Skip Navigation


Milford I.S.D Health Services Page

  • What is meningitis?

    Meningitis is an inflammation of the covering of the brain and spinal cord.  It can be caused by viruses, parasites, fungi, and bacteria. Viral meningitis is most common and the least serious. Meningitis caused by bacteria is the most likely form of the disease to cause serious, long-term complications. It is an uncommon disease but requires urgent treatment with antibiotics to prevent permanent damage or death.

    Bacterial meningitis can be caused by multiple organisms. Two common types are Streptococcus pneumoniae, with over 80 serogroups that can cause illness, and Neisseria meningitidis, with 5 serogroups that most commonly cause meningitis.

    What are the symptoms?

    Someone with bacterial meningitis will become very ill. The illness may develop over one or two days, but it can also rapidly progress in a matter of hours. Not everyone with meningitis will have the same symptoms.

    Children (over 1 year old) and adults with meningitis may have a severe headache, high temperature, vomiting, sensitivity to bright lights, neck stiffness, and drowsiness or confusion. In both children and adults, there may be a rash of tiny, red-purple spots. These can occur anywhere on the body.

    The diagnosis of bacterial meningitis is based on a combination of symptoms and laboratory results.

    How serious is bacterial meningitis?

    If it is diagnosed early and treated promptly, most people make a complete recovery. If left untreated or treatment is delayed, bacterial meningitis can be fatal, or a person may be left with permanent disability.

    How is bacterial meningitis spread?

    Fortunately, none of the bacteria that cause meningitis are as contagious as diseases like the common cold or the flu, and they are not spread by simply breathing the air where a person with meningitis has been. The germs live naturally in the back of our noses and throats, but they do not live for long outside the body. They are spread when people exchange saliva (such as by kissing; sharing drinking containers, utensils, or cigarettes) or when people cough or sneeze without covering their mouth and nose.

    The bacteria do not cause meningitis in most people. Instead, most people become carriers of the bacteria for days, weeks or even months. The bacteria rarely overcome the body's immune system and cause meningitis or another serious illness.

    How can bacterial meningitis be prevented?


    Bacterial meningitis caused by Streptococcus pneumoniae and Neisseria meningitidis may be prevented through vaccination. The vaccine which protects against Streptococcus pneumoniae is called pneumococcal conjugate vaccine or PCV. This vaccine is recommended by the Advisory Council on Immunization Practices (ACIP) for children in the first year of life. Neisseria meningitidis is prevented through two types of vaccines. The first is a meningococcal conjugate vaccine which protects against 4 serogroups A, C, W, and Y and is referred to as MCV4. The second is a vaccine against Neisseria meningitidis serogroup B and is referred to as MenB.

    The ACIP recommends MCV4 for children at age 11-12 years, with a booster dose at 16-18 years. In Texas, one dose of MCV4 given at or after age 11 years is required for children in 7th-12th grades. One dose of MCV4 received in the previous five years is required in Texas for those under the age of 22 years and enrolling in college. Teens and young adults (16-23 years of age) may be vaccinated with MenB. This vaccine is not required for school or college enrollment in Texas.

    Vaccines to protect against bacterial meningitis are safe and effective. Common side effects include redness and pain at the injection site lasting up to two days. Immunity develops about 1-2 weeks after the vaccines are given and lasts for 5 years to life depending on vaccine.

    Healthy Habits

    Do not share food, drinks, utensils, toothbrushes, or cigarettes. Wash your hands. Limit the number of persons you kiss. Cover your mouth and nose when you sneeze or cough. Maintaining healthy habits, like getting plenty of rest and not having close contact with people who are sick, also helps.

    Who is at risk for bacterial meningitis?

    Certain groups are at increased risk for bacterial meningitis caused by Neisseria meningitidis. These risk factors include HIV infection, travel to places where meningococcal disease is common (such as certain countries in Africa and in Saudi Arabia), and college students living in a dormitory. Other risk factors include having a previous viral infection, living in a crowded household, or having an underlying chronic illness.

