a list of "experienced mothers" willing to help at any time.
Please do not send your child to school if any of these symptoms or signs were present in the previous 24 hours:
Elevated temperature (99.6 or greater)
Acute cold, cough, or persistent cough
Vomiting, nausea, or abdominal pain
Repeated diarrhea
Purulent discharge (anything other than clear discharge) from nose or eyes which indicate a possible contagious condition
Red, inflamed, or discharging eyes (conjunctivitis or “pink eye”)
Suspected scabies, impetigo, acute skin rash or eruptions, any skin lesion with weeping discharge.
Active head lice
There will be times it is difficult to tell when your child is too ill to attend school. Please feel free to call me in the morning to discuss the situation. I am happy to review symptoms and to help you resolve any questions. Sometimes there is worry that your child will miss important work or perfect attendance, but it is important to remember that a healthy child is a better learner. Like adults, children will have differing tolerances for discomfort and illness. Even with a common cold some are able to function well while others are miserable. “Staying home” when ill serves to protect everyone in our community.
Authorization for Vision Screening Form(On Parent Form Page)
Vision Screenings will be done for grades K, 2, 4, 6, 8, new students in 06-07 and any referrals. The Illinois College of Optometry will be doing the screenings. The college requires that students must have a signed permission slip to participate in the screening. The screenings will take place in the 6200 House between 9:00 and 12:00 on Thursday, April 19 and April 26, 2007.
Hearing Screenings for K-3, new students and referrals will take place on Monday, April 23 in the MPR from 9 to 12. Northwestern University School of Audiology will perform those screenings. There is no parental permission required for hearing screenings.
Sacred Heart Schools works toward being Food Allergy Safe. This requires teamwork with the student, the family, and the school. We ask parents and students to avoid bringing peanuts/nuts into the classroom or to lunch with the exception of peanut butter sandwiches for lunch (a protein staple for many children.) If your child has a food allergy, please make sure to meet with the school nurse so an effective plan can be made.
We know that breakfast readies children to learn. Students require essential nutrients and energy to concentrate on and accomplish tasks. Breakfast provides these nutritional requirements and eliminates "transient hunger", also known as occasional hunger. All children and adults experience transient hunger symptoms such headache, fatigue, sleepiness and restlessness. Adults have learned compensating behaviors to overcome transient hunger; children have not yet developed this ability. Young children often do not recognize that they are hungry and just complain of a "tummy ache". When students do not compensate for feelings of hunger their classroom performance is affected.
NO TIME? TIRED OF CEREAL?
Prepare breakfast the evening before.
Leftovers from the night before make a nutritious A.M. snack.
Dinner foods are perfectly OK to be eaten in the morning.
Try foods that are quickly prepared and easily carried in throw-away containers: yogurt, canned pudding, hard boiled eggs, slices of cheese, crackers, celery, an apple, raisins, nuts, dried fruits, or even last night’s pizza would be yummy.
WHEN STUDENTS DO EAT BREAKFAST THEY MAY:
Spend more time on tasks
Score higher on their achievement tests
Require less disciplinary intervention
Miss less school due to illness
Attend class more due to fewer trips to the nurses office
REMEMBER: Students need to replenish those lost stores of calories and nutrients. They need to feel "energized" and ready for each new day of learning. Remember, healthy children learn better!
LUNCH TIPS
Lunch is an important time for children to replenish their energy for the afternoon. If your child chooses to bring lunch, here are some suggestions to maximize the meal.
Get your child involved. Allowing children to prepare their own lunches, piques their interest and they are more likely to eat their own creations. Have your child make the lunch the evening before while you have time to help guide portions and choices. You can set the parameters by providing choices of food items that are high in nutrition density, such as whole grain breads instead of white bread and greens such as spinach leaves and romaine lettuce rather than iceberg lettuce.
Respect your child’s eating style and preferences. Some children feel most comfortable with the same food day in and out, while others thrive on variety. It is what your child consumes in variety of food groups over a whole week of meals and snacks that is important…not just the lunch meal.
Let your child pick out their own lunch box and consider insulated lunch bags with room for freezer packs so food items that require refrigeration can be safely brought to school.
Buy reusable or recycle small food containers for cut fruit, veggies, dips and salads.
Remember that lunch periods are 30 minutes long. Make sure food items are user friendly and do not take a long time to open, peel, prepare.
LUNCH SUGGESTIONS
Sandwiches made with lean meat, light tuna, peanut butter and jelly. You can add extra nutrition to sandwiches by adding shredded carrots, chopped celery, water chestnuts or even raw spinach leaves instead of lettuce. Peanut butter sandwiches taste great with slices of banana or apple.
Whole grain tortilla wraps can contain all of the above plus chopped veggies, cheese, and other chopped low fat meats.
