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School Health Education and Services
Section Newsletter
Fall 2009

Chair's Message


Dear SHES Members:


Now that we approach the end of the summer months and enter into a new fall season, it’s time to begin making plans to attend the  APHA Annual Meeting planned for Philadelphia.  Larry, Terry and I have overseen the business of SHES over the summer months and look forward to seeing you at the convention and especially invite you to attend one of our three business meetings – see the convention program online for details.


I again want to acknowledge all of you who submitted abstracts for this year’s program.  We are grateful to those of you who will be presiding at the various SHES functions and again express sincere gratitude to the many who served as abstract reviewers. Our annual SHES program is a mutual work-effort sustained by your membership and participation; it could not come together without your support. I particularly want to express acknowledgement to Larry Olsen for his committed and sustained role as this year’s SHES program planner!


I also want to remind you that our social with the Public Health Education and Services Section and the Chiropractic Health Care Section will be held on Monday, Nov. 9.  It promises to be a very good time, and there will be door prizes galore.


I want to congratulate our newly elected officers who will assume office following this year's Annual Meeting.  Martha Dewey Bergren (Chair-elect);  Sarah Lindstrom Johnson (Secretary-elect); Nancy Edtl and Candace Hendershot (Section Councilor); and Christopher Ledingham (Governing Councilor).  I also want to thank our outgoing officers for a job well done: Terry Wessel (Past-chair); John Moore (Governing  Councilor), Julie Gast (Secretary), Sarah Lee and Martha Kubik (Section Councilors). 


Remember, we are always looking for new members, so talk with your colleagues and students and have them join the Section. We are small, but we sure do exert an influence.


Hope to see you in Philadelphia!




Dan Adame, PhD, MSPH, CHES

Chair, SHES

Advocacy in Action

Federal Law Fails to Require 100 Percent Tobacco-Free Schools

By James F. Bogden, MPH

Preventing tobacco use remains an important prevention priority in the U.S. public health system. The Centers for Disease Control and Prevention estimates that each year, about 443,000 deaths are attributable to cigarette smoking in the United States. This is 150 times more people than were killed at the World Trade Center in 2001, each year.

CDC estimates that approximately 3,600 young people between the ages of 12 and 17 years initiate cigarette smoking each day, and an estimated 1,100 young people become daily cigarette smokers. To help prevent this, CDC recommends that every state, school district and school adopt and enforce a policy that prohibits all tobacco use by students, all school staff, parents and visitors on school property, in school vehicles and at school-sponsored functions away from school property.1

In 1994 the U.S .Congress passed the Pro-Children Act as part of the Elementary and Secondary Education Act (ESEA, also known as the No Child Left Behind Act), to help ensure that children are not exposed to secondhand smoke at school. The law requires that smoking be prohibited in any indoor facility that is used for “provision of routine or regular kindergarten, elementary, or secondary education or library services to children” if the services are supported by any federal funds.2 Federal grant applicants must certify that they are complying with this law.

However, the Pro-Children Act does not mandate completely tobacco-free school environments: it applies only to indoor facilities that are used by children, and it applies only to tobacco products that are smoked. Although this minimal law may help to prevent direct physical harm to students’ lungs, it does little or nothing to discourage the use of tobacco. Many are surprised to learn that federal law still allows smoking on school campuses

States, districts and schools are free to go beyond the provisions of the Pro-Children Act, and many have. Yet only five states — Arizona, Delaware, Mississippi, Oregon, and West Virginia — have statewide laws or policies that fully meet CDC’s criteria.2 Another 11 states prohibit student, staff and visitor use of tobacco anywhere on school grounds, but their policies do not fully address all of the criteria in CDC’s recommended policy.

At the other end of the scale, at least 16 states specifically allow designated smoking areas for students, and 11 allow smoking breaks for school staff members. Two states do not have any policy at all.2

The Elementary and Secondary Education Act was due for reauthorization in 2007, but Congress has not yet taken it up and is not likely to this year. School health advocates should waste no time in asking for the Pro-Children Act to be amended to require 100 percent tobacco free school campuses in accordance with CDC’s criteria.

