Before and After School Safety

Monday, August 29, 2011

Beginning of the school year always brings reminders of safety...who is with the children in the morning getting them off to a good start...who is seeing them home to make sure they're safe and fed after school...SO MUCH TO THINK ABOUT! I wanted to make this blog broader than just school bus safety. (There's a wonderful site: which address just the school bus...but addresses kids, parents, teachers and bus drivers.) But I want folks to consider so much more.

• Some older youth or adult needs to be watching out for little ones waiting for the bus or coming home from the school. Staying in groups make everyone be seen and safer around strangers or other folks trying to give them rides. Remind them to never get in a vehicle, unless it's their caregiver.

• Kids need to be reminded about the dangerous blind spots surrounding a bus (by the bus driver).

• They need to be reminded about how important it is to stay on the sidewalk or 10 feet (5 Giant Steps) away from the road.

• To never pick something up that may have fallen, until the bus driver says it's safe to. (Balls that roll into the street, or papers falling out of the backpack.)

• Kids need to be shown turning your head LEFT AND RIGHT at driveways, alleys and other streets, for cars.

• HIGH SCHOOL PARKING LOTS are very dangerous. Talk to your older teens about walking and driving safely where there are so many inexperienced drivers.

• Never pass a bus on the right side. (that is where kids get out of the bus.)
• Never pass when the STOP arm is down.
• ALWAYS STOP when the arm is down, even in 4 lanes with no embankment in the median.

Carol Cochard Pool, MSW, PCAIN Prevention Education Specialist

The Importance of Childhood Immunizations

Monday, August 8, 2011

Disease Prevention--Protect Those Around You

Disease prevention is the key to public health. It is always better to prevent a disease than to treat it. Vaccines prevent disease in the people who receive them and protect those who come into contact with unvaccinated individuals. Vaccines help prevent infectious diseases and save lives. Vaccines are responsible for the control of many infectious diseases that were once common in this country, including polio, measles, diphtheria, pertussis (whooping cough), rubella (German measles), mumps, tetanus, and Haemophilus influenzae type b (Hib).

Parents are constantly concerned about the health and safety of their children and take many steps to protect them. These steps range from child-proof door latches to child safety seats. In the same way, vaccines work to protect infants, children, and adults from illnesses and death caused by infectious diseases. While the U.S. currently has record, or near record, low cases of vaccine-preventable diseases, the viruses and bacteria that cause them still exist. Even diseases that have been eliminated in this country, such as polio, are only a plane ride away. Polio, and other infectious diseases, can be passed on to people who are not protected by vaccines.

Vaccine-preventable diseases have a costly impact, resulting in doctor's visits, hospitalizations, and premature deaths. Sick children can also cause parents to lose time from work.

Why are Childhood Vaccines So Important?

• It's true that newborn babies are immune to many diseases because they have antibodies they got from their mothers. However, the duration of this immunity may last only a month to about a year. Further, young children do not have maternal immunity against some vaccine-preventable diseases, such as whooping cough.
• If a child is not vaccinated and is exposed to a disease germ, the child's body may not be strong enough to fight the disease. Before vaccines, many children died from diseases that vaccines now prevent, such as whooping cough, measles, and polio. Those same germs exist today, but babies are now protected by vaccines, so we do not see these diseases as often.
• Immunizing individual children also helps to protect the health of our community, especially those people who are not immunized. People who are not immunized include those who are too young to be vaccinated (e.g., children less than a year old cannot receive the measles vaccine but can be infected by the measles virus), those who cannot be vaccinated for medical reasons (e.g., children with leukemia), and those who cannot make an adequate response to vaccination. Also protected, therefore, are people who received a vaccine, but who have not developed immunity. In addition, people who are sick will be less likely to be exposed to disease germs that can be passed around by unvaccinated children. Immunization also slows down or stops disease outbreaks.

Why Immunize? For Parents

Why immunize our children? Sometimes we are confused by the messages in the media. First we are assured that, thanks to vaccines, some diseases are almost gone from the U.S. But we are also warned to immunize our children, ourselves as adults, and the elderly.

Diseases are becoming rare due to vaccinations.
It's true, some diseases (like polio and diphtheria) are becoming very rare in the U.S. Of course, they are becoming rare largely because we have been vaccinating against them. But it is still reasonable to ask whether it's really worthwhile to keep vaccinating.

