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Subject 511-5-8 SCREENING OF PUBLIC SCHOOL CHILDREN FOR SCOLIOSIS

Rule 511-5-8-.01 Definitions

Unless a different meaning is required by the context, the following terms as used in these Rules shall have the meaning hereinafter respectively ascribed to them

(a) "At Risk Population" means those children who are in the age group 10 through 15 years.
(b) "Department" means the Georgia Department of Public Health.
(c) "Health Authority" means the county boards of health or their authorized representatives.
(d) "School Authority" means the county and municipal boards of education or their authorized representatives.
(e) "Scoliosis" means a lateral curvature of the spinal column from the midline that may or may not include rotation or deformity of the vertebrae.
(f) "Screening Examination" means to pass through a standardized inspection or test approved by the Department.

Rule 511-5-8-.02 Provision for Screening

(1) The health authority in cooperation with the school authority shall provide screening of public school children in the at risk population.
(2) Screenings shall be offered annually for a minimum of two grades occupied by the at risk population, recognizing that with their earlier maturation females should be screened in early adolescence.
(3) All children in the at risk population grades selected shall be screened except those children whose parents or legal guardians object in writing to such screening.

Rule 511-5-8-.03 Written Notice

(1) Parents or legal guardians shall receive written notification from the school authority two weeks prior to the dates on which screening is to occur during the school term.
(2) If parents or legal guardians object to the screening, they must notify the school authority in writing within five days of having received the screening notification.
(3) The school authority shall maintain a list of the childrens' names for whom parents or guardians have filed a written objection and shall make such names known to the health authority.

Rule 511-5-8-.04 Screening Examinations

(1) The health authority shall use a standardized inspection or test approved by the Department.
(2) The health authority shall cause staff who will perform the screening examinations to attend training courses offered by the Department as such attendance is deemed necessary by the health authority.
(3) Volunteers may be utilized by the health authority to assist in the screening program provided that such persons successfully complete a training course provided by the health authority. The health authority shall certify such persons to the school authority as authorized to participate in the screening program.

Rule 511-5-8-.05 Screening Process

(1) The health authority shall cause each eligible child to be screened.
(2) Children identified as having a possible spinal deformity by volunteers shall be rescreened by the health authority.
(3) The health authority, at its discretion, may conduct follow-up clinics, utilizing x-ray and physician evaluation.
(4) Parents or guardians shall be notified solely by the health authority if their child is identified, during the screening process, as having a possible spinal deformity. The health authority shall also recommend to the parents or guardians that they seek further professional attention for the child.
(5) The health authority shall contact parents or guardians, who have been notified that their child may have a possible spinal deformity, to ascertain the outcome of subsequent evaluations.

Rule 511-5-8-.06 Records and Reports

(1) The health authority shall submit or cause to be submitted an annual report to the Department. A copy of the annual report shall be provided to the appropriate school authority. The report shall be on forms provided by the Department.
(2) The health authority shall maintain the names of children screened and the results of their screening pursuant to the schedules developed under the Georgia Records Act.