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“Your child’s wellness is your happiness” www.schoolofeducators.com Health Morals Behavior Education What is Wellness of your child? Sports www.schoolofeducators.com We do our best to treat Childhood illnesses But Remember…. Prevention is always better than cure Think Wellness… Think Prevention… www.schoolofeducators.com You leave no stone unturned… By • Providing right nutrition • Maintaining hygienic atmosphere at home • Prompt medication at the first sign of illness • Moral Support Schools Strive Towards • Mental & physical development of children. • Managing emergencies • Periodic medical check ups www.schoolofeducators.com Still……. diseases prevail • Measles • Tuberculosis • Mumps • Polio • Rubella • Hepatitis B • Chicken pox • Diphtheria • Pertussis • Tetanus • Hepatitis A www.schoolofeducators.com The Impact… • Mental & physical trauma for the child & parents. • Missing out on – School – Exams – Fun & play. – Work- in case of parents • Temporary or permanent debilitation of the child www.schoolofeducators.com www.schoolofeducators.com Why Vaccines ??? Every year…. •Over 30 lacs deaths are prevented.1 •750,000 children are saved from disability.1 …due to vaccines. Polio •Polio –Eliminated except India, Pak, Afghanistan & Nigeria2 Diseases controlled worldwide • Smallpox – Eradicated 3. • Measles - Controlled (in America & parts of Europe)3. • Tetanus, Diphtheria, Rubella, Meningitis & Liver cancer due to Hepatitis B - Dramatic reductions. Smallpox Measles Tetanus www.schoolofeducators.com 1. Ehreth J. The value of vaccination: a global perspective. Vaccine 2003; 21: 596-600; .2. Fine PE, Griffiths UK. Global poliomyelitis eradication: status and implications. Lancet 2007; 369(9570):1321-1322.; 3 IFPMA May 2003. • With the exception of clean drinking water, vaccines are the most effective intervention in reducing and preventing infectious diseases.1 • 26 diseases are now vaccine preventable.2 Clean Drinking Water Vaccination www.schoolofeducators.com 1. European Vaccine Manufacturer’s paper. “Out of Sight. Out of Mind”. 2003.; 2. IFPMA May 2003. GLOBAL SCHOOL VACCINATION LAWS Some countries that have compulsory school immunization laws are: • USA • Canada • Australia • Germany • Singapore • Brazil • Hungary • Mexico • Poland ……and many others www.schoolofeducators.com Br Med J (Clin Res Ed). 1987 May 16;294(6582):1270-1.Ministry of Education Website, Singapore The Indian Scenario ? www.schoolofeducators.com All India School Survey SCHOOL CONTACT • 278 school across India Delhi Ludhiana Jaipur • In ten cities Kolkata Ahmedabad Pune Mumbai Hyderabad Bangalore Chennai • Reached 1,62,000 children • Response received from 75,000 children • Age group - 5 to 10 years www.schoolofeducators.com The Indian Scenario Diseases Percentage of children that may be unprotected Chickenpox Up to 59% Hepatitis A Up to 61% Measles, Mumps, Rubella Up to 57% www.schoolofeducators.com Economic impact of infection Medical costs – – – – – Indirect/intangible costs Medication Transmission to others Complications Nurse advice Visits to clinic, home and emergency department – Hospitalization – Loss of earnings and productivity (Patients, parents or carers) – Missing out on schools – Isolation up to 2 weeks – Impaired quality of life – Scarring www.schoolofeducators.com Immunisation An Investment or Cost ? www.schoolofeducators.com Common Childhood Vaccine Preventable Diseases • Hepatitis A & Hepatitis B • Chicken Pox • Measles, Mumps. Rubella (MMR) • Diphtheria, Tetanus & Pertussis (DTP) • Typhoid Jaundice Measles www.schoolofeducators.com Tetanus Chickenpox Mumps Hepatitis What is Hepatitis? Hepatitis A virus • Hepatitis means inflammation of the liver • Hepatitis can be caused by a virus that gets into your body and attacks the liver. • There are five known hepatitis viruses: A, B, C, D & E. • Jaundice is only a symptom of Hepatitis. www.schoolofeducators.com Hepatitis A is a serious liver disease caused by infection with the Hepatitis A virus. Symptoms of Hepatitis A • • • • • • • • Jaundice (yellow skin and eyes) Dark urine Light-colored stools Diarrhea Tiredness Loss of appetite Fever Stomach-ache Not everyone has symptoms. Adults and teens will have symptoms more often than young children www.schoolofeducators.com Hepatitis A: A Serious disease • Hepatitis A is one of the more common causes of acute liver