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Healthy Living in School LUNCH We have a rotating menu system where children may choose from a daily menu choice. The weekly menu changes each term or half term as appropriate. We also have choices for vegetarians. Students eat lunch in the main school Dining Hall where there are staff on duty every lunchtime. If children have finished their meal and they are still hungry, staff will happily offer your child more food. Water, fruit, salad and vegetables are always available. SNACKS Morning snacks are also provided for your child each day. Milk and water, fruit, crackers, sandwiches or yoghurt are some of the snack options on offer. A snack is also provided at the end of the day for those children taking part in after-school activities.
access to milk and water at school. We do encourage students to bring in a labelled water bottle every day. BIRTHDAY CAKES We think it is important to briefly celebrate your child’s birthday in school and we are always happy for parents to bring in cake. Please can you make sure that: • The cake contains no nuts • Cakes are left at the Pre prep office so that the class teacher can decide when to celebrate the birthday without disrupting learning. • Cakes do not contain nuts or traces of nuts as we are a nut-free school • Cakes are individually wrapped cupcakes
ALLERGIES AND FOOD FROM HOME We have a number of children with serious food allergies. For this reason, we ask that no food from outside is sent into school unless specifically requested. We ask that all parents inform us of their child’s allergies clearly and also ensure you fill this information in on your admission forms, as these forms are sent to the School Nurse. Your child’s allergies will be noted and shared with canteen staff also.
OUR HEALTHY LIVING PLEDGES We encourage our students to take our Healthy Living pledge and we ask our parents to help our students keep their pledge!
We try to offer alternatives for children with special diets; in extreme circumstances parents are invited to send food in if they prefer. If your child does not have any special dietary needs or medical issues however, it is expected that they have the regular lunch and snack choices on offer. Please do not send in sweetened milk or cartons of juice as children have
• I pledge to get enough sleep and rest to take care of my body and mind
• I pledge to cut down on screen time and spend more time with friends and family • I pledge to exercise and be more active every day
• I pledge to make healthier food choices (e.g. by eating more fruits and veggies, drinking more water and fewer sugary drinks and snacks)
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Allergies: Please be mindful of our students with allergies and do not share food with other children (unless permission has been granted)
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Health and Safety • We encourage children to wash hands frequently and drink water throughout the morning/day. • Let us know if your child has any food allergies or medical issues. • When children have fevers or are on medication it is best for them and the other children in the class that they stay at home until they are fully recovered. • If your child is sick, please let them recover at home before coming back to school. Young children need time to rest and should NOT be in school whilst taking medication. Please see our Sickness Exclusion Policy. • If your child is well enough to be in school, then we would usually expect them to also join in with swimming. • If your child is not well enough to participate in swimming lessons, please provide a medical note explaining the reasons. • In order to prevent illnesses spreading, we ask that you keep your child at home until they are well again. To avoid any confusion, here is the definition of a well child:
DEFINITION OF A WELL CHILD: • Is not reliant on infant paracetamol (Calpol) or other cold/flu medication • Does not have a high temperature • Is well enough to participate in all school activities • Has a normal appetite • Is happy and sociable • Does not require greater staff support • Has normal bowel function
คำ�จำ�กัดความของเด็กที่มีสุขภาพดี
เด็กที่มีสุขภาพดีคือเด็กที่ไม่ต้องได้รับการเยียวยาเกี่ยว กับอาการของไข้หวัดต่างๆ • คือเด็กที่มีอุณหภูมิร่างกายเป็นปกติ • คือเด็กที่มีร่างกายแข็งแรง สามารถเข้าร่วมกิจกรรม ต่างๆของโรงเรียนได้ • คือเด็กที่ต้องการอาหารและเครื่องดื่มตามปกติ • คือเด็กที่ร่าเริง เบิกบานและเข้าสังคมกับเพื่อนได้อย่าง ปกติสุข • คือเด็กที่ไม่ต้องการดูแลเป็นพิเศษ • คือเด็กที่มีระบบขับถ่ายทำ�งานเป็นปกติ 5
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Health and Safety Procedures ACCIDENTS IN SCHOOL Of course, as a school we try our utmost to avoid accidents and injuries. However, unfortunately sometimes, accidents do happen. If your child has an injury in school that results in the need for a hospital visit, you will be contacted by the School Nurse who will offer you the option of collecting the child from school or meeting at a local hospital or hospital of your choice. Harrow Bangkok is liable for medical costs of up to 15,000 baht. A full accident report will be completed as a result of any injury requiring a hospital visit. CHILD SAFEGUARDING The Harrow Bangkok Child Safeguarding Policy outlines the actions that will be taken to ensure that all students are protected from all forms of abuse. Our policy is based on both national (Thai Child Protection Act 2003), and international (Convention on the Rights of the Child) legislation relating to the Rights of the Child. The policy is shared with all staff who know the correct procedures to take regarding Child Protection Issues. We kindly request that parents and guardians: • Do not take photos or videos of any child other than their own • Avoid touching any child (other than your own) or invade their personal space • Do not take any personal 6
contact details from any child, nor offer their own to any child • Only use designated adult-only toilets and do not enter the children’s toilets or changing room areas SECURITY In the interests of the safety of your children, we insist that any adult entering Pre Prep is wearing the Harrow Bangkok ID card. If an adult cannot show their Harrow Bangkok ID card, they will be asked at the Clock Tower to exchange a piece of ID for a visitor’s pass. If you send another adult to collect your child you must inform the class teacher or admin staff in advance. We will not let your child leave with a stranger or an adult who does not have the official Harrow Bangkok ID card.
