UTPA Border Health Office creates toolkit to educate community
Posted: 07/02/2003
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The University of Texas-Pan American Border Health Office (BHO) has developed a toolkit to educate school nurses, school administrators, parents and the community about Acanthosis Nigricans.

Acanthosis Nigricans, a hyperkeratinization of the skin, is a cutaneous marker associated with hyperinsulinemia and insulin resistance.

In accordance with House Bill 2989, Texas is the first state to mandate Acanthosis Nigricans: The Education and Screening (ANTES) program - which identifies school children in third, fifth and seventh grades who are at risk of developing Type 2 Diabetes and its numerous associated chronic health conditions.

The UTPA Border Health Office is charged by the State of Texas to provide school districts with appropriate training on screening and protocol as well as providing instructions and educational materials on Acanthosis Nigricans and its associated complications.

The toolkit is available to each school district within eight mandated regions (1, 2, 3, 13, 15, 18, 19 and 20), and soon will be available to three more regions added to this mandate, including Region 4, Houston, Region 10, Dallas and Region 11, Ft. Worth.

The toolkit contains an eight-minute video that gives a general description of Acanthosis Nigricans, and a second lengthier video features Dr. Paul Villas, Border Health Office executive director, giving a live presentation to UTPA physician assistant students.

Also featured in the toolkit is a screening manual; a frequently asked question and answer booklet; a grade severity indicator - which is used to measure Acanthosis Nigricans; a CD PowerPoint presentation; a nutrition booklet; a 45-page listing of physical activity and nutrition education resources; and a 24"x 36" poster.

A grant from the Methodist Healthcare Ministries, Inc. made the educational toolkit possible.

For more information, log on to the website at or call the UTPA Border Health Office at 956/381-3687 or e-mail them at