For those families who can’t wait to return to the tradition of attending Tchaikovsky’s The Nutcracker, the 2021 season in the greater Washington metropolitan area has many options. From traditional ballet to circus-style performances, from hip-hop reimagining to a puppet show, there are so many exciting Nutcracker performances to choose from, you won’t want to pick just one!

The Washington Ballet

Nick Fewings via Unsplash

The Washington Ballet’s American Revolution-themed Nutcracker featured historical figures like George Washington and King George III. Note, the performers dance to a recording of The Nutcracker, not a live orchestra, but the kids won't notice. 

Insider Tip: Attend on Family Day, Dec. 12 at 1 p.m. and enjoy craft stations for coloring and ornament making, photo ops with dancers, and watch rehearsal to learn how dancers prepare for performance.

When: Nov. 27-Dec. 26
Where: Washington Ballet-Warner Theatre, 513 13th St. NW
COVID Policy: Proof of vaccination or a negative Covid-19 test result within 72 hours is required to attend.
Online: tinybeans.com 

 

The Puppet Company

The Puppet Company

For the youngest of the bunch, or families interested in a “My First Nutcracker” experience, The Puppet Company offers Tchaikovsky's familiar story of Clara and her prince with nursery rhyme spin. The Puppet Company is especially sensitive to the needs of children in theater, with gently dimmed lights and family-friendly seating.

Insider Tip: The Irish Inn at Glen Echo is walking-distance from the park and a great spot for a hearty pre- or post-performance meal. The Fish and Chips are delicious!

When: Nov. 26-Jan. 2
Where: Glen Echo Park, 7300 MacArthur Blvd., Glen Echo, MD
COVID Policy: Performances are capped at fifty percent capacity and masking is required.
Online: tinybeans.com

Cirque Nutcracker

Troupe Vertigo

Troupe Vertigo’s acrobats, jugglers and high-flying aerialists join the Baltimore Symphony Orchestra for a truly unique Nutcracker experience! Fusing together elements of cirque acrobatics, classical dance and contemporary theater, this promises to be a spectacular addition to holiday performances. 

When: Dec. 11 & 12 
Where: Joseph Meyerhoff Symphony Hall, 1201 Cathedral St., Baltimore, MD
COVID Policy: Proof of vaccination or a negative Covid-19 test result within 72 hours is required to attend. 
Online: tinybeans.com 

 

The Hip Hop Nutcracker

The Hip Hop Nutcracker

A remixed and reimagined version of the classic, The Hip Hop Nutcracker returns to Strathmore as a holiday spectacle for the whole family. Enjoy a dozen all-star dancers, a DJ, a violinist, and MC Kurtis Blow, one of hip hop’s founding fathers, who opens the show with a short set. 

When: Dec. 20–22
Where: Strathmore, 5301 Tuckerman Ln., North Bethesda, MD
COVID Policy: Proof of vaccination or a negative Covid-19 test result within 72 hours is required to attend. 
Online: tinybeans.com 

Worth-the-Drive Nutcrackers

Nutcracker Doll
Alexas_Fotos via Pixabay

Loudoun School of Ballet
If you are longing for a Nutcracker-themed tea, head to Purcellville to see excerpts from the Loudoun School of Ballet’s upcoming full-length Nutcracker. Enjoy delicious food and a host of photo opportunities as well. Loudoun School of Ballet will also perform a full-length Nutcracker on Dec. 4-6. 

When: Nov. 21 (tea); Dec. 4-6 (stage performance)
Where: 200 E Willie Palmer Way, Purcellville, VA (tea);  340 N Maple Ave., Purcellville, VA (stage performance)
Online: lbpac.org

Metropolitan Ballet Theatre
Metropolitan Ballet Theatre offers a full-length Nutcracker as well as a shorter performance.  Their Nutcracker Suite is a wonderful option for younger audiences who want to experience the ballet in under one hour. Audience size will be limited due to safety protocol for Covid-19, so get your tickets today and be a part of this seasonal ballet tradition!

