communicable disease aaron lawson, danette crosby, and carissa brandenburg

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Communicable Disease Communicable Disease Aaron Lawson, Danette Aaron Lawson, Danette Crosby, and Carissa Crosby, and Carissa Brandenburg Brandenburg

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Page 1: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Communicable DiseaseCommunicable Disease

Aaron Lawson, Danette Crosby, and Aaron Lawson, Danette Crosby, and Carissa BrandenburgCarissa Brandenburg

Page 2: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Legal DefinitionLegal Definition

Communicable DiseaseCommunicable Disease– illnesses caused by microorganisms and transmitted from an infected illnesses caused by microorganisms and transmitted from an infected

person or animal to another person or animal. Some diseases are passed person or animal to another person or animal. Some diseases are passed on by direct or indirect contact with infected persons or with their on by direct or indirect contact with infected persons or with their excretions. Most diseases are spread through contact or close proximity excretions. Most diseases are spread through contact or close proximity because the causative bacteria or viruses are airborne; i.e., they can be because the causative bacteria or viruses are airborne; i.e., they can be expelled from the nose and mouth of the infected person and inhaled by expelled from the nose and mouth of the infected person and inhaled by anyone in the vicinity. Such diseases include diphtheria, scarlet fever, anyone in the vicinity. Such diseases include diphtheria, scarlet fever, measles, mumps, whooping cough, influenza, and smallpox. Some measles, mumps, whooping cough, influenza, and smallpox. Some infectious diseases can be spread only indirectly, usually through infectious diseases can be spread only indirectly, usually through contaminated food or water, e.g., typhoid, cholera, dysentery. contaminated food or water, e.g., typhoid, cholera, dysentery.

** Communicable Disease can also be transmitted through the fecal-oral ** Communicable Disease can also be transmitted through the fecal-oral route. Many diseases are shed through the feces and can be prevented by route. Many diseases are shed through the feces and can be prevented by proper handwashing.proper handwashing.

Page 3: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Head LiceHead Lice – Eggs hatch in about 7-10 days, nymphal stage lasts about 7-13 days, egg to egg cycle averages Eggs hatch in about 7-10 days, nymphal stage lasts about 7-13 days, egg to egg cycle averages

about 3 weeks.about 3 weeks. – Itching, irritation of scalp, feeling of something moving in the hair, and sores on the head Itching, irritation of scalp, feeling of something moving in the hair, and sores on the head

caused by scratching. White- yellow- brown nits (eggs) attach firmly to hair and are most caused by scratching. White- yellow- brown nits (eggs) attach firmly to hair and are most commonly found at the nap of the neck, crown of head, and above the ears.commonly found at the nap of the neck, crown of head, and above the ears.

– Direct, hair-to-hair contact with infested person. Indirect contact with combs, brushes, hats, or Direct, hair-to-hair contact with infested person. Indirect contact with combs, brushes, hats, or other headgear or clothing, or bedding of infested person. Examiners’ hands have never been other headgear or clothing, or bedding of infested person. Examiners’ hands have never been found to transmit head lice. Lice DO NOT jump, fly, or swim; they cannot survive off the hose found to transmit head lice. Lice DO NOT jump, fly, or swim; they cannot survive off the hose for longer than 24-48 hours.for longer than 24-48 hours.

– As long as lice remain alive on the infested person or on objects. Head lice survive 24-48 hours As long as lice remain alive on the infested person or on objects. Head lice survive 24-48 hours off of a host while eggs can survive 7-10 days but will not hatch below 72off of a host while eggs can survive 7-10 days but will not hatch below 72 . .

– Excluded from a school or childcare center until application of an effective pediculocide. Excluded from a school or childcare center until application of an effective pediculocide. Report outbreaks or unusual incidence to the local health department. Report outbreaks or unusual incidence to the local health department. 2 yrs contact physician 2 yrs contact physician for directions. Check all heads 2-3 weeks to assure there are not untreated cases. for directions. Check all heads 2-3 weeks to assure there are not untreated cases.

