International School Manila

Integrity - Service - Merit

General Information

Clinic Services

  • The Clinic is open on regular school days from 7.00 AM – 5.15 PM from Monday to Friday.
  • The Clinic is open during school holidays from 7.00 AM – 4.00 PM when business and administrative staff are in school.
  • Clinic staff are on site during out of hours activities such as sporting and dance events by prior arrangement. 
  • The Clinic is closed on holidays observed by all school staff. 


  • The Clinic is a basic first aid management center with a treatment room to treat children and staff with cuts, grazes, bumps, bruises, twists and sprains.
  • There are five beds in two separate rooms (a girls’ room and a boys’ room) for those who need to be isolated and may be waiting to be taken home due to sickness.
  • We have an examination room with an examination bed in a separate room to provide privacy.
  • Our Clinic Consultant has a private office in which she can talk to patients confidentially.
  • The school drug testing facilities are also part of the Clinic and a separate room is provided for our drug testing consultant to conduct testing on Middle School and High School students.
  • All student health files are kept at the Clinic on database and in lockable filing cabinets.
  • The school has three AED machines in key public areas.
  • We have a private school ambulance in which to transfer children or staff to the nearest Emergency Room if required.
  • We have an agreement with a local dentist to provide emergency dental care, if required, for all ISM children.

Services Offered

  • Medical advice and first aid and emergency treatment for all students, staff and all ISM community members.
  • Referral to nearest hospital in cases where further investigation/ treatment is required.
  • Regular lice checks for Elementary School children.
  • Monitoring of school canteen services and concessions for clean food serving and handling.
  • Arranging first aid training and updates for all school clinic, security and bus staff, as well as, first aid awareness for all faculty.
  • Providing stocked and checked first aid boxes for all school activities and trips.  Maintaining first aid boxes stored in key areas around the school.
  • Identifying all medical alerts for children throughout all three schools.
  • Supplying medical attention as required during sporting events to ISM and visiting children.
  • Administering non-prescription drugs to children and staff as necessary.
  • Administering prescription drugs to children with parental authorization.
  • Working together with academic staff to support curriculum when looking at health-related issues.
  • Providing a limited vaccination program, accessible to all members of the ISM community.
  • Supplying a random, confidential drug testing program through Middle School and High School.
  • Liaising with local and international medical staff in order to ensure continuity of care for ISM children.
  • Clearing students for entry and re-entry into the school.

Sick Day Guidelines

Is Your Child Too Sick For School?

Our goal as a school clinic is to promote and support the health of the students so that they may fully participate in their classes and all activities offered.  We understand that good attendance in school is important for a child’s success; however, there may be occasions when parents are undecided whether their child is fit to attend school.

Generally, if a child is too sick to be comfortable at school or to participate in classroom activities, or if they may spread a contagious disease to other children, they should remain at home.  The following guidelines cannot cover every eventuality but may help you decide whether your child should stay at home or come to school.

Student should remain at home if:
  • They have a fever of 37.8° C (99.8° F) or above (please take temperature before medication is given)
  • They are vomiting
  • They have diarrhea
  • They suffer from frequent or persistent coughing
  • They have persistent pain (ear, stomach, head, etc.)
  • They have a widespread rash
  • They have a “pink eye” (conjunctivitis)
Further explanation:

A student who has a persistent, hacking cough will find it hard to concentrate and may cause significant disruption in class and should be kept at home.  If the cough is such that it interferes with the student’s ability to talk or function normally, they should stay at home.  A mild, infrequent, cough is not generally too debilitating and is quite common, but if your child develops a cough that is more severe than you would reasonably expect with the common cold, you should consider taking them to their doctor, particularly if this is associated with fever, abnormal behavior, difficulty in breathing or wheezing.

Diarrhea and Vomiting

Students suffering from this should be kept at home and should visit their doctor if symptoms persist.  They should be free of symptoms for 24 hours and able to keep down food and drink before they return to school.


It is school policy that a child with a fever of 37.8° C (99.8° F)  or above should not come to school and cannot remain in school.  Before returning to school the student should be free from fever (without medication) for 24 hours.

Pinkeye or Conjunctivitis

This can be caused by a virus, bacteria or allergy.  There may be redness, swelling, itchiness, discharge and puffiness.  A student with these symptoms should not come to school but should visit his/her doctor to see if antibiotic drops are necessary.  The school requests a medical certificate of clearance by the attending pediatrician or ophtalmologist before the student can return to school, as this condition can be extremely contagious.

Rashes and Skin Infections

They are most often caused by bacteria or viruses, which can be passed to others easily. The school requests a medical certificate of clearance by the attending pediatrician or dermatologist before the student can return to school.

Runny Nose

This is often the first indication of a common cold virus or a reaction to allergens such as pollen or dust and should not usually be a reason to keep a child at home.  Only if the child is too uncomfortable to be able to participate in normal classroom activities or to complete their work should this be considered a reason to stay home.  The younger children particularly may find that they are too uncomfortable to come to school as their nasal passages are smaller and they find it difficult to manage a constantly dripping nose.

Sore Throat

The student should stay at home and consider visiting his/her doctor, particularly if there is significant swelling or pain of the throat.  If a student is diagnosed with strep throat, he/she should not return to school before they are fever free and on antibiotics for 24 hours.


Medicine at School

In line with the Clinic’s Policy on students taking medications during school hours, please be guided by the following:

Administering Medications to Students

Students will not be permitted to take medication while at school unless such medicine is given to them by the school nurse under specific request of the parent or guardian and under the written instructions of the student’s physician if appropriate and/or completion of an authorization form from the Clinic.