When: Full-Length Performance: Dec. 4-12 (full length); Dec. 5 & 12 (short version)
Where: 51 Mannakee St., Rockville, MD
Online: mbtdance.org

Frederick School of Ballet
A Frederick holiday tradition, this full-length ballet features artists from the New York City Ballet and students from the Frederick School of Classical Ballet. Children under 2 are exempt and for children ages 2 to 12, the only requirement is to wear a mask.

When: Dec. 10-12
Where: 20 West Patrick St., Frederick, MD
COVID Policy: Proof of vaccination or a negative Covid-19 test result within 72 hours required.
Online: weinbergcenter.org

The Maryland Theater
The Nutcracker features Washington Ballet artists Nicole Graniero and Oscar Sanchez as The Sugar Plum Fairy and her Cavalier. A full cast of over 100 dancers, brilliant costume and prop design, and a good dose of theatrical magic bring this family Christmas tradition to life! 

Editor's Note: The Maryland Theater does not require proof of vaccination or a negative COVID test. 
When: December 11 & 12, 2021
Where: The Maryland Theater, 21 S Potomac St., Hagerstown, MD
Online: mdtheatre.org

—Mary Martha Aubry

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When it comes to art, kids want it to be bold, colorful and larger-than-life. From the moment you step through the doors of the bright blue building that houses Seattle’s newest art exhibit, Van Gogh: The Immersive Experience, that’s what you’ll find. The oversized sunflowers that greet you at the door set the scene for this immersive art experience that was made for 21st century families. Wondering if you should visit? Here’s what you need to know.

Learn about Van Gogh

immersive van gogh seattle

By the time you exit the experience, you’ll have seen nearly 300 digital projections of Van Gogh’s sketches, drawings and paintings, but it all starts with learning about Van Gogh’s life, influences and recognizable technique. We recommend downloading the app to get the most out of the first few exhibit rooms. Wall placards aside, the QR codes take visitors to historical tidbits, personal notes and other intriguing facts and puts them in the palm of your hand. Plus, handing your device off to your little art lover (a.k.a. the official code scanner) gives kids a way to interact during this (mostly) static part of the experience.

van gogh immersive seattle

Kids will love the 3-D effects they’ll find along the way, too, like Van Gogh’s head and The Vases. When they make it to The Bedroom at Arles, they can sit in the painting and pose for parents. And if you’re wondering what the light cameras on the ground are for, they guide visitors to the perfect spot to take Insta-worthy shots.

Ignite All Your Senses

immersive van gogh seattle

After walking through the first few rooms, it’s time for the big show. The 360-degree, floor-to-ceiling immersive room is where families can “step into a living painting.” Beyond the visual effects that make sunflowers float to the ceiling, crabs crawl across walls and wagons mosey along haystack-lined roads, kids will love the sound effects, music and playful floor projections that draw in Van Gogh fans of all ages.

immersive van gogh seattle

While parents and big kids will appreciate lounging in the beach chairs listening to the narration, tots will love the freedom of the space. They can chase the floor projections darting from one spot to the next as scenes change. Tiny dancers will love strutting their stuff when the music starts and the spirit moves them. But kids may also enjoy finding a seat and marveling at the spectacle that surrounds them. We love the comfy rugs on the floor, too because they make sweet spots for tots to watch the show.

Turn Inspiration into Art

seattle immersive van gogh

If being surrounded by Van Gogh’s visually stunning creations has you itching to create something yourself, there’s an area to sit down and do just that beyond the immersive room. Here kids and parents can color one of Van Gogh’s famous works of art, adding their own touches. Finally! Time to sit and color with your kiddo. Crayons and hand sanitizer are the tools at your disposal. When you’re finished, project your work into a digital frame at the “Paint with Vincent” station. Kids can line up the picture, press the red button and watch their work magically appear on the screen in front of them. What a thrill! Take your artwork home or hang it on the wall for others to enjoy.

