Health and Wellness
The Health Office aims to provide care for children and staff to ensure that they can be as healthy as possible to maximize their experience at school. We provide care for acute and chronic illnesses, first aid, health education for children, teachers and parents, and health screening.
We also provide a resource for the school community about health care available in Mumbai. The nurses help to ensure that all staff at ASB have current first aid certification. First aid kits are provided around the campus and for the field trips as well. An AED device (Automated External Defibrillator) is available on each campus.
The Health Office is staffed by qualified, experienced nurses. We have a pediatrician and a physician on campus one day per week. These doctors are also available on an "as-needed" basis through the health office to coordinate health care.
We have a Health Office located on each campus: on the Ground Floor next to Pre-K at the Elementary Campus and in The Atrium opposite The Cafeteria at the Secondary Campus.
The Health Offices are open from 7:30 - 4:30pm Monday to Friday. Additionally, we open whenever there is a student activity on campus requiring nurse support (for example, sport practices).
There is no need to book an appointment to see the doctor. However, young students (including all ESC students) should be accompanied by a parent to see the doctor.
We have developed relationships with various hospitals in Mumbai, based upon favorable experiences from within our ASB community and understanding by the ASB nursing and medical staff of the best clinical providers locally. While ASB can not guarantee every clinical experience, we believe that this list is a good starting point for accessing high quality care. If you need further recommendations, please contact the Health Office.
ASIAN HEART INSTITUTE, BKC
BKC, Bandra East, 400051. Phone: 022 6698 6666
KOHINOOR HOSPITAL, KURLA WEST
Kohinoor City, Kirol Road,400076. Phone: 022 6755 6755
HINDUJA HEALTHCARE, KHAR
11th Rd, Hinduja Marg, Khar West,400052. Phone: 022 2646 9999
LILAVATI HOSPITAL, BANDRA
A - 791, Chapel Rd, Bandra West,400050. Phone: 022 2675 1000
HIRANANDANI HOSPITAL, POWAI
Opp Hiranandani Knowledge Park, Link Rd, Powai, 400076. Phone: 022 25763300
BREACH CANDY HOSPITAL, BREACH CANDY
60 A, Bhulabhai Desai Road, Breach Candy, 400026. Phone: 022 2367 2888
BOMBAY HOSPITAL, MARINE LINES
12, Marine Lines, 400020. Phone: 022 2206 7676
HINDUJA HOSPITAL, MAHIM
Swatantrya Veer Savarkar Marg, Mahim West, 400016. Phone: 022 2445 2222
SAIFEE HOSPITAL, GIRGAON
MK Rd, Girgaon, 400004. Phone: 022 - 6757 0111
KOKILABEN DHIRUBHAI AMBANI HOSPITAL, ANDHERI
A Patwardhan Marg, Four Bungalows, Andheri(W), 400053. Phone: 022-3099-9999
Use clothing to cover up as much as possible and use repellent, especially if you are outside at dawn or dusk. Avoid having open windows in your home or car. Clear any mosquito breeding sites around your home, for example, standing water in potted plants. Mosquito prevalence increases around Monsoon, so please be extra vigilant.
FOOD AND WATER SAFETY
It is preferable to drink bottled or filtered water only. Avoid eating street food and wash your fruits and vegetables in a vegetable wash solution prior to eating. These solutions are available at many supermarkets.
Avoid contact with street animals. If bitten, or licked on an open wound, immediately wash the area with water and soap (if available), and seek immediate medical attention. Be particularly vigilant if accompanying small children, cycling, or running. Rabies is present in India, therefore we recommend that you consider immunization.
Mumbai can be very hot, and at times, very humid. Ensure that you drink plenty of fluids and avoid being in the sun for any longer than necessary. Wear a hat and sunglasses. Try to avoid sunburn by wearing loose clothing that also covers arms and legs.
Handwashing, Handwashing, Handwashing! We cannot recommend it enough! Particularly before and after eating and after visiting the bathroom. Use a hand sanitizer if you are not able to access water.
- Returning to School After an Illness
- Parent Communication
- Nut Aware School
- Hearing and Vision Screening
- Head Lice
- Sun Smart
- Air Quality
Parents will be contacted to collect any child who suffers a fever, vomiting or diarrhea at school. This is to ensure that the child is cared for in the most comfortable environment, and also to minimize the risk of cross infection between the child and other members of the school community.