    Children ages 11-15 years have the second highest rate of death from bacterial meningitis caused by Neisseria meningitidis. And children ages 16-23 years also have the second highest rates of disease caused by Neisseria meningiditis.

    What you should do if you think you or a friend might have bacterial meningitis?

    Seek prompt medical attention.

    For more information

    Your family doctor and the staff at your local or regional health department office are excellent sources for information on all infectious diseases. You may call your family doctor or local health department office to ask about meningococcal vaccine. 


  • Milford ISD monitors flu-like illness in our students and staff daily. Good health and hygiene habits are very important to the health of our students, staff and visitors and are strongly encouraged. Our support service staff members clean frequently touched surfaces daily and perform extra sanitizing measures in classrooms and areas where flu illness is increasing.

    We strongly urge parents to keep their children home if they have any flu-like symptoms such as fever greater than 100, sore throat, cough, body aches, vomiting or diarrhea until they are fever-free without the use of fever reducing medication for 24 hours. Your help is critical in keeping our schools healthy during this flu season.

    We encourage parents to get the flu vaccine every year for their children ages 6 months and older and themselves. The Flu Finder on Texas Health & Human Services site will inform you of clinics in our area that can provide the flu vaccine.

Flu resources:


    • Milford ISD is keeping track of the COVID-19 situation, commonly referred to as “coronavirus,” with the help of reliable and trustworthy sources: our local health department, the Texas Department of State Health Services (DSHS), and the Centers for Disease Control and Prevention (CDC). Follow these links for updated information from the CDC on coronavirus in the United States and the most recent information about coronavirus in Texas.

      The outbreak of the respiratory illness – coronavirus - has been seen overseas and originated in Wuhan, Hubei Province, China. The United States has seen a handful of coronavirus cases related to travel, including travelers who are now quarantined at Lackland Air Force Base in San Antonio. There have been no other confirmed cases in Texas, and the Texas Department of State Health Services believes that the risk of contracting this illness is low for all Texans.

      While the risk is currently low, we are taking precautions to provide a healthy environment for students and staff. Our custodial staff is vigilant about routine cleaning, and we have alcohol-based hand sanitizer available at all campuses. And while there is no imminent need to close school, we are reviewing alternative instructional activities should the need arise.

      Based on the current information we have, health officials are recommending local communities and schools should take the same steps to protect against coronavirus as we take to prevent the spread of other respiratory illnesses, like colds or the flu.

      We encourage all Bulldogs to:

      • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
      • Avoid touching your eyes, nose, and mouth with unwashed hands.
      • Avoid close contact with people who are sick.
      • Stay home when you are sick. Remember, Milford ISD’s fever policy states that a child with a temperature higher than 100 degrees Fahrenheit must remain out of school until he or she has been fever-free for 24 hours without the use of fever-reducing medications.
      • Cover your mouth and nose with the inside of your elbow when you cough or sneeze.
      • Clean and disinfect frequently-touched objects and surfaces.


      Please help us protect our students, staff, and the whole community by using these simple methods of preventing the spread of all diseases. Our staff will also be encouraging the use of these methods at school.

      We have not canceled any upcoming student travel, but consider all factors of this changing situation when making decisions regarding student health and safety. As we head out of spring break, we encourage families to review the CDC travel advisory. In addition, students may become anxious about world news of this situation. Our emphasis will be simply reassuring them and educating them about the preventative steps they can take to remain healthy.

      We will continue to provide updates through district communication channels. Remember, stay home if you are sick, and please reinforce cough etiquette and hand-washing with your children at home and at school.



  • Head Lice are a common nuisance in school-aged children and can affect everyone. They do not transmit disease. Head lice are spread by head to head contact or by sharing clothing such as hats, scarves, coats and personal items such as combs, headbands, brushes and towels. Lice can survive for up to 2 days off of the scalp.

