CONTROL AND DAILY CARE OF SICK CHILDREN AT SCHOOL: Management of Children with Chronic Disease at School—Renal Disease

Abstract

AbstractManagement of children with renal disease at school in Japan is characterized by urine screening at school. The fact that many children with minimal hematuria, who are unlikely to have any disease, were detected by such screening is cited as a demerit of mass urine screening. However, the number of children undergoing dialysis began to decrease, as shown in Fig. 4, in 1977, three years after urine screening at school began to be carried out [8]. In addition, surveys of long‐term school absentees in Osaka showed a gradual decrease in absence due to renal disease; the rates of 52.4 and 53.8 out of every 100,000 for elementary school children and junior high school children, respectively, in 1979 decreased to 39.3 and 42, respectively, in 1983 [2]. This fact, which cannot be explained merely by advances in technique of treatment for renal disease, represents an advantage of mass urine screening that more than offsets any disadvantage.