teens Archives - Happy Healthy Kids

Raising Awareness: 4 Great News Sources for Kids

March 16, 2018 by Kelley 3 Comments

When I was growing up, news came to me in glances, via the Philadelphia Inquirer that took up permanent residence on our kitchen counter. Now that my three boys are 11, 9, and 6, I’d like them to also have exposure to what’s going on in our increasingly complex world. But here’s the conundrum: Where should that news come from?

Ironically, even with so many choices for news—phones, tablets, cable, our good friend Alexa—it’s harder than ever to find news in a format that works for young minds. Salacious scandals force me to turn even NPR down in the car. The few quality kids’ news sites, like Time 4 Kids, require subscriptions and are geared toward schools. Moreover, anything on a browser is, at least for us, problematic—it’s way too tempting and easy for kids to wander off to YouTube and its ilk.

After some digging, I’ve come up with the following potential options for parents to find news for their kids that’s at once PG and engaging. If you’ve come up with some ingenious news-gathering solutions of your own, clue me in at kelley@happyhealthykids.com.

1. For setting up on a laptop at breakfast: Channel One News. Think of it as a televised Skimm for kids. Every morning, you can find two short (6-7 min) videos on the homepage of this news site created especially for children, teens, and families. The tone and content is upbeat and simple enough to engage my 6-year-old. But unlike a lot of educational programming, it’s not campy and goofy, a fact that appeals to my 11-year-old. It’s also short, so I don’t feel bad about the early-morning, pre-school screen time. We usually just watch the first segment, which consists of a brief rundown of 2-3 top headlines that are in the mainstream adult news, too. Yesterday, my kids’ learned about Stephen Hawking’s death, the closure of Toys ‘R Us, and that Russia is trying to interfere with our elections—all over a bowl of cereal.

2. For reading on the way to school or practice: News-O-Matic app. I love this free app, which is like a daily, interactive newspaper geared for kids ages 4 to 14. There’s a carefully curated mix of articles to read with a video or two and some fact boxes to help boost vocabulary and background knowledge. Kids can get through it in about 10 minutes on a phone or tablet, which I find is perfect for a quick car ride.

3. For Sunday morning family reading: The new New York Times ‘Kids’ Section. Old school meets new school: Inspired partly by a change.org petition from parents who said they’d pony up for a print newspaper subscription if it included content for their kids, The New York Times has started a once-monthly, print-only ‘Kids’ section that comes along with the Sunday paper. The first few iterations have been awesome: January’s edition included a primer on North Korea, an Olympics-inspired luge maze, a funnies section, and even some kid-friendly recipes. Right now, the Sunday paper is $5.13, and along with the awesome once-a-month Kids section, there’s plenty for the whole family to peruse, from the science section to movie reviews.

4. For road trips: Wow in the World Podcast. Anyone who’s ever listened to NPR’s TED Radio Hour can understand how friendly Guy Raz would make a great host for NPR’s first-ever kids’ program. This new weekly podcast created by Raz covers science, innovation, and other kid-friendly news topics every week by starting with a question—”What in the world is a solar eclipse?”—that segues into one or two current events. Kids as young as 4 or 5 can get it, and grown-ups will learn something, too, making it a great listen for a long car ride.

Photo credits: Top, Pixabay; Channel One News; News-O-Matic; New York Times; NPR/Wow in the World

Keep Kids Safe from Ticks

June 3, 2017 by Kelley 1 Comment

You may not have appreciated the harsh winter, but there’s one species that did: ticks. According to scientists, the snow that covered much of the country acted like a cozy blanket for the critters, allowing them to survive and propagate in unusually high numbers. And they’re not just hanging out in the deep woods. “We’re finding plenty of infected ticks in built environments, places like city parks, playgrounds, work campuses, college campuses,” a Binghamton University researcher told CBS Boston last month.

What’s especially worrisome is that ticks’ favorite meal appears to be kids. Children between ages 5 to 14 are the most common carriers of Lyme disease, which can cause a wide range of serious medical problems, from joint pain and fatigue (in the early stages) as well as neurological, behavioral, and emotional disturbances (in more advanced cases). An early CDC study of 64 New Jersey grade schoolers with Lyme found that median duration of their illness was 363 days, and the mean number of school days missed because the child was too ill to attend was 103 days. 78% of the parents stated that their children experienced a fall in grade point average during the time of illness.

According to experts, it’s time that parents start thinking of tick prevention the way we do sun protection or hand washing. For those of us who grew up thinking that the little bugs were nothing more than an icky nuisance, taking daily measures against ticks is a hard new habit to start. But Nevena Zubcevik, D.O., an attending physician at Harvard Medical School and the Co-Director of The Dean Center for Tick Borne Illness at the Spaulding Rehabilitation Hospital, has generously shared these easy-to-follow guidelines for keeping kids safe from ticks this summer and beyond.

