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Health Services

Our annual immunization clinic is coming up in April. Please see the following flyers below. Each student will be sent home a packet to be filled out and returned to the nurse. Please make sure you attach a copy of insurance card and or payment. If you need additional forms please see our form link and select the appropriate one for your child. The 6th grade shots are for the following school year. All students entering 7th grade must have a Tdap and MCV4 immunization. Seniors that plan to attend college will need the 2nd dose of the MCV4 immunization. Please make sure to get all forms back to the school nurse in a timely manner.
Measles is a highly contagious disease. It can be serious for young children. Protect your child by making sure he or she is up to date on vaccinations. 
You may be hearing a lot about measles lately, and all of this news on TV, social media, Internet, newspapers and magazines may leave you wondering what you as a parent really need to know about this disease. CDC has put together a list of the most important facts about measles for parents like you.
Measles can be serious.
Some people think of measles as just a little rash and fever that clears up in a few days, but measles can cause serious health complications, especially in children younger than 5 years of age. There is no way to tell in advance the severity of the symptoms your child will experience.
• About 1 in 4 people in the U.S. who get measles will be hospitalized.
• 1 out of every 1,000 people with measles will develop brain swelling, which could lead to brain damage.
• 1 or 2 out of 1,000 people with measles will die, even with the best care.
Some of the more common measles symptoms include:
• Fever
• Rash
• Runny nose
• Red eyes
Measles is very contagious.
Measles spreads through the air when an infected person coughs or sneezes. It is so contagious that if one person has it, 9 out of 10 people around him or her will also become infected if they are not protected. Your child can get measles just by being in a room where a person with measles has been, even up to two hours after that person has left. An infected person can spread measles to others even before knowing he/she has the disease—from four days before developing the measles rash through four days afterward.
Your child can still get measles in United States.
Measles was declared eliminated from the U.S. in 2000 thanks to a highly effective vaccination program. Eliminated means that the disease is no longer constantly present in this country. However, measles is still common in many parts of the world, including some countries in Europe, Asia, the Pacific, and Africa. Worldwide, an estimated 20 million people get measles and 146,000 people, mostly children, die from the disease each year. Even if your family does not travel internationally, you could come into contact with measles anywhere in your community. Every year, measles is brought into the United States by unvaccinated travelers (Americans or foreign visitors) who get measles while they are in other countries. Anyone who is not protected against measles is at risk.
You have the power to protect your child against measles with a safe and effective vaccine.
The best protection against measles is measles-mumps-rubella (MMR) vaccine. MMR vaccine provides long-lasting protection against all strains of measles. Your child needs two doses of MMR vaccine for best protection:
• The first dose at 12 through 15 months of age
• The second dose 4 through 6 years of age
If your family is traveling overseas, the vaccine recommendations are a little different:
• If your baby is 6 through 11 months old, he or she should receive 1 dose of MMR vaccine before leaving.
• If your child is 12 months of age or older, he or she will need 2 doses of MMR vaccine (separated by at least 28 days) before departure.

Recent Posts

Mathletes VS Athletes

San Augustine JH/HS Nurse Leah Williams, with her fellow Mathlete Jayden Clifton.

Today’s theme for Homecoming week – Mathletes vs. Athletes.

School Policy on Illness
School Policy on Illness


When your child is ill, please contact the school to let us know he or she won’t be attending that day. It is important to remember that schools are required to exclude students with certain illnesses from school for periods of time as identified in state rules.

For example, if your child has a fever over 100 degrees, he or she must stay out of school until fever-free for 24 hours without fever-reducing medications. In addition, students with diarrheal illnesses or vomiting must stay home until they are diarrhea or vomiting free without suppressing medications for at least 24 hours.

A full list of conditions for which the school must exclude children can be obtained from the school nurse. If a student becomes ill during the school day, he or she must receive permission from the teacher before reporting to the school nurse. If the nurse determines that the child should go home, the nurse will contact the parent. The district is also required to report certain contagious (communicable) diseases or illnesses to the Texas Department of State Health Services (TDSHS) or our local/regional health authority.

The school nurse can provide information from TDSHS on these notifiable conditions. Contact the school nurse Karen Noble or Leah Williams, if you have questions or if you are concerned about whether or not your child should stay home.

Flu Prevention Tips

Welcome to the 2018-2019 school year. We are excited to be back and look forward to an amazing year. We are quickly approaching the 2018 flu season. That means it's time for vaccines. Are you ready for this season?

Stopping the flu is up to you. The flu is spread from person to person when someone who has the virus sneezes, coughs or talks. The flu virus can be inhaled by anyone close by. Occasionally, a person may become infected by touching something with the virus on it.  Make sure you get your vaccinations.

Symptoms of the flu include

  • Fever
  • Cough
  • Sore thoat
  • Runny or stuffy nose
  • Feeling feverish/chills
  • Muscle or body aches
  • Headaches
  • Fatigue
CDC recommends a yearly flu vaccine as the first and most important step in protecting against influenza and its potentially serious complications.
While there are many different flu viruses, flu vaccines protect against the 3 or 4 viruses that research suggests will be most common. Three-component vaccines contain an H3N2, an H1N1 and a B virus. Four component vaccines have an additional B virus component. This vaccination can reduce flu illnesses, doctors’ visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations. It has also has been shown to significantly reduce a child’s risk of dying from influenza.


Everyone 6 months of age and older should get a flu vaccine every year before flu activity begins in their community. CDC recommends getting vaccinated by the end of October.

Flu Vaccination: Who Should Do It, Who Should Not

What You Should Know About Influenza (Flu) Antiviral Drugs
Proper Hand Washing

One important factor in keeping yourself and others healthy is in your hands – literally.

Proper hand-washing is one of the best – and easiest – ways to avoid getting sick and spreading germs to others, according to the US Centers for Disease Control and Prevention.

But it takes more than simply placing your hands under running water for a few seconds. 

How can you help make sure your children are washing their hands correctly? Here’s the correct procedure. Teaching these steps is usually a “work in progress”:

Wet your hands with warm water.

  1. Lather up with soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.
  2. Scrub your hands for 20 seconds – about the time it takes to say the alphabet slowly or hum the “Happy Birthday” song twice.
  3. Rinse your hands well under warm, running water.
  4. Dry your hands using a clean towel.

Leah Williams, LVN
Junior High & High School Nurse