HEALTH SERVICES

School nurses are available in district schools. They also meet, by appointment, with parents to discuss the special health needs of students. Health technicians are on duty in school health offices every day. They maintain student health records and are qualified to perform routine first aid procedures. All students are required to fill out a health inventory form at the time of initial enrollment.

Students also are required to have on file emergency information listing numbers where parents or responsible adults can be reached. Completion of the above documents authorizes the disclosure and/or use of individually identifiable health information for the purposes of providing a safe, appropriate, and the least restrictive setting and for school health services and school programs consistent with California and Federal law concerning the privacy of such information.

The district does not assume financial responsibility for ambulance transportation or medical care.

 ANNUAL MEDICAID REIMBURSEMENT NOTIFICATION

The Anaheim Union High School District, in cooperation with the California Departments of Health Services and Education, has a program to allow the district to be reimbursed with federal Medicaid dollars for selected health services (such as hearing and vision screening, health assessments) provided to eligible students at school. In accordance with district rules and guidelines, parents and guardians are hereby notified that eligible students’ records may be forwarded to the District’s billingagency. These records will be forwarded in a confidential manner. The billing agency holds a contract with the District that contains a specific confidentiality clause to ensure information is not disclosed inappropriately; further the billing agency is HIPAA compliant (Federal Health Insurance Portability & Accountability Act.)

School health services currently provided to all students will not be charges by this program. Student will not be denied services they require to attend school, and parents will never be billed for services by the school district.

 HEALTH SCREENING PROGRAMS

(Education Code §§49452 and 49452.5; Title 5 of the Code of Regulations §594)

The Anaheim Union High School District has implemented programs designed to screen for vision, hearing, and scoliosis problems. These screening programs are in accordance with the mandates set by state law. Screenings for hearing problems and vision are conducted for all 8^th and 10th grade students. Students of any grade may also be screened at parent or teacher request. The scoliosis screening program, to detect possible spinal problems in children, is mandated for all 7th grade girls and all 8th grade boys.

These screenings are designed as an early warning system to detect any problems as early as possible. If a problem is suspected, the parents/ guardians are notified and a referral is made. If the parents/ guardians do not want their child screened, a written statement must be made to the school principal.

 ADMINISTRATION OF PRESCRIBED MEDICATION

(Education Code §§49414, 49414.5, 49423, 49423.1, and 49480)

If during the regular school day your child is required to take prescription medication or continue medication for a nonepisodic condition prescribed for him or her by a physician, designated school personnel may assist your child if the principal of your child’s school receives a written statement from the physician (submitted annually) detailing the method, amount, and time schedules by which the medication (including epinephrine auto-injector) is to be taken and a written statement from you (submitted annually) indicating your desire that the school district assist your child in taking the medication (does not include medications for a temporary acute illness). In the case of a pupil who is able to self-test and monitor his or her blood glucose level, upon written request of the parent or guardian, and with authorization of the licensed health care provider of the pupil, a pupil with diabetes shall be permitted to test his or her blood glucose level and provide diabetic self‑care during school hours and any school-related activity. Students with known severe allergic reactions will be allowed to carry and self‑administer inhaled asthma medication and epinephrine auto-injectors, subject to the same requirements stated above. Forms are available in the school’s Health Office. With the consent of the parent or legal guardian of the pupil, the school nurse may communicate with the physician and may counsel with the school personnel regarding the possible effects of the drug on the child’s physical, intellectual, and social behavior, as well as possible behavioral signs and symptoms of adverse side effects, omission, or overdose.

CONTROL OF COMMUNICABLE DISEASE

(Education Code §49403, Health and Safety Code §120335 and Title 17 of the California Code of Regulations §6020)

This district cooperates with the local health officer in the control and prevention of communicable disease in school age children. If you consent in writing, the district may permit a licensed physician, nurse, or health officer to administer an immunizing agent to your child. You will be advised in writing before any immunization program is instituted.

 IMMUNIZATIONS

(Health and Safety Code §§120335-120375)

A pupil may not be admitted to school unless he or she has been fully immunized against diphtheria, pertussis (whooping cough), tetanus, and poliomyelitis, measles, mumps, rubella and Hepatitis B in the manner and with immunizing agents approved by the State Department of Public Health. These immunizations are available from the County Health Officer. Documentary proof of immunization is required upon admission. A pupil who has not been fully immunized may be admitted on condition that the pupil presents evidence he or she has been fully immunized within the time periods designated by the State Department of Public Health. These requirements do not apply when a letter or affidavit is given to the district stating that the immunization is contrary to the beliefs of the parent or guardian, or a licensed physician states that the physical condition of the pupil is such that immunization is not considered safe.

POLIOVACCINE (OPV and/or IPV): A minimum of three (3) doses. If the third dose was given before two years of age, one (1) additional dose is required.

TD TETANUS, DIPHTHERIA: For pupils seven years of age and older, a minimum of three (3) doses of any preparation containing tetanus and diphtheria toxoid Td. Dt. DTP, or any combination of these. If the last dose was received before the second birthday, one more dose of Td is required. For school year 2011-12 all students 7^th through 12^th grades will need proof of a booster of Tdap before the start of school. Beginning July 1, 2012 all students entering 7th grade will need proof of a Tdap booster before starting school.