STARTING IN THE SPRING…make your home and yard an unhappy place for ticks.
Pruning excess bushes and making sure you keep the grass short in your yard is a good practice. So is spraying the yard for ticks—there are lawn-care companies who offer organic options to insecticides. If you have a dog, consider applying anti-tick medication monthly, even in winter months. Dogs and other pets frequently bring ticks into the house.

EVERY MORNING…Spray your kids with a research-proven tick repellent.
“Tick prevention, given the wide area of presence, should be a daily practice,” says Dr. Zubcevik. You don’t have to venture out to the woods to get a tick bite. Recent studies show that urban parks, yards and play areas have ticks that carry these diseases. The reason for the widespread presence of ticks is that they live on small rodents like mice, squirrels and rabbits. They are also found on migratory birds, so ticks carrying illnesses generally found in other parts of the country can now be detected most anywhere.
Long pants and socks are especially helpful for defending kids against ticks, which tend to attach to their hosts’ ankles and legs first. But it can be unreasonable to ask kids to wear long clothes on a hot summer’s day. A recent Consumer Report showed that sprays such as Repel with lemon eucalyptus or Sawyer with 20% picaridin have the capability of keeping mosquitoes and ticks away for up to 8 hours – and outperformed compounds with DEET in their testing. “Those compounds are also safer than DEET for repetitive use in children,” says Dr. Zubcevik.

IN THE EVENING…Check your kids’ bodies for ticks, and wash bodies and clothes.
Ticks mostly live on wood or bushes and tall grass. They’ll attach to your leg and can crawl up and enter the waist or hairline area. Since kids are short, they also often brush by a bush and end up with a tick in or around their earlobe, hair or armpit. A prompt shower with a full body tick check after being outdoors on daily basis can help find ticks that just attached and catch them before they have transmitted disease. Making sure you check between toes, in belly button and earlobes as well as the buttocks, groin and hair is key. Hair-drying in the summer can help kill small ticks that would otherwise be missed with a tick check – though time consuming, such practice can help long term prevention.

IF YOU FIND A TICK…Remove it, freeze it, and talk to a doctor.
If you find a tick you can use thin tweezers to catch the tick at the insert site, closest to the skin and gently jiggle the tick until it detaches. If the tick is embedded deep, then a visit to the doctor would be warranted, says Dr. Zubcevik. (Never burn or squeeze a tick. The tick carries most of the bacteria in the stomach and by squeezing it you run a risk of injecting the contents into the person. You should then keep the tick, and freeze it in a ziplock bag and then send it for testing.) The testing is done at UMass, and in five business days they will let you know whether the tick has any serious illnesses.
If the result is positive for a tick-borne illness, talk to your child’s pediatrician about options. There are some opposing views about prophylactic treatment. Some physicians say that because the diseases the ticks carry can be debilitating and in some cases life-threatening, it’s important to treat if there was evidence of a bite; while others disagree and prefer to wait for symptoms of illness. “The problem is that the longer you wait, the higher the chances the bacteria has had time to spread throughout the body, in which case it might be more difficult to treat,” Dr. Zubcevik says. Current studies at John’s Hopkins University show that up to 35% of people develop chronic symptoms despite treatment for Lyme. “We do not know what the exact reasons of these chronic symptoms are,” notes Dr. Zubcevik. “Scientists have postulated that it could be an autoimmune reaction that is triggered by the infection, chronic inflammation, or continued infection by the bacteria.”

ALWAYS BE ON THE LOOKOUT…for signs and symptoms of Lyme.
Red flags are flu like symptoms, joint pains or swollen joints, sudden change in behavior, sudden development of repetitive movements, lethargy, fatigue, and headaches. A classic “bulls-eye” shaped rash around the bite site may be present, but not always, and therefore should not be required for diagnosis of this illness.
One big reason kids are at high risk is that they generally do not communicate symptoms very well. Parents should know that in case their kids develop any symptoms that are new and concerning, they should be vigilant to find out whether or not their child needs treatment. “Currently we have very poor testing for Lyme disease,” says Dr. Zubcevik. “The current test misses 89% of Lyme disease cases in the first 8 weeks of infection.”
Since testing is so inadequate, Dr. Zubcevik warns, results should not be depended on exclusively for diagnosis. Symptoms and risk factors should also be strongly considered. “The treatment is actually quite benign,” she says. “We use antibiotics such as amoxicillin for children under the age of 8 and doxycycline for older kids. Both of these antibiotics have good safety records and are generally well tolerated. With these facts in mind, both parents and physicians should feel comfortable starting a patient on antibiotics if they clinically present as Lyme.”

Bottom line…As long as Lyme remains so tricky to diagnose and treat, taking precautions is key. “Parents should be vigilant with prevention,” says Dr. Zubcevik. “It’s what we have most control over.”

