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IMMUNIZATIONS AND EXEMPTIONS

IMPORTANT IMMUNIZATION REMINDERS

Parents of K3-K5 students and 7th and 11th Graders should check the School website under the MY ACS tab for immunization requirements that apply to your child.  11th Grade Parents, please make note of the NEW MCV4 booster shot requirement. You may submit immunization forms to the Main Office in person or via email to Mrs. Sara Crawford. Your child must have an updated immunization record on file or a current, notarized religious exemption form to attend ACS.

Georgia law requires children attending a school or childcare facility to have certain immunizations. These immunizations are documented by your healthcare provider on a Georgia Immunization Certificate known as Form 3231. Every year these forms are checked for updated immunizations for those children in Kindergarten (K3, K4, and K5) and those entering grade 7 and grade 11.

Georgia allows for 2 different types of exemptions.

Medical Exemption:  this is given when a child’s healthcare provider deems that a child is unable to receive certain vaccinations. This type of exemption must be marked on the Georgia Immunization Certificate (Form 3231) not a separate written letter from your healthcare provider. This exemption also requires that a new Georgia Immunization Certificate (Form 3231) be filled out every year.

Religious Exemption:  this allows parents to make a decision based on their religious beliefs/convictions to exempt their child from immunizations. A form (2208) called an Affidavit of Religious Objection must be filled out instead of the Georgia Immunization Certificate (Form 3231). The Affidavit of Religious Objection (Form 2208) must be notarized. A letter or other documentation from a religious group or leader is not needed. This form does not expire.

If there is an outbreak of a vaccine-preventable disease, like the measles, then those children who are not immunized will be excluded from school.

Georgia Immunization  Requirements

Meningitis Vaccine Letter
 

MEDICATION POLICY

According to the Student Handbook, students will not be permitted to take medication at school unless a permission note is sent from home. In this case, all medications will be kept in the front office or in the Nurse’s office for distribution when needed. Any student possessing prescription or over the counter medication not in accordance with the above guideline will be considered in violation of the School’s Medication policy and subject to disciplinary action.

A student who has documentation from a parent or healthcare provider RE medications such as Albuterol Inhalers, Epipens, and diabetic related medications may carry them on his/her person and may be self administered as the need arises. Such students are advised not to permit any other student to handle, possess or use his/her medication. Violation of this guideline could result in disciplinary action. Documentation is also needed for medications that are kept in the front office or in the Nurse’s office such as extra prescription medication like Methylphenidate for ADHD. Parental consent for over the counter medications (i.e. Ibuprofen, Acetaminophen, Benadryl) is included in the ACS registration documents completed virtually at the beginning of the school year. This is the “Permission to Treat” virtual form. Written permission from the parent or healthcare provider RE such medications and their usage releases Athens Christian School and its employees from civil liability for administering such medications or if the self-administering student suffers an adverse reaction to the medication.

Per Georgia Senate Bill 126, nurses and other school employees are able to stock and administer an epipen to a student or faculty member who is having an actual or perceived anaphylactic (allergic) reaction, regardless of whether the student or faculty member has a prescription for epinephrine. Such persons are authorized to administer Levalbuterol Sulfate (Xopenex) or Albuterol Sulfate, if available, to a student or faculty member in perceived respiratory distress, regardless of whether the student or faculty member has a prescription for Levalbuterol Sulfate (Xopenex) or Albuterol Sulfate. Any school employee who in “good faith” administers or chooses not to administer such medication to a student or faculty member in such circumstances shall be immune from civil liability. 
 

MOLLUSCUM CONTAGIOSUM

Molluscum Contagiosum (AKA Molluscum) is a skin rash caused by a virus. The bumps/lesions of the rash are usually flesh colored, soft and smooth and may have a small dent in the center. They can grow as big as the size of a pencil eraser. The bumps/lesions are usually painless, but may be itchy, red or swollen. They can get infected with bacteria if scratched open. Usually the rash is on the trunk, arms or face but can be anywhere except on the palms of the hands and soles of the feet.


Molluscum spreads from skin to skin contact or by contaminated surfaces. The virus enters the body through a break in the skin. Typically the rash may be present up to 6 months but can last longer. Most of the time, no treatment is required. At ACS, we require bumps/lesions to be covered at all times.