– Anyone who comes in contact with carrier should be checked and treated.Anyone who comes in contact with carrier should be checked and treated.– Machine wash all washables (HOT water), dried (HOT cycle),Machine wash all washables (HOT water), dried (HOT cycle),– Can’t be washed? Put in plastic bag for 10 days. Can’t be washed? Put in plastic bag for 10 days. – Soak all hair accessories for 1 hr in rubbing alcohol. Vacuum floor and furniture. Soak all hair accessories for 1 hr in rubbing alcohol. Vacuum floor and furniture.

Page 4: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Head Lice Head Lice

Page 5: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Combing for Head LiceCombing for Head Lice

Page 6: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Conjunctivitis (Pink Eye)Conjunctivitis (Pink Eye) – Bacterial: 24-72 hoursBacterial: 24-72 hours

– Redness of the eye or eyelid, thick pus discharge, matted eyelashes, burning, itching, or eye Redness of the eye or eyelid, thick pus discharge, matted eyelashes, burning, itching, or eye pain.pain.

– Direct contact with discharge from eye membranes or upper respiratory tract. Indirect contact Direct contact with discharge from eye membranes or upper respiratory tract. Indirect contact by touching items contaminated with such discharge, such as fingers, clothing, toys, and by touching items contaminated with such discharge, such as fingers, clothing, toys, and others.others.

– Bacterial: Until 24 hrs of antibiotic treatment completed.Bacterial: Until 24 hrs of antibiotic treatment completed.

– Exclude those with pus discharge, eye pain, or eyelid redness or fever until after 24 hrs of Exclude those with pus discharge, eye pain, or eyelid redness or fever until after 24 hrs of antibiotic treatment is completed.antibiotic treatment is completed.

– Utilize good handwashing techniques.Utilize good handwashing techniques.

Page 7: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Conjunctivitis (Pink Eye)Conjunctivitis (Pink Eye)

Page 8: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Meningitis, bacterialMeningitis, bacterial – 1-10 days, usually less than 4 days.1-10 days, usually less than 4 days.

– Sudden onset of fever, intense headache, nausea, vomiting,. With meningococcal, rash. Sudden onset of fever, intense headache, nausea, vomiting,. With meningococcal, rash. Behavioral changes, irritability, sluggishness.Behavioral changes, irritability, sluggishness.

– Direct contact with nose or throat discharge of infected person or asymptomatic carrier.Direct contact with nose or throat discharge of infected person or asymptomatic carrier.

– Not more than 24 hrs after starting appropriate antibiotic therapy.Not more than 24 hrs after starting appropriate antibiotic therapy.

– Exclude until at least 24 hrs of effective treatment. MUST be under physician care.Exclude until at least 24 hrs of effective treatment. MUST be under physician care.

– For meningococcal disease; Prophylaxis is usually given to household and childcare contacts For meningococcal disease; Prophylaxis is usually given to household and childcare contacts but not to school contacts. Must be reported to local health department. Vaccine available.but not to school contacts. Must be reported to local health department. Vaccine available.

Page 9: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Bacterial MeningitisBacterial Meningitis

Page 10: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Meningitis, viral/ asepticMeningitis, viral/ aseptic – 2-21 days, depends on causative agent.2-21 days, depends on causative agent.

– Sudden onset of fever, intense headache, nausea, vomiting, stiff neck. Behavioral changes, Sudden onset of fever, intense headache, nausea, vomiting, stiff neck. Behavioral changes, irritability, sluggishness.irritability, sluggishness.

– Varies; some transmitted through contact with respiratory secretions. Most are spread through Varies; some transmitted through contact with respiratory secretions. Most are spread through fecal-oral route via unwashed hands. Onset may be rapid or gradual. Infants less than 1 yr are fecal-oral route via unwashed hands. Onset may be rapid or gradual. Infants less than 1 yr are less likely to have meningeal symptoms.less likely to have meningeal symptoms.

– Up to 7-10 days before and 7-10 days after onset of symptoms.Up to 7-10 days before and 7-10 days after onset of symptoms.

– Exclude while febrile. MUST be under physician care. Strict handwashing after toileting; may Exclude while febrile. MUST be under physician care. Strict handwashing after toileting; may excrete virus through stool for 1-2 months. Avoid sharing drinks.excrete virus through stool for 1-2 months. Avoid sharing drinks.

– Usually much less serious than bacterial, but initial symptoms are similar. Must be reported to Usually much less serious than bacterial, but initial symptoms are similar. Must be reported to local health department.local health department.

