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THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 6 Issue 3, July - September 2019

Pages: 27-34

Date of Publication: 25-Jul-2019


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THE ROLE OF THE SCHOOL MEDICAL OFFICE

Author: Dr. Daniela Rajka

Category: Medical

Abstract:

INTRODUCTION: Health care provided in educational establishments has a prophylactic com ponent, at both individual and community level, as well as a curative component, at an individual level, through the examinations in acute conditions and fi rst aid in emergencies.

OBJECTIVES: The study aims to highlight the role that the medical offi ce from educational estab lishments has in supervising the health of children and young people.

MATERIALS AND METHOD: The school medical offi ce we analyzed is responsible for 91 pre schoolers and 2113 students that attend a kindergar ten with extended program and 3 theoretical lyceums, each with grades ranging from the preparatory class up to the XIIth grade.

The study is retrospective, we analyzed the activity of the school’s medical offi ce over the last 5 years, starting with the school year 2014/2015, to date.

Certain aspects were followed: health check exams, acute illness incidence, chronic disease prev alence, epidemiological triage, food surveys, controls in educational settings, and health promotion actions.

RESULTS AND DISCUSSIONS: The school medical offi ce provides medical care for 92 pre schoolers and 2091 students, on average.

In the fi ve school years we analyzed on average 24 preschoolers (26.08% of total) and 598 students (28,6% of total) had a yearly health check exam.

In the epidemiological triage, done after all 4-5 school holidays, an average of 7844 students were ex amined each year, with an average of 62 new disease cases identifi ed. The most frequent diseases identifi ed during the epidemiological triage were acute respira tory infections, acute tonsillitis and pediculosis.

An average of 1438 examinations were done for acute illnesses / school year, and fi rst aid was given in 222 accidents and traumas / school year.

The total prevalence of chronic diseases in the school medical offi ce is on average 45.42%. The most frequent are the refraction errors (18.21%), followed by spinal disorders due to bad posture (8.45%), obe

sity (5.96%), asthma (3%), cardiovascular diseases (2.52%) and underweight (2.22%).

The food survey was conducted 3 times a year, the conditions of hygiene in the school, the canteen and in the accommodation areas were controlled, and health promotion actions were carried out.

CONCLUSIONS: The school’s medical offi ce is of particular importance in overseeing the health of a community. The scope of activity is very wide and the responsibilities are high.

Keywords: medical office, school, chil dren’s health

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