6 primary-school health concerns parents need to look out for

Primary school health
The days of colic and cradle cap may be long gone, but your primary school child is now susceptible to a different range of health issues. From tummy bugs and nits to emotional health concerns, Lucy Dimbylow looks at what you need to know to keep them safe and well.

Primary-school health problem: dehydration

What’s the problem? Research shows that many children are dehydrated as a result of not drinking enough. ‘This can lead to headaches, tiredness, dizziness and mood swings, and also affects concentration and performance at school,’ says nutritionist Dr Emma Derbyshire, spokesperson for the Natural Hydration Council. Children aged four to eight should drink 1.1 to 1.3 litres of fluids per day.
How to help:

  • Ensure your child always has a drink with breakfast.
  • Send a bottle of water to school for him to keep on his desk or drink at lunchtime.
  • Ask the teacher if the class has free access to drinking water and regular toilet breaks.
  • Make drinking water fun, for example by adding shaped ice cubes or a curly straw.
  • Model good habits yourself, drinking six to eight glasses of water a day.

Primary-school health problem: back pain

What’s the problem? Studies show that 72 per cent of primary school children have experienced back pain in the past year. ‘Factors include a sedentary lifestyle, poor posture in the classroom, the increasing use of laptops, smartphones and tablets with little regard to posture, and carrying heavy school bags,’ says paediatric physiotherapist Lorna Taylor.
How to help:

  • Encourage your child to be more active to build core muscle strength, for example by walking to school.
  • Use a rucksack for school books, or a mono-strap bag worn across the body, rather than on one shoulder.
  • Ensure your child only takes what he needs to school each day: his bag should be no more than 10 per cent of his body weight.
  • Make sure that when he’s using a laptop or PC, the screen is at eye level.
  • Check out Healthy Working: MOVE, a free online resource, for posture tips.

Primary-school health problem: head lice

What’s the problem? Around a third of schoolchildren will get head lice at some point each year. They spread extremely easily through close contact, and can cause itching and irritation.
How to help:

  • The NHS recommends wet combing to treat head lice: wash your child’s hair, apply plenty of conditioner, detangle with a wide-toothed comb and then use a nit comb to work through the hair from roots to tips, wiping the comb between strokes. Repeat on days five, nine and 13 to eliminate new lice as they hatch.
  • Medicated treatments can also be used, but only if you find live lice in your child’s hair.
  • If your child has head lice, check the rest of the family and treat if necessary.
  • Your child doesn’t need to stay at home with head lice, but you should inform the school.
  • If your child has long, curly or Afro hair, keep it tied up or braided for school.

Primary-school health problem: emotional health concerns

What’s the problem? Half of all adults with mental health issues experience their first symptoms before the age of 14, so it’s important to be aware of your child’s emotions. ‘There are many potential triggers for emotional health issues, ranging from a family divorce to struggling with schoolwork to bullying,’ says Daphne Joseph, helpline manager at YoungMinds.
How to help:

  • Tune into the signs of emotional issues, such as rages, tantrums, tearfulness, sleep disturbances, recurring tummy aches and school avoidance.
  • Be available for your child to talk to; try not to blame him or belittle his worries, and ask him what he thinks might help.
  • Involve the school: your child’s teacher and the Special Educational Needs Co-ordinator (SENCO) may be able to offer insights and suggestions.
  • Your child’s GP may recommend counselling or other support.
  • Call the YoungMinds helpline on 0808 802 5544 for help and advice.

Primary-school health problem: tummy bugs

What’s the problem? Tummy bugs run rife through schools, and are often caused by viruses such as norovirus. They’re mainly spread by poor hygiene, with research showing that only 57 per cent of children wash their hands after using the toilet.
How to help:

  • Teach your child to always wash his hands after going to the loo and before eating.
  • If he catches a bug, encourage him to drink frequently, avoiding fizzy drinks and fruit juice, and to eat simple foods if he feels up to it. Give paracetamol for fever or pain if necessary.
  • Clean the toilet thoroughly after every bout of vomiting or diarrhoea, including the flush handle and seat.
  • Keep your child off school for 48 hours after the last episode of sickness or diarrhoea.

Primary-school health problem: head injuries

What’s the problem?Head injuries account for 500,000 A&E visits among children each year,’ explains Lisa Turan, chief executive of the Child Brain Injury Trust (helpline 0303 303 2248). ‘These are typically caused by incidents such as playground falls and bike or scooter accidents, and while the majority of children will be absolutely fine, the consequences could be serious.’
How to help:

  • Ensure your child wears a British Standards Kitemarked helmet every time he rides his bike or scooter, even if he’s just in the garden.
  • Buy helmets in store rather than online so you can check the fit.
  • Don’t use a second-hand helmet in case it has invisible damage.
  • Ask your child’s school about Bikeability and scooter training courses.
  • If your child bangs his head and experiences dizziness, blurred or lost vision, nausea or vomiting or loss of consciousness, take him to A&E.
  • Be aware that some symptoms of head injury may not be apparent for up to 36 hours after an accident.