Page 11: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Viral MeningitisViral Meningitis

Page 12: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Mononucleosis (MONO)Mononucleosis (MONO) – 4-6 weeks4-6 weeks

– Fever, sore throat, swollen glands, fatigue, headache, palatal petechial rash (red spider veins on Fever, sore throat, swollen glands, fatigue, headache, palatal petechial rash (red spider veins on roof of mouth) occasional abdominal pain, occasional respiratory distress.roof of mouth) occasional abdominal pain, occasional respiratory distress.

– Direct contact with saliva of infected person.Direct contact with saliva of infected person.

– Unknown, may shed virus for many months without symptoms.Unknown, may shed virus for many months without symptoms.

– May return when feeling well enough. May return when feeling well enough.

– Need not exclude under ordinary circumstances after symptoms subside. Need not exclude under ordinary circumstances after symptoms subside.

Page 13: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Mononucleosis (MONO)Mononucleosis (MONO)

Page 14: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Most Common Communicable Most Common Communicable DiseasesDiseases

Whooping Cough (Pertussis)Whooping Cough (Pertussis) – 5-10 days with upper limit of 21 days.5-10 days with upper limit of 21 days.

– Starts with mild upper respiratory symptoms and can progress to fits of abnormally severe Starts with mild upper respiratory symptoms and can progress to fits of abnormally severe coughing, often sounds like a whoop, followed by vomiting. Fever is absent or minimal. coughing, often sounds like a whoop, followed by vomiting. Fever is absent or minimal. Infants less than 6 months old, adolescents and adults often do not have the typical whoop or Infants less than 6 months old, adolescents and adults often do not have the typical whoop or fit of abnormally severe cough.fit of abnormally severe cough.

– Close contact via respiratory secretions of person with disease.Close contact via respiratory secretions of person with disease.

– Highly communicable in the early (runny nose, sore throat) stage before the cough stage. Highly communicable in the early (runny nose, sore throat) stage before the cough stage. Thereafter communicability decreases, but may persist for 3 wks or more after onset of cough.Thereafter communicability decreases, but may persist for 3 wks or more after onset of cough.

– If person is not treated with antimicrobial therapy, isolate (including school and other public If person is not treated with antimicrobial therapy, isolate (including school and other public places) for 3 wks after the onset. If therapy is given isolate the person for 5 days after 1places) for 3 wks after the onset. If therapy is given isolate the person for 5 days after 1 stst treatment. Monitor contacts for cough.treatment. Monitor contacts for cough.

– Contacts may receive vaccine booster if age-appropriate or antimicrobial prophylaxis. Check Contacts may receive vaccine booster if age-appropriate or antimicrobial prophylaxis. Check non-immunized students for potential exclusion during outbreak. MUST be reported to local non-immunized students for potential exclusion during outbreak. MUST be reported to local health department.health department.

Page 15: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Whooping Cough (Pertussis)Whooping Cough (Pertussis)

Page 16: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Support SystemsSupport Systems

CounselorsCounselors– School and communitySchool and community

Doctors/ HospitalsDoctors/ Hospitals– Personal or localPersonal or local

NursesNurses– School, community, or health departmentSchool, community, or health department

Health DepartmentHealth Department– Has basic facts on all Communicable DiseasesHas basic facts on all Communicable Diseases

Page 17: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Strengths and challenges of Strengths and challenges of students with Communicable students with Communicable

DiseaseDisease Teachable momentsTeachable moments

– Proper handwashingProper handwashing

– ToilettingToiletting

– Coughing/ SneezingCoughing/ Sneezing

Keeping everyone safe and healthy while Keeping everyone safe and healthy while including children who have had including children who have had Communicable DiseaseCommunicable Disease– The 6 diseases listed are all treatable, this meaning these children need not The 6 diseases listed are all treatable, this meaning these children need not

be excluded after proper therapy and treatment is given.be excluded after proper therapy and treatment is given.