Take a Virtual Walk with Van Gogh

immersive van gogh seattle

The final piece of the experience is the VR presentation of “A Day in the Life of the Artist.” Once you put on the headset, you’ll be transported to the French countryside where a simple stroll turns into a learning experience. It’s a chance to hear intriguing stories behind some of Van Gogh’s most iconic paintings. The VR experience lasts 10 minutes, and is included in the VIP package. Families can also add it on day-of for $5 each. We’re guessing big kids will jump at the chance to try this out—because, VR. And if you’ve got younger kiddos with you, consider a tag team approach with your parenting partner—you definitely won’t be able to keep an eye on roaming kids with the headset on. The sets are recommended for kids ages 6 and up.

Parent Planning Tools:

van gogh immersive seattle

1. Plan a little over an hour, give or take, for the experience. This will give you enough time to watch the presentation in the immersion room, sit and color for a while and then dive into the VR experience, without feeling too hurried.

2. If you want to avoid the crowds (and save some money too!), get tickets for a mid-week time slot.

3. The experience is super stroller-friendly so bring one along for antsy toddlers or non-walkers. Babies in carriers are easy too. Who knows—your little bundle may even sleep through the exhibit!

4. There are lots of public parking lots in the area, including at the exhibit building. Plan to pay anywhere from $3-$10 to park and plan on a short walk, depending on where you’re able to snag a spot.

5. Remember to check out the COVID policies and cleaning protocols so you know what to expect when visiting with kids. Staying socially distant, wearing masks and hand sanitizer stations are all part of the protocol here.

Important COVID info.: Please remember to bring your proof of vaccination or negative COVID test.

Date & Hours: Mon. & Weds.-Fri., 10 a.m.-7 p.m.; Sat., Sun. & holidays, 9 a.m.-8 p.m.

Cost: $41-$50/Adult, General Admission; $25-$28, Kid (4-12), General Admission; $62-$72/Adult, VIP; $42-$47/Kid (4-12), VIP; $104-$125/Family Pass (2 Adults + 2 Kids); $21-$25/Additional Family Pass Child; Discounts for students, seniors and military

1750 Occidental Ave. S.
Seattle, WA 98134
Online: vangoghexpo.com/seattle

—Allison Sutcliffe, all images courtesy the writer

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Most pregnant people spend a lot of time Googling. You might wonder if your symptoms are normal, what your baby looks like at different weeks gestation, what labor feels like and what exactly you’re supposed to do when you can’t reach your feet to put on shoes anymore. While the answers to some questions can be found easily through an online search, it can be hard to find accurate information about one of women’s biggest concerns today: pregnancy and COVID-19. Luckily, the experts at Kaiser Permanente have answers to your most pressing questions. 

Whether you just saw that second line, are starting to feel flutters or are days away from your due date, we have answers you need to know. Read on to find out what Dr. Emily West, Obstetrician and Gynecologist at Kaiser Permanente Northwest, has to say.

Kaiser Permanente has an entire team of doctors, midwives, nurses, lactation consultants, and pediatricians—including 13 pediatric specialties—each of them working together, all for you. Learn more about what sets Kaiser Permanente’s maternity care apart.

 

Is COVID-19 More Dangerous for Pregnant Women?

Pregnant patients that develop symptomatic COVID-19 are at increased risk of more severe illness compared with people who are not pregnant and have a higher risk of ICU admission, need for mechanical ventilation and death. COVID-19 in pregnancy makes the risk of maternal mortality 10 times higher. Pregnant women who have other underlying conditions such as diabetes or obesity are at an even higher risk of severe illness. Pregnant patients with more severe COVID-19 illness have also been found to have a higher risk of perinatal complications such as: developing blood clots, hypertensive disorders of pregnancy, stillbirth and preterm delivery.

Is It Safe to Get a COVID-19 Vaccine If You’re Pregnant?

