Michigan Model for Health for Grades K-6 Training of Trainers

1. Michigan Model for Healthfor Grades K-6Training of Trainers Assignment 9: HIV Education in the K-6 Michigan Model for Health

2. Goals for This Assignment: • Update on adult information about HIV

3. Goals for This Assignment: • Update on adult information about HIV • Gain familiarity with the HIV prevention lessons for grades 4 and 5

4. Goals for This Assignment: • Update on adult information about HIV • Gain familiarity with the HIV prevention lessons for grades 4 and 5 • Prepare to conduct teacher training on HIV education

5. Goals for This Assignment: • Update on adult information about HIV • Gain familiarity with the HIV prevention lessons for grades 4 and 5 • Prepare to conduct teacher training on HIV education • Identify reliable sources of information about HIV

6. What Do Teachers Need? • Motivation to address the topic

7. What Do Teachers Need? • Motivation to address the topic • Facts to increase competence

8. What Do Teachers Need? • Motivation to address the topic • Facts to increase competence • Skill development to increase comfort

9. What Do Teachers Need? • Motivation to address the topic • Facts to increase competence • Skill development to increase comfort • Developmentally appropriate lessons to teach

10. HIV Huddles • What did you hear about HIV or AIDS initially, and how did you feel about that information?

11. HIV Huddles • What did you hear about HIV or AIDS initially, and how did you feel about that information? • Why do you think young people need to know about HIV and AIDS?

12. HIV Huddles • What did you hear about HIV or AIDS initially, and how did you feel about that information? • Why do you think young people need to know about HIV and AIDS? • How can you help prevent young people from getting infected with HIV?

13. HIV Staff Development Issues • Adults still lack accurate information.

14. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important.

15. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important. • Teachers need to know their boundaries as set by state law and school policy.

16. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important. • Teachers need to know their boundaries as set by state law and school policy. • Teachers need to gain confidence in responding to student questions & comments.

17. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important. • Teachers need to know their boundaries as set by state law and school policy. • Teachers need to gain confidence in responding to student questions & comments. • Skill building is often lacking.

18. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important. • Teachers need to know their boundaries as set by state law and school policy. • Teachers need to gain confidence in responding to student questions & comments. • Skill building is often lacking. • HIV should integrate with other curriculum.

19. HIV Staff Development Issues • Adults still lack accurate information. • Teachers are not comfortable with the topic, but believe it is important. • Teachers need to know their boundaries as set by state law and school policy. • Teachers need to gain confidence in responding to student questions & comments. • Skill building is often lacking. • HIV should integrate with other curriculum. • Guest speakers must be carefully selected.

20. HIV/AIDS Prevention Laws*HIV education is required... • At least once a year at every building level *Michigan law

21. HIV/AIDS Prevention Laws*HIV education is required... • Trained teachers • Accurate adult level information • Curriculum specific • Developmentally appropriate strategies *Michigan law

22. HIV/AIDS Prevention Laws*HIV education is required... • Parental rights– • Advance notification • Content • Preview materials • Observe instruction • Excuse child without penalty *Michigan law

23. HIV/AIDS Prevention Laws*HIV education is required... • Approval process: • Two public hearings • School board approval *Michigan law

24. HIV/AIDS Prevention Laws*HIV education is required... • Required Content– • Abstinence • Best methods for restriction and prevention of disease *Michigan law

25. HIV/AIDS Prevention Laws*HIV education is required... • Prohibited Content or Actions– • Abortion cannot be taught as a method of reproductive health or family planning • Dispense or distribute family planning drug or device in school or on property *Michigan law

26. Take a Break

27. HIV Quiz Bowl Question # 1: • What are the four stages of HIV Disease?

28. HIV Quiz Bowl Question # 1: • What are the four stages of HIV Disease? • Answer: • Acute HIV Infection • Asymptomatic HIV Infection • Chronic Symptomatic HIV Infection • AIDS or Advanced HIV Disease

29. LEVELS OF HIV DISEASE AcuteHIV Infection Flu-like illness or None

30. LEVELS OF HIV DISEASE AsymptomaticHIV Infection None

31. LEVELS OF HIV DISEASE fatigue cough night sweats swollen glands weight loss bleeding diarrhea Chronic SymptomaticHIV Infection

