To your Health: Back to school boxes to tick
By Dr. Catherine Gonzalez, Family Medical Practice Hanoi
For many kids in Hà Nội, the next few weeks are all about getting back to school after a long summer break. Whether your child is entering school for the first time or about to graduate, back-to-school time is a good opportunity for parents to check up on their children’s health and make sure they’re protected against common childhood diseases and illnesses.
We are very fortunate that the government was able to control SARS-CoV-2/COVID-19 and so opening of the schools does not have to be a ‘new normal’ for us. However we do not have to be complacent since we could have sporadic cases anytime and all other common viruses and bacteria are still here.
Implement hygiene measures daily. Add in their backpacks an extra face mask for when it is needed. Remind the children to wash hands whenever they touch something soiled or contaminated, before and after eating, after using the toilet, after touching the garbage, after blowing nose, coughing or sneezing. Hand sanitizers are handy and convenient when soap and water are not available. Teach them to keep a distance when someone is sick and practice respiratory etiquette like coughing and sneezing into the elbow.
Parents should make sure and be involved regarding the hygiene, safety plans and measures that are being implemented by the school administrators.
First on the list should be immunizations. Vaccination requirements can vary by schools. To find out exactly what is required at your child’s school, contact the school directly. A visit to pediatrician is recommended to review all vaccinations and make sure all necessary vaccines have been given. A series of vaccines may be given if they were missed or left incomplete at earlier ages.
Talk with your child’s school nurse
If you have concerns about your child’s health at school, you should set up an individual meeting with a school nurse and your child’s class teachers at the beginning of the school year. Most international schools in Hanoi have a nurse who is also an important part of the team as he/she can provide temporary care or a referral for your child in case of illness or injury on school property.
Both your child’s teacher and the school nurse are integral to developing a medical action plan for your child if he or she has an acute or chronic illness or asthma, severe allergies like food or bee stings.
Meet with your school nurse and teachers to determine school-specific policies for self-administration of medications by your child (for example, asthma inhalers). Children diagnosed with attention deficit hyperactivity disorder (ADHD) should also have a family discussion with both teachers and the school nurse and determine if an individualized educational plan is required. All schools in Vietnam must abide by laws regarding use of medications at school.
Does your school make the meal grade?
If healthy meals are a priority for you when sending your child to an International school or kindergarten in Hanoi, check out how your school stacks up. If your school does not make the grade, consider packing your own meals or encouraging your school to include healthier options. Most schools provide a copy of their menu or post it in the school. Here are some important things to consider when checking out a school’s food service.
Is there balance in each meal? Balanced meals mean that there is some sort of protein (meat, seafood, tofu, or egg), starch (rice, potato, noodle, or bread), vegetable, and fruit.
Are the portions adequate to meet nutrition needs? Or is the meal 90 per cent starch with just a small serving of protein and vegetable? One serving of vegetable is ½ cup when cooked, and considering that school-age children need 3-4 servings per day, school lunches should at least provide one serving, if not two.
Do they provide a good variety? Do they alternate between watermelon and pears every day for snack or do they serve different types, depending on what is in season? Fruit is important because many varieties are good sources of vitamin C, and antioxidants which may play a role in cancer prevention and heart health.
Consider the source of your child’s food. If you buy organic at home, and avoid local milk, which has high suspicion of being laden with antibiotics and powdered milk bought from China, make sure that your child is not consuming those very foods at school. If the school does not provide milk from a trusted source, either have your child pack a cup in a cooler bag from home, or just skip it during the school day.
If there is a parent-teacher committee at the school your child attends, or they welcome feedback, urge them to use organic vegetables. There are several organic farms near or in Hà Nội now, which will reduce the risk that your child is consuming pesticides or other chemicals which cannot simply be washed off.
Lastly, talk to your child about what they are eating. If your child’s school has a reputation for terrible food, petition for change and if necessary, pack their lunch. If the school allows some choices, ask them what they eat and talk about making good choices. Most of an adult’s eating habits are established during childhood so consider that you have an opportunity now to help determine if your child will have a healthy, productive life, or if they will struggle with obesity or poor nutrition.
Overloaded backpacks can injure your child’s back. According to the American Pediatric Association, a child’s backpack should weigh no more than 10 per cent of his or her body weight.
If your child routinely lugs around more than what’s recommended for her weight, try purchasing a backpack with wheels or one with a support belt to help distribute the weight more evenly. -
Family Medical Practice.
Becoming a physician has been the fulfillment of Dr. Catherine’s childhood dream, and her journey into medicine has been a straight pathway. After graduating from high school, Dr. Catherine took up a bachelor’s degree in biology as a pre-medical course, from which she graduated Cum Laude in 2005 at Angeles University Foundation, Angeles City, Philippines. She pursued her doctor of medicine from the same university and graduated in 2009.
Undertaking a one-year internship at the Chinese General Hospital in Blumentritt Manila, she went on to pass the medical board examination in 2010 and was immediately hired as an emergency room resident physician in a 142-bed capacity hospital—Mother Teresa of Calcutta Medical Center, in which she gained enormous practical experience. She also worked as a company physician, retainer physician and part-time faculty in between.
She took up a basic course in occupational medicine in 2013 and was a member of the Philippine College of Occupational Medicine. After four years in general practice, she decided to enter the Family Medicine Residency Program, but a leap of faith led her to start at Family Medical Practice Hanoi in May 2014. She is currently a physician at the FMP Hanoi check-up department.
Dr. Catherine Zapanta Gonzalez was a cum laude graduate of the Angeles University Foundation before pursuing her medical degree and and interning at the Chinese General Hospital in Blumentritt Manila before working as an emergency room resident physician. She has been a physician at the FMP Hanoi check-up department since 2014.
For more advice, visit www.vietnammedicalpractice.com; www.care24h.com.vn or visit our clinic:
Family Medical Practice Hanoi
298 I Kim Ma, Ba Dinh, Hanoi
T: 24hrs (84 24) 3843 0748