The Tick Toolkit
	Repel with lemon eucalyptus or Sawyer with 20% picaridin have been tested to keep mosquitoes and ticks at bay for up to 8 hours.
	Fine tip tweezers like these by TAMSCO will allow you to remove ticks more easily.
	When sprayed on a child's socks or clothes before heading out in grassy, wooded or overgrown areas, Permethrin helps repel ticks.
	Get kids jazzed for a nightly bath or shower with a fun soap, like Method's Mickey Mouse lemonade body and hair wash.

Top Kids’ Health Headlines of 2016

December 30, 2016 by Kelley Leave a Comment

I think we can all agree that 2016 was a news roller coaster —at turns nauseating, exciting, and just plain sobering. And the output of fascinating headlines included an unusual amount of news relevant to parents and kids. Here are five family-centric health topics that caught my attention last year, and are good to catch up on if you haven’t already. What am I missing? Be sure to comment here or on Facebook to let me know. Happy New Year to you and yours…and thanks so very much for reading.

Screen Time for Tots O.K.—As Long as Parents Get Involved. For the past decade, parents have struggled to heed American Academy of Pediatrics (AAP) recommendations banning any and all screen-time for kids under 2. But now, conceding the ubiquitousness of digital media in all our lives, the AAP have updated their guidelines to not include an age floor for screen use—but instead encourages parents to be more proactive in how, what, and for how long kids of all ages watch. They recommend printing out and sticking to a Family Media Use plan like this one that encourages careful vetting of games and shows, time for outdoor play and exercise, and putting phones and tablets “to bed” when kids do.

HPV Vaccination Works—But Not Enough Kids Are Getting It. The prevalence of the cancer-causing human papilloma virus (HPV) in teen girls has dropped impressively—by 64%—since the HPV vaccine was introduced a decade ago. And yet, just 42 percent of girls and 22 percent of boys between the ages of 13 and 17 are getting the recommended 3-dose vaccine series. A just-released study in Pediatrics suggests that pediatricians take a more formal approach to getting families on board—presenting it clearly as one of the recommended vaccines for kids rather than launching an open-ended conversation about it over the course of a well visit.

Dads are Crucial to Kids’ Healthy Development. Shifting family dynamics have gotten more fathers involved in childcare, but old stereotypes and gender norms still perpetuate the notion that moms are the emotional center of kids’ lives. New research and guidelines may change that perception: In a rigorous review of recent research on fatherhood, the AAP released a clinical report showing that dads’ involvement is a stronger predictor of kids’ health and success than many might assume. Among their findings: Healthy “horseplay” often initiated by dads may challenge children to be more confident in taking risks; the amount of father communicates with a child at age 3 may be one of the chief predictors of kids’ later verbal ability; and teens with involved dads are less likely to engage in risky behavior or suffer from depression. Michael Yogman, M.D., chair of the AAP Committee on Psychosocial Aspects of Child and Family Health and co-author of the report, goes so far as to suggest that pediatricians start giving dads, specifically, a prescription at infant well visits: “Play with your baby every day.”

Zika Hits Home—and the Impact Goes Beyond Microcephaly. A little more than a year after we started reading about the devastating effects of the mosquito-borne virus in South America, cases of Zika started popping up in Florida in July 2016. The spread, at least domestically, seems to have been contained by now, but public health officials warn that warm weather in 2017 could bring about more cases—and more dangers. A new study in the New England Journal of Medicine, suggests that damage during fetal development from the mosquito-borne virus can occur throughout pregnancy, and that other birth defects are even more common than microcephaly, when babies are born with very small heads. Given Zika and the increase in tick-borne illness diagnoses in kids, it’s more important than ever that parents get as serious about applying an effective insect repellent to kids—and themselves, especially if pregnant—as they’ve become about slathering on sunscreen. We’ve listed the most effective safe bug sprays, here.

U.S. Kids are Heating Healthier, But… Finally, some good news on the kid diet front: Brown University research on children’s eating patterns between 1999 and 2012 reveals that kids are eating more whole grains, whole fruits, dairy, and protein from seafood and plants. They’re also laying off sugary foods and drinks more than ever before. But: they continue to eat too much salt and not enough vegetables—even fewer veggies than previous, less health-conscious generations consumed, say Brown epidemiologists. Here are some HHK ideas for some simple, kid-friendly veggie side dishes, and 25 superfoods—including seven vitamin-packed vegetables—worth trying on your children.

12 Healthy Gift Ideas

December 13, 2016 by Kelley 1 Comment

When considering our nearest and dearest at the holidays, we’d all like to find a happy medium between passing off a plastic gift card and spending a hair-raising amount of time or money for the sake of “meaning.” Enter what I’ll call a “healthy gift”—an easy little something that helps a loved one feel, look, or do better; and, ideally, keeps on giving throughout the coming year. I tapped some of the doctors and wellness gurus whose advice we’ve shared on this blog to share their favorite healthy gifts to give in 2017. Hope you can find something for a special someone—including, maybe, you.