Yes, all three vaccines are safe for pregnancy, breastfeeding and those who wish to conceive. Thousands of pregnant individuals have received the vaccines and a vaccine registry (v-safe) thus far has demonstrated no increased risk of adverse outcomes for pregnant women or their babies.  COVID-19 vaccination in pregnancy is strongly recommended by the CDC, the American College of Obstetrics and Gynecology (ACOG) among many other medical organizations. 

Will Getting a COVID-19 Vaccine While Pregnant Harm the Baby?

No, there is no evidence that COVID-19 vaccines given during pregnancy harm the baby. The vaccines do not alter human DNA and cannot cause any genetic changes. In fact, current data shows that babies of patients who receive the COVID-19 vaccine in pregnancy are born with protective COVID-19 antibodies and can continue to receive these antibodies through breastmilk. This can be an important way of providing protection from COVID-19 to newborns.  

Kaiser Permanente has a Level III NICU, meaning they have the ability to treat critically ill newborns. Learn more about Kaiser Permanente’s maternity care.

 

Kaiser Permanente has a Level III NICU, meaning they have the ability to treat critically ill newborns and those as young as 23 weeks. Learn more about Kaiser Permanente’s maternity care.

Is There a COVID-19 Vaccine That Is More Effective Than Others for Pregnant Women?

Each of the available COVID-19 vaccines is felt to have the same efficacy in pregnant and nonpregnant individuals.  

What Advice Would You Give to Pregnant Women Who Are Still Deciding on If They Should Get the Vaccine or Not?

Choosing whether to receive a vaccination is always a consideration of risks and benefits. I recommend COVID-19 vaccination for all my patients. The data is clear: those who contract COVID-19 during pregnancy are at increased risk of complications, including death. In addition, the vaccines have been shown to be safe and effective for those who are pregnancy, breastfeeding or wish to become pregnant. Masking and vaccination are the best ways for a pregnant patient to protect themselves and their babies. 

Kaiser Permanente’s maternity care has hydrotherapy tubs, lactation consultants, free Wi-Fi and even room service. Learn more

If I Am Vaccinated When I Deliver Can I Bring My Baby around Other Vaccinated People?

To protect a newborn from infection from COVID-19 as well as other infectious diseases such as whooping cough, I recommend a strategy called “cocooning.” Cocooning protects the baby from infection by ensuring mom gets vaccinated during pregnancy and that all family members and close caregivers get vaccinated prior to delivery. In addition to cocooning, parents should continue to follow local public health recommendations on distancing and masking. 

American families have proven the urge to travel after being cooped up from home, with demand for accommodations higher than ever. And while vaccines may be more accessible in the U.S. than ever, the spread of new variants and lower vaccination rates in developing countries continue impact our ability to move freely through the world.

Which is why Expedia Group, the travel giant that includes brands like Expedia, Hotels.com, Vrbo and more, is working to make sure those who are traveling again are doing so safely and responsibly in a way that ultimately slows the spread of COVID.

5 Tips to Help Keep Your Family Safe while Traveling

1. Mask up while traveling. This one is obvious, as masks continue to remain one of the most simple and effective ways to limit the transmission of the virus, aside from the vaccine. Traveling requires being in close quarters, like planes, trains, in rideshares, etc. so it’s important to mask up to reduce the spread.

2. Travel for the greater good. Expedia Group recently announced an initiative to support UNICEF’s global COVID-19 response by donating of $10 million to vaccine efforts. To get involved, travelers can download any app from one of the Expedia Group brands, such as Expedia, Hotels.com, Travelocity and Vrbo, plan and purchase a trip through the platform and in turn, they can help get a vaccine to someone in the world who needs it.

3. Enjoy the great outdoors. Nature destinations have provided solitude for travelers over the last year, due to the ability to easily socially distance and, essentially, disconnect. This trend is here to stay, with beaches, mountains, lakes and national parks remaining the popular areas to visit, even as we head into the fall.

4. Don’t get left behind. More and more businesses, attractions and destinations are requiring people to show proof of vaccination. So, if you haven’t felt motivated to get your shot(s), know that you might not be able to have access to dining, entertainment or other activities during your next vacation without it.

