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ROLE OF DOCTOR IN SCHOOL HEALTH SERVICES
Dr. Syed Sanowar AliMBBS(Dow), DCH, MCPS, MPH, PhDAssociate Professor CHS - UMDC
DefinitionSchool Health Service is a branch ofPreventive medicine which deals with medical inspection of school children and their health protection, primarily in the environment of the school.
OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)
• Early detection of defects through a
program of periodical medical
examination of school children.
• Teaching of staff of the school to
detect the defects in school children.
OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)
• To minimize the chances of spread of
Communicable Disease.
OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)
• To protect the children from hazards which
may cause Injury , Disease or Disability
to them.
OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)
• Providing a healthy environment to the
school children.
OBJECTIVES OF SCHOOL HEALTH SERVICE (SHS)
SCHOOL HEALTH TEAM
• SCHOOL MEDICAL OFFICER (Doctor)
• NURSE
• ATTENDANT
DUTIES OF SCHOOL MEDICAL OFFICER• Conduct a periodical routine medical
inspection at the age of 5 , 9 , 13 & 17 years during school of a child.
• Annual inspection is be done by having school to stand in queues and any abnormality detected should be recorded for correction.
DUTIES OF SCHOOL MEDICAL OFFICER
• Arrange for immunization of children against infectious disease like Hepatitis B and maintain the record.
DUTIES OF SCHOOL MEDICAL OFFICER
• Advice the parents on the mental and physical conditions of children through school teacher or school nurse.
DUTIES OF SCHOOL MEDICAL OFFICER
• Any child is suspected to be suffering from any ailment or reported by teacher, medical officer will quickly examine the child & give treatment or such advise as necessary.
DUTIES OF SCHOOL MEDICAL OFFICER
• By lectures & demonstrations, educate the teachers in recognizing common ailments & defects of school children in the practice of first aid in school environment.
DUTIES OF SCHOOL MEDICAL OFFICER
• Periodical inspection of water supply, toilet rooms & ventilation of buildings.
DUTIES OF SCHOOL MEDICAL OFFICER
• Advise the school authorities on the construction of building with a view to proper ventilation, proper size of rooms, adequate seating arrangements & facilities like playgrounds.
DUTIES OF SCHOOL MEDICAL OFFICER
SEATING ARRANGEMENTS
DUTIES OF SCHOOL MEDICAL OFFICER
Negative (Minus) Zero Positive
(Plus)
Types of Desks Negative(Minus)
• Should attend staff conferences arranged by the senior medical of school.
DUTIES OF SCHOOL MEDICAL OFFICER
• During routine medical examination following things should be recorded
1. Intelligence e.g. DQ & IQ.2. Height.3. Weight.4. Chest and Abdomen measurement.5. Eye examination & Vision test.6. Examination of MOUTH , TEETH , TONSILS.
DUTIES OF SCHOOL MEDICAL OFFICER
EQUIPMENT FOR SCHOOL CLINIC• Weighing machine.• Tape measure.• Height measuring rod.• Snellen’s & J eye testing chart.• Tongue depressor and Torch.• Nasal speculum.
Cont. .
• Vaccination equipment.• Disposable syringe.• Ear speculum.• Sterilizer and sprit lamp.• Wash basin and towel stand.• Scissors and surgical forceps.
Recommended drug for school clinic• Toothache solution.• Ear-ache drops.• Eye drops.• First aid kit for treatment of minor injuries.• Mixture : carminative , cough mixture.• Anti-biotic • Vitamin tablets.
DISEASES EXPECTED IN SCHOOL CHILDREN• Malnutrition.• Dental carries.• Parasitic infection.• Eye defects.• ENT disorders like TONSILITIES , PHARYGNITIS etc.
Cont. . .
• Bronchitis.• Pneumonia.• Skin disease like SCABIES.• Other communicable disease like: WHOOPING COUGH , MEASLES, MUMPS, CHOLERA,CHICKEN POX.