For your neighbor…
Instead of a cookie platter, dietitian and fitness trainer Dana White, R.D. likes to give homemade flavorings that people can use to make a recipe taste even more delicious. Her two favorites, that are super-easy to make but have a big “wow” factor: Homemade vanilla extract and rosemary-citrus sea salt. She packages the vanilla extract with her pumpkin chocolate chip muffin recipe, and the gourmet salt with her “ready-in-minutes” baked sweet potato chip recipe.
Get Dana’s vanilla extract recipe here and pumpkin-chocolate chip recipe here. Be sure to order small food-grade bottles in advance. You can get them at craft stores or 12 for $16 at Amazon.
Get Dana’s rosemary-citrus sea salt recipe here and baked sweet potato chip recipe here.

For elementary schoolers…
Balance toys promote all-important core strength, keep children active inside or out, and are unique in that they actually keep kids interest as they grow. Curt Hinson, Ph.D., founder of the Dr. Recess program encouraging more effective and creative physical fitness in schools, has two faves:
Teeter Popper: Kids can sit or stand on the treads, and rocking motion makes for cool suction noises on pavement $35 at Amazon.
Spooner Board: Kids can master tricks on this wide balance board, and get a jump start on the core movements they need to master surfing, skateboarding, or snowboarding. $45 at Fat Brain Toys.

For big kids…
Yale Pediatric Sleep Center director Craig Canapari, M.D. has written on here and on his phenomenal blog about how crucial rest is for kids and grown-ups alike. But due to anxiety, hormonal shifts, or noisy households, many kids have sleep problems that develop or persist beyond their baby years. For them (or sleep-deprived adults), “you can’t beat a Marpac sound conditioner,” says Dr. Canapari. Appropriately tech-y-looking for discerning older children, the domed device emits the soothing, consistent sound of gentle rushing air, with customizable tone and volume control. Marpac Dohm All-Natural White Noise Sound Machine, $45-50 at Amazon.

For ‘tweens and teens…
It may be infuriating, but it’s natural and even healthy for teens to crave some space from parents and younger siblings. For Two Peds in a Pod pediatricians and moms Julie Kardos, M.D. and Julie Kardos, M.D., a well-received gift for this age group are tools that honor their desire for privacy—”within reason.” Along with journals that can lock and remote controls that allow kids to put out their own light before putting themselves to bed, Drs. Kardos and Lai like bedroom doorbells that can attach to the outside of teens’ doors. Girlz Own Bedroom Doorbell, $13, Amazon.

For a sister or best friend…
When life feels like a closed circuit board of family and work, a great gift is something pampering and utterly self-involved. New York City dermatologist and mom of three, Julie Karen, M.D., of CompleteSkinMd, tries and tests hundreds of products, and is head-over-heels right now with one in particular: Alastin Restorative Eye Treatment. “This peptide rich cream is very hydrating, helps diminish undereye dark circles and puffiness, and also has the unique ability to stimulate new healthy elastic tissue,” she says. Alastin Restorative Eye Treatment, $85, CompleteSkinMD.

For your mom…
The growing season doesn’t have to end with the cold weather. Gardening guru Marion Mass suggests giving anyone who appreciates nature (and healthy eating) a “sprouting kit” to grow salad- and smoothie-friendly microgreens on the windowsill. You can buy a complete kit, like the one below), or give a cute, small container and seeds separately. Include a written or e-card with a link to Marion’s how-to on kitchen gardening: http://www.chicksforlife.com/videos-pxhnf. The Simply Good Box by Home Greens, $28, Amazon.

For your significant other…
“My favorite suggestion is to give a gift that does not involve a material possession but that involves growth,” says Ellen Braaten, Ph.D., director of the Learning and Emotional Assessment Program (LEAP) at the Clay Center for Young Healthy Minds at Massachusetts General Hospital. Classes in a budding hobby or a personal passion, like cooking, can be a real treat. You can pick a Sur La Table specialty class in a fave topic—cookies to roasts—in many different culinary areas in 22 states. Sur La Table cooking classes, surlatable.com

For anyone…
A totally free and meaningful gift that family members can give one another is a handwritten gift certificate for a gesture or service that only they can provide, says Erica Reischer, Ph.D., a psychologist and parenting coach and author of What Great Parents Do: 75 Simple Strategies for Raising Kids Who Thrive. “One might say, “when presented with this certificate, mom or dad will put down their phone (or get off their computer) and spend time with me,” suggests Dr. Reischer. Other ideas: a 10-minute back massage before bed, a round of a favorite board game, or help with a house project that’s been back-burnered. What’s more: Honor it—and your loved one—with your full attention when it’s cashed in.