Prevention:
Wash hands with soap and water.
Cover the bumps/lesions with clothing or a bandage.
If swimming, cover the bumps/lesions with a watertight bandage.
Try not to touch, scratch or rub the bumps/lesions.


Information obtained from Nemours KidsHealth.org and CHOA.org

God's Medicine "You crown the year with Your goodness and Your paths drip with abundance." Psalm 65:11

THE FLU

The Flu is an upper respiratory tract infection (influenza virus) that is seasonal. Flu season is typically between October and May. Symptoms of the flu can include:  
  • fever (100.4 or higher)
  • chills
  • headache
  • muscle aches 
  • tiredness 
  • sore throat 
  • cough
  • runny nose 
  • nausea/vomiting  
  • diarrhea
Babies and younger children may just “not seem right” or be irritable.
 
Flu is spread through droplets by coughing or sneezing. Also, through high touch areas that are contaminated with the virus (like someone coughs in their hand then grabs a doorknob). People are typically the most contagious 3-4 days after their symptoms begin, even though it can spread outside of this timeframe. The Flu often lasts for a week or so but some symptoms may linger. 
 
The Flu is diagnosed by a nasal swab. The treatment for the flu may include antiviral medication such as Tamiflu. Antiviral medications only reduce the length of the Flu by 1-2 days. There are significant side effects from Tamiflu in young children, so you would want to speak to your doctor first.
 
If your child has the flu:
Keep them home until they are fever free for 24 hours without the use of fever reducers and they are not worsening. Make sure that your child drinks plenty of fluids to keep from getting dehydrated and that they get plenty of rest. Give Acetaminophen (Tylenol) or Ibuprofen (Advil/Motrin) for fever and body aches. Do not bundle your child if they have a fever as this will only make them hotter.
 
Kids who are at a higher risk of complications with the flu include:
  • under 5 years old
  • weakened immune systems from a chronic illness or medication
 
You can help prevent the spread of the Flu by:
  • Washing your hands with soap and water often. Especially after using the bathroom, after coughing or sneezing and before eating.
  • Do not share drinks or utensils.
  • Wipe down high touch areas.
  • Cover your cough or sneeze. If using a tissue, put the tissue in the trash once it has been coughed or sneezed on. If no tissue is available, cough or sneeze into the bend of your elbow.
  • Stay home if you are sick. 
Contact your child’s healthcare provider if:
  • Your child does not perk up with a fever reducer for at least 15 minutes every 4 hours.
  • Your child has new or worsening symptoms.
  • Your child has a fever that went away and then came back after at least 24 hours of being fever free.

STREP THROAT

Strep throat is a common illness seen during the school year. Strep throat is caused by a bacteria, group A strep.
 
Symptoms of strep can include:
  • Sore throat
  • Fever
  • Swollen tonsils
  • Difficulty swallowing
  • Nausea
  • Abdominal pain
  • Not all sore throats are strep, so if your child has any of the above symptoms they will need to see their pediatrician so that a throat swab can be done to determine if it is strep.
 
Strep throat is very contagious. It is spread by coming in contact with an infected person’s droplets from their sneeze or cough and then touching your face (mouth, nose, eyes). This is why hand washing is so important and it is the number one way to prevent viral and bacterial infections.
 
If your child tests positive for strep throat, they will be put on antibiotics. This helps them recover quicker and prevents them from spreading it to others. Please have your child complete the entire course of antibiotics, even if they feel better. It is important to keep your child hydrated, giving plenty of fluids. Stay away from citrus juices because of the acid in the juice. Your child may return to school once they have been on antibiotics for 24 hours and have been fever free without the use of fever reducing medication for 24 hours. 
 
*If you have any questions, please call the front office and the school nurse will be alerted to contact you.

WATER SAFETY

During the summer when the Georgia weather gets so muggy and hot, swimming in a  pool can bring some much-needed relief. During these times, it is important to follow  some water safety guidelines. Drownings can happen quickly and in less than 1 inch of  water.
 
