Twitter Facebook RSS Feed Print
Your Child

Testing Your Child for Hearing Problems

1:30

Hearing well is critical to a child’s social, emotional and cognitive development.  When hearing problems are diagnosed early, most are treatable. So it’s important to have your little one’s hearing tested, ideally by the time your baby is 3 months old.

Hearing loss is more common that you’d probably expect. It affects about 1 to 3 babies out of every 1,000.

Although many things can lead to hearing loss, about half the time, no cause is found.

Hearing loss can occur if a child:

•       Was born prematurely

•       Stayed in the neonatal intensive care unit (NICU)

•       Had newborn jaundice with bilirubin level high enough to require a blood transfusion

•       Was given medications that can lead to hearing loss

•       Has family members with childhood hearing loss

•       Had certain complications at birth

•       Had many ear infections

•       Had infections such as meningitis or cytomegalovirus

•       Was exposed to very loud sounds or noises, even briefly

When should your child be evaluated for hearing loss? Newborns should have a hearing screening before being discharged from the hospital. Every state and territory in the U.S. has a program called Early Hearing Detection and Intervention (EHDI). The program identifies every child with permanent hearing loss before 3 months of age, and provides intervention services before 6 months of age. If your baby doesn't have this screening, or was born at home or a birthing center, it's important to have a hearing screening within the first 3 weeks of life.

If your newborn doesn't pass the initial hearing screening, it's important to get a retest within 3 months so treatment can begin right away. Treatment for hearing loss can be the most effective if it's started before a child is 6 months old.

Children who seem to have normal hearing should continue to have their hearing evaluated at regular doctor’s appointments from ages 4 to 10 years of age.

If your child seems to have trouble hearing, if speech development seems abnormal, or if your child's speech is difficult to understand, talk with your doctor.

Even if your newborn passes the hearing screening, continue to watch for signs that hearing is normal. Some hearing milestones your child should reach in the first year of life:

•       Most newborn infants startle or "jump" to sudden loud noises.

•       By 3 months, a baby usually recognizes a parent's voice.

•       By 6 months, a baby can usually turn his or her eyes or head toward a sound.

•       By 12 months, a baby can usually imitate some sounds and produce a few words, such as "Mama" or "bye-bye."

As your baby grows into a toddler, signs of a hearing loss may include:

•       Limited, poor, or no speech

•       Frequently inattentive

•       Difficulty learning

•       Seems to need higher TV volume

•       Fails to respond to conversation-level speech or answers inappropriately to speech

•       Fails to respond to his or her name or easily frustrated when there's a lot of background noise 

There are several ways your child’s hearing can be tested depending on his or her age, development and health.

During behavioral tests, an audiologist carefully watches a child respond to sounds like calibrated speech (speech that is played with a particular volume and intensity) and pure tones. A pure tone is a sound with a very specific pitch (frequency), like a note on a keyboard.

An audiologist may know an infant or toddler is responding by his or her eye movements or head turns. A preschooler may move a game piece in response to a sound, and a grade-schooler may raise a hand. Children can respond to speech with activities like identifying a picture of a word or repeating words softly.

Doctors can also examine a child for hearing loss by looking at how well his or her ear, nerves and brain are functioning.

If a hearing problem is suspected, a pediatric audiologist specializing in testing and helping kids with hearing loss can be contacted. They work closely with doctors, teachers, and speech/language pathologists.

Audiologists have a lot of specialized training. They have a Masters or Doctorate degree in audiology, have performed internships, and are certified by the American Speech-Language-Hearing Association (CCC-A) or are Fellows of the American Academy of Audiology (F-AAA).

Children with certain types of hearing loss have several options for treatment. They may be helped with surgery or hearing aids. The most common type of hearing loss involves outer hair cells that do not work properly. Hearing aids can make sounds louder and overcome this problem.

A cochlear implant is a surgical treatment for hearing loss; this device doesn't cure hearing loss, but is a device that gets placed into the inner ear to send sound directly to the hearing nerve. It can help children with profound hearing loss who do not benefit from hearing aids.