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Harrow Bangkok Health and Safety Policy APPENDIX 1. ILLNESS EXCLUSION To ensure the health, safety and welfare of all persons using the School facilities:• When a child becomes ill at the School, every effort will be made to contact the parents or carers, who will be requested to collect their child as soon as possible. • In most cases when a child is sent home we feel it would be beneficial for them to see a doctor. • Parents must notify the School if they are aware that their child has a contagious illness or if a doctor has confirmed the cause of illness. • We expect parents to co-operate with us by not bringing children to the School if they have any infectious or contagious illness. Staff will also be asked not to attend work under the same circumstances. • If your child has been kept at home due to illness for 3 days or longer we require a doctor’s certificate on their return stating what the problem was and that they will be well enough to be back at school. • Any child showing symptoms of conjunctivitis will be required to be collected and checked by a doctor. DISEASE/ILLNESS
MINIMAL EXCLUSION PERIODS
Antibiotics prescribed
Should stay at home for the first 2 days of the
course and until fever has subsided Bad cough, heavy cold with green Should stay at home till Mucus has cleared up Mucus and the coughing has subsided Bronchitis
Should be excluded until the child has been given appropriate treatment and feels well
Temperature
If sent home ill, child must be off for 24 hours. They may return after this time if their temperature has returned to normal (without the need for medication to control the temperature)
Vomiting
If sent home ill, child must be off for at least 24 hours after the last bout of vomiting
Sickness/Diarrhoea
Should stay off until at least 48 hours have elapsed from the last bout and they are eating normally
Infective (Bacterial) Conjunctivitis Should be treated with antibiotics, oral, drops or (Pinkeye)
ointment, and the child should be kept at home for at least 48 hours. Can return when eyes are no longer weeping
Nonbacterial (allergic)
A child with red eyes and clear watery discharge
conjunctivitis
doesn’t need antibiotics or to be excluded
Chickenpox and shingles
Should be excluded until all lesions have crusted, there are no moist sores and the person feels well 7
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DISEASE/ILLNESS
MINIMAL EXCLUSION PERIODS
Gastroenteritis, food poisoning,
Until authorised by your doctor that it is alright
salmonellosis and dysentery
for your child to return
Infective hepatitis
Child should be excluded for 7 days after the onset of jaundice or illness (doctor’s certificate needed)
Measles
Should be excluded for 7 days after the onset of the rash (doctor’s certificate needed)
Meningococcal infection
Until recovered from the illness (doctor’s certificate needed)
Mumps
Until the swelling has subsided
Hand, foot and mouth disease
The child should be excluded until all blisters have dried up (doctor’s certificate needed) and at least 7 days from the onset of symptoms
Pertussis (whooping cough)
21 days from the onset of paroxysmal cough
Poliomyelitis (infantile paralysis)
Should be excluded for at least 2 weeks after onset or until declared free from infection by a doctor
Rubella (German measles)
Should be excluded for 4 days after appearance of the rash or until a medical certificate of recovery is produced
Tuberculosis
Until declared free from infection by a Doctor
Typhoid fever
Until declared free from infection by a Doctor
Impetigo
Until the sores are fully healed
Pediculosis (head lice)
Until appropriate treatment has been given and no eggs are present on scalp
Plantar warts
No exclusion. Should be treated and covered
Ringworm of scalp
Until cured
Ringworm of body
Seldom necessary to exclude provided effective treatment is being given
Scabies
Need not be excluded once appropriate treatment has been given
Diphtheria
Should be excluded until after at least two negative nose and throat swabs and with medical certificate of recovery
Scarlet fever and streptococcal
Until appropriate medical treatment has been
infection of the throat
given and declared free from infection by a doctor, and at least 7 days from the onset of symptoms