Page 18: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

AccommodationsAccommodations

The Ohio Health Department recommends The Ohio Health Department recommends excluding children with Head Lice, Conjunctivitis excluding children with Head Lice, Conjunctivitis (Pink Eye), Meningitis (Bacterial, Viral), and (Pink Eye), Meningitis (Bacterial, Viral), and Whooping Cough (Pertussis) from all activities Whooping Cough (Pertussis) from all activities until proper treatment and therapy are given.until proper treatment and therapy are given.– All areas that the infected person has come in contact with need to All areas that the infected person has come in contact with need to

be disinfected/ sanitized. Cloth and fabric materials need to be be disinfected/ sanitized. Cloth and fabric materials need to be washed and vacuumed.washed and vacuumed.

– When previously infected student returns to the classroom, treat When previously infected student returns to the classroom, treat them as is they never left!them as is they never left!

Page 19: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

HIV/AIDSHIV/AIDS

Question:Question:– Do Ohio teachers have the legal right to know Do Ohio teachers have the legal right to know

if their student is HIV positive?if their student is HIV positive?– Calls made in order to answer this question…Calls made in order to answer this question…

» Clinton County Health DepartmentClinton County Health Department

» Ohio Department of HealthOhio Department of Health

» FERPAFERPA

» CDCCDC

» Ohio Aids HotlineOhio Aids Hotline

Page 20: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

And the answer is……..And the answer is……..

NO!NO!– Ohio Aids Hotline (1-800-332-2437)Ohio Aids Hotline (1-800-332-2437)

» The only ethical right in Ohio is:The only ethical right in Ohio is: Sexual partnersSexual partners PrisonsPrisons Healthcare providersHealthcare providers

Page 21: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

What is HIPAA?What is HIPAA?

HealthHealth InsuranceInsurance PortabilityPortability AccountabilityAccountability ActAct

Page 22: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

HIPAAHIPAA

The acronym for the federal law took effect The acronym for the federal law took effect April 14, 2003.April 14, 2003.– Law designed to provide privacy standards to Law designed to provide privacy standards to

protect patients medical records and other protect patients medical records and other health information provided to health plans, health information provided to health plans, doctors, hospitals, and other health care doctors, hospitals, and other health care providers.providers.

Page 23: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

What is FERPA?What is FERPA?

FamilyFamily EducationalEducational RightsRights PrivacyPrivacy ActAct

Page 24: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

FERPAFERPA

Federal law that protects the privacy of Federal law that protects the privacy of student education records. The law applies student education records. The law applies to all schools that receive funds under to all schools that receive funds under applicable programs of the US Department applicable programs of the US Department of Education.of Education.

FERPA does allow (without parent consent) FERPA does allow (without parent consent) disclosure of records for appropriate disclosure of records for appropriate officials incase of health and safety officials incase of health and safety emergencies. emergencies.

Page 25: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

South Carolina/ IllinoisSouth Carolina/ Illinois

Both have current laws in place that require Both have current laws in place that require the report of students’ HIV status.the report of students’ HIV status.

Both are in the process of being repealed.Both are in the process of being repealed. Sen. Brad Hutto of South CarolinaSen. Brad Hutto of South Carolina

– ““It’s a walking HIPAA lawsuit.”It’s a walking HIPAA lawsuit.”

Page 26: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Strengths and challenges brought Strengths and challenges brought by HIV studentsby HIV students

Self AwareSelf Aware– These students are self aware both medically These students are self aware both medically

and physically.and physically. StigmaStigma

– There are certain stigma’s attached to this There are certain stigma’s attached to this disease by fear and hysteria.disease by fear and hysteria.

Page 27: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Instructional TechniquesInstructional Techniques

If it’s wet, sticky, and not yours….. DON’T If it’s wet, sticky, and not yours….. DON’T TOUCH IT!!!!!!TOUCH IT!!!!!!

Universal Health precautions should always Universal Health precautions should always be taken with bodily fluids!be taken with bodily fluids!

Page 28: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Diabetes and ChildrenDiabetes and Children

According to the National Institutes of Health:According to the National Institutes of Health:

Estimated 850,000 to 1.7 million Americans have Type 1 diabetes. Estimated 850,000 to 1.7 million Americans have Type 1 diabetes. Of those, about 125,000 are kids 19 and under. Of those, about 125,000 are kids 19 and under.

An additional 30,000 Americans develop Type 1 diabetes every year, An additional 30,000 Americans develop Type 1 diabetes every year,

13,000 of whom are children.13,000 of whom are children.

