There’s a decent amount of confusion when it comes to the decision to give our children vitamins and supplements. Store shelves (real or virtual) are filled with tinctures and gummies marketed towards children. And you’ve likely heard that, in general, pediatricians don’t recommend vitamins for children who eat a “normal” diet. There are exceptions to every rule (see below, especially as it pertains to vitamin D) but the bottom line is that supplemental multi-vitamins are not an essential part of a child’s diet. If your child eats a rainbow of foods, it’s unlikely they need pile of additional minerals and vitamins in pill form.
New data presented at the recent American Academy of Pediatrics meeting found 93% of parents to newborns incorrectly positioned and buckled their infants into their car seat on their first trip home. A little more proof that perfectly buckling a car seat isn’t an innate early-parenting skill! Even Prince George’s royal family didn’t get it right. I’m certain I didn’t do this perfectly either on our maiden voyage home (I remember using a zip-in blanket in the seat) nearly 8 years ago. As The Car Seat Lady reminds, “products that have a layer that goes under the baby’s body can make the baby unsafe. This is true even if the product is designed with slots for the harness straps to fit through.” Most of us clearly mess this up and although the first trip is just one trip, it may be emblematic of our everyday use.
Car seats and booster seats are important for child safety; our habits for their use begin the moment we leave the hospital or birthing center. Although those “bucket” infant car seats are safest (we’d all be safer in the car facing the rear, and in a bucket) we move away from them when our infants are around 9-12 months of age. But do remember, with every graduation to a new seat, you decrease protection. For example, when you move from a a rear-facing infant seat —> rear-facing carseat—>forward-facing carseat—>booster seat—>seat belt—>front seat at age 13, each time you advance the child safety seat, you’re decreasing protection you provide. Don’t rush the transition! Keep your child rear-facing until at least age 2 years and in a booster until they are at least 4 foot 9 inches (57 inches) tall.
The No-Duh Importance Of Car Seats
- Car crashes are the leading cause of death for children in the US. Creating safe habits from day one matters…don’t blow off importance of car seat safety as helicopter parenting. Using the child car seat well every time is an easy way to layer protection and channel your bursting baby love.
- Infant car seats, rear-facing seats and boosters all hold equal import. Only two states require car or booster seats until age 8 (WA is not one of them) even though children should be in booster seats until they are both 4 foot 9 inches and between age 8 and 12 years.
- Car seats reduce risk of death by 71% for infants and 54% for toddlers if used properly: “Results of several studies have indicated that misused child safety seats may increase a child’s risk of serious injury in a crash.” (Page 9)
The 2nd recreational pot store opened in Washington State recently while store #3 opens later this week. Pace will quicken with several more stores expected to open by year-end. This puts parents and pediatricians in our state in a unique situation (shared only with Colorado) as we’re tasked to explain to children and teens the dangers of legalized drugs used by adults. However, the complexity extends even to those of us with young children. Growing concern (and evidence) finds accidental ingestion of pot among children, often in the form of edibles, is also accelerating. Online in social channels I’ve heard some argue that marijuana legalization is to be thought of like alcohol but the packaging and delivery of the drug really are far different.
Marijuana Use By Teens Still Illegal Yet Common
- Nearly half of all teens have tried pot by the time they finish high school while almost 1/4 of all high school students report having used marijuana in the past month. That’s pretty common.
- 35 different marijuana-infused food & beverages have been approved by WSLCB (cookies, trail mix, peanut brittle, gummy bears, and chocolate bars for example). Often the packaging for these products looks as attractive as a fruit roll-up or delicious candy bar typically marketed to children.
- There have been 68 pediatric marijuana exposures voluntarily reported to Washington State poison control already this year. Because reporting isn’t mandatory this is potentially an underestimate of the number of children exposed to marijuana accidentally.
Malala, Malala, Malala – this is a historic day! A child has just won the Nobel Peace Prize! Our heroine, Malala Yousafzai, has been awarded the Nobel Peace Prize. She shares the prize with Kailash Satyarthi. Children and parents everywhere on planet earth have a perfect bedtime story. The youngest ever recipient of the prize goes to a girl born and raised in Pakistan who was denied equal access to her education. I mean, really, whenever you think your child’s potential is bounded or someone in the community minimizes the importance of your child’s ideas or implies that their potential is truncated by their age, limited by their perspective, or premature because of their experience, we have a new story to tell. We have an extraordinary antidote to those who treat children as lesser citizens of the world.
Malala, you amaze us and you open up doors for little girls and little boys everywhere. Parents and pediatricians can and will share the news with young children and teens who falter.
First off, don’t let her globe-trotting-book-writing-media-circus attention fool you into thinking she’s an adult. She found out about her Nobel while in class, a place where all the other 17 year-olds in our country get the opportunity to sit…
17-year-old Nobel Peace Laureate Malala Yousafzai found out about her win in her Chemistry class. — USA TODAY (@USATODAY) October 10, 2014
Malala has leveraged her skills as a brilliant communicator and wed it to the courage of a champion to change the world’s understandings and opportunities. We are all so lucky.
Quick Facts For Your Family About Malala Yousafzai:
- Malala started penning ideas and sharing perspectives by blogging for BBC about equal access to education when she was just 11. Here’s a TIME For Kids write-up.