5. Be a savvy traveler. Travelers are eager to get out there again, but with travel guidelines changing so frequently, it’s important to stay up to date with restrictions and policies around your travel bookings. Double check your accommodations’ cancellation policies, keep local advisories like curfews or closures in mind and be prepared to submit documentations like COVID test results or vaccine cards.

Of course, it’s up to each individual family to decide their comfort level for taking trips again, and all are encouraged to check and adhere to local and national health guidelines and travel restrictions. Travelers are known to be passionate about exploring the world and making connections, but now it’s time for each individual to do their part so the world can truly open again.

RELATED: Red Tricycle’s COVID Resource Guide 

Melanie Fish is Vrbo’s travel expert and speaks to journalists daily about the fastest growing segment in the travel industry – vacation home rentals. She has shared travel trends and tips at the New York Times Travel Show, in magazines including Glamour, and on regular #TravelTuesday TV segments.

I’m covered in crumbs. Also, in milk, in about a tablespoon of applesauce and in sweat. That’s because I’ve been on an airplane wrangling my 17-month-old toddler and my four-year-old daughter for the last five hours. The four-year-old is doing just fine, actually. She’s getting a ton of screen time and I know I’ll pay the price later for the movie marathon we’ve allowed, but I’m okay with it given it’s a special circumstance.

The toddler on the other hand? Well, it’s just a tough age. Too old for cuddling and napping as we zoom through the sky, too young to hold her focus for any length of time. She’s in constant motion. If this plane does not speed up and get to our destination ahead of schedule, I may collapse in an exhausted heap.

Our trip—for which I am actually completely grateful because it’s a privilege to take my kids to a new place with new adventure—made me think about the first time I ever traveled with a child. It took me back to how I overpacked, how I overstressed and how I underappreciated how simple it could actually be.

There are tons of parents who ask me in my office if I have any advice for the plane or the airport with a baby. Turns out, you can optimize your travel experience by taking these easy steps:

Carry As Little As Possible, Check the Rest

Know how, when you go through the airport, your carry-on luggage and personal item seem to somehow get heavier and heavier the further you walk? Multiply that times ten with a baby because you now have an extra PERSON you are lugging. There are obviously some items you have to bring with you – a small stack of diapers, wipes, a change of clothes, bottles if formula-feeding. But, the less stuff you have to lug through security, through the terminal or into the overhead bins, the better. Better to check it and forget it, in my book.

Don’t Spend Extra Time In the Airport, Except When Boarding The Plane

A lot of new parents think they should get to the airport super early if they are traveling with a baby or child. Usually, though, that just means extra chances for meltdowns (for your baby, not you) and germs. Obviously, give yourself enough time to make your plane, but don’t plan to linger excessively. On the other hand, when it’s time to board the plane, consider your unique situation.

Airlines offer family boarding early on in the boarding process, which can be tempting. If you don’t have an assigned seat or you have carry-on luggage that demands overhead bin space, take full advantage of this perk. If you haven’t brought much with you, though, consider minimizing the amount of time you have to sit “trapped” in a small space with your infant.

Stay Away From Sick People

This is a hard one since, notoriously, airports and airplanes tend to be germ fests. The number one way to avoid a baby getting seriously ill from air travel? Don’t take them until after they are old enough to receive their first set of vaccines and are out of the highest infection risk zone.

In our practice, we don’t give the first set of vaccines until at least six weeks old and recommend waiting a few weeks after vaccination for the shots to take effect before flying. I waited until about three months until flying with my first baby. Once you’re on your way, it pays off to wash your hands well with soap and water often and to keep your baby away from direct contact with sick people.

Give Baby Something to Suck On 

Once you depart on your flight, you’ll want to help minimize discomfort in your baby’s ears, which can build as the pressure changes with altitude shifts. Giving baby something to suck on (a pacifier, a bottle or a breast) can really help. On the way up, it’s obvious when you need to pay attention to helping your little one with this but, on the way down, it’s easy to get the timing wrong.