failure in young children in India. • Severe complications can occur, including: – Cirrhosis (scarring) of the liver – Liver failure – Death. • It may render your child bedridden for a month. • If this happens during exams, it can negatively impact a young mind’s academic progress. www.schoolofeducators.com 1: Bhowmick K, Mammen A, Moses PD, Agarwal I, Mathew L, Kang G. Hepatitis A in pediatric acute liver failure in southern India. Indian J Gastroenterol 2005; 24(1):34 Prevention of Hepatitis A There is no specific medical treatment for hepatitis A. It can be prevented by: •Good Hygiene •Clean drinking water; avoidance of food contamination •Immune globulin •Vaccination (pre-exposure) www.schoolofeducators.com Source : http://www.cdc.gov/ncidod/diseases/hepatitis/a/index.htm Hepatitis A and Hepatitis B are different HEPATITIS B VIRUS HEPATITIS A VIRUS Found in: Blood and certain body fluids1 Found in: Stools of infected people2 Spreads through: •Transfer of body fluids from an infected person1 •Mother to child at birth1 •Contaminated needles1 •Blood transfusions1 •Sexual contact1 Spreads through: •Contaminated food and water2 •Unwashed & insufficiently cooked vegetables2 • Food handled by infected people2 •Refrigerated foods2 •Swimming pools2 www.schoolofeducators.com 1: Hepatitis B vaccines: WHO Position Paper 2: Fiore AE. Hepatitis A transmitted by food. Clin Infect Dis. 2004 Mar 1;38(5):705-15. Good news! Both Hepatitis A and Hepatitis B are vaccine preventable! www.schoolofeducators.com Hepatitis A and Hepatitis B vaccine are different Hepatitis B vaccine •3 doses Hepatitis A vaccine •2 doses 1 3 •Given soon after birth •Given after the 1st year of life 1 •After seroconversion, it provides life-long protection from Hepatitis B 3 •Provides life-long protection from Hepatitis A 4 2 1: Engerix-B Prescribing Information 2: Banatvala JE, Van Damme P. Hepatitis B vaccine -- do we need boosters? J Viral Hepat. 2003 Jan;10(1):1-6 3: Havrix Prescribing Information 4: Van Damme P, Banatvala J, Fay O, Iwarson S, McMahon B, Van Herck K, et al. Hepatitis A booster vaccination: is there a need? Lancet. 2003 Sep 27;362(9389):1065-71 www.schoolofeducators.com Hepatitis Public Awareness Campaign www.schoolofeducators.com Chickenpox • Chickenpox is an infectious disease caused by the varicella-zoster virus. • It results in: – blister-like rash (200-300 blisters) – itching – tiredness and – fever. Child should not attend school and be isolated for at least 5 days after the spots first appear and until all the blisters have dried. www.schoolofeducators.com http://www.cdc.gov/nip/diseases/varicella/ How do you get chickenpox? Varicella-zoster virus (VZV) is transmitted by: Coughing – Direct contact Sneezing Once a case has occurred in a susceptible population, it is very hard to prevent an outbreak. www.schoolofeducators.com http://www.who.int/vaccines/en/varicella.shtml Did you know? – Almost every individual born on this earth would suffer from chickenpox in his/her lifetime, either as a child or as an adult. www.schoolofeducators.com http://www.who.int/vaccines/en/varicella.shtml Chickenpox is not a benign disease Complications in adolescents and adults Neonatal varicella Herpes Zoster (Nagin) www.schoolofeducators.com Clinical presentation of herpes zoster (Nagin) Congenital varicella syndrome Ophthalmic neuralgia www.schoolofeducators.com Prevention of Chickenpox • Control of Chickenpox can be achieved only by widespread vaccination. • Doses : Up to 12 years – One dose > 13 years - 2 doses www.schoolofeducators.com http://www.who.int/vaccines/en/varicella.shtml Chicken Pox Public Awareness Campaign www.schoolofeducators.com Information Knowledge Your Power To Protect www.schoolofeducators.com Mission “To instill the importance of protection and preventive healthcare in creating a sense of WELLNESS in children, families and society at large” www.schoolofeducators.com Vision “Healthy Children, Advantage India” www.schoolofeducators.com www.schoolofeducators.com www.schoolofeducators.com Next Step: • Collect your Health Record Card. • Visit your Pediatrician. • Get the Health Record Card updated. • Follow your Pediatrician’s advice. • Submit the Health Record Card back to school within a fortnight. www.schoolofeducators.com Thank you for attending ‘Your Power To Protect’ Program www.schoolofeducators.com www.schoolofeducators.com www.schoolofeducators.com