News from the Nurse

Welcome to the North Andover Middle School Health Office

Flu Season 
January 29th, 2020

Now that Massachusetts has increased the Flu severity from Moderate to High this week, here are some helpful tips to keep you healthy and what to watch out for.

As always, please keep your child HOME if they have a Fever of 100 degrees or higher.  Children must remain home until they are fever FREE for at least 24 hours WITHOUT the use of medicine.  Keeping children healthy while in school is our goal. 

Preventing the Flu:
  • Get Vaccinated!  
    • Flu vaccination has shown to significantly reduce a child’s risk of serious complications from influenza. While there are many different flu viruses, flu vaccines protect against the 3 or 4 viruses that research suggests will be most common. 
  • Prevent Spreading Germs!
    • Try to avoid close contact with sick people.
    • While sick, limit contact with others as much as possible to keep from infecting them.
    • If you are sick with flu-like illness, the CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone for 24 hours without the use of a fever-reducing medicine.)
    • Cover your nose and mouth with your elbow or a tissue when you cough or sneeze. After using a tissue, throw it in the trash and wash your hands.
    • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand sanitizer. 
    • Avoid touching your eyes, nose and mouth. Germs spread this way. 
    • Clean and disinfect surfaces and objects that may be contaminated with germs
Flu Symptoms:
Flu signs and symptoms usually come on suddenly. People who are sick with the flu often feel some or all of these symptoms:
  • Fever* or feeling feverish/chills
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Muscle or body aches
  • Headaches
  • Fatigue (tiredness)
  • Some people may have vomiting and diarrhea, though this is more common in children than adults.
*It’s important to note that not everyone with flu will have a fever.


Students entering 7th grade are required to have a booster dose of Tdap Vaccine along with a 2nd Chicken Pox Vaccine. Please send documentation of these vaccines to the Health Office. 

Also, be advised that students are required to submit one physical exam while attending the middle school. Please contact your child's physician and make arrangements for him/her to receive their immunization and or physical exam before the start of the school year. Send physician documented dates to the Health Office before the start of the school year or anytime thereafter. Fore more information about entry requirements, see the Parent Health Information page

Thank you for your cooperation with this important matter.

Our goal in the health office is to see that students at NAMS are enjoying optimum health.

Reasons for Dismissal / Exclusion
  1. Temperature over 100 degrees (oral temperature)
  2. Cough with fever
  3. Suspected infection of eye, ears, nose, throat, skin, scalp (unless under physician’s care for 24 hours)
  4. Severe headache or abdominal pain
  5. Suspected communicable disease and/or rash of unknown origin
  6. Suspected fracture or any severe or disabling injury
  7. Questionable need for sutures
  8. Vomiting or diarrhea
  9. Severe head injury 
  10. Suspected pediculosis (head lice)
Please keep us apprised of any serious injuries or illnesses along with any contagious illnesses such as Strep Throat.

One physical exam is required while your child attends middle school. Also, prior to entering 7th grade, students are required to show documentation that they have received a tetanus booster if the last one is more than 5 years ago.

Students are not permitted to carry their own medications except for the following:
  1. Students with diabetes are permitted to keep all their diabetic supplies with them.
  2. Students with asthma are permitted to carry their inhalers with them.
  3. Students with severe allergies are permitted to carry their epi-pens with them.
  4. Students with Cystic Fibrosis are permitted to carry their enzymes with them.
Please send to the health office the necessary medical orders from your child’s pediatrician when they are prescribed medication for any of the above mentioned reasons or if they will be needing to take medication in the health office during the school day.

Annual Screenings for NAMS students

Scoliosis Screening
Scoliosis screening is done on all 6th, 7th and 8th graders during PE  and/or Fitness classes. You will receive a letter from the health office if your child needs further evaluation. If you do not want your child to participate in this program please send a doctor's note showing that he/she was screened for scoliosis by the doctor prior to the screening day. The note should go to the nurse.

Vision and Hearing Screening
All 7th grade students will have vision/hearing screening. Again, you will receive a letter from the health office if your child needs further evaluation.

Heights and weights with BMI calculation*
All 7th graders will have their height, weight and BMI calculated.

*Please know that if you prefer not to have your child participate in the BMI screening you need to send a written note to the nurse prior September 30.

 Nursing Staff 

Elizabeth Hassanein MS, RN
Kathleen Pease BSN, RN

North Andover Middle School 
495 Main Street
North Andover, MA 01845

978-557-7902 - School Nurse 
978-794-1870 - Main Office Phone
978-794-3619 - Main Office Fax

When should you keep your child home from school?

Please see the