Making sure that your child is hearing well is one of the first steps you can take to helping him or her do well socially, academically and developmentally.

Story source: Thierry Morlet, PhD, Rupal Christine Gupta, MD,

http://kidshealth.org/en/parents/hear.html

 

Your Child

The Debate: Homework or No Homework?

1:45

Does homework improve a student’s academic achievement or does it interfere with family time and create a negative learning experience? That’s part of the debate that is currently going on over whether homework is a good or bad thing for students.

Brandy Young, a second grade teacher in Godley, Texas, recently made the news when a letter she gave to her student’s parents, went viral on social media.

Young said that she was dropping homework from her curriculum for the new school year.

"Research has been unable to prove that homework improves student performance," Young wrote. "Rather, I ask that you spend your evenings doing things that are proven to correlate with student success. Eat dinner as a family, read together, play outside, and get your child to bed early."

That made a lot of Young’s students very happy.

According to the Association for Supervision and Curriculum Development (ASCD), homework has had a fluid history.

“Throughout the first few decades of the 20th century, educators commonly believed that homework helped create disciplined minds. By 1940, growing concern that homework interfered with other home activities sparked a reaction against it. This trend was reversed in the late 1950s when the Soviets' launch of Sputnik led to concern that U.S. education lacked rigor; schools viewed more rigorous homework as a partial solution to the problem. By 1980, the trend had reversed again, with some learning theorists claiming that homework could be detrimental to students' mental health. Since then, impassioned arguments for and against homework have continued to proliferate.”

The case for homework involves several studies noting that student’s academic achievements improve when they are given meaningful homework and they complete assignments. A number of synthesis studies have been conducted on homework, spanning a broad range of approaches and levels of selectivity.  One such account, known as The Cooper Study, included more than 100 firsthand research reports, and the Cooper, Robinson, and Patall (2006) study included about 50 empirical research reports. Conclusions from their studies stated,  “With only rare exceptions, the relationship between the amount of homework students do and their achievement outcomes was found to be positive and statistically significant. Therefore, we think it would not be imprudent, based on the evidence in hand, to conclude that doing homework causes improved academic achievement.”

The case against homework also cites several studies that suggest homework doesn’t improve students’ learning but instead overvalues work to the detriment of personal and familial wellbeing.

Some no-homework activists say that extended school hours work better for helping students learn and retain knowledge.

Several popular books have been written taking the no-homework stand; one is The Homework Myth: Why Our Kids Get Too Much of a Bad Thing by Alfie Kohn. 

If homework needs to be assigned, Kohn suggest teachers should make sure that the assignments are beneficial, ideally involving students in activities appropriate for the home, such as performing an experiment in the kitchen, cooking, doing crossword puzzles with the family, watching good TV shows, or reading. Kohn also urged teachers to involve students in deciding what homework, and how much, they should do. One idea is that family participatory homework exercises can help students learn practical applications with school subjects and receive more bonding time in the process.

Many education experts believe homework provides valuable tools for student learning but also agree that meaningful homework should always be the goal and not assigned as a matter of policy.

Research has also shown that while students are typically assigned homework from Kindergarten to 12th grade, there has been no specific consensus on the benefits of homework at the early elementary grade levels, however, older students do improve their grades with homework.

Many parents are still uncertain about how they feel about homework. Some will tell you that their child has far too much assigned during the week and over the weekends, but they are not quite ready to chuck homework altogether. 

It’s an interesting debate that will continue to garner attention.

Whether you believe homework is necessary for better learning or is an obstacle to student achievement, one thing both sides can agree on is that parental involvement is the key ingredient to a happier and more prepared student.

Story source: Robert J. Marzano and Debra J. Pickering,

http://www.ascd.org/publications/educational-leadership/mar07/vol64/num06/The-Case-For-and-Against-Homework.aspx

 

 

Your Child

New Flu Vaccine for 2015-2016

1:45

Last year’s flu vaccine wasn’t as effective as previous vaccines, but this year’s vaccine should be a much better match according to Dr. Tom Frieden, Director of the U.S. Centers for Disease Control and Prevention.   