Egg salad or chicken salad with a whole grain bagel and fresh fruit
8 oz low fat yogurt, whole wheat crackers with fruit
½ cup cottage cheese or hummus, whole grain crackers and fruit or veggies
Bean based soup or stew in a thermos with whole grain roll and dried fruit.
1-2 slices of left-over pizza with fruit or veggies.
Two hard boiled eggs , carrot sticks, whole grain roll, and fruit.
BEVERAGES
Low-fat milk, 100% fruit juices, and water are the best beverages – in that order.
Milk (or soy milk, or lactose free substitute) is very important since children are building calcium reserves until they are in their late teens. Children, 9 yrs and under need 3 8 oz glasses of milk every day (or an equivalent 3 cups of yogurt). Try low fat/low sugar chocolate milk for a treat. If your child refuses to drink milk at school, make sure their juices are 100% pure fruit, with out added syrups or sugars. Make sure they are fortified with calcium and Vitamin D.
Flavored sports beverages and “vitamin waters” are not a great option as they are packed with sugar which decreases the appetite for nutritious foods and add empty calories.
In accordance with our Goals and Criteria, particularly Goal V, “Educate to a personal growth in an atmosphere if wise freedom, we are working toward further developing healthy living initiatives at Sacred Heart Schools. To this end the Schools have approved the following Classroom Celebration Policy.
All classroom celebrations must be coordinated through the classroom teacher.
Classroom Celebrations should only include food activities that adhere to the healthy snack list on the SHS website at Current Parent/Nurse link. http://www.shschicago.org/parents/nurse.shtml
Members of the Sacred Heart Community shall not bring candy or soda pop into student areas.
Suggested Activities for Birthday and other Classroom Celebrations:
For birthdays, parents are asked to coordinate with their child’s teacher in order to find an appropriate activity, during a time that works with the classroom and teacher’s schedule. Examples include: reading a book to the classroom, sharing of memory book or pictures, etc.
For Classroom Celebrations, Room Parents will continue to develop and share ideas.
Note: Sacred Heart Schools’ traditions including “gouter”, hotdog lunch, Thanksgiving Sharing Lunch, Stone Soup Lunch will continue and be seen as the true treats they are.
Applesauce (Unsweetened), Fruit Cups, and Canned Fruit – These have a long shelf life and are low-cost, easy, and healthy if canned in juice or light syrup.
Examples of unsweetened applesauce include Mott’s Natural Style and Mott’s Healthy Harvest line. Dole and Del Monte offer a variety of single-serve fruit bowls. Dried Fruit - Try raisins, apricots, apples, cranberries, pineapple, papaya, and others with little or no added sugars. Frozen Fruit – Try freezing grapes or buy frozen blueberries, strawberries, peaches, mangoes, and melon. Fruit Leathers – Some brands of fruit snacks are more like candy than fruit, and should be avoided due to their high content of added sugars and lack of fruit. Brands to avoid include Fruit Rollups, Farley’s Fruit Snacks, Sunkist Fruit Gems, Starburst Fruit Chews, Mamba Fruit Chews, Jolly Rancher Fruit Chews, Original Fruit Skittles, and Amazin’ Fruit Gummy Bears. Try Natural Value Fruit Leathers and Stretch Island Fruit Leathers, which come in a variety of flavors and don’t have added sugars. Fruit Salad – Get kids to help make a fruit salad. Use a variety of colored fruits to add to the appeal. Popsicles – Most so-called “fruit” popsicles have added sugars and should be reserved for an occasional treat. Look for popsicles made from 100% fruit juice with no added caloric sweeteners, such as Breyers or Dole “No Sugar Added” fruit bars.
Vegetables can be served raw with dip or salad dressing:
Broccoli
Carrot sticks or Baby Carrots
Cauliflower
Celery Sticks
Cucumber
Peppers (green, red, or yellow)
Snap Peas
Snow Peas
String Beans
Tomato slices or grape or cherry tomatoes
Yellow Summer Squash slices
Zucchini slices
Dips – Try low-fat salad dressings, like fat-free Ranch or Thousand Island, store-bought light dips, bean dips, guacamole, hummus (which comes in dozens of flavors), salsa, or peanut butter. Salad – Make a salad or set out veggies like a salad bar and let the kids build their own salads. Soy - Edamame (pronounced “eh-dah-MAH-may”) are fun to eat and easy to serve. (Heat frozen edamame in the microwave for about 2-3 minutes). Veggie Pockets – Cut whole wheat pitas in half and let kids add veggies with dressing or hummus. Ants on a Log – Let kids spread peanut butter on celery (with a plastic knife) and add raisins.