Photo credit: Dana White

Teaching Boundaries to Young Kids

June 15, 2016 by Kelley 1 Comment

What a start to summer. The recent spate of devastating news, spanning from campus assault to terrorism, happened to coincide with my kids’ final, happy days of nursery school, second grade, and fourth grade. Even as I cheered their crossing of milestones, I grieved inwardly about how short-lived these innocent days really are. It won’t be long until they aren’t just hearing scary news in the background, but understanding many of its deep, dark complexities.

One thing I’m trying to learn through writing this blog is how to talk to kids about big, difficult subjects in age-appropriate ways. I sense, from conversations with experts like Ellen Braaten, Ph.D and others, that there’s a window of opportunity to candidly connect with our kids that tends to get stuck as they enter their teens and naturally crave more space and privacy. And as details emerged about the Stanford sexual assault case, some friends and I discussed whether it was possible to start familiarizing kids with the concept of consent in early and mid-childhood—in other words, before sex enters the picture. As the parent of sons, I was especially interested in how to teach boys about boundaries—both how to recognize and respect them—without compromising their naturally affectionate natures.

Thankfully, other thinkers have offered some extremely helpful wisdom on the subject. In particular, there’s one article, originally posted on Everyday Feminism by a group of four journalists, that even academic psychologists cite as a great primer. Called Healthy Sex Talk, Teaching Kids Consent from 1-21, it was written in 2013, but I haven’t seen it until this week. In case you haven’t either, I’ve pared it down to five key points, here. There are many more age-specific details in the original article. Thanks to Alyssa Royse, Joanna Schroeder, Julie Gillis, and Jamie Utt for thinking about this before most of us were.

Encourage them to ask playmates before embracing them; and don’t force them to hug or kiss anyone else. It doesn’t have to be stiff and formal; simple langauge such as, “Sarah, let’s ask Joe if he would like to hug bye-bye,” just gets a child into a habit of respecting personal space. If Joe resists, be cheerful and suggest a wave, high-five, or a blown kiss. Suggest the same if you have a shy child who’s uneasy about embracing a cuddly friend or relative.

Use every opportunity you can to teach your child to think about how it feels to be in another person’s shoes. Empathy can be taught, and young kids are especially receptive. The authors suggest: “Use language like, ‘I know you wanted that toy, but when you hit Mikey, it hurt him and he felt very sad. And we don’t want Mikey to feel sad because we hurt him.’ Encourage your child to imagine how he or she might feel if Mikey had hit them, instead. This can be done with a loving tone and a big hug, so the child doesn’t feel ashamed or embarrassed.” As kids grow, prompt them to pay attention to friends’ and siblings’ expressions and body language, and occasionally check in to make sure that their companions are okay.

Teach kids to respond immediately to—and freely use—”No” and “Stop.” Whether they are responsible for or the recipient of the unwanted action, even one as seemingly innocuous as nudging or tickling, make sure children understand the sanctity of these words.

Use correct terms for body parts and encourage them to speak matter-of-factly about them. When you take the mystery out of the language, talking frankly about these parts and their function becomes less taboo.

Motivate them to help people in trouble. Even as we distress over the terrible judgment of the young assailant in the Stanford case, we have to feel heartened by the heroic intervention of the graduate students who recognized and stopped the assault. We all want our kids to grow into individuals who step in when someone is struggling, but it may actually take practice. For little kids, authors suggest using family pet as an example (“Oh, it looks like the kitty’s tail is stuck! We have to help her!”) Later, prompt children to intervene or alert a grown-up if they see someone being bullied. Providing them with some sample language to make this tricky situation easier—and lots of props for bravery—helps.

photo credit: Sweetness via Photo Pin, cc

Kids Worry About Our Screen Time

March 11, 2016 by Kelley 1 Comment

My second-grader had a class play today, and before the curtain opened, the school’s headmaster made the request he now always makes before the excited, nervous elementary-schoolers in his care perform for their parents: “Grown-ups, can you please turn off and put away your cell phones?”

Heads swiveled around to make sure moms and dads in the back were complying. I saw one child nod pointedly toward a parent as if to say, “this time for real, Dad.”

Just like we parents get aggravated about our kids’ “obsession” with tablets, texting, and video games, this morning reminded me that children are growing equally irritated by the way we are so often bent over our phones, demanding “one more minute!” as we tap out a message or post. University of Washington and University of Michigan researchers recently discovered this too, in a survey of 249 families with kids between 10 and 17 about their technology usage. The study, one of the first to include findings related to kids’ feelings about their parents and screen time, is an eye-opener.

