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Entering the heart of the winter season and with everyone's attention focused on fears of getting influenza, another disease is being overlooked.
溶連菌感染症 (Yorenkin-kansen-syou) known as Streptococcal infection in English (the more commonly known form of the disease is the Strep throat") is hitting Japan right now, with doctors saying they are seeing many patients with the disease right now.
Group A Streptococcus is a bacterium often found in the throat and on the skin. People may carry group A streptococci in the throat or on the skin and have no symptoms of illness. Most GAS infections are relatively mild illnesses such as "strep throat," or impetigo. (Other forms include infections of the bloodstream, nose, tonsils, skin and muscle, meningitis, and more see link http://en.wikipedia.org/wiki/Group_A_streptococcal_infection)
Occasionally these bacteria can cause severe and even life-threatening diseases known as "invasive GAS diseases" which occur when the bacteria get past the defenses of the person who is infected. Severe, sometimes life-threatening, GAS disease may occur when bacteria get into parts of the body where bacteria usually are not found, such as the blood, muscle, or the lungs. It may happen when a person has sores or other breaks in the skin that allow the bacteria to get into the tissue, or when the person’s ability to fight off the infection is decreased because of chronic illness or an illness that affects the immune system. Also, some virulent strains of GAS are more likely to cause severe disease than others.
Two of the most severe, but least common, forms of invasive GAS disease are necrotizing fasciitis and Streptococcal Toxic Shock Syndrome. Necrotizing fasciitis (occasionally described by the media as "the flesh-eating bacteria") destroys muscles, fat, and skin tissue. Streptococcal toxic shock syndrome (STSS), causes blood pressure to drop rapidly and organs (e.g., kidney, liver, lungs) to fail. STSS is not the same as the "toxic shock syndrome" frequently associated with tampon usage. About 20% of patients with necrotizing fasciitis and more than half with STSS die. About 10%-15% of patients with other forms of invasive group A streptococcal disease die.
A range of symptoms may be seen: No illness - Mild illness (strep throat or a skin infection such as impetigo) - Severe illness (necrotizing faciitis, streptococcal toxic shock syndrome)
How it spreads: These bacteria are spread through direct contact with mucus from the nose or throat of persons who are infected or through contact with infected wounds or sores on the skin. Ill persons, such as those who have strep throat or skin infections, are most likely to spread the infection. Persons who carry the bacteria but have no symptoms are much less contagious.
Treatment: Treating an infected person with an antibiotic for 24 hours or longer generally eliminates their ability to spread the bacteria. However, it is important to complete the entire course of antibiotics as prescribed. It is not likely that household items like plates, cups, or toys spread these bacteria.
Take these precautions: The spread of all types of GAS infection can be reduced by good hand washing, especially after coughing and sneezing and before preparing foods or eating. Persons with sore throats should be seen by a doctor who can perform tests to find out whether the illness is strep throat. If the test result shows strep throat, the person should stay home from work, school, or day care until 24 hours after taking an antibiotic. All wounds should be kept clean and watched for possible signs of infection such as redness, swelling, drainage, and pain at the wound site. A person with signs of an infected wound, especially if fever occurs, should immediately seek medical care. Sometimes, the symptoms resemble those of the influenza B strain, so if you suspect you have a strep throat or the flu, you should ask to be tested for both the strep throat and the flu. To detect the disease, doctors will have to do a cheek and throat swab test for 3 antibodies, i.e.. ASO, ASK and ADN-B at a time. Early recognition and treatment of the disease is critical because all severe GAS infections may lead to shock, multisystem organ failure, and death.
GAS infections can be treated with many different antibiotics. Of you come down with a strep infection, do ensure proper treatment and complete the course of medicines until fully recovered to avoid complications such as rheumatic fever, and PSNG (inflammation of the kidneys).
Sources: National Center for Immunization and Respiratory Diseases; Strep A infection Wikipedia;
See also Group B Strep infections for newborns
The Yomiuri Shimbun
YOKOHAMA--Kanagawa prefectural Kanda High School in Hiratsuka disqualified 22 entrance-exam candidates in the 2004, 2005 and 2007 academic years based on their appearance or attitude, despite their passing scores, the prefectural board of education said.
The education board will allow those unfairly rejected examinees to enroll at the high school if they want. The board also plans to conduct an inquiry into other prefectural high schools to check whether similar cases occurred.