    The most common symptom of head lice is itching but that may not start right away. Children may complain of things moving on their head or a tickling sensation

    Nits (lice eggs) appear as tiny yellow or white dots before they hatch. They are located on the hair shaft close to the scalp and are firmly attached to the hair. They look somewhat like dandruff only they cannot be removed by brushing. Head lice nits take about 8-9 days to hatch. That is why it is important to follow directions and retreat your child’s hair in 7-10 days.

    Adult lice and nymphs (baby lice) are no larger than a sesame seed. Nymphs mature in 9-12 days to adults.

    Check your child’s hair frequently. This is the best way to spot head lice or their eggs before they have time to multiply. You may be able to see the lice or nits by parting your child’s hair into small sections and checking with a fine toothed comb on the scalp; focus behind the ears and around the nape of the neck. If you determine that your child has lice, please treat your child and inform your school nurse.

    Exclusion and Readmission:

    Students found to be symptomatic of lice infestation will be assessed by the office. Students that are found to have live lice will be sent home from school for treatment. They need to report to the office the following morning to be checked for lice before being readmitted to the classroom.

    Students with nits only will be allowed to stay in school for the remainder of the day but will need to treat that night and be rechecked by the office before returning to the classroom.


  • Vision and Hearing Screening 

    Routine screening of students in pre-kindergarten, kindergarten and grades 1, 3, 5 and 7 shall be performed for vision and hearing problems annually at any time during the reporting year prior to May 31. If the screening indicates the student may have vision or hearing problems, the school shall send a letter to the student’s parent/guardian advising them of the screening results and recommendation to schedule an exam with a professional healthcare provider. Any student new to the district will be screened for vision and hearing.

    Spinal Screening Spinal Screening/ COVID-19

    Girls at age 10 and 12 and boys once at age 13 or 14 shall be screened for abnormal spinal curvature before the end of the school year. If the screening indicates the student may have an abnormal spinal curvature, the school shall send a letter of the screening results to the parent/guardian advising them to schedule an exam with a professional healthcare provider.

    Acanthosis Nigricans (AN) Screening 

    Students in grades 1, 3, 5, and 7 shall be screened at the time of hearing and vision screening. If this marker indicating too much insulin in the blood is present, the school shall notify the parents and advise them to schedule an exam with a professional healthcare provider.



  • MISD routinely monitors the temperature, ozone, and weather conditions. While outdoor activity is strongly encouraged for all students, there may be times when it is necessary to suspend outdoor activity due to weather conditions. The amount of time spent outside is adjusted according to the weather. The health and safety of our students and staff is a high priority.

    Recommendations for students during high temperatures:

    • Increase the amount of water you are drinking.
    • Limit the amount of time outside during extreme temperatures.
    • If you are not feeling well, please inform a staff member immediately.
    • Certain students and staff members may need to take even more precautions. Please contact your campus nurse for further information.



    • 2019-2020 School Year




      • 5 doses with one received after the 4th birthday or *4 doses if 4th dose was given on or after the 4th birthday
      • 7th grade: booster of Tdap at least 5 years since the last tetanus containing vaccine.
      • 8th-12th grades: Tdap required when 10 years have passed since last tetanus containing vaccine.




      • 4 doses with one received after the 4th birthday or
      • 3 doses if 3rd dose was given on or after the 4th birthday




      • 2 doses with 1st dose received after 1st birthday


      VACCINEHepatitis B


      • 3 doses, given at any time after birth. "At Birth" for the 1st date is NOT acceptable. A date must be provided with a health care provider signature or clinic stamp.




      • If no history of the disease: Kindergarten-12th grades: 2 doses required.
      • 1st dose must be received on or after 1st birthday.


      VACCINEHepatitis A


      • Kindergarten - 10th grades: 2 doses required. 1st dose must be on or after 1st birthday.
      • 11th - 12th grades: 2 doses recommended, not required.




      • 7th-12th grades: One dose quadrivalent meningococcal conjugate vaccine required on or after students 11th birthday.


      Bold/BLUE lettering signifies new changes for 2019-2020.

