North Andrew R-VI School District


 North Andrew Health and Wellness

Concerns from the Nurses Desk:

Is It a Cold or the Flu?

Symptoms Cold Flu
Fever Rare Usual; High (100 to 102 Degrees F; occasionally higher, especially in young children); lasts 3 to 4 days
Headache Rare Common
General Aches, Pains Slight Usual; often severe
Fatigue, Weakness Sometimes Usual; can last up to 2 to 3 weeks
Extreme Exhaustion Never Usual; at the beginning of the illness
Stuffy Nose Common Sometimes
Sneezing Usual Sometimes
Sore Throat Common Sometimes
Chest Discomfort, Cough Mild to moderate; hacking cough Common; can become severe
Chills Rare Sometimes
Vomiting & Diarrhea Never Sometimes
Treatment Antihistamines, Decongestant, Nonsteroidal anti-inflammatory medicines Antiviaral medicines - See your doctor


Wash your hands often, Avoid close contact with anyone with a cold Annual vaccination; antiviral medicines - See your doctor


Sinus congestion, Middle ear infection, Asthma Bronchitis, pneumonia; can be life threatening

What is the flu?   The flu (influenza) is an infection of the nose, throat, and lungs caused by influenza viruses.  There are many different flu viruses and sometimes a new flu virus emerges to make people sick.  The newest strain is the H1N1 flu (Swine Flu).  Scientist believe that the new H1N1 virus will cause worse symptoms than the regular seasonal flu (Influenza A).


How serious is the flu?  The flu can be very serious, especially for younger children and children of any age who have one or more chronic medical conditions.  These conditions include asthma or other lung problems, diabetes, weakened immune systems, kidney disease, heart problems and neurological and neuromuscular disorders.


How does flu spread?  The flu spreads from person to person through coughs and sneezes of people who are sick with influenza.  People also may get sick by touching something with flu viruses on it and then touching their mouth or nose.  People infected with seasonal and H1N1 flu shed virus and may be able to infect others from 1 day before getting sick to 5 to 7 days after.  This can be longer in some people, especially children and people with weakened immune systems and in people infected with H1N1 flu.


How can I protect my child against flu?  Get the flu vaccines for yourself and your child to protect against seasonal flu viruses.  Take everyday steps to prevent the spread of all flu viruses.  This includes:

Can my child go to school if he or she is sick?  No.  Your child should stay home to rest and to avoid giving the flu to other children.

When can my child go back to school after having the flu?  Keep your child home from school for at least 24 hours after their fever is gone.  (Their fever should be gone without them having taken a fever-reducing medicine.)  A fever is defined as 100F or 37.8C.


Please visit the following website for more information regarding the flu:



21 Surprising Things You Might Not Know About Head Lice


1. Until a few years ago, approaches to head lice were based on old wives tales, misconceptions and marketing departments for the companies who made products for profit from  Head Lice Hysteria. Luckily, we now have research upon which to base our practice. Thank you, Harvard !

2. Head lice are not a sign of uncleanliness; they love clean hair because it is easier to latch on.

3. Lice do not hop, jump or fly; the only way they can get from one person to another is direct touching, head-to-head.

4. Lice are not passed on pets. The only place head lice can survive and thrive is on the human head.

5. When found, most cases of head lice are already more than a month old. One sign  is a red itchy rash on the lack of the neck, just below the hair line.

6. Because of use and overuse of head lice shampoos, head lice have become resistant to the products that once would kill them, so no head lice product is 100 % effective, even if you follow the directions to the letter. That is why combing and nit removal is important.

7. Never treat or retreat "just in case" in the absence of live lice. Head lice products are pesticides, which are toxic if overused and can be absorbed through the skin. Follow the directions carefully.

8. Removing the nits (eggs) and live lice with a special metal-tooth comb is time-consuming but the most effective way to get rid of them. They do not wash out.

9. Hats and coats touching in school are not sources of lice and there is no need to separate or bag them. A louse on a hat or coat is a dying louse who will not be capable of reproducing. Healthy ones stay close to the scalp until they sense another human head. They cannot survive without blood, that is why they bite.

10. Head lice are not a source of infection or disease; they are simply a nuisance.

11. Schools are not the most common places where head lice are spread, even though schools have been blamed in the past. Sleep-overs among friends and relatives are thought to be a common way they are passed home to home.