Typically, the vaccine is 50 to 60 percent effective, making your chances of getting the flu reduced by as much as 60 percent if you get a flu shot.

This year’s flu vaccine contains the H3N2 strain, Frieden said. Last year's vaccine was only 13 percent effective against the H3N2 strain. As a result, "more seniors were hospitalized for the flu than ever before."

What's more, 145 children died from the flu, Frieden said, adding that the actual number was "probably much higher since many flu deaths aren't reported."

About 50 percent of the American population gets vaccinated every flu season. That includes pregnant women. More people, including pregnant women, need to be vaccinated, Frieden said.

The CDC recommends that everyone 6 months of age and older get the flu shot every year.

Frieden said there's an adequate supply of flu vaccine this year. Companies are expected to make 170 million doses of vaccine, of which 40 million have already been distributed, he said.

People at risk of flu-related complications include young children, especially those younger than 2 years; people over 65; pregnant women; and people with chronic health problems, such as asthma, heart disease and diabetes, as well as those with weakened immune systems, according to the CDC.

Most seasonal flu activity typically occurs between October and May. Flu activity most commonly peaks in the United States between December and February.

Children younger than 6 months are at higher risk of serious flu complications, but are too young to get a flu vaccine. Because of this, safeguarding them from flu is especially important. If you live with or care for an infant younger than 6 months of age you should get a flu vaccine to help protect them from flu.

It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu.

The CDC encourages people to get a flu shot preferably by October. Those children aged 6 months through 8 years who need two doses of vaccine should receive the first dose as soon as possible to allow time to get the second dose before the start of flu season. The two doses should be given at least four weeks apart.

During this flu season:

•       Intramuscular (IM) vaccines will be available in both trivalent and quadrivalent formulations. (High dose vaccines, which are IM vaccines, will all be trivalent this season.)

•       For people who are 18 through 64 years old, a jet injector can be used for delivery of one particular trivalent flu vaccine.

•       Nasal spray vaccines will all be quadrivalent this season.

•       Intradermal vaccine will all be quadrivalent.

The quadrivalent flu vaccine is designed to protect against four different flu viruses; two influenza A viruses and two influenza B viruses.

It’s hard to believe that we’re about to head into the flu season, particularly with so many states still experiencing summer like weather. But we are, and getting a flu shot early can help protect you and your family from a virus no one wants to get.

Sources: Steven Reinberg, http://consumer.healthday.com/infectious-disease-information-21/flu-news-314/no-embargo-this-year-s-flu-vaccine-better-match-703392.html

http://www.cdc.gov/flu/about/season/flu-season-2015-2016.htm

Your Child

Laser Pointers and Vision Loss

1:45

Laser pointers were once found primarily in schools, certain industries, entertainment venues and scientific labs. Today they are easily available over the Internet and have garnered the attention of kids and teens that use them as toys. They’ve also become a social media phenomenon as videos of people using them to tease or play with cats rack up likes and shares.

Low powered laser pointers have been considered basically safe for children to play with as long as warnings to avoid pointing the laser at someone’s head or eyes were followed. When operated unsafely, or without certain controls, the highly concentrated light from lasers—even those in toys—can be dangerous, causing serious eye injuries and even blindness. And not just to the person using a laser, but to anyone within range of the laser beam.

Typically, laser light injuries are not painful. Eye injuries may go unnoticed for days and even weeks, but could be permanent.

Some examples of laser toys are:

•       Lasers mounted on toy guns that can be used for "aiming;"

•       Spinning tops that project laser beams while they spin;

•       Hand-held lasers used during play as "light-sabers;" and

•       Lasers intended for entertainment that create optical effects in an open room.