For more information on school tobacco issues, download Fit, Healthy, and Ready to Learn: A School Health Policy Guide, Chapter F: Policies to Prevent Tobacco Use from the National Association of State Boards of Education at

Suggested actions:

·         Write a letter to your Representative in Congress and both Senators about the need to strengthen the Pro-Children Act. FAXing a letter is recommended because Congressional mail is often delayed due to anthrax testing, and an e-mail message might not be noticed. Find each representative’s contact information at Remember, they represent you.

·         Bring this issue to the attention of the advocacy leaders of your professional membership associations, whether they operate at the national or state level.

·         Attend the advocacy sessions at the APHA conference and your state public health association meetings.

·         Make use of the APHA Health Reform Advocacy Toolkit, newly updated for the final months of this Congressional session. It contains detailed information about APHA’s health reform priorities; tips for writing letters to your members of Congress, Op-Eds, letters to the editor and more.

·         Plan to attend the next Health Education Advocacy Summit sponsored by the Coalition of National Health Education Organizations (CNHEO, of which APHA is a member), March 6-8, 2010 in Washington, D.C. The Summit provides both an orientation to our profession’s key issues, and training in how to be an effective advocate. Visits to Congressional offices on Capitol Hill are included. Faculty members ought to especially encourage graduate students to attend — for more information, download Making the Most of the Health Education Advocacy Summit: Tips for Faculty at



1.    Centers for Disease Control and Prevention, “Guidelines for School Health Programs to Prevent Tobacco Use and Addiction,” Morbidity and Mortality Weekly Report 43 (February 25, 1994). Online at

2.    Guidance Concerning State and Local Responsibilities Under the Pro-Children Act of 2001, US Department of Education. Online at

3.    National Association of State Boards of Education, State School Health Policy Database. Online at

What's New in School Health Services

School-located Vaccine Clinics 

By Martha Dewey Bergren, DNS, RN, FNASN, FASHA; NASN Director of Research

H1N1 has reminded many worldwide of the historical role of school health in preventing communicable disease.  Schools have a pivotal position in decreasing the spread of H1N1 through school located vaccination clinics. In past disease outbreaks, school located clinics result in the significantly higher vaccination rates and significantly reduced absenteeism among both students and staff. In the recent past, seasonal influenza vaccination efforts were targeted primarily at the elderly to reduce morbidity and mortality.  However, the increased susceptibility of the younger population to the H1N1 virus has shifted the focus to vaccinating school aged children. 

School located clinics are managed by community groups to administer vaccine at schools, but not necessarily by school personnel.  The clinics require partnerships with community agencies:  the local health department, local hospitals or health systems, local non profit agencies or nurse staffing agencies.  The partnering group coordinates ordering and storing the vaccines, staffing, and setting up the clinic.  School nurses are the liaisons between the school and the partners, coordinating the location of the clinic within the school, marketing the clinic to students, families and staff, and obtaining parental consent.

SHES members are champions for school located clinics in their communities.  The Journal of School Nursing February 2009 supplemental issue highlighted school located vaccine clinics. To access this supplement, visit:

1.    Li, C. & Freedman , M. (2009). Seasonal influenza: An overview. Journal of School Nursing, 25, 4S-12S.

2.    Ransom, J.   (2009). School-located influenza vaccination clinics: Local health department perspectives.  Journal of School Nursing, 25, 13S-17S.

3.    Li, C., Freedman, M. & Boyer-Chu , L. (2009). Championing school-located influenza immunization: The school nurse’s role.   Journal of School Nursing, 25, 18S-28S.

4.     Borja, M. Amidon, C. Spellings, D. Franzetti, S. & Nasuta , M. (2009). School-located influenza vaccination clinics: School nurse perspectives.  Journal of School Nursing, 25, 29S-36S.

Coalition of National Health Education Organizations Updates

By Christopher M. Ledingham, PhD; SHES CNHEO Delegate

The Coalition of National Health Education Organizations had been very active over the last few months, and a brief summary of the activities follows:

A new Coalition coordinator was elected.  Mark Temple, the American School Health Association delegate, was elected to a three year term replacing Kathy Conley of Eta Sigma Gamma.