Healthy Grains (bread, crackers, cereals, etc.) Note: Cookies, snack cakes, and chips should be saved for occasional treats, given their poor nutritional quality. trans fat low (i.e., less than 10% of calories, or about one gram or less per serving). Whole Wheat English Muffins, Pita, or Tortillas – Stuff them with veggies or dip them in hummus or bean dip. Breakfast Cereal – Either dry or with low-fat milk, whole grain cereals like
Cheerios, Grape-Nuts, Raisin Bran, Frosted Mini Wheats, and Wheaties make good snacks. Look for cereals with no more than 35% added sugars by weight (or roughly 8 grams of sugar per serving). Crackers – Whole-grain crackers like Triscuits, which come in different flavors or thin crisps (or similar woven wheat crackers), Kalvi Rye crackers, or whole wheat Matzos can be served alone or with toppings, like low-fat cheese, peanut butter, or low-fat, reduced-sodium luncheon meat. Rice Cakes - Look for rice cakes made from brown (whole grain) rice. They come in many flavors, and can be served with or without toppings. Popcorn – Look for low-fat popcorn in a bag or microwave popcorn. Or you can air pop the popcorn and season it, e.g., by spraying it with vegetable oil spray and adding parmesan cheese, garlic powder, or other non-salt spices. Baked Tortilla Chips - Baked tortilla chips are usually low in fat, and taste great with salsa and/or bean dip. Look for brands with less sodium. Granola and Cereal Bars - Look for whole grain granola bars that are low in fat and sugars, like Barbara’s Granola Bars (cinnamon raisin, oats and honey, and carob chip flavors), Nature Valley Crunchy Granola Bars (cinnamon, oats ‘n honey, maple brown sugar, and peanut butter flavors), Nature Valley Chewy Trail Mix Bars (fruit and nut flavor), and Quaker Chewy Granola Bar (peanut butter and chocolate chunk flavor). Pretzels, Breadsticks, and Flatbreads - These low-fat items can be offered as snacks now and then. However, most of these snacks are not whole grain and most pretzels are high in salt.
Low-Fat Dairy Foods
Dairy foods are a great source of calcium, which can help to build strong bones.
However, dairy products also are the biggest sources of artery-clogging saturated fat in kids’ diets. To protect children’s bones and hearts, make sure all dairy foods served are low-fat or fat-free. Yogurt – Look for brands that are low-fat or fat-free, moderate in sugars (no more than about 30 grams of sugars in a 6-oz. cup), and high in calcium (at least 25% of daily value [DV] for calcium in a 6-oz. cup). Examples include Danimals Drinkable Low-Fat Yogurt, Go-Gurt by Yoplait, or cups of low-fat or non-fat yogurt from Stonyfield Farm, Dannon, Horizon, and similar store brands. Low-fat or non-fat yogurt also can be served with fresh or frozen fruit or low-fat granola. Low-Fat Cheese - Cheese provides calcium, but often its saturated fat price tag is too high. Cheese is the number two source of heart-damaging saturated fat in children’s diets. Even with low-fat and reduced-fat cheese, be sure to serve with other foods like fruit, vegetables, or whole grain crackers. Choose reduced-fat cheeses like Trader Joe’s Armenian Style Braided; Borden or Sargento Light Mozzarella string cheese; Frigo Light Cheese Heads; Kraft Twist- Ums; Polly-O Twisterellas; the Laughing Cow’s Light Original Mini Babybel; or Cabot 50% Light Vermont Cheddar. Low-Fat Pudding and Frozen Yogurt - Low-fat or fat-free pudding and frozen yogurt should be served only as occasional treats, because they are high in added sugars.
Luncheon Meat – Choose lower-fat, reduced-sodium brands of turkey, ham, and roast beef and serve with whole wheat bread, pita, tortillas (as a wrap sandwich), or crackers. Cut sandwiches in half to make snack-sized portions.
Healthy Beverages Water – Water should be the main drink served to kids at snack times.