According to the U.S. Food and Drug Administration (FDA), laser pointers fall into 4 classifications. The classifications categorize lasers according to their ability to produce damage in exposed people, from class 1 (no hazard during normal use) to class 4 (severe hazard for eyes and skin). There are two classification systems, the "old system" used before 2002, and the "revised system" being phased in since 2002.

Researchers recently documented 4 boys who suffered severe eye damage from a laser pointer. The authors report described two 12-year-olds, one nine-year-old and one 16-year-old who came to a medical center with central vision loss and "blind spots" within hours to days after looking into or playing with a green or red laser pointer.

In one case, the boy looked at the reflection of a laser pointer in a mirror. Two others simply pointed the lasers at themselves, and the fourth was engaged in a "laser war" with a friend.

"Long-term outcomes for these patients will be pretty mild vision loss," said senior author Dr. David R. P. Almeida of VitreoRetinal Surgery, PA, in Minneapolis, Minnesota.

"Males may horse around with things more, or we just happened to have boys in our series," Almeida told Reuters Health by phone. Injuries could be just as likely for girls.

He advises parents to be careful about where they buy laser pointers, as some retailers may not list the power rating or may list it incorrectly, and to limit use for kids under 14.

Retinal tissue in the back of the eye leads to the brain, and it has no ability to regenerate after tissue loss, Almeida said.

"One patient developed bleeding and needed an injection in the eye," which can be particularly unpleasant for children, he said.

Kids may use laser pointers as long as they avoid improper use, Almeida said.

"Unsupervised use of these laser pointer devices among children should be discouraged, and there is a need for legislation to limit these devices in the pediatric population," he and his coauthors write.

There's no doubt that these products can open up a world of imagination - dragon slayer, cosmic explorer, super pirate, the list goes on. Handled correctly they can provide hours of fun - mishandled, hours in the emergency room. If your child has a laser pointer or toy, make sure he or she knows the rules and understands why being careful about where it is pointed is so important. 

Story sources: http://www.foxnews.com/health/2016/09/06/laser-pointers-can-cause-irreversible-vision-loss-for-kids.html

http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm363908.htm

 

 

Your Child

Healthy Diet Improves Reading Skills

1:00

Good nutrition not only improves your child’s physical condition but may also advance his or her reading abilities, according to a new Finnish study.

Researchers in Finland found students' reading skills improved more between first grade and third grade if they didn't eat a lot of sugary foods or red meat, and if their diet consisted mainly of vegetables, berries and other fruits, as well as fish, whole grains and unsaturated fats.

The study involved 161 students between the ages of 6 and 8 (first through 3rd grade). Researchers reviewed the children's diets and their reading ability using food diaries and standardized reading tests.

The study showed that a healthier diet was associated with better reading skills by third grade, regardless of how well the students could read in first grade, the researchers said.

"Another significant observation is that the associations of diet quality with reading skills were also independent of many confounding factors, such as socioeconomic status, physical activity, body adiposity [fat] and physical fitness," study author Eero Haapala said in a University of Eastern Finland news release. He is a postdoctoral researcher at the University of Eastern Finland and the University of Jyvaskyla.

As with most studies, the research did not prove cause and effect, but an association between the foods the students ate and their reading skills.

The study's authors noted that parents, schools, governments and corporations all have an opportunity to enhance academic performance in schools by making healthy foods more available to children.

The study was published recently in the European Journal of Nutrition.

Story source: Mary Elizabeth Dallas, https://consumer.healthday.com/vitamins-and-nutrition-information-27/food-and-nutrition-news-316/healthy-diet-may-boost-children-s-reading-skills-714811.html

 

 

Your Child

Dog Bites and Young Children

1:30

Most young kids can read a dog well enough to know if it is angry or scared, but they may be confused over whether to approach one or not, according to a new British study.

While young children often knew an angry dog was trouble, they were just as likely to approach a frightened dog as a happy one.

Co-author of the study, Sarah Rose, of Staffordshire University, and her team examined hospital statistics of children in the U.K. bitten by a dog.

"This study explored whether the explanation is that they are unable to accurately recognize a dog's emotions when approaching one," she said in a news release from the British Psychological Society.