Children who have suffered from temperature, vomiting or diarrhea should not return to school until they have been well for 24 hours without the need for medication.
In the case of a diagnosed infectious disease, the Health Office will take advice from our school doctors along with the recommendations from the Health Protection Authority (UK) guidelines regarding infection control measures, including school exclusion times.
If your child is seen in the Health Office and the nurses or doctors feel that you need to be notified, we will contact you by phone and/or email. You will always be notified if your child has received or will receive medication. You may not be notified for minor cuts and scrapes or other minor presentations. Please be reassured that if in doubt, we will contact you!
At ASB we generally have several students and/or staff within our community with significant allergies. We are committed to ensuring that we provide an environment that maximizes the safety afforded to all our students. To that end we would like you to join with us to minimize risk for our allergic students.
We are committed to providing food on campus which is, to be best of our ability, nut free. We request that parents be thoughtful of our nut allergic community by avoiding sending any nuts or food containing nuts into school. Please be aware that in some instances a significant reaction can occur not just from eating the allergen but also through skin contact from another child or furniture.
It is also requested that any food which is sent in from home to be consumed by groups, be nut-free and have the ingredients listed.
The steps we are taking as a school to minimize risk include:
- All staff dealing with children are 'Epipen trained’
- We endeavor to ensure that all food provided by school caterers (Sodexo) is nut free
- Children are encouraged to wash their hands both before and after eating
- We actively discourage sharing of food between students
- Eating areas will be cleaned between diners to minimize contamination
- We discourage community members from bringing nuts or nut products onto campus
The Health Office runs Vision and Hearing screening for Elementary School children. Hearing screening will be done each year for students up to 2nd grade. All new students will also be tested. Vision screening will be done every second year throughout the Elementary years, and for any student not tested last year (e.g. all new students).
If a student has less than satisfactory results from screening, they will be re-screened two weeks later. If the results are still not satisfactory, parents will be informed and further investigation recommended. Screening can also be performed at any time for any grade level, in response to parent or teacher concern.
Head lice are not threatening to health. They can not jump or fly. They mobilise by crawling so need head to head contact to be transferred from one child to another. They need a warm environment for survival. Head lice often produce no symptoms at all. Itching of the head or ‘tingling’ are the most common symptoms of infestation.
Aims of care from the Health Office:
- Encourage Parents to regularly check their children for head lice using a ‘wet combing’ method
- Encourage early treatment of children (and families) found to have live lice
- Education of Parents and Faculty regarding head lice, prevention and treatment
When a child is found to have live head lice:
- Children will be discouraged from any head to head contact in school.
- Parents will be notified re infestation and requested to treat their child that day with an approved method (for current recommendations contact the nurses or a pharmacist).
- A notification (usually an email) will be sent to all parents of children in the class of the child identified with lice. This email will encourage parents to check their children. Anonymity will be maintained at all times.
When a parent finds live lice on their child they should be encouraged to inform the health office so that a reminder can be sent to other parents in their child’s class to check for lice. Children will not be excluded from school due to Head Lice. There will be periodic reminders to parents in regular parent communication with regard to checking for lice. Lice is a problem which will never go away, and we rely upon parents being vigilant to detect lice outbreaks.
Head checking by nurses is not of benefit as lice are fast moving and do not like light. It is unlikely that checking in the school setting will find an early outbreak of lice. Wet combing by parents/caregivers is the recommended method of detection and a ‘nit comb’ or ‘detection comb’, available at pharmacies, is required:
- Wash the hair in the normal way with ordinary shampoo
- Rinse out the shampoo and put on lots of ordinary conditioner
- Comb the hair with a normal comb to get rid of tangles
- When the hair is untangled switch to the detection comb
- Slot the teeth of the detection comb into the hair at the roots so it is touching the scalp
- Draw the detection comb through to the tips of the hair
- Make sure that all parts of the hair are combed by working around the head.