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Harrow Bangkok Health and Safety Policy APPENDIX 2. HAND, FOOT AND MOUTH DISEASE Background Information. Hand, Foot and Mouth Disease (HFMD) is a viral infection. It is not linked to the foot and mouth disease that affects animals. HFMD is mainly seen in children under the age of 10 or in young adults. It is easily spread from one person to another. Most people have had HFMD by the time they are adults. It rarely causes further complications. Very rare complications of hand, foot and mouth disease include meningitis, encephalitis or paralysis. If your child has symptoms of a headache, stiff neck or back pain, immediately seek medical advice. With these points in mind, our actions (outlined below) are focused on potential outbreaks in the Lower School. Mode of Transmission. The main manner HFMD is spread is by touching the fluid from inside the HFMD blisters and/or fluids from the nose, mouth and chest (spread from sneezing and coughing). It can also be present via faeces for some weeks after infection. Infectious Period. The incubation period of HFMD is 3 to 5 days. Symptoms usually show within 3 to 7 days after infection and can last between 7 to 10 days. Key points to remember: • HFMD is easily spread from one person to another. • There is no specific treatment, vaccine or cure. • There is no known risk to pregnant women or their unborn babies. • Usually the rash disappears with recovery within a week 1. Prevention/Monitoring Local Situation • The school is in regular contact with the local Health Authority throughout the school year, so is informed of any outbreaks of HFMD in schools in the area. For climatic reasons and historically, end of Term One and Three are potential risk times for HFMD. • The school will hold routine parent/carer information workshops to educate about common communicable illnesses, preventative measures and symptoms. 2. Preventative Measures Taken In Case of HFMD confirmation in local Don Muang area • The school will screen all children entering Pre Prep for a period of 7 days. If no cases are confirmed during this time, the screening will stop at the end of that 7 day period. • The school will conduct weekend steaming of the Pre Prep and a deep clean of areas and equipment/toys as a preventative measure. The swimming pool will also be monitored. • The school will raise awareness with parents by communicating about avoiding public areas, the importance of hand washing and awareness for symptoms. 3. Action Taken In Case of a confirmed case of HFMD in School • Information will be sent to all parents informing them of the confirmed case and the year group, but not the name of the affected child. • An update will be sent to parents from the Head of the school section, as necessary, 9
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with details of any further confirmed cases. • All children will be screened before entering the affected section of the school. • The period of screening will last until 7 days have passed since the last confirmed case. • Intense daily deep clean of that year group and all communal equipment • will be carried out, as well as deep clean of all the areas and equipment in the affected section. • Weekend steaming and deep cleaning of all Pre Prep areas inside and out will happen 4. Additional Actions Taken if more than one confirmed case of HFMD in School • The school will continue with the measures and procedures above (Section 3). • Year groups may not mix at outside playtimes or in communal areas (Multi-purpose room, Assembly room etc). • Affected year groups will have no swimming for 7 days, and then reviewed. • Outside groups or children from other sections of the school will not be allowed in the affected section for 7 days after the last confirmed case. • The school will monitor developments on a daily basis and liaise with the health authorities. • If any year group reaches a level of 10% active cases within a 7 day period, the School Leadership Group will consider the closure of that year group or section of the school. 5. Details regarding any School section or Year Group Closure in Response to HFMD • Parents will be informed of the closure which will last 7 continuous days. • Curriculum planning will be adjusted to make up for lost lessons as a result of the closure. • Complimentary places on School Holiday Programmes will be offered to compensate missed days. 6. Working in Partnership with Parents • Parents should cooperate with the screening procedures during an outbreak. • Parents should communicate with the school immediately if their child is confirmed with HFMD. • A parent may choose to communicate with the health authorities about an outbreak. This should be done in cooperation with the school to ensure the best outcomes. • Parents should understand that the school is not to blame for outbreaks of illness any more than parents are. Illnesses such as HFMD are naturally occurring and are part of life. • Parents are asked to respect that siblings of infected children may be asked to not attend school for 7 days after the first child’s infection was confirmed. • Parents must provide a doctor’s certificate of recovery for their child before returning to school. This cannot happen before the end of a 7 day period after confirmation of infection. • Parents can refer to the Pre Prep Illness Exclusion Policy in all cases of illness. • Parents are asked to follow health authority guidelines to avoid mixing with other children in public places during an outbreak. 10
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Harrow Bangkok Health and Safety Policy APPENDIX 3. INFLUENZA VIRUS. TYPES A AND B.
Background Information. Influenza is caused by various strains of the influenza virus. The usual symptoms are fever, headache, aching muscles, sore throat and cough. Nausea, vomiting and diarrhoea can occur especially in children. It is sometimes accompanied or followed by chest infections that can be severe. Influenza is generally a milder illness in children. Mode of Transmission. The main way that influenza is spread from person to person is by coughs and sneezes or direct contact. Potential for airbourne transmission is controversial. The virus concentration in respiratory secretions is usually highest up to 7 days before a person develops symptoms of illness. Viruses continue to be present in respiratory secretions for 2 to 3 days after symptoms begin. As a result, infected individuals have already spread viruses before they begin to feel ill. Infectious Period/Exclusion period. The infectious period of influenza is 3 to 5 days (not more than 7 days) from clinical onset. Children should be excluded from school a minimum of 5 days or until fully recovered without a fever or any of the symptoms mentioned above. Key points to remember: • Immunisation is recommended for the weak or elderly. • Good hand hygiene, and cough/sneeze etiquette will reduce the spread. • Aspirin (or products containing salicylate) should NEVER be used if influenza is suspected • Children who show symptoms of influenza fever whilst in school, should be kept in isolation and collected, as soon as possible by parents, to limit the spread of illness to other children. 1. Prevention/Monitoring Local Situation • The school is in regular contact with the local health authority throughout the school year, so is informed of any outbreaks of influenza types in schools in the area and/or nationwide. Influenza in Thailand can be transmitted throughout every season. However the rainy season is a high transmission time. • The school will hold parent/carer information workshops to educate about common communicable illnesses, preventative measures and symptoms as appropriate. 2. Action taken in case of influenza at school • Information will be sent to all parents informing them of the confirmed case and the year group, but not the name of the affected child. • An update will be sent to parents from the Head of the School section, as necessary, with details of any further confirmed cases. • Students will be screened on entering school. The period of screening will last until 7 days have passed since the last confirmed case. • Intense daily deep clean of that year group and all communal equipment will be carried out, as well as deep clean of all the areas and equipment in the affected 11
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section. Weekend steaming and deep cleaning of all relevant areas inside and out will happen as needed. • Siblings of infected children will be screened daily by our nurses and will be sent home if they show symptoms of influenza. 3. Action taken to avoid further spread of influenza across sections of the school • Year groups may be required to avoid mixing at outside playtimes or in communal areas. • Affected year groups may have swimming or splash play cancelled. • Outside groups or children from other sections of the school may not be allowed in the affected section for 7 days after the last confirmed case as appropriate. • The school will monitor developments on a daily basis and liaise with the health authorities. • If any year group reaches a level of 10% active cases within a 7 day period, the School Leadership Group will consider the closure of that year group or section of the school. 4. Details regarding any school section or year groupcClosure in response to influenza outbreak • Parents will be informed of the closure which will last 7 continuous days. • Curriculum planning will be adjusted to make up for lost lessons as a result of the closure. • Complimentary places on School Holiday Programmes will be offered to compensate missed days. 5. Working in partnership with parents • Parents should be vigilant for symptoms during an outbreak. • Parents should cooperate with the screening procedures during an outbreak. • Parents should communicate with the school immediately if their child is diagnosed with influenza. • A parent may choose to communicate with the health authorities about an outbreak. This should be done in cooperation with the school to ensure the best outcomes. • Parents should understand that the school is not to blame for outbreaks of illness any more than parents are. Illnesses such as Influenza are naturally occurring and are part of life. • Parents are asked to respect that siblings of infected children may be asked to not attend school for 7 days after the first child’s infection was confirmed. • Parents must provide a doctor’s certificate of recovery for their child before returning to school. This cannot happen before the end of a 7 day period after confirmation of infection. • Parents can refer to the Illness Exclusion Policy in all cases of illness. • Parents are asked to follow health authority guidelines to avoid mixing with other children in public places during an outbreak.
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