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Presentation By William R. Hite, Jr. Ed. D. Superintendent of Schools to the College of Physicians Philadelphia Thursday, January 30, 2013 Student Information K-12 Only Student Enrollment K-12 137,512 Pre-K (Early Childhood) 8,392 Alternative Education 3,631 Total Student Enrollment 149,535 Schools Elementary 163 Middle 23 High 56 Total SDP Schools 242 Philadelphia Public, Private and Parochial school students’ health care needs Demographics and Other Categories Students Percentage African American 74,977 54.52% Asian/Pacific Islanders 10,768 7.83% Caucasian/EuroAmerican 19,669 14.30% Hispanic/Latino/a 25,524 18.56% Multiracial/Other 6,314 4.59% Native American Native Hawaiian/Pacific Islander 246 14 0.18% 0.01% English Language Learner Students 11,658 8.48% Students with Disabilities 19,210 13.97% Students who are Mentally Gifted 4,296 3.12% Economically Disadvantaged Students 113,035 82.20% Asthma (35,870 students-21%) Birth defects -2,363 students Neurological and seizure disorders - 2,107 439 students with Type I Diabetes and 160 students with Type II Diabetes 2,774 cardiovascular condition 959 sickle cell disease In the past school year, over 136,116 doses of health care provider-prescribed medication were given by school nurses or by non-nursing staff designated by principals and taught by nurses. During the school year 2011-2012 student contacts with the school nurse in the health room for illness and injury were over 270,853 (157,088 for illness, 113,764 for injuries). School Nurses provide mandated services to over 172,000 children in public, private and parochial schools in Philadelphia County (IU 26) Annual vision screenings for all students (142,829 during school year 11/12) 57% of documented student physical exams in mandated grades (Kindergarten, 1st, 6th and 11th) during school year 11/12) Growth screenings (BMI)- every year (97,592 in 11/12) - 24% at risk for obesity 78% of immunization compliance to date 50% of documented for student dental exams in mandated grades (k/1,3 &7) during school year 11/12 The Youth Risk Behavior Survey (YRBS) was administered in spring 2011 to approximately 1,539 high school students from 29 randomly selected public schools in Philadelphia. Ninety four percent of the randomly selected high schools and 78% of the randomly selected students in grades 9 to 12 voluntarily agreed to participate in the survey, allowing data to be weighted such that it is representative of all 9th – 12th grade students throughout the School District of Philadelphia. The prevalence of health risk behaviors self-reported by Philadelphia high school students during the 2011 administration of the YRBS are summarized below: Tobacco Use ● 10% of students report being current smokers, down from a high of 35% in 1999 ● 3% of students report smoking 10 or more cigarettes per day ● 10% of students report initiation of smoking before age 13 ● 45% of students report lifetime smoking, down from 76% in 1991 Alcohol Use ● 32% of students reported alcohol use within the last 30 days ● 15% reported binge drinking ● 64% reported lifetime alcohol use Use of Other Drugs ● 21% of students report current marijuana ● Use of heroin (3%). Methamphetamines (3%), ecstasy (4%), cocaine (3%) and use of steroids without prescription (4%) remains infrequent ● 26% of students reported being offered or sold drugs on school property in 2011 Body Weight, Nutrition and Physical Activity ● 17% of students are classified as obese based on self-reported height and weight ● 18% are classified as overweight based on self-reported height and weight ● 20% reported eating fruites and vegetables five or more times per day ● 25% report daily consumption of non-diet soda ● 21% reported zero days of > 60 minutes of physical activity in the past week, including more females than males ● 46% watched three hours or more of TV daily including more African American students (52%) than Hispanic (39%) and non-Hispanic whites (35%) Sexual Risks ● 61% report ever having sexual intercourse ● 15% report becoming sexually active prior to age 13 ● 32% report abstinence commitments including 45% of females and 18% of males Among sexually active students: ● 60% used a condom during last sexual intercourse ● 15% used birth control, 7% reported use of Depo-Provera by self or partner ● 18% reported use of alcohol and/or other drugs prior to last sexual intercourse ● 13% report ever having been pregnant or have gotten someone else pregnant Safety & Violence ● 26% never or rarely wore seat belts ● 92% of students report never or rarely wearing a bicycle helmet while riding a bike ● 23% of juniors and 22% of seniors report ever texting or emailing while driving 4% carried a weapon on school grounds and ● 42% were in a physical fight during the last year ● 9% stayed home from school within the past year due to safety concerns ● 14% reported being bullied at school ● 10% reported being bullied electronically ● 10% reported bullying due to GLBT issues ● 14% considered suicide ● 11% reported a suicide attempt within the last year SDPs Nurses, Counselors, Prevention and Intervention Coordinators EAT.RIGHT.NOW – The School District of Philadelphia’s Nutrition Education Program Community Partnerships Temple University Bicycle Coalition Of Greater Philadelphia Safe Routes Philly Philadelphia Department of Public Health The Food Trust Centers for Disease Control and Prevention - Communities Putting Prevention to Work The College of Physicians of Philadelphia In –Class Movement Breaks Socialized Recess Stability Balls as Chairs Activity Works (250 1 st through 3rd grade classrooms) SDP’s Wellness Policy “Section 204 of the Child Nutrition and Women, Infants and Children Reauthorization Act of 2004 (PL 108-265) signed into law June 30, 2004 included a provision that requires each local educational agency (LEA) participating in the National School Lunch Program, School Breakfast Program, Special Milk Program and Summer Food Service Program to establish a local wellness policy for schools under the LEA. This policy must be developed and implemented not later than the first day of the school year beginning after June 30, 2006.” Key Aspects of the Wellness Policy School Wellness Councils: 1. Establish a Coordinated, School Wellness Council at each school 2. Nutrition Standards for all Schools Available on School Campus During the School Day: Establish standards to address all foods and beverages sold or served to students Increase breakfast participation in schools 3. Nutrition Education: Pre-K to 12th grade students will receive nutrition education that is interactive and teaches the skills they need to adopt healthy behaviors. This can include participatory activities, school gardens and taste-testing 4. Physical Education: All students enrolled, K-12, will have access to a sequential, comprehensive, standards-based Physical Education program taught by a certified Health and Physical Education teacher 5. Physical Activity: Students will be provided opportunities to develop the knowledge and skills needed for specific physical activities, participate regularly in physical activity, and understand the short and long-term benefits of a physically active and healthful lifestyle 6. Other School-Based Activities: A healthy school environment shall be promoted and maintained that provides consistent wellness messages and is conducive to overall health for students, staff and the school environment.