Prescription Medicines (excluding inhalers for asthmatic students)

If medication must be administered by school personnel, it must be under the following conditions:

  1. A container with an appropriate label designating the name of patient’s physician, (which includes the written instructions indicating dosage, frequency and other relevant information) must be submitted to the school nurse.
  2. A signed permission form issued in the Clinic from parents must be submitted to the nurse.
  3. A record must be kept of all children receiving medication. This record must be accessible in the nurse’s office.
  4. The nurse will notify the principal and teachers of students taking medication over an extended period.
Non-prescription Medicines (including inhalers for asthmatic students)

The above procedure will also apply to all non-prescription medicines administered to students in Preschool through Grade 4. Students in Grade 5 through 12 may keep non-prescription medications with them under the following conditions:

  1. Only enough medication for one day should be kept by the student while in school.
  2. Medication must not be stored in the student’s locker.
  3. The nurse will notify the principal and teachers of students taking medication over an extended period.

International School Manila Drug Testing Program

In line with ISM’s mission to build a community of reflective learners, a drug testing program was initiated several years ago. Contrary to common belief, it aims not to apprehend but to help students, as early as possible, to get rid of the horrible effects of illegal drugs and continue with their roles as passionate, caring and responsible contributors to the world in which we live. In one way or another, it also prevent students succumbing to temptation to try them.

Randomly selected students from the Middle School and High School are selected each day for testing. Urine or hair samples are collected by our qualified personnel after proper identification of the student.  Each sample is assigned a specific code number and custody control form to assure confidentiality of each student tested and that no sample switching will occur.  Samples collected are then sent to accredited laboratories in Metro Manila and in the United States to be tested using immunoassay techniques. Results are received within a week after the date of collection.

Click here for a summary of the procedure.

Prepared by:
Ruel John T. Landrito, MD
Drug Testing Consultant, ISM


Dengue is a concern for everyone living in the Philippines and we should all be vigilant. We hope that the following information will help you to avoid this illness.

What is dengue fever? What is dengue hemorrhagic fever?

Dengue fever is a flu-like illness spread by the bite of an infected mosquito.

Dengue hemorrhagic fever is a severe, sometimes fatal, complication of dengue fever.

Protect yourself against Dengue with the following system:

Search and destroy the breeding places of dengue-causing mosquitoes which may be found in old tires, coconut husks, gutters, discarded bottles, flower vases and other vessels that can hold stagnant water. These containers are good breeding places of female AEDES AEGYPTI mosquitoes, day biting female mosquitoes which are responsible for transmitting the dengue virus to human beings. These mosquitoes like to rest in dark corners of your home so keep mosquito nets closed to avoid letting them in.

Self protection measures include wearing long sleeves or long pants, or using mosquito repellant to protect yourself from mosquito bites. Children, especially the small ones who are at home, should wear long pants or pyjamas and long-sleeved tops, whenever possible, so that they will not be bitten by mosquitoes. Keep mosquito screens and nets closed as much as possible.

Seek early consultation; visit the doctor when a person exhibits the early signs of dengue.

Dengue fever usually starts suddenly with:

  • a high fever                
  • muscle and joint pain
  • rash                            
  • nausea and vomiting and
  • severe headache        
  • loss of appetite
  • pain behind the eyes

The severity of the joint pain has given dengue the name "breakbone fever." Nausea, vomiting, and loss of appetite are common. A rash usually appears 3 to 4 days after the start of the fever. The illness can last up to 10 days, but complete recovery can take as long as a month. 

Most dengue infections result in relatively mild illness, but some can progress to dengue hemorrhagic fever. Signs and symptoms of dengue hemorrhagic fever include:

  • Bleeding from the nose, mouth, and gums
  • Bruising

Dengue hemorrhagic fever is fatal in about 5 percent of cases, mostly among children and young adults. Prompt medical treatment is necessary in all cases of dengue hemorrhagic fever.

Please note that fogging kills only the adult infected mosquito but not the larvae which can also carry the virus.

Tuberculosis: The Facts

Tuberculosis (TB) is a disease caused by bacteria that are spread from person to person through the air. A TB skin test (Mantoux or PPD test) will tell you if you have ever come into contact with TB. Additional tests will help show if you have TB disease or TB infection.

  • 2 billion people, equal to one third of the world’s total population, are infected with TB bacilli, the microbes that cause TB.
  • TB is a worldwide pandemic; though the highest rates per capita are in Africa (28% of all TB cases), half of all new cases are in 6 Asian countries (Bangladesh, China, India, Indonesia, Pakistan, the Philippines).

(World Health Organization, Stop TB Partnership, 2007)

While living in the Philippines can be a wonderful and rewarding experience, it is necessary to take some sensible precautions to protect you and your family against diseases which are known to be endemic in the country. Tuberculosis is one of these diseases.

The following measures may help you to ensure that your family remains safe during your stay in the Philippines:

  1. If you are employing new staff in your household, it is wise to insist that they have a PPD skin test or a chest xray before they come to work for you.  If a member of your staff displays the symptoms below you should send them to the doctor for a skin test or chest xray.
  2. Be aware of signs and symptoms -- symptoms of TB depend on where in the body the TB bacteria are growing. TB bacteria usually grow in the lungs. TB in the lungs may cause symptoms such as:                                                                                                                     
  • A bad cough that lasts 3 weeks or longer
  • Pain in the chest
  • Coughing up blood or sputum (phlegm from deep inside the lungs)

Other symptoms of active TB disease are:

  • Weakness or fatigue
  • Weight loss
  • No appetite
  • Chills
  • Fever
  • Sweating at night
  1. Consult your doctor immediately if you suspect that you or any of your family may be suffering from tuberculosis. 
  2. Ensure that your family observes the ISM requirements for screening on admission and at the beginning of Grades 1, 5 and 9.

We hope that these simple measures will ensure that you and your family remain free from the threat of tuberculosis.