The researchers asked two groups of kids to look at images and brief videos of dogs. The first group was 57 children between the ages of 4 and 5. The second group included 61 children, ages 6 to 7. Some of the videos and images showed dogs that appeared to be angry or frightened.

The researchers then asked the children to describe the apparent emotion of the dog and say whether they'd be willing to play with the dog.

The researchers found that children were able to recognize happy, angry and frightened dogs to a greater degree than chance would suggest.

They were most attuned to angry dogs, but less successful at recognizing happy or frightened dogs. They didn't seem to understand that they shouldn't approach a frightened dog.

Dog bites are a problem in the United States as well. They are the second most frequent cause of visits to emergency rooms from 9 activities common among children such as sports, skateboarding and All-terrain vehicles.

The U.S. Center for Disease Control and Prevention (CDC) estimates half of all children 12 years-of-age and under have been bitten by a dog. In many cases, teasing or an unintentional provocation, such as approaching a dog while it's eating or sleeping, can lead to a dog bite or even worse, an attack.  The vast majority of dog bites are from a dog that the child is acquainted with - his or her own, a neighbor's, or a friend's dog.  Seventy nine percent of fatal dog attacks are on children.

"Young children are relatively good at accurately identifying the emotion that a dog is displaying," Rose said. "However, children's understanding of safety around dogs is lacking, as they only demonstrated caution about approaching angry dogs. They appeared to be unaware that there might be problems approaching frightened dogs. This finding should help inform dog bite prevention campaigns."

Studies have shown that even a single dog bite prevention lesson incorporated into a regular school day has been shown to dramatically reduce high-risk behaviors toward unfamiliar dogs in both very young (kindergarten) and middle school children.

Most children learn about dogs and other animals from their home environment. Parents can go the extra step in helping to prevent dog-related injuries by teaching their children that scared dogs are similar to angry dogs in how they react to being approached.

Young children, particularly toddlers, should never be left unsupervised around a dog- even a family pet.

Story sources: Randy Dotinga, https://consumer.healthday.com/kids-health-information-23/misc-kid-s-health-news-435/young-kids-unaware-of-the-risks-of-approaching-scared-dogs-714883.html

http://www.safetyarounddogs.org/statistics.html

 

 

Your Child

Your Child’s First Day at School

1:45

While I may have forgotten a lot of things in my life, I remember my first day of school. I was so excited because I actually recognized someone. Her name was Donna. We’d met in a department store a week earlier. We had both picked out the same umbrella, but there was only one – she said I could have it. We’ve been friends for life.

When my daughter began school, she experienced all the same emotions I had those many years ago; scared, excited and uncertain where to go and what to do next. She found a friend also and they wandered the halls together.

Some school districts have already begun their new school year, but for many kids - the bell will ring in the next couple of weeks.

Children aren’t the only ones that are anxious as the first day rolls around – parents can get quite nervous and have that feeling that their little one is growing up so fast- trust me I know. It’s a normal “things are about to change” emotion.

One tip I’d like to suggest before your little one starts school is to share your own first day memories with your child as well as pictures. It’s amazing how comforting it is for a child to know that their parents did the same thing at their age and lived to tell about it!

To help make the first day of school a little less scary for your child, here are some other tips from https://www.healthychildren.org:

•       Point out the positive aspects of starting school: It will be fun. She will see old friends. She will meet new friends. Refresh her memory about previous years, when she may have returned home after the first day with high spirits because she had a good time.

•       Remind your child that he is not the only student who is a bit uneasy about the first day of school. Teachers know that students are anxious and will be making an extra effort to make sure everyone feels as comfortable as possible.

•       Talk about the kinds of interesting things he will learn in the months ahead.

•       Buy him or her something (perhaps a pen or pencil) that will remind her you are thinking of them while they are at school, or put a note in their lunch-box.

•       Reassure your child that if any problems arise at school, you will help re­solve them. (If problems do occur, get involved as soon as possible.)

