Elementary Health Education

Elementary Health

Elementary Educators are required to teach at least 20 health lessons a year. We recommend teachers teach 3 or more lessons in each of the 7 health categories:

  • Mental and Emotional Health
  • Injury Prevention and Safety
  • Personal and Community Health
  • Alcohol Tobacco and other Drugs
  • LGBTQ, Family Diversity, and Gender
  • Growth and Development
  • Nutrition and Physical Activity

We encourage each school to have a Health Advocate to help disseminate health information and support health instruction. If you are unsure of the health advocate at your school or would like to be the Health Advocate, please contact Michael Drum drumm@sfusd.edu. The Health Advocate is a stipended position.


Please use our SEL and Health Lessons Portal to find Health and SEL Lessons

Recommended Curricula: SFUSD recommends the following curricula for Health and SEL lessons:

Second Step

ETR Healthsmart

Planned Parenthood for puberty lessons.


Health and Report Cards

Each grade has 3 health standards assessed for the SBRC. Please check your grade below for which standards are assessed and corresponding lessons. You can see health rubrics on the SBRC Teacher Guides.


Please see our Report Card Aligned Lessons and Assessments Document.


Grade K

  • Identifies and practices basic hygiene
  • Understands and applies basic safety concepts
  • Identifies and chooses healthy foods and activities

First Grade

Grade 1

  • Describes how humans and other living things grow and names major body parts
  • Explains and applies ways to stay healthy (oral & personal hygiene practices; sun safety; prevention of disease & germ transmission - hand washing, covering coughs & sneezes)
  • Identifies and explains safe and unsafe practices (identifying labels on products; distinguishing safe & unsafe touches and using refusal skills; explaining use of seat belt & sitting in back seat of vehicle; defining conflict resolution techniques)

Second Grade

Grade 2

  • Identifies and chooses healthy foods according to MyPlate recommendations
  • Distinguishes between helpful and harmful substances, and makes healthy choices accordingly (medicines, drugs, & household products)
  • Knows and practices healthy behaviors to promote mental wellness (describes & manages various emotions; talks with parents/trusted adult about feelings; lists expressions of affection, love, friendship, & concern; identifies ways of dealing with stress)

Third Grade

Grade 3

  • Explains and practices positive peer and family relationships (shows respect, gets along with, communicates, helps others)
  • Identifies and demonstrates health practices that reduce illness and disease caused by bacteria and viruses (hand washing, covering sneezes and coughs, eating healthy, physical activity, rest/sleep)
  • Recognizes and demonstrates respect for individual differences in growth and development

Fourth Grade

Grade 4

  • Describes how to use a decision making process to select nutritious foods, beverages, and physical activities
  • Describes the types and effects of bullying and harassment behaviors and demonstrates how to be an ally
  • Describes the effects of alcohol, tobacco, and other drugs, and strategies to avoid substance abuse

Fifth Grade

Grade 5

  • Explains viruses (including HIV) and bacteria, and their relationship to the immune system; practices health-enhancing behaviors (for example, covers coughs and sneezes, avoids contact with others’ bodily fluids)
  • Explains internal (biological signals) and external influences (media, peers, family, culture) that affect food choices and physical activity and accesses valid information (nutrition facts, other credible references)
  • Explains the structures and functions of major organs in the human reproductive system (including the social, emotional, and physical changes that occur during puberty)

Request Resources

Request Resources by emailing tiuk@sfusd.edu

Social and Emotional Learning

Teach Health and Social Emotional Learning in your class. Elementary teachers can reference our SEL and Health Education Resource Guide. Please also visit the Social Emotional Learning pages for in-depth resources on that subject.