- Malala and her father report that part of her success is based on the reality that her “wings were not clipped.” More from her dad in this popular TEDtalk.
- Malala is a world leader. Read Amy Davidson’s New Yorker article from earlier today as a reminder of her influence — note Davidson saying, “It is past time to stop seeing Malala as simply the girl who survived, as a symbol. (The Times called her a ‘global emblem.’) She is a girl who leads: who addressed the United Nations on her sixteenth birthday; who amazes Jon Stewart and asks Barack Obama about drones.” Watch her interview on Jon Stewart for examples of her unflappable courage and determination.
Age-Appropriate Malala Bedtime Stories:
Age 2-5: There once was a little girl loved to go to school. But one day the rules changed where she lived and she was unable to Read full post »
I’ve been lucky enough to interact with teens on a regular basis for my entire career. As a previous middle and junior high school teacher, people often express pity when they hear I taught middle-school, as if teens are “too” tough, histrionic, and irresponsible to have wanted the job. I really did want the job. I love the drama and rate of change during adolescence. In my experience I see teens take on huge responsibility, make good choices, care deeply about their family and friends, and work diligently to improve their world. Their interest and work on evolving into an ideal self is captivating. Most teens are highly motivated. Many are over-extended because they are so committed. Lazy teens just aren’t the norm…
Sometimes teens get a bad rap. Sometimes they make choices without thinking of the consequences too. That’s normal when you’re still developing. Those mistakes pave the road of opportunity for us to give teens information that keeps them safe.
October is a lot of things (more on that this month) but know it’s National Medicine Abuse Awareness Month and there’s a big push to both educate parents on signs of over-the-counter (OTC) medicine abuse and encourage parents to talk with teens about the risks of using medications as recreational drugs.
Thing is, approximately 1 in 25 teens reports abusing excessive amounts of Dextromethorphan (DXM) to get high. DXM is a safe ingredient found in more than 100 OTC medicines. It’s typically found in cough suppressants or medicines for cough and colds. Because it’s a stimulant, when DXM is consumed in excess it can cause a rapid heart beat, vomiting, stomach pain, hallucinations, confusion, and loss of motor control. It also can induce a high — hence why teens experiment with it.
It’s 2014 and it’s a reality that you can protect a child, teen or young adult from a cancer-causing virus with a series of just three shots. About 79 million Americans are currently infected with Human Papillomavirus (HPV), a virus that can cause warts but also lead to cancer (anogenital and/or throat cancers). Most data find 14 million new people are infected with the virus every year. Most of the time, HPV enters our body and our immune system gets rid of it on its own, however sometimes HPV causes trouble at the cellular level. Fortunately there’s a safe and effective way to stop the spread of HPV, prevent some strains of the virus from ever causing cellular changes in our body and ultimately prevent the related cancers it triggers: the HPV vaccine.
HPV Vaccine Is Safe
The HPV vaccine isn’t really “new” anymore. Between June 2006-March 2014, approximately 67 million doses of HPV vaccines were distributed. The vaccine is made from one protein from the HPV virus, designed to trigger a protective immune response; the vaccine cannot cause HPV infection or cancer. A recent study by Pediatrics found the HPV vaccine to be not only effective, but long-lasting. The study followed vaccinated girls and boys for eight years and showed evidence of durability; the HPV-antibodies remained at high levels over the years after immunization. Read full post »
It’s Flu “shot” season but thankfully not every vaccine hurts going in. This year your child may be offered either the “flu shot” or the flu nasal spray vaccine (ouchless!). This year most nurses and docs will encourage young children to get a nasal flu spray over the shot as recent data has found the nasal flu vaccine protects younger children better. Every year the flu vaccine is created to protect against influenza viruses predicted to spread and circulate in North America. We need the shot every year for two main reasons:
- Typically, different influenza virus circulate around the world from year to year. Over 100 international centers maintain year-round surveillance to determine and predict which strain will cause human infections. The information is used to forecast the recipe for the vaccine here at home. This year the strains (types) of influenza in the shot and nasal spray are the same as last year (2013-2014).
- Protection Fades. When you get a flu vaccine you stimulate the immune system to create protection against the strains of the virus in the vaccine. That immunity (the antibodies that are created) tends to fade and wane in your bloodstream after about 6-12 months. Therefore, even if you got the flu vaccine last year you really want your family to have it again this year so it protects you through the winter influenza season which can continue late into the springtime but tends to peak in February or March.
The flu vaccine contains either three (trivalent) or four (quadrivalent) strains of influenza. There is no official recommendation for one over the other. Flu vaccine is recommended for all children over 6 months of age who have no contraindication to the vaccine.
Worth noting: If the thought of needles deters you from getting the vaccine for your child or your family, Live Attenuated Influenza Vaccine (LAIV), a nasal spray, is a great option for those age 2 to 49 years. In fact, there’s data to suggest the nasal flu vaccine is more effective in protecting children from influenza in young childhood. Recommendations this year include a push to have children between 2 and 8 years of age immunized with the nasal spray whenever possible. If the nasal isn’t available, the shot should be given — no reason to wait.
About 20,000 children younger than 5 years old are hospitalized from flu every year — form CDC “Which Flu Vaccine Should Children 2 to 8 Years Old Get?”