Type 2 diabetes is much more prevalent, with an estimated 16 million Type 2 diabetes is much more prevalent, with an estimated 16 million Americans having Type 2. Millions of people with type 2 diabetes Americans having Type 2. Millions of people with type 2 diabetes have not yet been diagnosed. have not yet been diagnosed.

Page 29: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

What is diabetes?What is diabetes?

Insulin: a hormone needed to change sugar, starches and other food Insulin: a hormone needed to change sugar, starches and other food into energy required for daily life. into energy required for daily life.

Type 1 Diabetes: the body cannot produce insulin. Insulin is Type 1 Diabetes: the body cannot produce insulin. Insulin is produced in the pancreas; a type 1 diabetic is not able to produce produced in the pancreas; a type 1 diabetic is not able to produce insulin. Insulin must be injected. insulin. Insulin must be injected.

Type 2 Diabetes: the body is able to produce insulin in the pancreas Type 2 Diabetes: the body is able to produce insulin in the pancreas but sometimes there is not enough. Other times the body does not but sometimes there is not enough. Other times the body does not respond to the insulin produced. respond to the insulin produced.

Page 30: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Signs/Symptoms: Type 1Signs/Symptoms: Type 1

Typically hereditaryTypically hereditary Extreme ThirstExtreme Thirst Frequent UrinationFrequent Urination DrowsinessDrowsiness Sudden vision changesSudden vision changes Increased appetiteIncreased appetite Sudden weight lossSudden weight loss

**Symptoms typically come on suddenly****Symptoms typically come on suddenly**

Page 31: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Signs/Symptoms: Type 2Signs/Symptoms: Type 2

Frequent UrinationFrequent Urination Unusual ThirstUnusual Thirst Extreme HungerExtreme Hunger IrritabilityIrritability Slow healing of wounds or soresSlow healing of wounds or sores Numbness or tingling in hands or feetNumbness or tingling in hands or feet ItchingItching High Blood PressureHigh Blood Pressure

**Typically caused by lifestyle factors** **Typically caused by lifestyle factors**

**Some children show no symptoms at all****Some children show no symptoms at all**

**Children with type 2 diabetes may have some or all of the symptoms****Children with type 2 diabetes may have some or all of the symptoms**

Page 32: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Treatment for Type 1 DiabetesTreatment for Type 1 Diabetes

Insulin ShotsInsulin Shots Healthy Diet/ExerciseHealthy Diet/Exercise Blood sugar monitoringBlood sugar monitoring

Page 33: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Treatment for Type 2 DiabetesTreatment for Type 2 Diabetes

Achieving/maintaining a healthy weightAchieving/maintaining a healthy weight Blood sugar MonitoringBlood sugar Monitoring Healthy Diet/ExerciseHealthy Diet/Exercise MedicationMedication

Page 34: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Challenges of the SchoolChallenges of the School

If educators suspect a student’s has diabetes he/she should be referred If educators suspect a student’s has diabetes he/she should be referred to the school nurse. The school nurse will then speak with the child’s to the school nurse. The school nurse will then speak with the child’s parents about blood glucose testing.parents about blood glucose testing.

The school nurse and the students’ primary teacher should be aware of The school nurse and the students’ primary teacher should be aware of the students HCP (health care plan). Also, most students diabetics are the students HCP (health care plan). Also, most students diabetics are on 504 plans. on 504 plans.

Learn to recognize signs and symptoms of low blood sugar and high Learn to recognize signs and symptoms of low blood sugar and high blood sugar, and respond to student's HCP. blood sugar, and respond to student's HCP.

Provide a supportive environment at school where students with Provide a supportive environment at school where students with diabetes are treated like other students except to meet their medical diabetes are treated like other students except to meet their medical needs  needs 

Respect students' privacy about their diabetesRespect students' privacy about their diabetes

Page 35: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Strengths to Being Diagnosed Strengths to Being Diagnosed With DiabetesWith Diabetes

In tune with oneselfIn tune with oneself Monitoring dietMonitoring diet Physically active/fitPhysically active/fit

Page 36: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Depression In ChildrenDepression In Children

Depression is the most common mental health problem in the United Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.and economic backgrounds.

As many as 1 in every 33 children may have depression; in teens, that As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.number may be as high as 1 in 8.