A new deputy coordinator was elected.  Christopher Ledingham, your APHA-SHES delegate, was elected to a three year term.

The Coalition is completing work on a revision of the Code of Ethics for the Health Education Profession.  Under the leadership of Mal Goldsmith, a representative group of professionals from the nine, member-based organizations in the Coalition have been working for about six months on updating an revising the Code of Ethics.  APHA-SHES is represented by Immediate Past Chair Theresa Wessel.  The committee envisions having a new draft to our group for comment in late fall.

The American Academy of Health Behavior separated from the Coalition.  Citing a change in the philosophical direction of the organization, the Academy chose to officially withdraw from the Coalition last spring.

The dates for the Health Education Advocacy Summit are set.  The summit will be held in Washington D.C., March 6 – 8, 2010 at the Washington Court Hotel.  For more information go to

The Coalition is planning a Leadership Summit.  While still in the works, the Coalition is putting together a one-day leadership summit to be held just prior to the advocacy summit.  Look for more details on this event in the coming months.

For additional Coalition News visit or contact Christopher Ledingham at

APHA Annual Meeting & Exposition

Register for the meeting  and make your hotel reservation soon (housing closes Oct. 9). Note: Presenters must be individual members of APHA to present their paper(s) and must register in advance for the meeting. Session organizers and moderators are also required to be members and pay the appropriate registration fee. Hope to see you in Philadelphia!

APHA Career Guidance Center

Don't miss this opportunity! Sign up now for a one-on-one or a group session with a professional career coach at the APHA Annual Meeting & Exposition. These coaches can guide you in strategizing the next phase of your career and help you define your goals. Select a 45-minute individual session or a 90-minute group session. The group sessions are designed according to your career needs. To see which session best fits for you, please read about each coach's experience and education before setting an appointment. If you have never experienced coaching before, this is a wonderful introduction to what may become a useful service for your career!

This is the link to the Career Guidance Center:

First Annual International Conference on Health Risks of Youth

Evidence Matters — Addressing the Health Risks of Youth

Jan. 6 – 9, 2010

Hilton Cancun Resort and Spa

Join your professional colleagues for cutting-edge presentations on the health risks of youth and take the opportunity to enjoy the warm weather and sightseeing in one of the most beautiful cities in Mexico.

The goal of this conference is to provide an opportunity for health educators, nurses, public health professionals, teacher educators, direct-service providers and other youth-serving professionals to come together to learn from each other and dialogue around the issues related to the health risks of youth.

The conference is organized around the Centers for Disease Control and Prevention’s Six Risk Behaviors of Youth

  • Tobacco Use
  • Sexual Risk-Taking Behaviors
  • Nutrition
  • Physical Activity
  • Injury and Violence
  • Alcohol and Other Drug Use

Conference Registration, Agenda, and Call for Poster Presentation Proposals are available at:

Conference Registration $195                  Hotel $109/night + tax

Register by Nov. 1, 2009 to avoid a $30 late registration fee!

Nursing CNEs and CHES Continuing Education Credits Available!

83rd Annual ASHA School Health Conference

Healthy Kids ... Healthy Lives ... Healthy Futures
Oct. 28 - 31, 2009
Marriott Denver Tech Center

Publication on School Connectedness

CDC's Division of Adolescent and School Health (DASH)

School connectedness is the belief by students that the adults and peers at their school care about their learning and about them as individuals. Research indicates that students who feel connected to their school are more likely to engage in healthy behaviors and succeed academically. The CDC created a guide that synthesizes available research on school connectedness and outlines strategies for fostering it.

APHA Press

APHA Press has three books in production of interest to epidemiologists and other health professionals that will be available at the Annual Meeting: Chronic Disease Epidemiology and Control, 3rd edition, by Patrick Remington, Ross Brownson and Mark Wegner, and two books by Steven S. Coughlin, Ethics in Epidemiology and Public Health Practice, 2nd Edition, and Case Studies in Public Health Ethics, 2nd edition.

Good News!

SHES Secretary-elect Amy Cory, PhD, RN, CPNP, was elected to the Board of Directors of the American School Health Association in the Chair of Councils position.