Table 1.  6 to 10 Years

 
Interventions Considered and Recommended for the Periodic Health Examination  Leading Causes of Death 
Unintentional injuries (non-motor vehicle)
Motor vehicle injuries
Interventions for the General Population
SCREENING Substance Use
B. Height and weight  (US) A. Effects of passive smoking (US) *
COUNSELING B. Anti-tobacco message *
A. Noise control and hearing protection (CAN) B. Children of Alcoholics Screening Test (CAST) (CAN)
B. Limit fat & cholesterol, maintain caloric balance, emphasize grains, fruits, vegetables (age >=2 yr)  (US) Dental Health
B. Regular physical activity (CAN)*  B. Regular visits to dental care provider (US)
B. Counselling re sun exposure, clothing (CAN) A. Brush teeth, fluoride toothpaste or supplement 
B. Floss (US) *
Injury Prevention  
B. Booster seat (<60 lbs) IMMUNIZATIONS
B. Lap-shoulder belts (age >=5 yr); avoid alcohol for drivers A. Hepatitis B
A. Bicycle helmet (US) 
B. Avoid bicycling near traffic (US)
A. Varicella [1]
B. Smoke detector A. Dipthteria, Tetanus, Polio, Pertussis (age 4 to 6); omit Pertussis if age 7 or over
B. Safe storage of drugs, toxic substances, firearms, & matches A.  Measles, Mumps and Rubella (if not previously vaccinated)

A. Influenza vaccination (CAN)
Interventions for High-Risk Populations
POPULATION POTENTIAL INTERVENTIONS 
Infections; vaccinations
High risk children (CAN) Influenza immunization; amantadine prophylaxis if unvaccinated and exposed to influenza index case
Contact of household influenza case (CAN) Neuraminidase inhibitor prophylaxis if initiated within 36-48 hours of onset in index case
TB contacts (US) PPD
Household contacts TB; recent converters (CAN) INH phophylaxis
Native American/Alaska Native (US) Hemoglobin/hematocrit; PPD ; hepatitis A vaccine; pneumococcal vaccine
Travelers to developing countries (US) Hepatitis A vaccine
Residents of long-term care facilities (US) PPD ; hepatitis A vaccine ; influenza vaccine
Certain chronic medical conditions (US) PPD ; pneumococcal vaccine ; influenza vaccine
Other
High risk children  Hemoglobin/hematocrit 
High risk children (CAN) Fissure sealants for dental caries prevention, professional fluoride application 
Inadequate water fluoridation (US) Daily fluoride supplement
 Increased individual or community lead exposure Blood lead level
Siblings of children with Cystic fibrosis (CAN) Sweat test; DNA analysis for carrier status
Family h/o skin cancer; nevi; fair skin, eyes, hair (US) Avoid excess/midday sun, use protective clothing*


[1] 12-18 mo; or older child without hx of chickenpox or previous immunization. Include information on risk in adulthood, duration of immunity, and potential need for booster doses.
[*] The ability of clinician counseling to influence this behavior is unproven.