SMP School Forum-28th May 2013

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SMP School Forum-28th May 2013

  1. 1. Primary and Secondary School Forum28th May 2013STUC, Glasgow
  2. 2. Primary and Secondary School Forum Aims(1) To represent, and raise awareness of, Scotland’s Primary and SecondarySchool links with Malawi(2) To facilitate the free exchange of resources, ideas and experiencerelating to school linkages between Scotland and Malawi(3) To answer questions and help address issues relevant to schoolspartnerships between Scotland and Malawi(4) To disseminate information relevant to Scotland-Malawi school links(5) To encourage and facilitate greater schools joint-working in ScotlandAnd following discussions at the last forum meeting:(6) To promote partnership principles that underpin sustainable school links.
  3. 3. Travel Guidance for SchoolGroupsScottish Malawi PartnershipSchools ForumMay 28th 2013Travel and International Health TeamHealth Protection ScotlandDr Kitty Smith – Medical LeadMrs. Lorna Boyne - Nurse Lead
  4. 4. Travel & International HealthTeam• Protect the health of Scottishtravellers• Provide advice and support tohealthcare professionals across theUK• Provide online resources for thetravelling public
  5. 5. Travel & International HealthTeam• Produce and contribute to Nationalguidance• Contribute to National policy groups(e.g. JCVI) and develop Nationalpolicy groups (e.g. SMAG)• Contribute to specialist referral travelclinic (Brownlee Gartnavel)
  6. 6. Travel & International HealthTeam• Travel Health Guidance for schools– in response to calls for advice fromtrip organisers and teachers– in response to increasing numbersof school groups attending travelclinic– in response to illness on return
  7. 7. Travel & International HealthTeam• School trips overseas becoming morecomplex• Issues around poor preparation andconflicting advice• Existing guidance docs from ScottishGovernment / local authoritiesconcerned with UK excursions only
  8. 8. HPS / Brownlee concernsre: school groups• Parents unaware of financial costs ofvaccines and antimalarials – shouldbe made clearer at planning stages• Parents unaware of many potentialhealth risks of excursions before„signing up‟
  9. 9. HPS / Brownlee concernsre: school groups• For older children, sexual healthissues should be discussed• Appropriateness of project workundertaken e.g. UK children teachingabout HIV; visiting orphanages
  10. 10. HPS / Brownlee concerns re:school groups• Evidence of exposure toschistosomiasis• Evidence of schistosomiasis infectionin returning school groups• Lack of follow up of same
  11. 11. Travel Health Guidance forSchools• Provides general advice for grouporganisers, parents and pupils• Consistently refers to individual advicefrom healthcare professional• Available on web• Links in to advice pages on fitfortravel
  12. 12. Travel Health Guidance forSchools• Timelines for preparation• Roles and responsibilities• Costs• Risk assessment: group versusindividual• Immunisations
  13. 13. Travel Health Guidance forSchools• Principles of malaria prevention andprophylaxis• Psychological issues• Underlying medical conditions• Medical care abroad• Health insurance and repatriation
  14. 14. Travel Health Guidance forSchools• Food and water advice• Insect bite avoidance• Animal bites and rabies prevention• Sexual health issues and blood borneviruses• Sun and heat
  15. 15. Travel Health Guidance forSchools• Schistosomiasis• Travel to high altitude• On return• Other sources of information
  16. 16. Schistosomiasis:Exposure RiskFreshwater (saltwater and chlorinatedswimming pools are safe)• Swimming• Paddling• Splashing• Washing• Showers• Drinking
  17. 17. SchistosomiasisRisk ReductionAvoid water contactThis does not work:• Brisk towelling after water contact• DEET (insect repellent) before water contact• Waterproof sun cream
  18. 18. Infection• Infected patient mayexperience “Swimmers itch”soon after infection orKatyama fever. The latteroccurs at least 4 weeksafter infection (usually >8)and is due to the presenceof soluble antigen, as theworms begin to lay eggs.• Infection is usuallyasymptomatic, especially inresidents of endemic areas
  19. 19. S. mansoni S. haematobium S. japonicum
  20. 20. SchistosomiasisNatural HistoryAt least 8 weeks after last exposure• Katayama fever (3%)Weeks or months later• Haematuria (blood in urine), blood in stoolsYears laterBladder cancer, blockage of the hepatic portal veins,causing liver failureMost cases show no symptoms at all
  21. 21. Asymptomatic screening• Blood test (serology) to check forantibodies (immune response)• Stools specimens x 3• Urine – 24 hour collection
  22. 22. Pathology• Tissue damage is caused by eggs whichhave migrated to bladder wall, bowel,genito-urinary system, hepatic portal systemand other sites• Large scar tissue masses (granulomas)form in these organs, causing blockages,chronic inflammation and cancers
  23. 23. SchistosomiasisTreatment• Praziquantel 40mg/kg on one day(60mg/kg for S. japonicum)• Side effects very rarely reported• At least 80% effective• Blood test (serology) remains positive,probably for life
  24. 24. Schistosomiasisin Returning Travellers• Collect names of all travellers who may have beenexposed• Provide each traveller with information onschistosomiasis risk, diagnosis and management and awater exposure questionnaire for them to complete• Ask them to attend GP (give letter to take to GP)• GP may carry out tests or refer to the infectious diseasesdepartment• Make sure all those exposed have been tested andtreated if positive
  25. 25. Questions?
  26. 26. SMP Practical Guide to School Partnerships• February 2013 PS and SS Forum Meeting• 14th May 2013 Working Group Meeting
  27. 27. SMP Practical Guide to School PartnershipsInput from Scotland• Douglas Young, Beath High School• Alli Coyle, The University ofEdinburgh• Charlie Ager, Scotland MalawiPartnership• David Hope-Jones, ScotlandMalawi Partnerhsip• Tony Begley, Classrooms forMalawi• John Lawson, Glasgow CityCouncil• Nick Morgan, Education Scotland• Dorota Wierzbica, British CouncilInput from Malawi• Malawi Scotland Partnership• British Council in Malawi• Justice Kamwendo, SeniorEducation officer and statisticianfor the South West EducationDepartment,• Sr Eunice Dambo, South WestEducation Manager,• Agnes Gogo Wizi, English Teacherat the Njamba Secondary Schoolin Blantyre,• Mary’s Meals in Malawi
  28. 28. SMP Practical Guide to School Partnerships
  29. 29. SMP Practical Guide to School PartnershipsTools for information-sharing• Case studies:– Different perspectives– From Scotland and Malawi– Sharing the pitfalls and the positives of school partnerships• Quotes:– From Scotland and Malawi– From pupils and teachers• Blog• Videos• Photos• Interviews• Reflective questions
  30. 30. SMP Practical Guide to School PartnershipsContent:1. “Starting”• About the SMP, and their current priorities• The education system in Malawi• Partnership principles• Why are you creating a link?• Benefits to school and curriculum• What your Malawian link/partner mightexpect• What are the stages of a link/partnership• Pitfalls-what not to do2. “Developing”• Funding• Linking Malawi and Scottish curriculum• M and E• Who can help sites• People to contact for advice on specificissues• Ideas for promoting wider communityengagement on both sides-awareness-raising3. “Sustaining”• Educational vs developmental (e.gfundraising)– Debates and guidelines• Promoting quality partnerships• M and E
  31. 31. SMP Practical Guide to School Partnerships• Separate practical guide for schools onreciprocal visits between Scotland andMalawi.– Advice on pre-trip selections– Health issues– Travel advice– Advice on psycho-social support on return tohome country

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