When researchers asked kids what technology rules mom and dad needed some brushing up on, they had a lot of thoughts. Among other things, they said they wished their parents would:

Be more present. Children felt there should be no technology at all in certain situations, such as when a child is trying to talk to a parent.

Cut back on use. Parents should use technology in moderation and in balance with other activities.

Keep them safer. Parents should focus on establishing and enforcing technology-related rules for children’s own protection, primarily.

Put down the phone on the road! Parents should not text while driving or sitting at a traffic light.

Stop oversharing on social media. Parents shouldn’t share information online about their children without explicit permission.

Be less hypocritical. Parents should practice what they preach, such as staying off the Internet at mealtimes.

I’m going to keep this last one, especially, in mind as we head into the weekend—when screen limits get relaxed for everyone, and it’s all to easy to get mired in emails or Pinterest even after we announce that “time’s up!” on our own kids’ tablet time. If modeling the right behavior is the most effective form of good parenting, this is one area where I, for one, need a reminder. Perhaps a screen alert?

What You Need to Know this Flu Season

January 26, 2016 by Kelley Leave a Comment

Ever since my oldest son got the flu twice in three years despite being vaccinated, I go on high alert for news about “flu activity” come late January, when the virus typically starts to ramp up in the northeast. The flu is no joke—kids with a history of asthma or other respiratory issues are at high risk for pneumonia with the virus. Even my healthy son was listless, coughing, and had an around-the-clock 103-degree fever for a straight week.

Vaccine scientists predict what flu strain will be most prevalent from year to year and design a formula accordingly, so even the experts don’t know until the virus peaks how effective each season’s shots have been. Here’s what we know so far—and how we can help keep our kids as protected as possible.

1. This flu season looks mild—so far. As of last week, overall flu cases are low compared to recent years. Just three states—Maryland, Massachusetts and North Carolina—reported “widespread” flu activity across the state, and cases were “minimal” or “low” in 47 states. This time last year, only 17 states had minimal flu activity. Last flu season, the estimated number of flu-associated hospitalizations of 970,000 people in the United States was the highest ever during a single season, according to the Centers for Disease Control and Prevention. Many epidemiologists point to this winter’s warmer temperatures thus far as a partial explanation: Flu tends to circulate fastest in cold, dry conditions.

2. This year’s vaccine seems like a good match. The flu could be suffering from an even more formidable opponent than warm, humid conditions: a well-matched vaccine. Last year’s formula didn’t include coverage against the flu strain that wound up predominating for the better part of 2014-15. The 2015-16 vaccine covers either three or four strains of the flu, including the influenza A virus that’s striking people in greatest numbers thus far.

3. It’s not too late to get vaccinated. It takes about two weeks for the vaccination to set in, and since flu tends to peak in February and last through May, getting immunized now will cover you through the heart of sick season. While the vaccine isn’t 100 percent effective, it’s definitely your bet shot at either preventing the virus or shortening its severity and duration. I continue to vaccinate my kids even though my one son—for reasons doctors can’t definitively explain—has had an unlucky track record. Barring certain medical conditions, everyone 6 months and older should be vaccinated. Want to find the most convenient place to get your shot (or mist)? Check out this handy, searchable map. Most insurance plans cover shots in full, but vaccines are less than $50 (and at places like Costco, quite a bit less than that) out of pocket.

4. Good hygiene is as important as immunization. Getting kids in the habit of washing their hands—with regular soap—when returning home and just before eating can provide great defense. Keep alcohol-based hand sanitizer in your bag and the car and use a squirt after you’ve been in a well-trafficked place like the mall, a museum, or the library. And if they are hacking or feverish, do others a solid and teach them to cough into their elbows, even after the worst of their symptoms subside. Just as vaccines are as much a public service as personal protection, so are good hygiene habits.

5. If you suspect the flu, see a doctor right away. If your child runs a persistent fever, has headaches, is coughing, and/or feeling generally achy and unwell, flu is a possible culprit (even if he or she has been vaccinated). Make an appointment with the doctor sooner than later, since they can test for the flu easily and quickly. Once the flu is diagnosed, you can take extra care to keep your sick child away from siblings and other kids until their fever and symptoms subside; and if he or she is high risk for pneumonia or other complications, the doctor can possibly start your child on an antiviral medication that can reduce the flu’s duration and severity. But in most cases, ibuprofen or other fever-reducing medications (as well as plenty of rest, liquids, patience, and fun movies) will see sick kids—and tired parents—through a bout. For more ideas for keeping children comfortable during illness, check out HHK’s Sick Day Survival Kit.

photo credit: Influenza via Photo Pin, cc

Healthy New Year’s Resolutions for Kids

December 29, 2015 by Kelley 1 Comment

In late December, on one of the family walks we try to do around our local pond every weekend, my husband and I share our New Year’s resolutions with our kids—and prompt them to share theirs. But usually, little boys’ resolutions are either overly specific (“I won’t trip my little brother near that big rock again”) or overly broad (“I will be good”). But this year I will be able to provide some guidance, courtesy of the American Academy of Pediatrics, who recommends these ideas for preschoolers through high schoolers.