State of California - Health and Human Services Agency California Department of Public Health

EARLY ALERT TO HEALTH CARE PROVIDERS

Assembly Bill 354 Becomes Law 2011 Pertussis (Whooping Cough) Immunization Requirements for Students September 30, 2010

Whooping cough (pertussis) has been widespread, including nine infant deaths, in California during 2010. The California Department of Public Health  recommends that all Californians 10 years and older receive a booster shot against pertussis (also known as “Tdap”1). Moreover, Assembly Bill 354, now chaptered into California law, requires students to be immunized against pertussis2:

For the 2012-13 school year, all students entering 7th grade will need proof of a Tdap booster shot before starting school. This requirement:

• Will be met by receiving one dose of Tdap vaccine on or after the 10th birthday.

• Applies to all public and private schools.

• Does not affect students enrolled in summer school.

Beginning July 1, 2010, and beyond, all students entering the 7^th grade will need proof of a Tdap booster shot before starting school.

These requirements apply to millions of students in California. Please utilize every opportunity to provide a Tdap booster shot to adolescents and adults (10 years and older) who haven’t yet received it. Give Tdap now to your unimmunized patients to protect them against the current threat and to meet the forthcoming school requirement. Schools may send communications about the Tdap requirement to the parents of your patients.

The California Immunization Registry (CAIR) is directly accessed by many schools to check student immunization records.We encourage you to join CAIR to help meet the new Tdap booster shot requirement. Updates on implementing this new law will be posted later in the 2010‑2011 school year at www.cdph.ca.gov/HealthInfo/discond/Pages/Pertussis.aspx, which currently has general information about pertussis disease and immunization.

1 “Tdap” = Tetanus toxoid, reduced diphtheria toxoid and a cellular pertussis vaccine.

2 Exemptions permitted for verified medical conditions or personal beliefs.

RUBELLA (German Measles - 3 day): A single dose of Rubella Vaccine administered on or after the first birthday. One (1) additional dose is required if the dose was given before one year of age. If the student has had the disease, laboratory confirmation must be submitted in writing. The law does not allow parent verification for proof of the disease. A second dose of measles-containing vaccine (usually given as the combination MMR vaccine) will be required for 7th grade entry after July 1, 1999.

 MEASLES VACCINE (Rubeola 10-day Red Measles): One (1) dose of live virus given on or after the first birthday. One (1) additional dose is required if the original dose was given before one year of age. If the student has had the disease, a physician’s statement of immunity must be submitted in writing.The law does not allow parent verification for proof of the disease.

 VARICELLA VACCINE (Chicken Pox): One (1) dose of varicella vaccine or evidence of past chicken pox disease for a child 18 months and older, except two (2) doses are required if an un-immunized child is 13 years or older. This requirement went into effect July 1, 2001.

 HEPATITIS B: Beginning July 1, 1999, students entering 7th grade are required to have had three (3) doses or to have started the series of the Hepatitis B vaccine.

A student can be enrolled on a conditional basis when he/she presents evidence from a medical doctor or the Department of Public Health that at least one (1) dose of the required vaccine has been administered. The student must receive the other required doses as they become due or he/she will be excluded from school.

 TUBERCULOSIS (TB) TESTING is required of all students enrolling for the first time in Orange County schools. Any student attending Anaheim Union High School District for the first time who has resided outside of Orange County longer than twelve (12) months, must show proof of a recent TB skin test (dated within the past year) prior to the first day of classes.

IMMUNIZATION (VACCINE) CLINICS

(Education Code §49403 Health and Safety Code §120335 and Title 17 of the California Code of Regulations §6020)

Students in need of vaccines may obtain them at Student Health Services, 501 Crescent Way, Room 1. Call 999-0814 for vaccine information. Clinic hours will begin in August.

Parent or legal guardian must accompany the student and immunizations will not be given without a vaccine record. Any questions or concerns, please call the Student Health Services Center at 999-0814.

 STUDENT HEALTH SERVICES CENTER

The Anaheim Union High School District’s Student Health Services Center is located at the district office across from the Language Assessment Center.

Immunizations, CHDP exams, WIC referrals and Healthy Families application assistance are available. Hours of service are Monday through Friday from 7 a.m. to 3 p.m. Hours are subject to change; please call 999-0814 for an appointment.

 COUNTY OF ORANGE HEALTH CARE AGENCY FREE WALK‑IN IMMUNIZATIONS

The County of Orange Health Care Agency conducts free walk-in immunization clinics at the following locations:

BUENA PARK 6301 Beach Boulevard, Suite 103

SANTA ANA 1725 W. 17th Street

For more information about free immunization clinics or to learn about free checkups for children, call the County of Orange Health Referral at 1‑800‑914‑4887.

SEXUAL HEALTH EDUCATION AND HIV/AIDS PREVENTION EDUCATION

(Education Code §51938)

Comprehensive sexual health education and HIV/AIDS prevention education are taught in different classes by qualified personnel at both junior high and senior high levels. Instructional materials used in these courses have been approved by the Instructional Materials Review Committee and the Board of Trustees. Teachers use courses of study based upon the state standards. Staff notifies parents at the beginning of the school year or upon enrollment of the student regarding instruction in comprehensive sexual health education and HIV/AIDS prevention education, and who will be teaching these topics. If an outside consultant will provide instruction, parents will be notified of the date of instruction and the name of the organization the consultant is associated with. Parents may contact their child’s teacher to inspect written/audiovisual educational materials used and may request in writing that their child not receive instruction in sexual health education and HIV/AIDS prevention education.

 HEALTH INSTRUCTION

(Education Code §51240)

If any part of a school’s instruction in health conflicts with the religious training and beliefs (including personal moral convictions) of a parent or guardian of a pupil, the pupil, upon written request of the parent or guardian, shall be excused from the part of the instruction that conflicts with the religious training and beliefs.