Here are some things that you can do for the safety of your children:  
  1. If you have young children, it is important that there be some form of barrier i.e.  fence/gate to keep your child out of the pool when unsupervised.  
  2. Having a pool alarm or cover can be helpful in deterring children from entering  the pool when you are not around.  
  3. Removing toys from the pool after swimming is done for the day.  4. If you have an above ground pool, removing the ladder after swimming. 5. If you have a small wading pool, empty out the water after use.  
A couple of years ago there was a lot of media attention on “dry drownings”. Technically  a “dry drowning” is when water is prevented from entering the lungs because the  muscles in the throat clamp down. When they do this, it causes oxygen not to be able to  get to the brain. This is very rare and children who suffer this type of drowning have an  “event” happen where they have to be “rescued” with some form of resuscitation needed  like mouth to mouth. These children never completely return to normal. If you have any  concerns about a child having been involved in a drowning episode, having a medical  professional examine your child is essential. 
 
Learning CPR and the Heimlich maneuver is a key life saving skill that can be used in a  variety of situations. You can contact the American Heart Association at www.heart.org and look under the CPR tab to learn more. 
Also knowing the number to Poison Control is vital in that they are a resource not only  for ingestions but also for information or questions regarding all types of animal bites as  well. The Georgia Poison Control Phone number is 404-616-9000. 
Have a safe and wonderful rest of the summer! 
 
Health Food: “Every Word of God is pure “tried, found pure”: He is a shield unto them  that put their trust in Him.” Psalm 30:5 

GASTROENTERITIS

There are many reasons that kids vomit whether it be from stress, illnesses, or other issues. One reason that kids vomit is due to a viral illness called Gastroenteritis. Gastroenteritis is common and can cause vomiting, nausea, abdominal pain and diarrhea. This viral infection typically does not last long and handwashing and infection control measures such as not sharing drinks/utensils and wiping down frequently touched surfaces helps to reduce the spread to others. 
 
If your child vomits more than 8 times in 8 hours, vomits green/yellow (when they have not eaten or drank anything green) if the vomit is bloody, or your child has bloody or mucousy diarrhea, contact your child’s healthcare provider. If your child is experiencing diarrhea along with the vomiting, this can cause dehydration more quickly due to excessive fluid loss. In order to make sure that your child stays hydrated, you will want to start with 1 teaspoon to 1 tablespoon of an electrolyte solution such as Pedialyte or a sports drink then wait 10 minutes before giving another. Slowly increase the amount of fluids that you are giving your child to ensure they don’t vomit again because they drank too much, too fast. With diarrhea alone, there is no need to follow this process but there is a need to stay away from sugary foods/drinks as they can make diarrhea worse.
 
When to call your child’s healthcare provider:
  • No urine for 8 hours/dry or sunken eyes/inside the mouth is sticky
  • Child does not “perk up” with quiet activity (playing on a tablet/computer, reading books, drawing/coloring) between vomiting episodes or with diarrhea
  • Your child starts having additional symptoms i.e. fever, headaches, pain with urinating…
  • If you child had a head injury and then started vomiting
  • If your child has abdominal pain that is not relieved by vomiting or diarrhea but is constant
  • Vomiting or diarrhea that stops and then comes back
  • Or if you are just concerned about you child but none of the above apply

COVID-19 QUARANTINE GUIDELINES

Information about covid-19 and quarantine guidelines
 
There are 7 different types of coronaviruses that affect humans. The common cold is an example of one of these viruses. Data shows through the CDC that if an individual contracts covid-19 and is 69 years old or under, the survival rate is greater than 99%. If the individual is 70 and over the survival rate is 94.6%. In adults, heart disease is the leading cause of death followed by cancer. In children, about 20 children die every day from a preventable injury – more than die from all diseases combined.(CDC Childhood Injury Report). Every life is precious. The above information is only for perspective since we are inundated with “death counts” on the nightly news.
 