•       Find another child in the neighborhood with whom your youngster can walk to school or ride with on the bus. If your child is not going to ride a school bus and you feel it is appropriate, drive your child (or walk with her) to school and pick her up the first day.

•       Encourage him to look for new students in his classroom or in the play­ground, invite them to join the group for a game, and ask them about their interests.

•       After school, show your child some special attention and affection. Give him or her a hug and ask what happened at school. Did she have fun? Did he make any new friends? Does she need any additional school supplies (notebooks, rulers, erasers) that you can shop for together?

In addition to the suggestions listed above, your child may need some extra support if he or she is starting school in a new location. Here are some suggestions to make the transition easier.

•       Talk with your child about his or her feelings, both their excitement and their con­cerns, about the new school.

•       Visit the school with your child in advance of the first day. Teachers and staff are usually at school a few days before the children start. Peek into your child's classroom, and if possible, meet the teacher and principal. You might be able to address some of your child's concerns at that time. She may have no questions until she actually sees the building and can vi­sualize what it will be like. (When you formally register your child in the new school, bring her immunization record and birth certificate; usually school records can be sent directly from school to school once you sign a "release of information" form.)

•       Try to have your child meet a classmate before the first day so they can get acquainted and play together, and so your child will have a friendly face to look for when school begins.

•       Do not build up unrealistic expectations about how wonderful the new school will be, but convey a general sense of optimism about how things will go for your child at the new school. Remind him that teachers and other students will be making an extra effort to make him feel welcome.

•       If your child sees another student or a group engaged in an activity she is interested in, encourage her to ask if she can participate.

•       As soon as you can, find out what activities are available for your child in addition to those that occur during school itself. Is there a back-to-school picnic or party planned? Can he or she join a soccer team? (For community sports programs, sign-ups often begin weeks or even months before the start of the season.)

It’s been many years since my first day at school but I remember it well. Your child’s life is about to change forever, but that’s a good thing-another milestone in life’s progression. Give him or her a hug, wipe away the tears and smile a big smile. Let them know you trust them and are proud of them. Then go ahead and shed a few tears of your own when you’re back in the car. Yes, they are growing up fast. 

Story source: https://www.healthychildren.org/English/ages-stages/gradeschool/school/Pages/Making-the-First-Day-of-School-Easier.aspx

 

Your Child

Lawn Mower Safety Rules Haven’t Prevented Kid's Injuries

2:00

Spring, summer and fall are the times of year when you are most likely to hear the monotonous hum of mower blades echoing throughout neighborhoods.

It’s often the first job a young boy or girl acquires to earn a little extra money, but lawn mowing can come with high risk of injuries when kids and parents don’t follow some simple guidelines.

Despite recommendations presented by AAP, the incidence of lawn mower-related injuries in children has remained unchanged over the last two to three decades.

From 2004-’13, an average of 9,351 youths ages 20 years and younger suffered lawn mower-related injuries each year, according to a review of data from the National Electronic Injury Surveillance System (NEISS) of the U.S. Consumer Product Safety Commission.

About one-third of the wounds occurred in children younger than 12. Two age groups sustained the most injuries, 3 years old and 16 years old and predominately male.

Areas of the body most commonly injured involved hand/fingers ((30%), lower extremity (17%) and face/eye (14%). Amputations and fractures combined accounted for 12.5% of injuries and were more likely to require hospitalization.

Although the incidence of injuries caused by ride-on mowers was 2.5 times higher than those caused by walk-behind mowers, the type of mower was not specified in over 70% of cases, making a true determination of relative risk nearly impossible.   

While fractures and amputations are the most dramatic injuries, they certainly are not the only ones reported. An analysis of NEISS data from 1990-2004 showed the majority of lawn mower injuries were cuts, other soft-tissue injuries and burns.

Also reported in the study were foreign body injuries. It’s hard to imagine, but the rotation of the blades on a typical 26-inch riding lawn mower is similar to the energy required to fire a bullet through the engine block of an automobile, according to the authors. The force certainly is enough to impale objects into a child’s body, even from a good distance away.  