Kids with depression have described themselves as feeling hopeless Kids with depression have described themselves as feeling hopeless about everything or feeling that nothing is worth the effort. They about everything or feeling that nothing is worth the effort. They honestly believe that they are "no good," that their world is a difficult honestly believe that they are "no good," that their world is a difficult place, and that they're helpless to do anything about it.place, and that they're helpless to do anything about it.

Page 37: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Signs/Symptoms of DepressionSigns/Symptoms of Depression

A feeling of being down in the dumps or really sad for no reasonA feeling of being down in the dumps or really sad for no reason A lack of energy, feeling unable to do the simplest taskA lack of energy, feeling unable to do the simplest task An inability to enjoy the things that used to bring pleasureAn inability to enjoy the things that used to bring pleasure A lack of desire to be with friends or family membersA lack of desire to be with friends or family members Feelings of irritability, anger, or anxiety (irritability is especially Feelings of irritability, anger, or anxiety (irritability is especially

common in kids and teens)common in kids and teens) An inability to concentrateAn inability to concentrate A marked weight gain or loss (or failure to gain weight as expected), A marked weight gain or loss (or failure to gain weight as expected),

and too little or too much interest in eatingand too little or too much interest in eating A significant change in sleep habits, such as trouble falling asleep or A significant change in sleep habits, such as trouble falling asleep or

getting upgetting up Feelings of guilt or worthlessnessFeelings of guilt or worthlessness

Page 38: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Signs/Symptoms Cont.Signs/Symptoms Cont.

Aches and pains even though nothing is physically wrongAches and pains even though nothing is physically wrong A lack of caring about what happens in the futureA lack of caring about what happens in the future Frequent thoughts about death or suicideFrequent thoughts about death or suicide

****For a true diagnosis to take place with a medical professional, five or For a true diagnosis to take place with a medical professional, five or more of the symptoms listed must occur within a 2 week time more of the symptoms listed must occur within a 2 week time period**period**

**No real strengths for a child living with depression****No real strengths for a child living with depression**

Page 39: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Treatment(s) for DepressionTreatment(s) for Depression

CounselingCounseling MedicationMedication

Page 40: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Challenges of the SchoolChallenges of the School

If you suspect a student is suffering from depression you should talk to the If you suspect a student is suffering from depression you should talk to the student. During this talk be sure to: student. During this talk be sure to:

1. Offer support1. Offer support2. Validate feelings2. Validate feelings3. Avoid lecturing3. Avoid lecturing

**If the student claims nothing is wrong, trust your instinct and speak**If the student claims nothing is wrong, trust your instinct and speak with a school nurse or counselor about your feeling towards the child.with a school nurse or counselor about your feeling towards the child. DEPRESSION SHOULD NOT GET UNTREATED**DEPRESSION SHOULD NOT GET UNTREATED**

**Always use the school counselor or an administrator as your support**Always use the school counselor or an administrator as your support system**system**

**Remember you are NOT a doctor****Remember you are NOT a doctor**

Page 41: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Mental Disorders in Children: Mental Disorders in Children: SchizophreniaSchizophrenia

Schizophrenia is a serious psychiatric illness that causes strange Schizophrenia is a serious psychiatric illness that causes strange thinking, strange feelings, and unusual behavior.  thinking, strange feelings, and unusual behavior. 

It is uncommon in children and is hard to recognize in its early phases.It is uncommon in children and is hard to recognize in its early phases. Cause is unknown.Cause is unknown. Early diagnosis and medical treatment are important. Early diagnosis and medical treatment are important. Schizophrenia is a life-long disease that can be controlled but not Schizophrenia is a life-long disease that can be controlled but not

cured.cured.