At ACS we are following the Department of Public Health and CDC guidelines regarding operations and quarantine procedures. The guidelines for quarantine are as follows:
  • If you HAVE symptoms and receive a POSITIVE covid-19 test, you are to quarantine for 5 days from the START of symptoms. You may discontinue quarantine after the 5 days as long as there is no fever for 24 hours (without medication) and you are not worsening.
  • If you have NO symptoms and NO exposure but go out and test and your test is POSITIVE, you must quarantine for 5 days from the test date.
  • If you have been EXPOSED to someone who has tested POSITIVE for covid-19 and you have NO symptoms you will need to quarantine for 5 days from the last exposure date. **If you continue to have NO symptoms, you may go get a covid-19 test on day 5 of quarantine and if that test is NEGATIVE and you still have NO symptoms, you can discontinue your quarantine. If that test is POSITIVE, you will then have to quarantine for 5 days from the date of the test.**
  • If you develop symptoms during your quarantine period. You will need to quarantine for 5 days from the start of your symptoms, you may test if desired but not required at that time because if the test is negative it will not get you out of quarantine any faster. 
  • Day one of symptom onset or of a positive test is considered day 0 when calculating days.
 
**Exposure is defined as closer than 6 feet for more than 15 minutes.**
 
 
I know that some are growing weary of having to deal with covid-19, trust me, I know. It is very important to continue to practice good infection control methods such as hand washing, not sharing drinks/utensils, cover your cough or sneeze and so on. If your child is sick, keep them home. If they have symptoms of covid-19 (fever, cough, shortness of breath, complete loss of taste/smell) follow up with your doctor. Continue to let the school know of any exposures to covid-19 or if any testing is done.

BEHAVIOR

When your child is sick and no longer “perks up” or is no longer playful, that is concerning. Your child should have at least 15 minutes of quiet play every 4 hours with a fever and 15 minutes of quiet play every 2 hours without a fever. For example, if your child has a fever and you notice that they are just laying around or crying, you can first try to give a fever reducer/pain reliever (Tylenol or Motrin). If after 1 hour, your child is still just “laying around” or crying, they would need to be seen. That would mean, even with medication, they still feel so bad that they cannot play or do some sort of quiet activity. For a teen that would be where they feel so bad they cannot text on their phone. Watching TV does not count as a quiet activity but playing on a tablet would because it involves “doing” something.

Without a fever an example of needing to be seen would be pain not relieved by medication. Examples of a medical emergency would be if you ever look at your child and they look like they are pulling in at the neck or chest with every breath or they are blue or unresponsive.

FEVER

 

A normal body temperature is between 97.0-100.3F. A fever is any temperature that is 100.4F or higher. There are many reasons that kids get fevers. It could be from being over dressed or bundled. Also in younger kids, fevers can appear after immunizations. Fevers also arise due to 

infections. In the instance of infections, your body is heating up to fight off the infection, which is not a bad thing. I know that fevers can be frightening to parents. The number of the fever isn’t as important as the behavior of your child. For example, if one child has a temperature of 100.4 and is not playful, is just laying around or very irritable and another child has a temperature of 103 but is still active and playing, the sicker child is the one with the lower temperature. Behavior is key. If your child has a fever but is still playful and acting “like their normal self” then you do not necessarily have to treat the fever with medications. But, if your child is having a change in behavior with the fever (sluggish, laying around, not playing or irritable) then give them a fever reducer. If after 1 hour, your child’s behavior has not improved then your child will need a medical exam. Something to note, any fever in a child less than 3 months old would require an immediate medical exam. 

Since a fever can be the sign of an infection, there are restrictions regarding coming to school with a fever. At ACS, if your child has a fever (100.4 or higher), they are not permitted to return to school until they have been fever free for 24 hours without the use of fever reducing medications (Tylenol or Motrin). 

During these times with COVID-19, we are extra cautious and would request that if your child has a fever, sore throat, new or worsening cough, diarrhea/vomiting/abdominal pain, or severe headache then stay home from school and contact your child pediatrician. 

God’s Medicine “Bless the Lord, O my soul, and forget not all His benefits: Who forgiveth all thine iniquities; who healeth all thy diseases.” Psalms 103:2-3

PINK EYE (CONJUNCTIVITIS)

 

Pink Eye is common in young children. It is very contagious unless caused by an allergy or an irritant (like something stuck in your eye). Pink Eye causes inflammation of the white part of the eye and the inner eyelids. It isn’t usually serious but if caused by a bacteria, your child will need treatment. It is also sometimes caused by a virus which may or may not need immediate treatment - this will be determined by your child’s doctor.

Pink Eye can be passed by touching an infected person or something they have touched, like a used tissue. It can also be spread by sharing towels. A child with Pink Eye can spread it to the non-affected eye by rubbing it. The key to prevent the spread of Pink Eye is good Handwashing!