It's much like bailing out a boat with a slow leak. When we started bailing, the boat was filled with water. But we have been bailing fast and hard, and now it is almost dry. We could say, "Good. The boat is dry now, so we can throw away the bucket and relax." But the leak hasn't stopped. Before long we'd notice a little water seeping in, and soon it might be back up to the same level as when we started.
Keep immunizing until disease is eliminated.

Unless we can "stop the leak" (eliminate the disease), it is important to keep immunizing. Even if there are only a few cases of disease today, if we take away the protection given by vaccination, more and more people will be infected and will spread disease to others. Soon we will undo the progress we have made over the years.
Japan reduced pertussis vaccinations, and an epidemic occurred.

In 1974, Japan had a successful pertussis (whooping cough) vaccination program, with nearly 80% of Japanese children vaccinated. That year only 393 cases of pertussis were reported in the entire country, and there were no deaths from pertussis. But then rumors began to spread that pertussis vaccination was no longer needed and that the vaccine was not safe, and by 1976 only 10% of infants were getting vaccinated. In 1979 Japan suffered a major pertussis epidemic, with more than 13,000 cases of whooping cough and 41 deaths. In 1981 the government began vaccinating with acellular pertussis vaccine, and the number of pertussis cases dropped again.
What if we stopped vaccinating?

So what would happen if we stopped vaccinating here? Diseases that are almost unknown would stage a comeback. Before long we would see epidemics of diseases that are nearly under control today. More children would get sick and more would die.
We vaccinate to protect our future.

We don't vaccinate just to protect our children. We also vaccinate to protect our grandchildren and their grandchildren. With one disease, smallpox, we "stopped the leak" in the boat by eradicating the disease. Our children don't have to get smallpox shots any more because the disease no longer exists. If we keep vaccinating now, parents in the future may be able to trust that diseases like polio and meningitis won't infect, cripple, or kill children. Vaccinations are one of the best ways to put an end to the serious effects of certain diseases.

Source: (Centers for Disease Control and Prevention) Reprinted with permission

August is Children's Eye Health Month

Tuesday, August 2, 2011

Your Child's Eye Exam

Your child should have his or her first eye exam done by a pediatrician or family doctor sometime during the first year of the child's life. If you or your child's doctor decides that your child's eyes should be further examined, make an appointment with a qualified pediatric ophthalmologist. Then, with recommendation from your pediatric ophthalmologist, your child's next eye exam will be at the age of 3, and once again before entering kindergarten, or by age 5. From there on, your child should receive a comprehensive eye exam at least every two years. In-school screenings are helpful but do not substitute for an eye exam.

How Do I Prepare My Child for an Eye Exam?

Make time to sit down and explain what will happen during your child's eye exam. Make sure your child knows that he will be asked to look at and identify objects for the eye doctor. These could be pictures, letters, or shapes of light on the wall. Explain also that the eye doctor may put drops in his or her eyes, but that it will not hurt. Eye drops may sting a bit but only for a moment. Be honest with your child and work with your doctor to reassure your child.

What Tests Will Be Done on My Child's Eyes?

In the first year of life the pediatric ophthalmologist, pediatrician, or family doctor will check for nearsightedness, farsightedness, astigmatism, amblyopia, eye movement ability, proper eye alignment, how the eye reacts to changes in light and darkness, and any general eye problems. If the eye exam is done by a pediatrician or family doctor and if problems are found during the exam, the child will usually be referred to a pediatric ophthalmologist, who specializes in diagnosing and treating eye conditions in children. Early diagnosis of childhood eye disease is crucial to effective treatment.

For children between the ages of 3 and 5, the eye doctor will conduct a physical exam of the eyes, but also vision screenings using eye chart tests, pictures, letters, or the "tumbling E game", which tests the child's visual acuity, or ability to see form and detail of objects. The "tumbling E game", also called the Random E's Visual Acuity Test is useful in determining the eyesight of children who cannot yet read. The child is asked to identify the direction that the letter "E" opens to by holding out three or four fingers to mimic the letter "E". You can practice this test at home before your appointment.

If your child is a bit older, he or she may be asked to identify pictures such as a plane, a house, a duck, or a hand. Correcting poor visual acuity is very important in a child's sight development.

Amblyopia, or "lazy eye," is a condition in which there is unequal vision between the two eyes despite using a corrective measures such as glasses. It can be caused by unequal errors of refraction, ocular misalignment, or cloudiness in the line of vision due to conditions such as cataracts. Amblyopia is reversible when detected early by patching the better-seeing eye or by blurring its vision using atropine drops. Amblyopia is a leading cause of unilateral vision loss in children and young adults.

Taken from