Dated: July 19, 2019
Re: Failure to provide adequate state medical consultation
This letter was sent to the Maryland Department of Health (MDH) leadership and copied to Governor Hogan's staff on July 19. No response has been received regarding the Department's failure to provide reliable medical consultation in
the State's development of health and safety best practices for the
schools' digital devices, as required by law.It now seems evident that the Joint Audit Committee should look into this matter, since the unanimous vote of the General Assembly to ensure classroom protections for students statewide has been inadequately addressed - in fact, it has largely been ignored - while the process itself was compromised by ed tech special interests whose influence cannot be overlooked.
Nothing prevents the Maryland Department of Health from updating and revising its direction to the Maryland State Department of Education. It's imperative that clear guidelines are presented to local school districts, or our children will continue to remain at risk from serious, known hazards.
July 19, 2019
Dear Mr. Ye,
The medical consultation from MDH required by HB1110/Ch244 should have served as evidenced-based guidance for local school district leadership, administrators, parents and students to mitigate the health risks posed by statewide demands for students to use hazardous school equipment.
Instead,
MDH has partnered in the production of lukewarm suggestions that will
likely put children at greater risk, since a false sense of 'protection'
will result. Schools will be able to claim they are following your
expert direction.
Students are required to
put their own health at risk when they are required to use the schools'
admittedly hazardous digital devices. Many will be put in serious peril
because MDH, within the context of this law, didn't accurately or
appropriately identify (or offer resources about) the serious health
issues facing Maryland students. This lackluster approach adds to the
false sense of protection - implying there are no real concerns.
Since
the Maryland Health Department didn't mention it, it must not be that
important, for instance, to properly evaluate students' health before
requiring screen use. Pre-existing
myopia, dry eye disease or other childhood health issues such as
obesity, sleeplessness or
scoliosis
will only
be exacerbated by unsafe practices in the use of digital devices at
school every day and night. Medical experts know that any of these
conditions could lead to crippling outcomes if not properly identified,
treated and mitigated.
Yet, comprehensive evaluations of each child's health as it relates to the schools' screen use was simply ignored.
Pediatric
optometrists and ophthalmologists who specialize in dry eye disease are
now seeing permanently damaged corneas in ever younger patients,
because the blink rate of device users is only 67% or less of what it
normally should be.
And the myopia epidemic remains unbridled. It is a progressive eye condition that cannot be reversed. Severe myopia can lead to catastrophic eye conditions
later in life: glaucoma, cataracts and detached retinas. Less recess
and more device use is the one-two combination that is fueling this
epidemic. Even the teachers' union is now recognizing the need for more outdoor play to mitigate myopia and obesity.
Why
didn't MDH take these issues seriously, research this professionally, and
advise school boards, administrators, teachers and parents
appropriately?
Burgeoning research has been consistently shared for years
- it's time MDH became committed, and dig into its
own resources to address this growing public health issue. Blue light
hazards go far beyond melatonin suppression (see the University of
Toledo work from last summer, and Review of Optometry's blue light research to better understand retinal cell death and the role of
blue light as it relates to accommodation in refractive errors.)
And
while the mention of blue light's relationship to sleep is important -
it falls pathetically short. Your department missed a key component:
the schools send digital devices home at night for studying and
homework. Where is the 'best practice' that would put an end to that?
Online homework and studying are literally destroying the impossibly
important health aspect of children's sleep, which of course, is
directly related to obesity, anxiety and depression, with associated
comorbidities: heart disease and diabetes.
Last June, the false underpinnings of the so-called "20-20-20 rule" were noted. It has no scientific merit whatsoever, as revealed by Optometry Times.
The 'rule' was originally posited within the context of ergonomics, not
eye health.
This kind of research has been shared with the Maryland Department of Health for several years now. Even though your department was made well aware of the misleading nature of this 'rule,' you still released this graphic - making claims that lack any medical evidence.
This kind of research has been shared with the Maryland Department of Health for several years now. Even though your department was made well aware of the misleading nature of this 'rule,' you still released this graphic - making claims that lack any medical evidence.
Of
course, any break is a good break. And of course, the encouragement of
frequent blinking is imperative -- but at every turn, where the
Department could have provided reliable research and reference, only AAP
documentation is provided.
Please note; the American Academy of Pediatrics has yet to provide any research or documentation on the use of classroom devices, so even those references are not applicable within a school setting.
Please note; the American Academy of Pediatrics has yet to provide any research or documentation on the use of classroom devices, so even those references are not applicable within a school setting.
And your ergonomic image is simply wrong. By all accounts, including this one from "Let comfort be your guide" on HP's Safety and Comfort Guide, the top of the monitor should be just below eye level, and the elbow should form a right angle.
That simply didn't happen.
Please consider updating, revising and supplementing the medical research that should be shared with school districts statewide. It can't be underscored enough: the use of this equipment poses serious health risks to Maryland children that will threaten their proper bone development, vision, eye health, weight, sleep and mental health for a lifetime.
##
Cindy Eckard
@screensandkids
