(C) Before August 1, 2018, and through the cyclical review process, if deemed necessary, the board shall include instruction on prescription opioid abuse prevention, with an emphasis on the prescription drug epidemic and the connection between opioid abuse and addiction to other drugs, such as heroin, in the health Standard. In addition, the board shall make available to districts a list of instructional materials that meet state Standard. Districts shall continue to adopt or develop curriculum locally.

(1) Beginning with the 1988-89 school year, for grades kindergarten through five, instruction in comprehensive health education must include the following subjects: community health, consumer health, environmental health, growth and development, nutritional health, personal health, prevention and control of diseases and disorders, safety and accident prevention, substance use and abuse, dental health, and mental and emotional health. Sexually transmitted diseases as defined in the annual Department of Health and Environmental Control List of Reportable Diseases are to be excluded from instruction on the prevention and control of diseases and disorders. At the discretion of the local board, age-appropriate instruction in reproductive health may be included.

Through special instruction, schools shall provide age-appropriate instruction regarding the dangers in the use and abuse of alcohol, tobacco, and other drugs. Instruction shall emphasize problems related to their use and effects upon the total community. Instruction shall be offered in all schools of the State and shall be studied and presented as thoroughly and in the same manner as all other required subjects in grades K-5.

Standard identify performance indicators that address alcohol/drug abuse and tobacco

Abbreviation Key Concept D Alcohol, Tobacco, and Other Drugs G Growth, Development, and Sexual Health and Responsibility I Injury Prevention and Safety M Mental, Emotional, and Social Health N Nutrition and Physical Activity P Personal and Community Health

Abbreviation Key Concept D Alcohol, Tobacco, and Other Drugs