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1、Hints for Prevention: Parents Role on Hints for Prevention: Parents Role on Health Promoting SchoolsHealth Promoting Schools防患未然小錦囊防患未然小錦囊防患未然小錦囊防患未然小錦囊 家長角色家長角色家長角色家長角色Professor Albert LeeDirector of Centre for Health Education and Health Promotion Professor (Head of Family Medicine) Department of
2、Community and Family Medicine The Chinese University of Hong KongHonorary Consultant of Family Medicine李大拔教授李大拔教授香港中文大學醫學院健康教育及促進健康中心主任香港中文大學醫學院健康教育及促進健康中心主任香港中文大學醫學院社區及家庭醫學系教授香港中文大學醫學院社區及家庭醫學系教授 (家庭醫學主管家庭醫學主管)家庭醫學榮譽顧問家庭醫學榮譽顧問 課程改革有哪七個學習宗旨？課程改革有哪七個學習宗旨？其中包括- 健康生活方式- 責任感資料來源：課程發展處教育統籌局Why is it Impor
3、tant to Promote Health at Why is it Important to Promote Health at Schools?Schools?為何在校推廣健康是如此的重要為何在校推廣健康是如此的重要為何在校推廣健康是如此的重要為何在校推廣健康是如此的重要? ?wHealth Status Learning Outcomes 健康狀況健康狀況學習成效學習成效wBothhealthandeducationarelinkedtotheeconomicperformanceandsocialcohesionofmodernindustrializedsocietyw在現代化的城
4、市裏，在現代化的城市裏，健康健康及及教育教育均與均與經濟成就經濟成就和和社會團結社會團結有莫大關係有莫大關係SubstantialevidenceindicatesthathealthisamajorSubstantialevidenceindicatesthathealthisamajorfactoraffectingthelearningcapacityofapersonfactoraffectingthelearningcapacityofaperson 不少証據顯示，健康是影響人們不少証據顯示，健康是影響人們學習能力的主要因素學習能力的主要因素(WHO, 1997; Ziglio, 1
5、997; Lavin et al., 1992; World Bank, 1993; WHO, 1995)InlinewithCurriculumReform配合課程改革wEnable students to develop healthy living model 確立學生的健康生活模式確立學生的健康生活模式wPromote self esteem 提升自信提升自信wCultivate correct values and concepts of life 培養正確的價值觀培養正確的價值觀InlinewithHealthCarereform配合醫護改革wStrengthen the impl
6、ementation of preventive medicine 加強預防醫學的實踐與推行加強預防醫學的實踐與推行wEmpower the concept and skills of self help and self care. 增加自我照護的概念及技巧增加自我照護的概念及技巧wTherehasnotbeenanynewcaseofSARSreportedinHongKongsinceJune2003butwehavetoprepareontheassumptionthatthiswillreturn.w自從2003年6月，本港雖再沒有SARS新症，然而我們須嚴陣以待，假設它會回來。Ti
7、melyissue:willSARScomeback?最新話題SARS會回來嗎？Relatedwebsites相關網站nChecklist of measures to combat SARS www.info.gov.hk/gia/general/200309/22checklist-e.pdfnwww.info.gov.hk/info/sars/e_profession.htmnwww.who.int/csr/sars/en/index.html 構成傳染病的 三種 要素傳染原(Infections Agent) 傳染途徑(Mode of spread) 易受病者 (Susceptible
8、 host ) 切斷切斷 這三種要素之間任何二者的關係，便能控制傳染病的傳播Infectiouspreventionandcontrolinschool學校傳染病預防及控制的方法學校傳染病預防及控制的方法Norwalk-likeViruseswIndevelopedcountries,acutediarrhealillnessremainsanimportantcauseofmorbidityamongbothchildrenandadultsw在已發展的國家，由急性肚瀉帶來的身體不適是引致兒童和成人發病的主要因素Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wTwod
9、istinctgroupsofvirusestherotavirusesandtheentericcaliciviruses,suchasNorwalkvirusaswellasavarietyofbacterialpathogenshaveemergedasimportantetiologicagentsofgastroenteritisw包括兩類明顯的病毒1)輪狀病毒和2)Entericcaliciviruses,例如：諾沃克病毒諾沃克病毒和不同種類的細菌病原體皆顯露出是腸胃炎的主要致病原Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wRotavirusinfect
10、ionoccursworldwidewBytheageof3years,virtuallyeveryindividualhasbeeninfectedbyrotavirusesatleastoncew輪狀病毒感染可以是全球性發生w由三歲開始,事實上每個人皆有致少感染過一次輪狀病毒的可能性Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wInareaswithatemperateclimate,rotavirusinfectionisseasonal,occurringinthecoolerwintermonthsw於溫帶地區，輪狀病毒感染是季節性發生，和多出現於較寒冷的冬