The AAP warns that kids and parents should be aware of the precautions one should take before and during mowing to keep everyone safer.

Here are some mower-safety tips from the AAP:

•       Before learning how to mow the lawn, your child should show the maturity, good judgment, strength and coordination that the job requires. Kids should be at least 12 years of age to operate a walk-behind power mower or hand mower safely and 16 years of age to operate a riding lawn mower safely.

•       Children should be supervised until you are sure he or she can handle the job alone.

•       Wear sturdy closed-toe shoes with slip-proof soles, close-fitting clothes, safety goggles or glasses with side shields, and hearing protection.

•       Watch for objects that could be picked up and thrown by the mower blades, as well as hidden dangers. Tall grass can hide objects, holes or bumps. Use caution when approaching corners, trees or anything that might block your view.

•       If the mower strikes an object, stop, turn the mower off, and inspect the mower. If it is damaged, do not use it until it has been repaired.

•       Do not pull the mower backwards or mow in reverse unless absolutely necessary, and carefully look for children behind you when you mow in reverse.

•       Use extra caution when mowing a slope.

•       When a walk-behind mower is used, mow across the face of slopes, not up and down, to avoid slipping under the mower and into the blades.

•       With a riding mower, mow up and down slopes, not across, to avoid tipping over.

•       Keep in mind that lawn trimmers also can throw objects at high speed.

•       Remain aware of where children are and do not allow them near the area where you are working. Children tend to be attracted to mowers in use.

Stop the engine and allow it to cool before refueling. Always turn off the mower and wait for the blades to stop completely before:

•       Crossing gravel paths, roads or other areas

•       Removing the grass catcher

•       Unclogging the discharge chute

•       Walking away from the mower

Some of the most heartbreaking accidents occur when small children – even infants- are allowed to “ride along” while their parents or grandparents are using a riding mower or small tractor.  U.S. Consumer Product Safety Commission statistics show that each year, 800 children are run over by riding mowers or small tractors and more than 600 of those incidents result in amputation; 75 people are killed, and 20,000 injured; one in five deaths involves a child. For children under age 10, major limb loss is most commonly caused by lawn mowers. Never allow a child on a lawn mower or small tractor while you’re using it.

Mowing can be fun, a good source of income for adolescents and a help to families; so make sure to give an ounce of prevention to avoid having to receive a pound of cure.  

Story sources: http://www.aappublications.org/news/2016/08/11/LawnMowers081116

https://www.healthychildren.org/English/safety-prevention/at-home/Pages/Lawnmower-Safety.aspx

Your Child

Back-To-School Immunizations

2:30

Is your child up-to-date on his or her immunizations for the new school year?

Each state has its own set of immunization requirements, but there are a few that are found in nearly all states. Make sure you know which are required for your child’s school.

The typical list includes:

DTaP (Diphtheria, Tetanus, Pertussis)

·      Most children have five dosages by the time they start school, including one after their fourth birthday

·      Remember that children also need a tetanus booster when they are around 11 to 12 years old

·      The Tdap vaccine (Boostrix or Adacel) is recommended for teens and adults to protect them from pertussis in 2006 and replaces the previous Td vaccine that only worked against tetanus and diphtheria

MMR (Measles, Mumps, Rubella)

·      Two doses of MMR are usually required by school entry. In the past, the second dose was given when a child was either 4 to 6 years old or 12 years old. Now, it is usually given earlier, but some older children may not have gotten two doses yet.

·      Having two doses of MMR is important in this age of measles outbreaks.

IVP (Polio)

·      Most children have four or five dosages by the time they start school, including one after their fourth birthday.

Varivax (Varicella, or the Chickenpox vaccine)

·      Your older child will need the chickenpox shot if he has not already had chickenpox in the past. Most toddlers young receive it when they are 12 to 18 months old. Although younger children used to be given just one dose, it is now required that kids get a chickenpox booster shot when they are 4 to 6 years old. Older kids should get their booster at their next well child visit or as soon as they can so that they don't get chickenpox.