According to the prefectural education board, the school had teachers in charge note examinees' attitude, grooming and appearance, including hairstyle, when they came to the school to submit applications as well as when the applicants took entrance exams.
In some of the notes, the examinees were described as "letting nails grow long," "not buttoning up shirts" and "shaping eyebrows by shaving."
Based on the notes, the school decided to reject the 22 examinees--six each in the 2004 and 2005 academic years, and 10 in 2007.
In the first of two entrance exams given in academic 2007, some applicants apparently failed unfairly. They include one who received a score that ranked 16th among 57 test-takers with cumulative scores that were high enough to pass the entrance exam when factoring the total score of their interviews and middle school academic records.
The screening system was devised by the previous principal who said he "did not want to have difficult-to-instruct students [due to their attitude] admitted to the school."
Every year, out of nearly 3.5 million high school students in the nation, about 80,000 drop out, according to the Education, Science and Technology Ministry. Some of these children do so as a result of their families' poverty, which often results in a decline in their scholastic abilities.
In fact, an increasing number of children have been exposed to unstable living conditions because of their parents' divorce, unemployment, long working hours and other reasons. Those without a high school degree tend to be unable to find a place in today's society, which requires highly educated people, and they eventually are apt to be socially excluded--an issue that was first recognized in Europe in the 1980s.
Saitama is one prefecture facing high dropout figures. There are a number of prefectural government-run high schools there that have an extremely high number of dropouts.
Twenty-year-old Kaori (a pseudonym) is one such dropout. Living with her 51-year-old mother in public housing in the prefecture, Kaori left her high school in March 2005.
The high school she attended has about 200 new students every year, but it is often the case that only about half of them remain there until getting a degree.
"I liked the school, but many of my friends there dropped out one after another," Kaori recalled, adding her own reason for dropping out: "At the end of the first year, I was told that I would not be able to become a second-year-student as I did not earn sufficient credits in geography."
Kaori smoked while talking about her high school days in the small living room of her home. At one stage, a dark expression crossed her face.
"Without getting a high school degree, I cannot get a job I'm interested in," she said. "I didn't expect that dropping out of high school would end up causing me so much trouble."
Kaori is now attending evening classes at another prefectural government-run high school. Although this is her third year there, she has gained only half of the credits required to graduate because she has often skipped classes to have fun with her friends whenever she got the chance.
When she has no classes, Kaori works part-time at a convenience store and other places. She gives all her monthly pay--about 40,000 yen to 60,000 yen--to her mother. She hopes to work as a nursing-care worker after getting a high school degree, but she might not be able to continue her studies if her mother, who suffers a chronic heart condition, should fall sick.
Isao Shiratori, 62, worked at the high school from which Kaori dropped out and is very familiar with her family background and that of other students. The former teacher said it is not fair to blame students alone for leaving high school.
"It's the poverty their families have been suffering that often lies behind why these dropouts have failed to build sufficient scholastic abilities," he pointed out. "They often cannot get enough support from their families when they need it, making it difficult for them to get all the way through to their graduation."
Kaori herself was also brought up in poverty. Her father was hooked on gambling and used violence against other family members. After her mother escaped from her husband, she moved to an apartment with Kaori when she was a third-grade primary school student.
Her mother had a daytime clerical job and, after returning home in the evening to prepare dinner, she would also work part-time at a ramen shop until late at night.
That meant that since the age of 8, Kaori has had to spend every night alone, fighting against loneliness by holding a stuffed doll tightly while sleeping.
Although her mother has been working day and night, her monthly salary has remained at about 140,000 yen to 150,000 yen.
"I got weary when we had meals with only rice and natto for three consecutive days," Kaori recalled. "But I couldn't be selfish as my mother sometimes went to work without eating."
A few years later, Kaori began finding it difficult to keep up with classes at her school. When she had to deal with difficult problems that she could not solve in her homework, no one around her offered help. Her father, who was a craftsman, had placed no value in studying, while her mother, who herself had dropped out of high school, would just say, "I have no idea," when the girl tried to ask her questions about arithmetic.
To make matters worse, when Kaori became a middle school student, she was told to take care of the baby daughter of her older sister, now 31, because the sister, who was working as a nurse, found that all the nurseries in the neighborhood were full.