12. School-wide head checks are not recommended or endorsed by the Harvard School of Public Health, the American Academy of Pediatrics or the Centers for Disease Control. The most effective screening occurs when parents check their own children at home, treat if any are found, and make efforts to remove the nits.

13. One of the biggest challenges in eliminating head lice is parents' discomfort in communicating about the problem  with other parents when they find head lice, so they are more easily passed back and forth among close friends and relatives.

14. "No-nit" policies, ie. not allowing children back into school with nits even though treated, is no longer practiced in most schools because it has been proven that these policies do not impact the spread of lice.

15. You will always be able to find web sites that promote drastic measures like sprays, special products and "no-nit" policies.  Pay attention to who they are! Many of these web sites are either not basd on up-to-date research or are commercial sites are in the business of selling a product, and it is in their interests to keep Headlice Hysteria alive, otherwise there go their profits.

16. Nit and lice removal is tedious but there are some simple products that may help. Vinegar, real mayonnaise, olive oil and Dawn Dish soap all have their fans, even though none of these have been proven. The way they seem to help is to loosen the "cement" that the nits use to attach to the hair shaft.

17. Shaving the head or cutting the hair will not affect how easily a child catches lice, though these make nit removal easier. Don't do this unless your child wants you to. A child's self-esteem is much more important than a few missed nits.

18. Grandma's old remedy of kerosene for head lice does not work and is dangerous! Children have died from inhaling the vapors, or from being burned because it is highly flammable. Never use kerosene!

19. Most schools want children with head lice treated and back in school right away.

20. School nurses are supportive advocates who will help you obtain lice shampoo and use it properly. School nurses will assist you in checking or rechecking as you work to remove nits and lice from your child's head. Just ask.

21. School nurses will not judge you or report you or tell others if you ask for assistance dealing with head lice. We handle lice in a confidential manner. We know that even the best families can catch them, and most of us who are parents have been through it at least once ourselves.



See the research:


Centers for Disease Control

Conservative Lice Treatment

      Olive Oil with vinegar x 4-6 hrs.


      Mayonnaise x 4-6 hrs.

           Remove with Dawn Dish Soap after combing hair completely.

           Then Denorex to slightly damp hair.  Leave in x 30 minutes.  Rinse.

           Blow dry hair.

           Braid hair if long.

           Do not reshampoo x 2 days.

           Retreat every 5 days x 2 weeks.


Focus on Asthma:

We have multiple students who have been diagnosed with asthma and those who have not had the formal diagnosis, but often have difficulty breathing, frequent cough, and or wheezing.

What is asthma?  Asthma is a disease that makes the airways in your lungs inflamed (red & swollen).  When this happens, your airways become narrow.  You may have symptoms such as coughing, chest tightness, and wheezing.  Inflammation can also be present even when you feel fine.  If the airways become so narrow that you have trouble breathing, it's called an asthma flare-up (or "asthma attack").  Flare-ups can occur at almost any time - even when you're asleep.  This is why a lot of children with breathing problems and/or asthma often have dark circles under their eyes.  They are not able to rest very well during the night.

Why do I need to take control?  Problems caused by asthma won't go away on their own.  You need day-to-day control of the inflammation in your lungs.  You also need to control symptoms when you have them.  These are lifelong tasks.  But the more you stay in control, the better you'll feel.  If you don't stay in control:

What are your asthma triggers?  To control your asthma, you need to control your triggers.  But triggers differ for each person.

Which of these common triggers causes you problems?

Dust Household Cleaners Weather Changes Illness, such as colds, flu, and sinus infections
Cats Dogs Other Furry Animals Birds
Mold Pollen Strong odors, such as paint fumes, perfume, or cooking odors Exercise
Tobacco Smoke Cold Air Hot Air Emotions, such as laughing, crying, or feeling stressed.
Aerosol sprays Smoke from Fireplaces    

 School -- To go or not to go.  How do you decide?

Keeping your child at home if he or she.......... Sending your child to school if he or she..........

has a fever

has a stuffy nose but no wheezing
wheezes or coughs an hour after taking quick-relief (rescue) medicine has a little wheezing that goes away after taking quick-relief (rescue) medicine
is not able to do usual daily activities is able to do usual daily activities
is breathing hard or very fast can breathe without extra effort
has a peak flow number in the yellow zone and the medicine doesn't help has a peak flow number in the green zone

 If you would like more information on Asthma please contact Shelly or Heather at (816)567-2527.

You can also find a wealth of information on the following web sites: