Whatsapp referral to 876-878-9322

The “Back-to-school Medical” – Protecting your child’s heart and health

The school medical examination has been practiced in Jamaica for several years, and in September 2012 Minister of Education the Rev Hon Ronald Thwaites made mandatory for all children entering Grade One (1) and Grade seven (7).  Jamaica is not the only country that practices mandatory health screening for school-age children. This practice is also observed in Germany, Bahamas, Australia to name a few. The US does not have mandatory screening, however annual well-child Paediatrician visits are encouraged and widely practiced. The UK instituted mandatory routine screening in the early 1960’s and then changed in favour of selective screening. Selective screening is where the child is only taken for a physical exam if they exhibit symptoms.


While routine screening is controversial, at best, it is useful in guiding parents and children about the child’s involvement in physical activity and sports. These children, and their parents would have otherwise had no knowledge of the existence of any sort of health or heart problems. The child and the parent can then be counseled re participation in physical activity and sports, and not be caught off guard in the middle of the school year, or at worse be faced with a child who collapses during Physical Education classes or other physical activity.



The objectives of such a screening program are:

  1. To detect silent medical problems that may interfere with the child’s learning and performance at school including
    1. Abnormal hearing.
    2. Abnormal vision.
    3. Referral and detected dental caries.
    4. Heart disease.
    5. Sickle cell.
  2. To determine immunization coverage.
  3. To list any other pertinent health information.



The school medical may be performed at child’s paediatrican, Family doctor or community health centre. Schools will usually provide the form which has two (2) parts. The first part asks the parents to document details of the child’s medical history and the second is the part to be completed by the Physician or Nurse Practitioner.


In Jamaica, the school medical exam includes the following

  1. Comprehensive medical and family history completed by parent
  2. Immunization History
  3. Weight, Height, Vision screening, Urine testing, Blood Pressure
  4. Head-to-toe examination performed by a physician or Nurse Practitioner
  5. Recommendations for physical activity and or referrals for further evaluation and treatment for children who have abnormal findings during screening.



While some parents my find the school medical a nuisance or expensive, it is one of the best things you can do for your child and should be placed above the new uniforms, and new Jansport® Bags. The American Pediatric association reports that one in four 1:4 children may have vision problems. Children with these problems may exhibit poor school performance or behavioural problems. It is recommended that each child receive an annual examination on his birthday by Paediatrician or Family Physician. Here in Jamaica, lots of other things take priority, and so the school medical is the ideal opportunity to get this done. In addition to picking up vision and hearing problems, one of the major benefits is the early detection of silent heart disease.



Although the evidence is mixed regarding screening for hypertension before 18 years of age, many experts recommend checking blood pressure annually beginning at three years of age. The American Academy of Pediatrics recommends vision and hearing screening annually or every two years in school-aged children. One study has shown that physical examination in an asymptomatic, school-aged child will find a new abnormality in less than 4 percent of patients, and most of these abnormalities are not clinically significant. This is the argument used against routine screening of children who do not exhibit any symptoms. This has to be interpreted with caution – noting that this is a single research study, and it is based on information in communities where rheumatic heart disease is extinct etc.



In our population, Rheumatic fever and rheumatic heart disease are still prevalent and may lead to heart valve damage. Each year, in September, we see a spike in the number of children referred to our heart clinic for echocardiogram to further define a heart murmur detected on routine school medical.


Last year, we performed routine screening of school age children for the purposes of the school entrance medical exam. We screened roughly 100 children, up to 7% had abnormal vision screening and were referred to ophthalmologist for further in-depth evaluation and glasses. This is in keeping with figures from other communities and this is one of the major benefits of routine screening.


Do your child and yourself a favour, and get a comprehensive health screen on at least these two occasions.