11、季Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wThemajorityofrotavirusinfectionsaresubclinicalorcausemildgastrointestinalillnessthatdonotrequirehospitalizationwTheonsetofillnessisusuallyabruptw大多數的輪狀病毒感染都沒有臨床症狀，或會引致溫和的腸胃炎不適，而不需要住院治療w通常是突發性病發Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wMorethan80percentofaffectedchildre
12、ndevelopvomitingfollowedbydiarrheawAboutone-thirdofhospitalizedchildrenhaveatemperatureofgreaterthan39C(102.2F)w多過八成的受感染兒童會出現嘔吐過後接著是肚瀉的症狀w大概有三分之一的住院兒童會出現發燒大過39C(102.2F)的情況Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wGastrointestinalsymptomsusuallylastbetween2and6dayswImmunityisnotcompletew腸胃炎症狀一般維持2至6日w暫時未有疫
13、苗注射Viral Gastroenteritis 病毒性腸胃炎病毒性腸胃炎 wNorwalkinfectionoccursyear-roundandiscommonwMorethan70percentofadultsinbothdevelopedandlessdevelopedcountrieshaveantibodiestothisvirusw諾沃克病毒諾沃克病毒感染是普遍和每年皆發生w於已發展和將近發展的國家中，多過七成的成人對此病毒已有抗體Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wAntibodyacquisitionoccursatayoungerageamo
14、ngchildreninlessdevelopedcountriesthanamongthoseindevelopedareasw於將近發展國家的年幼兒童比起已發展國家的年幼兒童較容易產生抗體Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wNorwalkvirusisspreadbythefecal-oralroutewIndevelopedcountries,thevirusisresponsibleforone-thirdofallepidemicsofnonbacterialgastroenteritisw諾沃克病毒諾沃克病毒的傳播媒介是經口或糞便w在已發展國家中，此
15、病毒佔有全部非細菌性腸胃炎爆發的三分之一Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wThevirusisacommoncauseofwaterborneepidemicsofgastroenteritisandhasbeenshowntobetheetiologicagentinnursinghome,cruiseship,andinstitutional(summercampandschool)outbreaksw此病毒正是導致經由飲水而感染腸胃炎的主要原因w而且，當腸胃炎發生在家居護理、遊輪及公共團體時(如夏令營和學校)，皆顯示出此病毒便是致病原Norwalk-li
16、ke viruses 諾沃克類病毒諾沃克類病毒wNorwalkillnesshasanincubationperiodofbetween18and72h.wDiseaseischaracterizedbytheabruptonsetofnauseaandabdominalcrampsfollowedbyvomitingand/ordiarrheaw諾沃克病毒疾病諾沃克病毒疾病的潛伏期為18至72小時w其發病的特色主要是突發性的作嘔、腹痛、接著是嘔吐和/或肚瀉Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wVomitingisreportedmorefrequentlyfor
17、childrenthanforadultswLow-gradefeverabove37.5C(99.5F)developsinabouthalfofaffectedindividualsw報告指出，兒童出現嘔吐的情況比成人多w低溫發燒大概37.5C(99.5F)出現於過半數的受感染者Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wHeadache,myalgias,andabdominalpainarecommonwTheillnessisusuallymildandself-limited,lasting24to48h.w一般症狀包括：頭痛、肌痛和腹痛w此疾病通常是溫和和
18、自限的，維持24至48小時Norwalk-like viruses 諾沃克類病毒諾沃克類病毒wMostpeopledonotdeveloplong-termresistancew多數人沒有產生長期抗性Norwalk-like viruses 諾沃克類病毒諾沃克類病毒Reference相關資訊衛生署熱線衛生署熱線2961 8966教統局預防傳染病在學校擴散http:/www.emb.gov.hk/circular/data/embcm/EMBCM03310C.pdf衛生署：預防病毒性腸胃炎http:/www.emb.gov.hk/mailattach/SchoolGE_C.pdf衛生署：學校預防
19、傳染病指引http:/www.info.gov.hk/dh/diseases/guide-c.htm衛生署：病毒性腸胃炎討論會簡報http:/www.emb.gov.hk/EDNEWHP/resource/viral_gastroenteritis/Chinese/download/vgs.ppt衛生署：諾沃克類病毒感染http:/www.info.gov.hk/dh/diseases/CD/Norwalkc.htm衛生署：預防傳染病資訊集http:/www.info.gov.hk/dh/diseases/CD/CD_indexc.html食環署：諾沃克類病毒知多少？http:/www.feh
20、d.gov.hk/safefood/library/norwalk/norwalkc.htmlReference相關資訊Health Promotion (by WHO)世界衛生組織將健康促進定義為世界衛生組織將健康促進定義為wThe process of enabling people to increase control over, and to improve their health增強人們掌控及改善自己健康的能力增強人們掌控及改善自己健康的能力wTo ensure sustained positive changes 確保能持續地作出正面的改善確保能持續地作出正面的改善wTo ad
21、dress the interwined social, educational, psychological, and health needs of school children 配合學童在社會、教育、心理和健康上的多種需要配合學童在社會、教育、心理和健康上的多種需要HealthPromotingSchools健康促進學校HongKongHealthySchoolsAwardScheme香港健康學校獎勵計劃TheHongKongSubsidizedSecondarySchoolsCouncil香港津貼中學議會theSubsidizedPrimarySchoolsCouncil津貼小學議會