Instead of waiting for the flight staff to tell you you’ve started your descent, be observant. When you start to feel the plane descending, get your baby going on an ear pain prevention plan by initiating some type of sucking motion (note: if they are asleep, let them sleep).

Forget Over-Apologizing

So you have a baby on a plane? Oh, well. Tons of other passengers have been in your situation and we’re not irritated when we hear your baby cry. Those who are will have to just suffer through. If your baby wails the entire trip, it makes sense to at least acknowledge the patience and understanding of others around you.

But those little gifts some propose to assuage your neighbors preventatively? Unless you have tons of free hours you would not rather spend doing ANYTHING else, I say forget it. You paid to be on the plane just like everyone else and you’re doing way more hard to work to make the trip successful than any of your seatmates.

In the end, traveling with a baby can actually be significantly easier than you first imagined. Hey, at least it’s not traveling with a toddler. Pack light, get the timing right and feel confident–you’ll be there in no time.

Whitney Casares, MD, MPH, FAAP
Tinybeans Voices Contributor

I'm a pediatrician and a mama mindset expert. I host The Modern Mommy Doc Podcast, and am a mom to two young girls in Portland, Oregon. I'm also author of The New Baby Blueprint and The Working Mom Blueprint from the American Academy of Pediatrics. 

Remember when your biggest worry about taking your kids to the doctor was whether or not they’d throw a fit over getting a lollipop flavor they didn’t like? Well, it’s a little different now…but it’s still important to take care of your family’s health, including checkups and vaccinations. The good news is hospitals and doctor’s offices like Stanford Children’s Health have resumed care and put measures in place so you and your family can stay healthy.

Experts advise that sticking to your child’s health is of the utmost importance. Read on to see how the experts at Stanford Children’s Health suggest you continue your child’s care.

Regular Wellness Visits Are Still a Must

Regular, scheduled health checkups are vital in maintaining the health of your child; and for children with chronic conditions, it’s crucial to keep these appointments to avoid complications. At your child’s regular checkups, your doctor will check their growth, ensure their development is on track and answer any questions that you might have. Keeping your regularly scheduled checkup gives you a chance to ask about your child’s health, and helps your family’s doctor identify and address concerns early on.

While some visits may still need to be in-person, Stanford Children’s Health also offers telehealth appointments, allowing a doctor to evaluate your child’s condition without bringing them into the office. You’ll need to check with your doctor first, but development assessments, skin conditions, allergic reactions and injuries can sometimes be diagnosed through virtual visits.

Telehealth visits require a screen, such as a laptop, tablet or phone, and are scheduled appointment times, just like your regular in-person visits.

Maintaining Your Child’s Vaccine Schedule Helps Keep Preventable Diseases from Emerging

While telehealth is an option, there are some appointments that need to be done in the office to administer vaccinations and other care.

Yvonne Maldonado, MD, chief of pediatric infectious diseases at Stanford Children’s Health/Lucile Packard Children’s Hospital Stanford explained on NPR’s Here & Now: “With flu and respiratory virus seasons coming, we do not want to see more children getting sick with other organisms in addition to COVID-19.”

And on the importance of sticking to vaccination schedules: “Vaccine schedules are done this way for a reason. We are vaccinating children at the ages when they are most susceptible to these diseases, so if we wait, these children may actually wind up getting infected at a time when they are most vulnerable if they haven’t received the vaccine.”

Keeping Vaccinations on Schedule Is Vital Not Just for Your Child’s Health, but All Children

If families put off vaccinations, it weakens immunity for all, Dr. Maldonado explains:

“These are all critical vaccines. For example, without vaccination, measles can cause severe disease, particularly in young children… It is a highly transmissible virus, so you need to keep the vaccination levels—the herd immunity—between 90 and 95 percent to really prevent outbreaks from happening.”

Safety Is Stanford Children’s Health’s Top Priority

Grace Lee, MD, associate chief medical officer for practice innovation and a pediatric infectious diseases physician, discussed in a recent Stanford Children’s Health podcast the latest safety protocols that the hospital and its clinics have in place so that kids can get the care they need now.

