[Evaluation of school milieu as an aspect of conditions for realizing health promotion. I].

Data collected in 1990 by workers of children and youth hygiene section of the Sanitary Epidemiological Station were analysed in randomly chosen elementary schools of 41 districts. In elaboration of the data negative observations were singled out. There were differences between schools of various milieus. A regularity was noted: the smaller the locality, the more there are shortcomings and neglect. Teaching in shifts was general: in at least two relays in 90% of town schools and 50% of village ones. Many shortcomings were noted in the functioning of WC and washing equipment (lighting, heating, ventilation), besides 10% of village schools had no washing facilities. About 60% of town schools had showers bath but they were hardly utilised; 1/4 of village schools had shower baths but did not profit of them. In the sanitary-hygienic state frequent negligence was visible. For instance in 1/4 of what used to be communal schools the WC were dirty, without toilet paper, and less than half of them had neither soap nor towels. Lousiness indexes were as follows: 1.6% (if 140,000 individuals examined) in town schools and 2.5% (of 65,000 examined). Lousiness was recorded in more than 60% of schools. The staff of the schools health service may be described by the following data: in 85% of village schools the physician appeared at most several times in the course of the year, in town schools he was present at most several times in a month; in 50% of village schools a nurse was seen less frequently than one a week, and in 85% of town schools three or more times weekly.(ABSTRACT TRUNCATED AT 250 WORDS)