32. LEVELS OF HIV DISEASE Pneumocystis carinii pneumonia Kaposi’s Sarcoma Tuberculosis Candidiasis Dementia T cell count below 200 … and more AIDS Advanced HIV Disease

33. LEVELS OF HIV DISEASE Pneumocystis carinii pneumonia Kaposi’s Sarcoma Tuberculosis Candidiasis Dementia T cell count below 200 … and more AIDS Advanced HIV Disease fatigue cough night sweats swollen glands weight loss bleeding diarrhea Chronic SymptomaticHIV Infection AsymptomaticHIV Infection None AcuteHIV Infection Flu-like illness or None All categories are INFECTIOUS!!!

34. HIV Quiz Bowl Question # 2: • How long is the window period between infection with HIV and a positive test?

35. HIV Quiz Bowl Question # 2: • How long is the window period between infection with HIV and a positive test? • Answer: • 25 days to 3 months

36. Stages of HIV Disease HIV exposure 1-2 weeks Remain HIV free 1. Acute HIV Infection Able to transmit(becomes communicable) May have flu-likesymptoms Window Period : 25 days to 3 mos. HIV+ if tested(positive HIV antibody test) 3. Chronic SymptomaticHIV infection 2. Asymptomatic HIV Infection 11 years average 4. AIDS or Advanced HIV Disease

37. HIV Quiz Bowl Question # 3: • What cells does HIV prefer to attack?

38. HIV Quiz Bowl Question # 3: • What cells does HIV prefer to attack? • Answer: • Helper T Cells (WBC) • Macrophages (WBC) • Glial cells (brain)

39. Human Immunodeficiency VirusCharacteristics of HIV 1.Retro virus – • RNA virus • Entwines itself into the genetic materials of cells 2.Lente virus – • May live dormant for years 3.Outer protein coat – • Changes rapidly • No vaccine 4.Attacks certain cells – • Helper T Cells (WBC) • Macrophages (WBC) • Glial cells (brain)

40. HIV Quiz Bowl Question # 4: • Which body fluids have been confirmed to transmit HIV?

41. HIV Quiz Bowl Question # 4: • Which body fluids have been confirmed to transmit HIV? • Answer: • Blood • Blood products • Semen • Vaginal secretions • Cervical secretions • Breast milk

42. INFECTIVITY OF BODY FLUIDS Confirmed Risk = Actual, documented cases Blood Blood products Semen Vaginal secretions Cervical secretions Breast milk

43. INFECTIVITY OF BODY FLUIDS Confirmed Risk = Actual, documented cases Blood Blood products Semen Vaginal secretions Cervical secretions Breast milk Theoretical Risk = Possible, highly unlikely, No documented cases Urine Feces Vomit Tears Saliva

44. HIV Quiz Bowl Question # 5: • What are the four ways HIV is transmitted?

45. HIV Quiz Bowl Question # 5: • What are the four ways HIV is transmitted? • Answer: • Pregnant woman to unborn child • Contaminated blood or blood products • Needle sharing • Intimate sexual contact

46. HIGH RISK BEHAVIOR –Pregnant Woman to Unborn Child ELIMINATE RISK: • Don’t become pregnant if HIV infected. • Get tested for HIV if there is a history of high-risk behavior. REDUCE RISK: • Accept HIV testing offered during pregnancy. • Take antiretroviral medicine if HIV infected. • Don’t breast feed if HIV infected.

47. HIGH RISK BEHAVIOR –Contaminated Blood/Blood Products ELIMINATE RISK: • Prepare autologous blood donations. • Use synthetic clotting factor. REDUCE RISK: • Select donors from friends and family. • Know the blood supply is tested.

48. HIGH RISK BEHAVIOR –Sharing Needles ELIMINATE RISK: • Abstain from using injected drugs. • Don’t share needles or syringes. REDUCE RISK: • Clean needles between users. • Abstain from using non-medical drugs.

49. HIGH RISK BEHAVIOR –Intimate Sexual Contact ELIMINATE RISK: • Abstain from intimate sexual contact. • Commit to lifetime monogamy. REDUCE RISK: • Use latex condoms correctly and consistently. • Use a water- or silicone-based lubricant. • Limit the number of partners. • Know the sexual history of partners. • Stop high-risk behaviors.

50. Take a Break