About Author

The “Back-to-school Medical” – Protecting your child’s heart and health (272)

  1. Pingback: generic cialis daily use

  2. Pingback: how to make hydroxychloroquine

  3. Pingback: 100mg sildenafil 30 tablets price

  4. Pingback: can vidalista cause weight gain

  5. Pingback: canadian online pharmacy tadalafil

  6. Pingback: cialis fast shipping

  7. Pingback: buy generic cialis online india

  8. Pingback: how many aurogra is safe

  9. Pingback: will trump take hydroxychloroquine

  10. Pingback: interactions for cipro

  11. Pingback: generic tadalafil pills for sale

  12. Pingback: vidalista from china

  13. Pingback: why is hydroxychloroquine banned

  14. Pingback: tadalafil chewable tablet reviews

  15. Pingback: generic tadalafil compare prices

  16. Pingback: tadalafil tablet online in india

  17. Pingback: dapoxetine costs at walmart

  18. Pingback: amoxicillin 250

  19. Pingback: prednisone 20mg tablet

  20. Pingback: sildenafil plus 400 mg review

  21. Pingback: can cephalexin cause a rash

  22. Pingback: vidalista 60mg prices in india

  23. Pingback: what companies manufacture hydroxychloroquine

  24. Pingback: sildenafil for ed dosage

  25. Pingback: chloroquine and hydroxychloroquine

  26. Pingback: 40mg cialis

  27. Pingback: tadalafil online buy

  28. Pingback: best cialis pill

  29. Pingback: beste anmachsprüche lovoo

  30. Pingback: dose of bactrim for skin infection

  31. Pingback: lumigan 0.01% eye drops price

  32. Pingback: results of hydroxychloroquine study

  33. Pingback: tadalafil 20mg from india

  34. Pingback: cialis generic in usa

  35. Pingback: where to buy rhino pills

  36. Pingback: best tadalafil

  37. Pingback: aurogra how does it work

  38. Pingback: azithromycin 2 g

  39. Pingback: buy generic viagra with paypal

  40. Pingback: asthma inhaler prices

  41. Pingback: tadalafil xr

  42. Pingback: chloroquine medication cost

  43. Pingback: how can i get hydroxychloroquine

  44. Pingback: otc viagra

  45. Pingback: does india treat covid 19 with ivermectin

  46. Pingback: cialis drugstore

  47. Pingback: women's acyclovir samples

  48. Pingback: clonidine price

  49. Pingback: dutasteride vs finasteride

  50. Pingback: carvedilol 6 25 mg

  51. Pingback: viagra versus cialis

  52. Pingback: priligy tablets paris

  53. Pingback: cialis black market

  54. Pingback: azithromycin and penicillin interaction

  55. Pingback: viagra connect

  56. Pingback: ventolin brand

  57. Pingback: hydroxychloroquine prices

  58. Pingback: best price generic tadalafil

  59. Pingback: sildenafil 100mg mexico

  60. Pingback: best viagra generic

  61. Pingback: hydroxychloroquine uses

  62. Pingback: levitra tablet price

  63. Pingback: is hydroxychloroquine safe for people

  64. Pingback: cialis dosages available

  65. Pingback: sildenafil canada

  66. Pingback: doxycycline dose for kids

  67. Pingback: prednisone otc

  68. Pingback: stromectol dose uti

  69. Pingback: cheap zithromax buy

  70. Pingback: chloroquine phosphate australia

  71. Pingback: where to buy ivermectin

  72. Pingback: buy ivermectin without prescription

  73. Pingback: priligy spray product

  74. Pingback: sildenafil connect price

  75. Pingback: different albuterol inhalers

  76. Pingback: plaquenil with treat mosquito infestations

  77. Pingback: stromectol and ibuprofen for rosacea therapy

  78. Pingback: cost of ivermectin pill

  79. Pingback: cheap tetracycline for acne

  80. Pingback: uti stromectol 6mg

  81. Pingback: stromectol 6mg capsules

  82. Pingback: how much ivermectin for 200 pound person

  83. Pingback: ivermectin pill

  84. Pingback: ivermectin oral liquid

  85. Pingback: coupons for cialis

  86. Pingback: acyclovir 1000 mg

  87. Pingback: ivermectin contraindications

  88. Pingback: ivermectin for humans ebay

  89. Pingback: ivermectin at amazon