While her mother took care of the baby in the daytime, Kaori took over in the evening. Because her niece often did not stop crying, Kaori became so stressed that she became more and more reluctant to study at home.
"I began to skip classes during my middle school days--that was all the disobedience I could show against my parents," Kaori recalled. "Things did not allow me to prepare for tests at school, but they would scold me for my poor grades. I bet anyone would get mad when facing that situation."
Shiratori pointed out that Kaori should have been able to graduate from her first high school "as long as she could have enjoyed enough support for her studies."
"Her family did not have the ability to support the child, which resulted in making her unable to keep up with the school curriculum," Shiratori pointed out. "Even worse, the social welfare system--which is supposed to offer help to improve the situation--did not reach her.
"If children like Kaori are excluded from society without being given any chance to exercise their abilities, it must be a big loss for society as well," Shiratori said.
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Tuition exemption cases rising
An increasing number of households with children have been pushed into poverty. This is indicated by the fact that in recent years, more and more households are being fully or partly exempted from paying their children's high school tuition.
During the 2006 school year, 224,385 students at public high schools nationwide received such exemptions due to their families' severe financial conditions, according to the education ministry. The figures accounted for 9.4 percent of all the nation's students.
The ratio more than doubled compared to the 1996 school year, when the number of such students was 109,662, or 3.4 percent.
Yasushi Aoto, who works at Ageo High School in Ageo, Saitama Prefecture, has observed that the poverty that students' families suffer is directly linked to the children's declining scholastic abilities and the probability that they will drop out.
To prove that, Aoto has conducted research, in which he first divided all 145 prefectural government-run high schools (except for art-oriented ones) into five groups based on the average scores on their entrance exams for the 2004 enrollment. Then he examined the ratios in each group of the number of students exempted from tuition fees during the 1999 and 2006 school years.
Aoto also looked into the ratios in each group regarding how many students admitted in 1997 and 2004 dropped out before graduation.
The data revealed that the lower the average entrance exam scores each group of schools had, the higher exemption and dropout rates the groups also showed.
Furthermore, the groups with poorer scholastic performances showed significantly higher exemption and dropout rates in recent years compared to a decade earlier.
"There's a relationship between children's scholastic abilities and their families' poverty," Aoto said. "The data clearly show that children from poorer families tend to have lower academic performances and eventually drop out."
There are no official surveys as to what kind of careers young people take after dropping out of high school. According to interviews Aoto has conducted on his own with high school dropouts, many of them were suffering unstable employment and low pay, making it difficult for them to find a way out of poverty. Some even got involved in the adult entertainment business or crime.
Michiko Miyamoto, a professor at the Open University of Japan and an expert on youth issues, said it has been revealed that high school dropouts are trapped in unstable lives as the central and local governments have been implementing measures in recent years to help permanent part-timers and those who are not in education, employment or training, or NEETs.
"It has become more crucial to offer any help at a much earlier stage to prospective dropouts before they deviate from high school," Miyamoto said.
Makuhari International School which caters for Japanese returnees, dual national and dual nationals and foreign children aged between 3 and 12 (in their initial year), is due to open in April 2009 in Chiba Prefecture's waterfront development, Makuhari New City.
It is the first fully recognized international school in the prefecture and the first international school in Japan to be fully supported by the Japanese government and recognized under Article One of the Education Law.
"Among other things, having Article One status allows J children to transfer more easily to Japanese junior high schools after leaving Makuhari International School -- if that is their wish" explained Paul Rogers, founding head of school. Rogers was previously head of school at St Michael's International School at Kobe.
Because of the financial benefits of being an Article One school, Makuhari International School can offer substantially reduced tuition fees. "In some cases, our fees are up to half those of similar schools in Tokyo, even though we believe we will be offering better resources in some areas," said Rogers.
The status also influences the curriculum, which is fairly unique.
"We will be following the objectives of the Japanese curriculum. However this is only our basis. In reality, we will expand on these, as well as supplement them with objectives and content from other various curriculum. This will make our curriculum extremely rich and diverse, and of course very universal in flavor", Rogers explained.
"And how we teach will be very international, in terms of teaching styles as well as the teachers we employ, he continued. For example children can learn better in different ways, whether this is visually, orally or kinesthetically. Because we understand this and consider it to be so important the teachers we employ have to hold the same beliefs and understanding. Those educators will be native English teachers, working abroad, who are experienced and know how to teach in a variety of different styles," he said, adding that he planned to initially interview prospective teachers in November in the United Kingdom. "Employing the right teachers will be the most important thing that I can do before next April. We can spend millions of yen on wonderful physical resources and have a beautiful school, but that doesn't matter without the right staff."