Preschoolers

I will clean up my toys by putting them where they belong.
I will let my parents help me brush my teeth twice a day. I will wash my hands after going to the bathroom and before eating.
I will help clear the table when I am done eating.
I will be friendly to all animals. I will remember to ask the owners if I can pet their animal first.
I will be nice to other kids who need a friend or look sad or lonely.
I will talk with my parent or a trusted adult when I need help or am scared.

Kids, 5 to 12 years old

I will drink reduced-fat milk and water every day, and drink soda and fruit drinks only at special times.
I will take care of my skin by putting on sunscreen before I go outdoors on bright, sunny days. I will try to stay in the shade whenever possible and wear a hat and sunglasses, especially when I’m playing sports.
I will try to find a sport (like basketball or soccer) or an activity (like playing tag, jumping rope, dancing or riding my bike) that I like and do it at least three times a week!
I will always wear a helmet when riding a bike, scooter or skateboard.
I will wear my seat belt every time I get in a car. I’ll sit in the back seat and use a booster seat until I am tall enough to use a lap/shoulder seat belt.
I’ll be friendly to kids who may have a hard time making friends by asking them to join activities such as sports or games.
I will always tell an adult about any bullying I may see or hear about to help keep school safe for everyone.
I will keep my personal information safe and not share my name, home address, school name or telephone number on the Internet. Also, I’ll never send a picture of myself to someone I chat with on the computer without asking my parent if it is okay.
I will try to talk with my parent or a trusted adult when I have a problem or feel stressed.
I promise to follow our household rules for videogames and internet use.

Kids, 13 years old and older

I will try to eat two servings of fruit and two servings of vegetables every day, and I will drink sodas only at special times.
I will take care of my body through physical activity and eating the right types and amounts of foods.
I will choose non-violent television shows and video games, and I will spend only one to two hours each day – at the most – on these activities. I promise to follow our household rules for videogames and Internet use.
I will help out in my community – through giving some of my time to help others, working with community groups or by joining a group that helps people in need.
When I feel angry or stressed out, I will take a break and find helpful ways to deal with the stress, such as exercising, reading, writing in a journal or talking about my problem with a parent or friend.
When faced with a difficult decision, I will talk about my choices with an adult whom I can trust.
When I notice my friends are struggling, being bullied or making risky choices, I will talk with a trusted adult and attempt to find a way that I can help them.
I will be careful about whom I choose to date, and always treat the other person with respect and without forcing them to do something or using violence. I will expect to be treated the same way in return.
I will resist peer pressure to try tobacco-cigarettes, drugs or alcohol. I will also avoid the use of e-cigarettes.
I agree not to use a cellphone or text message while driving and to always use a seat belt.

See more at AAP.com. And best wishes to all of our phenomenal followers for a healthy and happy 2016! Thanks so much for your support.

5 Kids’ Health News Stories of 2015

December 23, 2015 by Kelley Leave a Comment

Unless you’ve been living under a rock, you know that 2015 was packed with big, debate shaping events, both here and abroad. In the global grand scheme of things, everyday kids’ health news may seem relatively unimportant, but to parents, good pediatric research—especially when paired with good, actionable advice—can lead to life altering positive changes. (Which is why I created this blog in the first place!) Here, I’m sharing the five, kids’ health headlines from 2015 that most fascinated—and in some cases, inspired—me.

1. Measles isn’t going away.

What started with a bout of measles among kids at Disneyland in December ballooned into a multi-state outbreak, affecting more than 100 kids in January alone. The CDC is “very concerned” about the possibility of an even larger outbreak down the road, says Tom Frieden, director of the Centers for Disease Control (CDC).

Besides being seriously dangerous, potentially leading to pneumonia, encephalitis, and even death, the problem with measles is that its one of the most contagious viruses there is. Measles spreads through the air when an infected person coughs or sneezes, and 90% of the people around an infected person will catch it if they aren’t protected, according to the CDC. So, talk to your pediatrician to make sure your children’s shots are completely up-to-date, and if your infant is too young for a vaccine, make sure he or she doesn’t come into contact with infected children.

2. Pets make for healthier kids.

In case your kids needed any more fodder for their case for a fluffy new friend: Mounting research shows that having animals in or around the house can lead to big health benefits for growing immune systems and developing brains. In November, Swedish scientists published data on one million children that found that dog exposure during infancy was associated with a 13% lower risk of asthma in school-age children, while farm animal exposure was linked to a 52% risk reduction. Separately, CDC-funded researchers discovered that kids with dogs, specifically, were less anxious than their peers, even after controlling for family income, age, gender, and other variables. Pets may be hard work, but it appears they give back more than companionship.