Water satisfies thirst and does not have sugar or calories. (Plus, it is low-cost for care-givers!) If kids are used to getting sweetened beverages at snack times, it may take a little time for them to get used to drinking water. Seltzer - Carbonated drinks like seltzer, sparkling water, and club soda are healthy options. They do not contain the sugars, calories, and caffeine of sodas. Serve them alone or try making “healthy sodas” by mixing them with equal amounts of 100% fruit juice. Low-Fat and Fat-Free Milk - Milk provides key nutrients, such as calcium and vitamin D. Choose fat-free (skim) or low-fat (1%) milk to avoid the heart-damaging saturated fat found in whole and 2% (reduced-fat) milk. It is best to serve fat-free versions of chocolate, strawberry, or other flavored milks to help balance the extra calories coming from added sugars. Single-serve containers of chocolate or other flavored whole or 2% milk drinks can be too high in calories (400-550 calories) and saturated fat (1/3 of a day’s worth) to be a healthy beverage for kids. Soy and Rice Drinks - For children who prefer not to drink cow’s milk, calcium fortified soy and rice drinks are good choices. Fruit Juice - Buy 100% fruit juice and avoid the added sugars of juice drinks, punches, fruit cocktail drinks, or lemonade. Drinks that contain at least 50% juice and no additional caloric sweeteners are also healthful options. To find 100% juice, look at beverage nutrition labels for the percentage of the beverage that is juice. Orange, grapefruit, and pineapple juices are more nutrient-dense and are healthier than apple, grape, and pear juices. Many beverages like Capri Sun, V8-Splash, Tropicana Twisters, Sunny Delight, Kool Aid Jammers, Hi-C, or juice drinks from Very Fine, Welch’s or Snapple are easily mistaken for juice. However, those beverages are more like soda than juice -- they are merely sugar water with a few tablespoons of added juice.
Fruit juice can be rich in vitamins, minerals, and cancer-fighting compounds.
However, it is high in calories. The American Academy of Pediatrics recommends that children ages 1-6 years old drink no more than 6 ounces (one serving) of juice a day and children ages 7-18 years old drink no more than 12 ounces (two servings) of juice a day.
Books: These books provide information on a variety of issues that parents may encounter as their children move through adolescence, but also include drug & alcohol information. We have all of these in our school library, located in the Parent Resource section. You may check them out at any time. Ask the librarian for more information.
Not Much Chillin’: The Hidden Lives of Middle Schoolers Linda Perlstein
Raising Confident Boys: 100 Tips for Parents and Teachers Michael Thompson
Raising Confident Girls: 100 Tips for Parents and Teachers Michael Thompson
Parenting 911 Charlene Gianetti & Margaret Sangarese
Speaking of Boys:
Answers to the Most Asked Questions About Raising a Son
Michael Thompson
You may call or email the school with dismissal changes. Generally the school nurse will track all the changes in plans. Email: joan.callahan@shschicago.org
Notify before 2:00 ( 1:00 P.M. on Fridays) to guarantee smooth transitions.
If you are calling with bus changes, please make sure to include the color of your student’s bus.
EARLY DISMISSALS: Students must have a note, email, or a recorded call to the school to be released from the classroom. The note or email may be sent to the teacher. Phone calls should be directed to the school nurse.
Beginning July 1, 2006, families in Illinois can register for the All Kids healthcare program. All Kids provides low cost or free comprehensive healthcare coverage for all uninsured children, regardless of income. All Kids has helped make Illinois the only state in the nation to provide affordable comprehensive health insurance for every child in its state.
Inpatients needing more information and to apply, please refer to Patient Intake Financial Counselors at x 215061.
Medication Policy
It is the policy at Sacred Heart Schools and the State of Illinois that children do not have medications in their possession unless approved by their physician. There have been many incidents of incorrect dosages, sharing of medications, overdoses and other medication related problems in schools throughout the United States to convince us that it is not safe.
If your child needs medication on a regular basis, you may send the medicine to the nurse’s office.
All prescription medicines must be in the original container with the child’s name, medication name, dose and administration instructions, accompanied by the medicine dispensing form, completed and signed by the prescribing physician. Information on intended effects and possible side effects must be included with the medication.
All other medicines must also be sent in the original containers accompanied by the medicine dispensing form completed in full by a parent/guardian.
If a student is found with any kind of medicine, you may be asked to come to the school to collect it. If your child has asthma, he/she may receive permission to carry an inhaler. The student must have a written statement signed by the licensed prescriber and the parent/guardian verifying the necessity and student’s ability to self-administer the medication appropriately.
Middle School Only (5TH, 6TH, 7TH & 8TH) We will dispense the following medications with parent/guardian signed permission on the medication dispensing forms.
Acetaminophen (Tylenol, Tempura) - for headaches not associated with injury
Ibuprofen (Advil, Motrin) - fever and dysmenorrhea
Robitussin cough and sore throat lozenges - not associated with any signs of infection
Tums (antacid) - for simple indigestion, not associated with nausea, diarrhea or other non-specific abdominal symptoms.
All students are assessed prior to dispensing any medication. Parents will be contacted when 2 or more doses are requested for a headache in 1 school day or over a two day period or for a persistent sore throat, cough, fever and any other signs of illness that might need further intervention. The school nurse or other designated administrators will dispense medications.
Medicines not delivered in the above way will not be dispensed. If your child is presently taking any medications on a regular basis, please let us know; this will help us better serve your child’s needs. Do not hesitate to call the school nurse with questions or concerns.
