Published online August 31, 2009
PEDIATRICS Vol. 124 Supplement September 2009, pp. S83-S88 (doi:10.1542/peds.2008-3586K)
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SUPPLEMENT ARTICLE


Surveillance, Screening, and Reporting Children's BMI in a School-Based Setting: A Legal Perspective

Kevin W. Ryan, JD, MA

Department of Health Policy and Management, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Arkansas Center for Health Improvement, Little Rock, Arkansas

The rising epidemic of childhood and adolescent obesity is placing a heretofore unprecedented physical and fiscal burden on individuals and communities. Federal and state government officials who seek to determine the scope of the problem are using a spectrum of tools that include reporting, screening, and surveillance initiatives. The extent of authority to use these public health tools is yet to be determined, especially in the area of data use, privacy, and liability as government officials balance the need to improve public health with individual freedom and autonomy.

Key Words: state police power • state authority • public health • BMI • body mass index for age • childhood obesity

Abbreviations: HIPAA—Health Insurance Privacy and Accountability Act • FERPA—Family Educational Rights and Privacy Act • DOE—US Department of Education

Accepted Apr 29, 2009.


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