      • Only change for 2019-2020 immunization requirements is the grade range for the required doses of the Hepatitis A vaccine.

      TB skin test may be required.

      All immunizations records must be validated by a health care provider signature or a clinic stamp.

      All immunizations must be current in order for students to register and pick up school schedules.

      Foreign vaccination records (except Mexico) must be translated by International Language Services, 501 Elm St., Dallas, TX 75202, 972-783-2500 and a copy of the translated record returned to the school before enrolling.

      For more information, go to Texas Depatment of Health Services-Immunization Requirements for School (Requisitos Mínimos de Vacunación del Estado de Texas para estudiantes K-12)



  • MISD Guidelines

    • All medication must be in original container and not past expiration date.

    • Written permission needed from physician and parent/guardian! All medications are carried to and from school by parent/guardian.

    • All medications will be counted when delivered to and released from school nurse to parent.

    • All prescription medications must be properly labeled in original container. Properly labeled prescription is one with the pharmacy label stating the student's name, name of medication, dosage to be administered, doctor's name, and date prescription filled.

    • No medications will be given that is NOT FDA approved.

    • Staff shall not administer medication that exceeds recommended maximum dosage in the Physician’ Desk Reference.

    • All requests are for current school year only.

    • Non-prescription (or over-the-counter) medication will be given for only 5 consecutive days. If needed over 5 days a physician’s note will be required.

    • Non-prescription medications must also be age appropriate, in original container, not past expiration date and must be accompanied by proper permission.



    • If your child develops a fever or flu-like symptoms, please keep them home and contact your health care provider. Those who have not received the mumps, measles and rubella vaccine are most at risk.

      To keep our school community healthy, we ask that parents follow the district’s illness protocol. Please keep your student home if he or she has a temperature of 99.8 or higher, and is suffering from one or more of the following: cold/flu-like symptoms, sore throat, nausea, vomiting, diarrhea, headache, swollen glands or rash. To prevent the spread of illness, please do not send them to school. Your child must be fever-free for at least 24 or more hours before returning to school. Students who require fever reducing medicine should be kept home. If your child has a fever or any of the symptoms listed above for more than 48 hours, seek medical attention immediately. If you have questions or concerns about your child attending school, please contact the school nurse at your campus.

      Please take the following preventative steps to protect your child and other family members:

      • Dress them properly for the weather.
      • Make sure they have plenty of fluids, rest and proper nutrition.
      • Teach them to cover their mouth and nose when coughing or sneezing.
      • Encourage frequent hand washing with soap and water. An alcohol-based hand sanitizer may be substituted when soap and water are not available.

      Information About Mumps

      The mumps is a highly contagious viral disease that is spread by droplets when a person coughs or sneezes. Symptoms include fever, headache, swelling of the salivary glands, fatigue muscle aches and loss of appetite. With your help, we can reduce illnesses on our campuses. To learn more about the disease and to find information about where to get vaccinated, visit the following websites: 



  • What is TB? “TB” is short for a disease called tuberculosis. TB germs are passed through the air when someone who is sick with TB disease of the lungs or throat coughs, speaks, laughs, sings, or sneezes. Anyone near the sick person can breathe TB germs into their lungs.

    Common symptoms are feelings of sickness or weakness, weight loss, fever and night sweats. Productive coughing (coughing up a mixture of mucus, irritants and other substances from the lungs) and chest pain are possible symptoms of TB in the lungs.

    If you have been around someone who has TB disease, you should go to your doctor or your local health department for tests.

    Additional information can be find by clicking the links on the right under "Tuberculosis Information" or visit the following websites.




Our Vision
The  vision of Milford Independent School District (ISD) is that all students will be  challenged, successful, motivated to learn, independent thinkers, and problem  solvers.  Milford ISD envisions a learning facility where students will achieve  academically, explore their interests, grow mentally, morally, and physically  through the school's academic, fine arts, athletic and vocational programs.


powered by ezTaskTitanium TM