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State Honor Roll 2016 logo&

MISSISSIPPI

Overall, Mississippi meets 19 of 23 core policy standards and six of 13 extra credit indicators.

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Medication and Treatment Policies:

Meets nine of 12 core policy standards in this category:

1. State requires physician’s written instructions to be on file to dispense prescription medication to students.
2. State policy ensures students’ right to self-carry and self-administer prescribed asthma medication.
4. State policies or procedures shield school personnel from liability for unintended injuries.
4. State policies or procedures shield school personnel from liability for unintended injuries.
5. State requires local school districts to create asthma and anaphylaxis medication policy and provides resources, guidelines and parameters.
6. State policy mandates schools to identify and maintain records for students with chronic conditions including asthma and anaphylaxis.
7. State requires a procedure updating health records periodically.
8. State requires that schools maintain asthma/allergy incident reports for reactions, attacks, and medications administered.
9. State requires a student health history form that includes asthma/allergy information to be maintained for each student.
10. State requires schools to have emergency protocols for asthma.
11. State requires schools to have emergency protocols for anaphylaxis.
12. Nurse-to-student ratio is 1:750 or better.

Meets zero of six extra credit indicators in this category:

A. State requires anaphylaxis epinephrine stocking and authority to administer in schools.
B. State requires or allows albuterol asthma medication stocking and authority to administer in schools.
C. State has or is preparing an explicit asthma program with policies, procedures and resources for schools to manage students with asthma.
D. State has or is preparing an explicit anaphylaxis program with policies, procedures and resources for schools to manage students with allergies.
E. State has adopted policy that each school will have one full-time nurse.
F. State has adopted policy that school districts provide case management for students with chronic health conditions such as asthma.

Awareness Policies:

Meets both core policy standards in this category:

13. State recognizes problem of asthma in schools and has begun to address it.
14. State recognizes problem of allergy in schools and has begun to address it.

Meets both extra credit indicators in this category:

G. State sponsors or provides funding for staff training in asthma awareness covering school asthma program/policy and procedures.
H. State sponsors or provides funding for staff training in food allergies.

School Environment Policies:

Meets eight of nine core policy standards in this category:

15. State has mandated that all schools must have Indoor Air Quality (IAQ) management policies.
16. State has adopted a policy requiring that districts and schools conduct periodic inspections ofheating, ventilation and air conditioning (HVAC) system & other items important in asthma/allergymanagement.
17. State has IAQ policies that include specific components important in asthma/allergy management (HVAC, HEPA, carpeting, pesticide use).
18. State recommends/requires that districts or schools use integrated pest management (IPM)techniques OR ban use of pesticides inside school.
19. State requires schools to notify parents of upcoming pesticide applications.
20. State limits school bus idling time and establishes proximity restrictions.
21. All smoking is prohibited in school buildings and on school grounds.
22. All smoking is prohibited on school buses and at school-related functions.
23. Tobacco use prevention is required in health education curriculum.

Meets four of five extra credit indicators in this category:

I. State makes funding or resources available for technical IAQ assistance to schools.
J. State recommends standards and programs to promote environmentally preferable materials for school construction, maintenance and cleaning.
K. State requires school facility design standards that include low emission construction materials,pollutant source controls, durable and easy to clean surfaces and floors, moisture/mold controls.
L. State has implemented or actively promotes diesel school bus engine retrofitting program.
M. State requires districts or schools to provide tobacco use cessation services to students.

Policy Gaps:

Nurse to Student Ratio, Outdoor Air Quality

Noteworthy:

Comprehensive Asthma and Anaphylaxis Management; Epinephrine in Schools:  The Mississippi Asthma and Anaphylaxis Child Safety Act (SB2218) allows schools to obtain and use auto-injectable epinephrine, allows students to possess and self-administer asthma and anaphylaxis medications; requires written instructions from a physician for asthma/anaphylaxis medication in schools; requires each child to have an asthma action plan on file at school, updated annually, that includes information about medication dosage and delivery, instructions to the school if the student is coughing or wheezing, and a recommendation for whether the student should self-administer medication.   Further, it provides for emergency protocols for asthma; requires schools to conduct an indoor air quality assessment, develop long-range main10ance plans that include specific indoor air quality components, and implement a wellness policy that reduces children’s exposure to asthma environmental irritants. Indoor environment requirements direct schools to implement an integrated pest management program and minimize the use of pesticides, provide comprehensive, in-service training on asthma for teachers and other staff, minimize harmful cleaning products, and adopt construction containment procedures for pollutants that trigger asthma.

The State Department of Education requires the local school health councils to support implementing an integrated pest management program and reducing school bus idling. 

Outdoor Pollution: The revised 2014 Local Wellness Policy Guide for Development includes wording and resources for an optional school policy statement to “eliminate unnecessary school bus idling that causes pollution and creates health risk for children such as; asthma, allergies, and other respiratory problems.”

Sources:

State Education Agency Website

State Legislature Website

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