Page 42: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Symptoms of Symptoms of SchizophreniaSchizophrenia

Seeing things and hearing voices which are not real (hallucinations)Seeing things and hearing voices which are not real (hallucinations) Odd and eccentric behavior, and/or speechOdd and eccentric behavior, and/or speech Unusual or bizarre thoughts and ideas                                     Unusual or bizarre thoughts and ideas                                     Confusing television and dreams from realityConfusing television and dreams from reality Confused thinkingConfused thinking Extreme moodinessExtreme moodiness Ideas that people are out to get them or talking about them (paranoia) Ideas that people are out to get them or talking about them (paranoia) Severe anxiety and fearfulnessSevere anxiety and fearfulness Difficulty relating to peers, and keeping friends          Difficulty relating to peers, and keeping friends          Withdrawn and increased isolation Withdrawn and increased isolation Decline in personal hygiene Decline in personal hygiene

Page 43: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Treatment for Treatment for SchizophreniaSchizophrenia

MedicationMedication Behavioral therapyBehavioral therapy

**No real strengths for a child living with schizophrenia****No real strengths for a child living with schizophrenia**

Page 44: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Challenges Teaching Children Challenges Teaching Children With SchizophreniaWith Schizophrenia

Educator should be well aware of the symptoms, causes, and treatment Educator should be well aware of the symptoms, causes, and treatment of schizophrenia.of schizophrenia.

The teacher should provide a stress free environment for a child with The teacher should provide a stress free environment for a child with schizophrenia. Stress seems to be one thing that can worsen the schizophrenia. Stress seems to be one thing that can worsen the symptoms of schizophrenia in a child. symptoms of schizophrenia in a child.

Teaching and training in quiet and secluded place is one way to Teaching and training in quiet and secluded place is one way to provide the student with a stress free environment.provide the student with a stress free environment.

Work with the schizophrenic child and help them to set realistic Work with the schizophrenic child and help them to set realistic academic and social goals. Establish regular meetings with family or academic and social goals. Establish regular meetings with family or student to discuss issues problems or successes.student to discuss issues problems or successes.

Encourage the schizophrenic child to participate in sports and extra-Encourage the schizophrenic child to participate in sports and extra-curricular activities in school. Encourage him to mix with other curricular activities in school. Encourage him to mix with other normal students in the school.normal students in the school.

Page 45: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

20/20 abcNEWS clip on 20/20 abcNEWS clip on SchizophreniaSchizophrenia

http://www.http://www.youtubeyoutube.com/watch?v=.com/watch?v=moPmoP_e-gx5hk_e-gx5hk

Page 46: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Preventative MeasuresPreventative Measures

All employers should have Universal Precaution equipmentAll employers should have Universal Precaution equipment HandwashingHandwashing

– Should be done from fingertips to wristsShould be done from fingertips to wrists

– Should take about 20-30 seconds, Should take about 20-30 seconds, singing the ABC’s is a great way to make sure you are singing the ABC’s is a great way to make sure you are scrubbing long enough!scrubbing long enough!

– Be sure to scrub between fingers and under nails, this is where the germs love to hide.Be sure to scrub between fingers and under nails, this is where the germs love to hide.

– Rinse soap off and dry handsRinse soap off and dry hands

– THEN turn the water off, if you touch the knob after washing your hands you have THEN turn the water off, if you touch the knob after washing your hands you have contaminated yourself again.contaminated yourself again.

– Use the paper towel to turn the water off and open the door.Use the paper towel to turn the water off and open the door.

    

Page 47: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Preventative MeasuresPreventative Measures

Disinfecting/ SterilizingDisinfecting/ Sterilizing– The health department defines these as the same thingThe health department defines these as the same thing

– A bleach-water solution is the best thing to use for this step.A bleach-water solution is the best thing to use for this step.

– The formula is ¼ cup bleach to 1 gallon of water.The formula is ¼ cup bleach to 1 gallon of water.

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Preventative MeasuresPreventative Measures

Use Gloves and MasksUse Gloves and Masks– Using gloves and masks can prevent the spread of germs and disease.Using gloves and masks can prevent the spread of germs and disease.

– Use gloves and masks to clean up spills including blood, other body fluids, sharps, and Use gloves and masks to clean up spills including blood, other body fluids, sharps, and anything that may contain disease carrying pathogens.anything that may contain disease carrying pathogens.

Page 49: Communicable Disease Aaron Lawson, Danette Crosby, and Carissa Brandenburg

Finally………..Finally………..

If you cough or sneeze… please do it in If you cough or sneeze… please do it in your elbow. This is also known as sneezing/ your elbow. This is also known as sneezing/ coughing in your chicken wing.coughing in your chicken wing.

** An ounce of prevention is worth a pound ** An ounce of prevention is worth a pound of cure.of cure.