All 67 counties provide basic school health services. The services include: health appraisals; nursing assessments; child-specific training; preventative dental screenings and services; vision, hearing, scoliosis, and growth and development screenings; health counseling; referral and follow-up of suspected or confirmed health problems; first aid and emergency health services; assistance with medication administration; and health care procedures for students with chronic or acute health conditions. The goal of school health services is to ensure that students are healthy, in school, and ready to learn. Additionally, school health registered nurses work closely with school staff and parents to promote healthy behaviors (such as, maintaining a healthy weight and choosing to be physical active) and reduce risk-taking behaviors (such as, eliminating the use of tobacco). : Health education provides students with opportunities to acquire the knowledge, attitudes, and skills necessary for making health-promoting decisions, achieving health literacy, adopting health-enhancing behaviors, and promoting the health of others. Comprehensive school health education includes courses of study (curricula) for students in pre-K through grade 12 that address a variety of topics such as alcohol and other drug use and abuse, healthy eating/nutrition, mental and emotional health, personal health and wellness, physical activity, safety and injury prevention, sexual health, tobacco use, and violence prevention. Health education assists students in living healthier lives. Qualified, trained teachers teach health education