- Check the comb for lice after each stroke. A magnifying glass may help
- If you see any lice, clean the comb by wiping it on a tissue, or rinse it before the next stroke
- After you have combed the whole head, rinse out the conditioner
At ASB we recognize that exposure to the sun can cause both short and long term damage to skin, but since we can control our exposure to the sun, most skin damage is preventable. We therefore encourage our students to partake in activities to minimize their risk.
We have attempted to provide maximum shade facilities around campus to enable outside lessons, or play, to be as comfortable as possible in the Mumbai heat. When going into direct sun is unavoidable we encourage children to wear clothing which is both loose fitting and comfortable, but which provides coverage to arms and legs to avoid sun burn. Hats and sunglasses (where appropriate) are also encouraged, as is the use of sunscreen (SPF 30+).
All students should carry their own water bottle so that they can have water at any time of the day. There are multiple sites around each of the campuses where water bottles can be refilled.
Unfortunately, we sometimes get poor air quality in Mumbai. Generally this occurs between October and March, the cooler months of the year. At ASB, we monitor the AQI (Air Quality Index) using the published US Consulate AQI readings every hour when students are participating in school or other on campus activities. These readings inform our decisions about when outdoor activities need to be modified or cancelled.
We also have the air quality of our indoor spaces checked regularly. We are pleased to report that internal air quality has always been excellent.
Procedures will be put in place to ensure that ASB limits the aerobic activity of students when necessary. The health and PE teams have developed practices to inform the community when air quality may have a serious impact on the health of our students and will adjust activities involving aerobic activity when needed.
We believe that:
- The majority of individuals and families expect that the school delivers a high quality physical education and athletics program to students;
- Activity is necessary for us all – children, young adults, and adults – and inactivity presents potential behavioral and health related problems;
- Parents always have the right to request that their child(ren) does/do not participate in aerobic activity, or go outside for recess or classes, and under such circumstances, students will never be penalized for non-participation;
- We are members of international school athletic leagues – ASIAC and SAISA – and as such, we have commitments to be participatory, contributing members;
- We wish to remain as active as possible regarding all aspects of our lives in Mumbai;
- Students exhibiting or complaining of shortness of breath or irritation in the throat are routinely sent into a building with conditioned air until they feel relief.
- Quarterly readings of inside air quality will help us to ensure that our indoor air quality continues to be excellent.
School administrators will communicate to the faculty and students any need for modification of outdoor physical activity, keeping in mind both the AQI (Air Quality Index) and the multiple other factors influencing the health and well-being of students.
The guidelines we use to determine if outdoor physical activity will be modified are as follows:
On days when AQI readings exceed 200 for elementary students and 250 for MS/HS students, we will not have outdoor activities. If AQI levels are between 201 and 250, the ASB PE and Athletics Departments will modify activities in order to keep heart-rates and respiration-rates low, while still providing instruction and movement opportunities for our students. Any activity will be short in duration and of minimal physical demand.
We use the air quality data sourced from the US Consulate and/or data from our handheld device to determine our outdoor activity:
At ASB we are continually exploring how to best protect our students from the effects of poor air quality. This is an ongoing process utilising knowledge and research from around the world.
For questions regarding AQI, please contact the health office: SmithiesA@asbindia.org
Concussion is a form of head injury which is caused by a blow or jolt to the head. The symptoms may be immediate, or may develop over several hours. The diagnosis of concussion is based upon the symptoms shown, and the mechanism of injury. Diagnostic tests (MRI/CT) are usually normal.
At ASB, if concussion is suspected we have a no return to play on the same day policy. We understand that students are enthusiastic about sport, but their short and long term health is our priority.
All of our coaches
- will encourage a culture of safe, fair play and sportsmanship
- have been familiarised with the signs and symptoms of concussion
- have participated in pre-season learning about recognition and treatment of concussion
If a concussion is suspected parents will be requested to have their child reviewed by a medical professional.
As part of the athletic coaching students will be taught about the importance of reporting signs of concussion, and also the reasoning behind the need to withdraw an athlete from play if there is the possibility of a concussion.
Teachers at ASB are aware of the need to assist students in their recovery from a concussion and will observe and work with students, parents, and health professionals to provide the best ‘post injury’ path.
For more information, review the CDC ‘Heads Up’ pages outlining prevention and care for concussion.