22、WorldHealthOrganisation世界衛生組織theHongKongSpecialSchoolsCouncil香港特殊學校議會theCentreforHealthEducationandHealthPromotionoftheFacultyofMedicineofTheCUHK香港中文大學醫學院健康教育及促進健康中心EducationandManpowerBureau教育統籌局Quality school health programmesFormal curriculum正規課程The environment學校環境Health services健康服務Partnerships伙
23、伴關係School policies學校政策面對不同疾病對我們和下一代的威脅，作面對不同疾病對我們和下一代的威脅，作為家長的您可擔當什麼角色？為家長的您可擔當什麼角色？Youasparentsaretakingwhatkindofroleswhileyouandyourchildrenarefacingthethreatofdifferentdiseases?SchoolHealthPolicies學校健康政策wAsanadvisor,monitor&reviewerw作為顧問、監察及檢討過程的諮詢者wExample:nHealtheatingpolicy健康飲食政策nInfectiousco
24、ntrolpolicy傳染病控制政策wUnderstandthegoal&contentofhealtheducationw明白健康教育的目的及內容HealthEducationCurriculum健康教育課程wProvidehomeenvironmenttosustainchildrenpersonalhealthskills:Reinforcementw提供理想的家庭環境，強化孩子在學校所學的健康生活技能wModelinge.g.PersonalHygiene,CivilResponsibilityw以身作則，例如注重個人衛生、重視公民責任HealthEducationCurriculum
25、健康教育課程HealthServices健康服務wProvideaccuratehealthinformationofchildrentoschoolw提供準確的學生健康資料予學校ne.g.SARS:Temperaturen例如SARS個人體溫HealthServices健康服務wReportanykindsofinfectiousdiseasethatyourchildsuffer,e.g.Handfootmouth.w向學校報告孩子任何患上的傳染病，例手足口病wKeepyourchildathomeaccordinglyforrestw讓孩子在家休息HealthServices健康服務wC
26、ollaboratewithhealthservicesprovidingorganization,e.g.DHStudentHealthServicesw配合現存的健康服務，例如衛生署的學童保健計劃Environment學校環境wTakepartinschoolcleaningandbeautifyingactivitiesw參與校園清潔及美化工作NotjustkeepingschoolenvironmentcleanbutNotjustkeepingschoolenvironmentcleanbut不但保持學校環境衛生也能1.Improverelationshipsbetweenparen
27、t,children&school增進親子關係及與學校之關係2.Increasethesenseofbelonginginstudentstoschool提昇學生對學校的歸屬感3.Letyourchildputtingcivicandmoraleducationintopracticethroughtheschoolcleaning&beautifulactivities透過參與校園清潔及美化工作，提供孩子一個公民教育實踐的機會Partnership伙伴關係wAshumanresourcetoschoolparentvolunteer,e.g.SARSw為學校義工隊，成為學校的人力資源，例如S
28、ARS期間的工作wProvideprofessionalinput,e.g.medical,nursingw提供專業意見，例如醫療或護理的意見HealthPromotionProgrammesneedingsupportfromparents健康推廣計劃需要家長的支持http:/ of Features of this Project計劃總結計劃總結wcreate a culture of healthy habit and healthy living environmentw建立健康的文化和一個健康的生活環境Healthy School 健康學校Healthy Community 健康社區
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36、2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbK8G5D1A-x*t$mVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeM
37、aJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$q
38、YnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ8G4D1z-w*t!qUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A6E3B+y(v%r#oWlTiQeN
39、bK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$
40、rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2At!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G
41、5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoW
42、kThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXhQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2
43、A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+yrZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdM9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgP
44、dMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJZnVkSgPdMaI7F4y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9IhQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdLaI6F3B0y)v