Symptoms of Pink Eye include the white part of the eye being red or pink, increasing drainage that is yellow or green and eye discomfort/itching. Bacterial Pink Eye is usually treated with eye drops. If your child complains of severe eye pain, they would need to be seen in an emergency department. Pink Eye can also cause swelling around the eye or a smooth redness around one eye, with or without fever. At that time, your child would need to be seen by your medical provider where an oral antibiotic may be necessary. For Pink Eye caused by allergies, an anti-allergy medication or drops may be given.

If your child wears contact lenses, they should not wear them until the infection is gone. If they are disposable, throw them away. If they are not, the contacts and the case need to be sanitized twice prior to reusing.

Call your Pediatrician if your child’s symptoms are not better 2-3 days after starting medication. Or, if your child has not been treated (like with viral Pink Eye) but symptoms last for 1 week or worsen.
 
God’s Medicine: Jeremiah 29:11 “For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.”

HAND HYGIENE

 

The CDC states that 22 million school days are lost every year due to the common cold. This does not include other common illnesses such as strep or flu. According to the CDC, hand hygiene is the number one way to prevent infection. Hand hygiene includes washing your hands with soap and water for 20 seconds or using hand sanitizer. If your hands are visibly soiled or you have had loose stools, you would want to use soap and water over the hand sanitizer.
 
It is very important to get into the habit of hand hygiene throughout the day since a person’s hands have millions of microbes on them, some of which cause disease or illnesses.  You should wash your hands before you eat, after using the restroom, if you have been around anyone sick, after you cough/sneeze/blow your nose, after being at the gym and after playing in the dirt. Hand hygiene is an easy way to keep healthy.
 
At ACS, we have an automatic hand sanitizer station at every entrance in addition to hand sanitizer pumps located throughout the school. Please model to your child good hand hygiene at home and encourage them to use the hand sanitizer/soap and water at school.
 
God’s Medicine:  Isaiah 41:10 “Don’t be afraid, for I am with you. Don’t be discouraged, for I am your God. I will strengthen you and help you. I will hold you up with My victorious right hand.”

SINUSITIS (SINUS INFECTION)

Your sinuses are spaces of air that are located in the cheekbones, forehead, between your eyes and behind your eyes. When you get a cold or have allergies, your nasal passages become swollen and make more mucous, that leads to your sinus tissues doing this as well. This increased mucous and swelling can cause your sinuses to become unable to drain which can cause germs to grow and lead to a sinus infection.
 
Younger kids present with symptoms such as a stuffy/runny nose and a low-grade fever. Older kids/teens can have symptoms such as a cough that does not improve, fever, worsening congestion, and facial and ear pain. Teens can also have nausea, headache and pain behind the eyes.
 
Contact your child’s pediatrician if:
  • Your child has a cold lasting 7 days or longer or if the symptoms are not improving but are worsening.
  • Allergy medication is not helping when it normally does
  • Fever (temperature greater than 100.3)
  • Pain in the cheeks or around the eyes
  • Swelling around the eyes
 
This will allow your child’s pediatrician to rule out a sinus infection or other possible infections such as bronchitis, pneumonia, or ear infections.
 
A sinus infection may be treated with oral antibiotics if it is bacterial or your child’s pediatrician may recommend antihistamines (like Claritin or Zyrtec) and decongestants (like Mucinex). Over the counter saline spray can also help clear out your child’s nose and running a cool mist humidifier can also help (be sure to clean it out with a bleach/water solution regularly to kill any build-up of bacteria). 
 
*Good hand washing/hand sanitizing is the number one way to stop the spread of cold viruses that can lead to a sinus infection.
 
**During these COVID-19 times you can see how some common illnesses share symptoms attributed to COVID-19. It is important to contact your doctor at the first signs of illness especially presenting with: new cough, fever, sore throat, severe headache, nausea/vomiting or abdominal pain to name a few to rule out a common illness versus a COVID-19 infection. One good thing to note is that children 0-24, statistically do very well and recover from COVID-19. For the most part those who are elderly or chronically ill have had the most negative impact from this virus, with some exceptions.
 
God’s medicine: 2 Timothy 1:7 “For God has not given us a spirit of fear: but of power, and of love, and of a sound mind.”