3. Big kids are seriously sleep deprived.

Think you’re tired? In August, the CDC revealed that 2 out of 3 high school students get less than the recommended eight hours of sleep per night for their age group. Too-early school start times are partially to blame: The average start for middle and high schools is 8:03, which many sleep experts believe is out of sync with adolescent sleep cycles. But screen-based gadgets may be the worst culprit: A Norwegian study of 10,000 teens found that more than 90 percent of girls and 80 percent of boys use a cell phone in the hour before bed, a practice that’s been strongly linked in recent research to thwarted sleep (the blue light can trick the brain into thinking it’s daytime). If your children own gadgets, consider putting the phones and pads to sleep in a different room than them, and be sure to revisit the National Sleep Foundation’s guidelines on how long children of different ages should snooze: it’s 10 to 13 hours per day for preschoolers, nine to 11 for kids between ages 6 and 13, and eight to 10 hours for teens.

4. Cutting back on a little sugar goes a long way.

If you had to choose just one healthier habit to adopt for your family this year, clearing the kitchen of too-sweet snacks may be your best bet. Endocrinologists at the USCF Benioff Children’s Hospital in San Francisco showed that lowering overweight kids’ sugar intake dramatically boosted their health—in just 10 days. Even without changing the amount of calories they were consuming or exercise they were doing, children who cut out almost all sweetened foods were able to improve their levels of blood sugar, cholesterol, fasting glucose and insulin (all markers for diabetes). They also reported feeling less hungry. Need inspiration? Print out these easy ways to cut back on sugar from nutritionist Dana White, R.D., here and post on the ‘fridge.

5. Beware of “overvaluing” kids.

It seems intuitive to tell kids how special they are, but a new study adds to growing evidence that this could do more harm than good. In the first prospective study of its kind, scientists from Ohio State University and the University of Amsterdam surveyed families four times over one-and-a-half years to see if they could identify which factors led children to have inflated views of themselves. They found that kids of parents who “overvalued” them—thought they were more special than others—developed narcissistic behaviors later on. (The full report is an interesting read: In order to measure parental overvaluation, researchers asked parents, among other questions, whether their 8- to 12-year-olds are familiar with not only real historic people, like Neil Armstrong, but also fictional ones, like “Queen Alberta.” As you might have guessed, quite a few parents held firm that their little Einsteins knew all about “Queen Alberta.”)

Rather than convincing yourself and your kids’ of their greatness, researchers recommend greater “parental warmth”: simply letting kids know, often, how much you love them. This leads to high levels of much healthier self-esteem, without the narcissism. The difference? “People with high self-esteem think they’re as good as others, whereas narcissists think they’re better than others,” says study co-author Brad Bushman, Ph.D.

“Cool Stuff” Doesn’t Make Kids Popular

September 15, 2015 by Kelley Leave a Comment

It sounds like the plot of a bad ‘tween sitcom, or maybe just your mother talking, but there’s actually some solid science behind it: Expensive or trendy clothing, technology, and gear don’t help kids become more popular, according to a large study by British researchers who are studying the effects of consumer culture on kids. In fact, children who acquire “cool” things in an effort to gain friends often wind up feeling worse about themselves than they did before getting the coveted items.

This seems like a particularly relevant topic now, at the start of the school year, as kids start noticing what new gadgets and styles friends have acquired over the summer. They start complaining about being the only one without (an Xbox, an iPhone 6, monogrammed Uggs). And unless you’re made of flint, chances are a tiny part of you has at least briefly considered the notion that a certain trendy item might help a lonely child feel more confident or accepted.

But this study, of more than 1,000 children ages 8 to 14, showed the opposite. Kids not only had a diminished identity after turning to consumer goods to boost their social status, they also reported increased rejection from peers after acquiring coveted items. Researchers at the University of Sussex, who recently presented these findings as part of their ongoing Children’s Consumer Culture Project, refer to this as consumerism’s “downward spiral,” in which lower well-being leads to consumer value adoption which, in turn, lowers well-being further.

While the research itself may be over kids’ heads, it might give some of us more confidence when we assure our children that “things” aren’t the ticket to a better seat in the cafeteria or more playdate invitations. If you think your child might need a little guidance on the social front, this piece in Psychology Today by Eileen Kennedy-Moore, Ph.D is a really helpful read. Called “How Children Make Friends,” it discusses the most important “ingredients” for socializing, including basic, straightforward advice that’s easy to pass onto kids (such as how to greet a peer in the morning). It’s a pretty great primer even for sometimes-shy grown-ups, too.

Preschoolers

Kids, 5 to 1​2 years old

Kids, 13 ​y​ears old and older

Kids, 5 to 12 years old

Kids, 13 years old and older