  90. Pingback: chewable aurogra pills

  91. Pingback: shop for generic ivermectin

  92. Pingback: ivermectin oral

  93. Pingback: stromectol 3 mg

  94. Pingback: ivermectin for heartworms

  95. Pingback: ivermectin adult dose

  96. Pingback: generic sildenafil by phone

  97. Pingback: viagra canada fast shipping

  98. Pingback: sildenafil price 100mg

  99. Pingback: where can i get real viagra

  100. Pingback: best canadian pharmaceuticals online reviews

  101. Pingback: buy cialis online without prescription

  102. Pingback: over the counter hydroxychloroquine for sale

  103. Pingback: can you purchase sildenafil over the counter

  104. Pingback: over the counter stromectol for sale

  105. Pingback: tadalafil generic

  106. Pingback: can i buy over the counter viagra

  107. Pingback: cialis dapoxetine australia

  108. Pingback: zithromax cream

  109. Pingback: sildenafil tabs 50mg

  110. Pingback: viagra script

  111. Pingback: cialis pill

  112. Pingback: interactions for cialis

  113. Pingback: cialis online canada

  114. Pingback: viagra discount coupon

  115. Pingback: meloxicam medication information

  116. Pingback: latisse lashes

  117. Pingback: zanaflex price

  118. Pingback: pill to cure covid

  119. Pingback: generic lumigan

  120. Pingback: clomid pills price

  121. Pingback: viagra cialis

  122. Pingback: ciprofloxacin toxicity

  123. Pingback: ndc augmentin

  124. Pingback: ic cephalexin

  125. Pingback: erythromycin uptodate

  126. Pingback: zithromax burning

  127. Pingback: cephalexin tolerance

  128. Pingback: generic augmentin

  129. Pingback: cephalexin intervention

  130. Pingback: bactrim medline

  131. Pingback: cephalexin sneeze

  132. Pingback: celebrex generic dosing

  133. Pingback: 2beaches

  134. Pingback: viagra

  135. Pingback: revatio

  136. Pingback: hotmail entrar

  137. Pingback: contador de dias

  138. Pingback: sildenafil 50 mg buy online india

  139. Pingback: order custom essay

  140. Pingback: persuasive essay help

  141. Pingback: please help me write my essay

  142. Pingback: online essay writer

  143. Pingback: essay revision service

  144. Pingback: write my essay

  145. Pingback: essays service

  146. Pingback: order cheap essay

  147. Pingback: academic essay writers

  148. Pingback: please write my essay for me

  149. Pingback: best essay writing website

  150. Pingback: cheap essay writing service us

  151. Pingback: using essay writing service

  152. Pingback: essay services

  153. Pingback: need help with essay writing

  154. Pingback: online pharmacy furosemide

  155. Pingback: Doxazosin

  156. Pingback: no script pharmacy

  157. Pingback: olanzapine online pharmacy

  158. Pingback: reputable online pharmacy reddit

  159. Pingback: can a person buy tadalafil

  160. Pingback: where to order viagra online

  161. Pingback: tadalafil for sale online

  162. Pingback: cialis sales

  163. Pingback: viagra 25 mg order

  164. Pingback: cialis same as tadalafil

  165. Pingback: where to get viagra pills

  166. Pingback: sildenafil tablets coupon

  167. Pingback: low dose cialis

  168. Pingback: sildenafil australia

  169. Pingback: can you drink alcohol with cialis

  170. Pingback: side effect of cialis

  171. Pingback: phentermine in mexico pharmacy

  172. Pingback: pharmacy first fluconazole

  173. Pingback: cialis online india

  174. Pingback: cheap sildenafil 50mg uk

  175. Pingback: generic sildenafil online uk

  176. Pingback: tadalafil troche side effects

  177. Pingback: remeron online pharmacy

  178. Pingback: tadalafil 20mg canadian

  179. Pingback: buy sildenafil online uk

  180. Pingback: sildenafil 50 mg buy online india

  181. Pingback: female viagra pills in india

  182. Pingback: where to buy viagra

  183. Pingback: sildenafil tablets online

  184. Pingback: sildenafil buy online