Hepatitis B

·      A series of three shots that is now started in infancy. Older children are usually caught up by 12 years of age if they haven't received this vaccine yet.

Hepatitis A

·      A set of two shots for children over 12 months years of age. All infants and toddlers are now getting this shot as a part of the routine childhood immunization schedule, but there is currently no plan for routine catch-up immunization of all unimmunized 2- to 18-year-old children, unless they live in a high-risk area with an existing hepatitis A immunization program or if the kids are themselves high risk. Kids are high risk for example, if they travel to developing countries, abuse drugs, have clotting-factor disorders, or chronic liver disease, etc.

·      Hepatitis A vaccine is required to attend preschool in many parts of the United States.

Hib

·      While required for school entry, children do not usually receive this shot after they are five years of age, so children who have missed this shot don't usually need to get caught up before school starts if they are older than 5 years old.

Prevnar

·      A vaccine that can help to prevent infections by the pneumococcal bacteria, which is a common cause of blood infections, meningitis and ear infections in children.

·      Prevnar is typically given between the ages of two months and five years, and isn't approved for older kids, so your older child wouldn't need this shot if he didn't get it when he was younger. It is often required to attend preschool though.

·      A newer version of Prevnar, which can provide coverage against 13 strains of the pneumococcal bacteria, is approved and replaces the older version (Prevnar 7) in 2010, which means that many older children in preschool may need another dose of Prevnar 13, even if they finished the Prevnar 7 series.

·      Another version of this vaccine is available for certain older high-risk children though, including kids with immune system problems, although that wouldn't be required for school.

Meningococcal vaccine

·      Menactra and Menveo, the newest versions of the meningococcal vaccine, is now recommended for children who are 11 to 12 years old, with a booster dose when they are 15 to 18 years old.

The American Academy of Pediatrics (AAP) recommends that all school age children stay up-to-date on all their immunizations.

As well as the vaccines recommended above, AAP includes a few others in its 2016 list. They include:

Influenza

·      Administer influenza vaccine annually to all children beginning at age 6 months. For most healthy, non-pregnant persons aged 2 through 49 years, either LAIV or IIV may be used. However, LAIV should NOT be administered to some persons, including 1) persons who have experienced severe allergic reactions to LAIV, any of its components, or to a previous dose of any other influenza vaccine; 2) children 2 through 17 years receiving aspirin or aspirin-containing products; 3) persons who are allergic to eggs; 4) pregnant women; 5) immunosuppressed persons; 6) children 2 through 4 years of age with asthma or who had wheezing in the past 12 months; or 7) persons who have taken influenza antiviral medications in the previous 48 hours.

Human papillomavirus (HPV)

·      Administer a 3-dose series of HPV vaccine on a schedule of 0, 1-2, and 6 months to all adolescents aged 11 through 12 years. 9vHPV, 4vHPV or 2vHPV may be used for females, and only 9vHPV or 4vHPV may be used for males.

·      The vaccine series may be started at age 9 years,

·      Administer the second dose 1 to 2 months after the first dose (minimum interval of 4 weeks), administer the third dose 16 weeks after the second dose (minimum interval of 12 weeks) and 24 weeks after the first dose.

·      Administer HPV vaccine beginning at age 9 years to children and youth with any history of sexual abuse or assault who have not initiated or completed the 3-dose series.

Many states have added an “opt out” choice for parents on some vaccines but not all. For the health and safety of all children, the AAP recommends that parents follow each state’s immunizations requirements and not opt out unless there is a medical necessity.

Story sources: Vincent Iannelli, MD, https://www.verywell.com/school-immunization-requirements-2633240

http://redbook.solutions.aap.org/selfserve/ssPage.aspx?SelfServeContentId=Immunization_Schedules

 

 

Pages

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.

 

DR SUE'S DAILY DOSE

If your child snores, is this a sign of something more serious?

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.

 

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.