And the school will have impressive resources and facilities. Buildings, including a large multipurpose hall and media center, have been diesigned to be light and spacious. Modern resources such as wireless laptops and interactive smart boards, as well as excellent outside palygorund equipment, and furntiturea and teaching resources largely from the U.K. will create an create an international learning environment. Outside there are various areas, including a nature study area, rolling hills in the kindergarten section, a large grass field, a gardening area and a courtyard connected to the media center, where children can go outside to study.
"These outside resources will always be an important part of our environment -- we have no intention of expanding on this site," said Rogers. "Our school size will never be more than 400 chidlren, which is a really nice number. For us the most importortant thing is quality, not quantity."
The establishment of the school has been much anticipated by Makuhari residents as well as those farther afield, and the school will no doubt help to provide a much-needed educational facility for international residents in the area.
"Having a good school here is extremely important. Children and their futures are usually the most importotant consideration. Hopefully we're a reassurance to those families as well as an attraction, " said Rogers. "However, ultimately, our aim is to be recognized as the best international school in Japan. A school of choice and not of convenience. We want people to come here because we are a wonderful school and not because we're the only choice."
For more info about the school visit www.mismis.or.jp or contact (043)296-0277.
Source: Japan Times classified ads
KA INTERNATIONAL SCHOOL (KIKOKUSHIJO ACADEMY INTERNATIONAL SCHOOL provides a fully-accredited diverse, intensive, specialized American junior high and high school diploma-granting curriculum (from California) in English for motivated internationally-oriented Junior High and High School students. KAIS Program classes are a mixture of lab-based individualized teacher-guided study, and our daily seminars which alternate daily between Vocabulary Workshop and Writing Seminar.
Selected as one of the best international schools in Asia by Newsweek and accredited through partner schools including Laurel Springs School in the State of California, USA, KAIS students graduate with an American diploma, enabling them to easily pursue university education anywhere in the world.
Upon acceptance into KAIS, students and their parents will create a learning contract with their educational goals with KAIS staff, and decide the duration and focus of their secondary education.
The school caters to "a student body composed primarily of bicultural students, native English-speaking students, returnees and special needs students" and "Japanese students with exceptional English abilities, who are planning to attend university abroad". In fact, the school website bills itself as "the premium high school for returnees" and "the only Junior and Senior High school in Japan designed specifically for small interactive classes", that is "uniquely aware of many international students' gifted abilities, special needs, and educational hurdles".
Strong selling points of the school:
The curriculum is supplemented by its own programs specifically designed to prepare students for the schedule and academic scope of university life abroad: SAT, TOEFL, and STEP TEST preparation classes, specialized writing program, College Admissions Essay workshops, and a wide range of developmental and honors (advanced) classes.
Integrated technology: KAIS provides one MacBook computer per student - KAIS students use Apple MacBooks as technology is integrated into all programs.
An outstanding faculty and staff completely composed of teachers who have been working with the Tokyo multicultural and returnee community for years, and given its affiliation with its sister school, Kikokushijo Academy (see Japan Times article on why the school was formed).
Individualized study. Students can propose their own projects and class schedules and work at their own pace. This level of individualized study allows each student to thrive at the level that is right for them. Advanced students may be allowed to take a variety of university classes and gain college credit. KAIS says it is possible at KAIS, for a highly-motivated student to graduate high school in as little as 2 years.ame time, the school also provides support for students who need a lot of guidance, aiding them on their road to graduation, even if it takes 6 years.
In many schools, large class sizes prevent many students from feeling included; often, the highest level students and the lowest level students are left out of the learning process. At KAIS, no student will be pushed or left behind as a result of large classes. Traditional lectures are combined with personalized lab time which allows each student to complete their courses at the pace that best suits them.
The school says it "creates high school graduates who are effective writers, verbose speakers, and respected members of the international community". Creative Electives will bring out the creativity and ideas in KAIS students, allowing them to pursue projects from film/video to poetry writing workshops to photography and music.
For more information or to schedule an appointment, please contact us today ( contact@kaischool.com, phone, or fax).