  185. Pingback: ordering tadalafil online

  186. Pingback: cheapest 10mg cialis

  187. Pingback: cialis and nitrates

  188. Pingback: tadalafil research chemical

  189. Pingback: natural gabapentin

  190. Pingback: sulfamethoxazole trimethoprim tablets birth control interaction

  191. Pingback: flagyl contraindicaciones

  192. Pingback: lyrica side effect

  193. Pingback: tamoxifen smoking

  194. Pingback: valtrex ototoxic

  195. Pingback: metformin mcf7

  196. Pingback: furosemide liver

  197. Pingback: lisinopril intermediates

  198. Pingback: rybelsus for sale

  199. Pingback: rybelsus tablet

  200. Pingback: lowest dose of semaglutide

  201. Pingback: how long does it take to get zoloft out of your system

  202. Pingback: flagyl meaning

  203. Pingback: escitalopram oxalate tablet

  204. Pingback: most common side effects of duloxetine

  205. Pingback: benefits of lexapro weight loss

  206. Pingback: amitriptyline and fluoxetine

  207. Pingback: cymbalta 30 mg para que sirve

  208. Pingback: how to buy viagra cheap

  209. Pingback: side effects of keflex 500

  210. Pingback: do i take cephalexin with food

  211. Pingback: gabapentin leberschaden

  212. Pingback: amoxicillin 500mg for dogs

  213. Pingback: is cephalexin stronger than amoxicillin

  214. Pingback: what are the side effects of ciprofloxacin

  215. Pingback: bactrim and alcohol experience

  216. Pingback: bactrim drug classification

  217. Pingback: ezetimibe anemia

  218. Pingback: cozaar uses

  219. Pingback: ddavp blood pressure

  220. Pingback: diltiazem and alcohol

  221. Pingback: how to know if effexor dose is too low

  222. Pingback: flomax elderly

  223. Pingback: what does flexeril look like

  224. Pingback: augmentin pediatric dose

  225. Pingback: depakote dosages

  226. Pingback: diclofenac potassium side effects

  227. Pingback: using contrave for weight loss

  228. Pingback: how does citalopram work

  229. Pingback: baby aspirin side effects

  230. Pingback: uloric vs allopurinol

  231. Pingback: is amitriptyline addictive

  232. Pingback: aripiprazole price walmart

  233. Pingback: is augmentin a penicillin

  234. Pingback: celecoxib and aspirin

  235. Pingback: can you take aleve with celebrex

  236. Pingback: bupropion and anxiety

  237. Pingback: protonix 20 mg

  238. Pingback: is robaxin a good muscle relaxer

  239. Pingback: remeron pictures

  240. Pingback: semaglutide 15 units

  241. Pingback: repaglinide posologie

  242. Pingback: abilify and pregnancy

  243. Pingback: actos pronunciation

  244. Pingback: acarbose dialysis

  245. Pingback: hypoglycemia synthroid

  246. Pingback: ivermectin lotion for scabies

  247. Pingback: tamsulosin bluthochdruck

  248. Pingback: voltaren pills cost without insurance

  249. Pingback: side effects of tizanidine hcl 4mg

  250. Pingback: dose of sitagliptin

  251. Pingback: what foods to avoid while taking spironolactone

  252. Pingback: venlafaxine morning or night

  253. Pingback: tadalafil 40mg

  254. Pingback: vardenafil (levitra)

  255. Pingback: cialis online pills

  256. Pingback: can sildenafil be taken daily

  257. Pingback: buy levitra dapoxetine

  258. Pingback: top rx pharmacy

  259. Pingback: sildenafil side effects with alcohol

  260. Pingback: provigil uk pharmacy

  261. Pingback: ivermectin tablets order

  262. Pingback: stromectol uk

  263. Pingback: ivermectin 2mg

  264. Pingback: cialis tadalafil

  265. Pingback: ivermectin 3mg for lice

  266. Pingback: sildenafil pills canada

  267. Pingback: what question should the nurse ask when assessing for therapeutic effects of vardenafil?

  268. Pingback: ivermectin lotion cost

  269. Pingback: vardenafil without prescription

  270. Pingback: tadalafil 5mg buy

  271. Pingback: female viagra pill buy online

  272. Pingback: purchase oral ivermectin

Leave a Reply