Stanford Children’s Health clinics are following the Centers for Disease Control and Prevention recommendations, which include increasing cleaning and disinfecting of surfaces, requiring masking for adults and children two and up, restricting visitor policies, and placing visible reminders about social distancing protocols.

Stanford Children’s Health is working hard to keep its offices safe for families to maintain their care. Make your child’s appointment today and keep them happy and healthy!

–Jamie Aderski

With flu season on the way out (hopefully), it looks like another disease is taking over the headlines—measles. The U.S. Centers for Disease Control and Prevention recently announced that as of Apr. 29 the total number of reported measles cases had reached 704 in 22 states.

So why does it seem like a long-gone disease is suddenly making a major comeback? According to the CDC, the upswing in diagnosed cases is in large part due to lack of vaccination.

In a recent update on measles, Health and Human Services Secretary Alex Azar noted that while most parents do choose to vaccinate their children, the United States is currently seeing the highest number of measles cases since the disease was labeled eliminated. Secretary Azar added, “Most of us have never seen the deadly consequences that vaccine-preventable diseases can have on a child, family or community, and that’s the way we want to keep it.  Vaccine-preventable diseases belong in the history books, not in our emergency room.”

Nearly 94 percent of U.S. kindergartners who started school in 2017 had the recommended two doses of the MMR vaccine, according to CDC director Dr. Robert Redfield. Dr. Redfield also added that two doses are 97 percent effective at preventing the disease (one dose is 93 percent effective).

If you’re wondering when the measles outbreak will wind down, unlike the flu this isn’t a seasonal disease. According to Dr. Redfield, “Measles is incredibly contagious.  A person who has measles can make other people sick four days before they get a rash. If an infected person enters a room of 10 unvaccinated people nine of them will get measles.” Given the effectiveness of the vaccine, and the contagious-factor, the CDC recommends getting both doses—especially if you or your family lives in an affected outbreak area or plans on traveling outside of the country.

—Erica Loop

Featured photo: Rawpixel

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Regular attendance at school is vital to ensure a student’s academic success, as well as their future health and yet more than 6.5 million U.S. kids miss more than 15 days of school each year. The American Academy of Pediatrics (AAP) hopes to change that with new guidelines to prevent chronic absenteeism in schools.

According to the AAP, missing a lot of school not only leads to poor academic performance, but it can also increase the risk of unhealthy behaviors as teens and adults, such as smoking and substance use. This is why the AAP is recommending that preventative steps be taken in treating chronic absenteeism as a health risk.

photo: Element5 Digital via Unsplash

The new AAP report, “The Link Between School Attendance and Good Health,” highlights some effective steps to help improve attendance at schools, including proper hygiene and hand-washing, school-located vaccination programs and access to nurses and counselors. Some of the AAP recommendations to pediatricians are:

  • Stressing the importance of regular attendance starting in preschool by checking school absences with parents at well-visits;
  • Encouraging parents to make the school nurse aware of any health concerns;
  • Providing clear guidance on when kids should stay home due to illness and when it’s safe to go to school;
  • Avoiding writing medical excuses for absences when they are not necessary and encouraging parents to send kids back to school as soon as they are all enough.

Check out the full report for more recommendations here.

—Shahrzad Warkentin

 

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January through March marks peak season for respiratory syncytial virus—known more commonly as RSV. So what is RSV? While this virus may seem like the common cold, it isn’t. Back in October 2018, celeb parents Nick and Vanessa Lachey shared their own harrowing experience when their newborn preemie son Phoenix contracted RSV shortly after he was born and had to be hospitalized.

The U.S. Centers for Disease Control and Prevention want to make sure parents understand the signs and symptoms of this potentially dangerous illness as RSVP season ramps up. Read on for the scoop.

Photo: Rawpixel via Unsplash 

What Is RSV?

RSV is a very common virus that tends to peak in early winter each year. Anyone—including adults and babies—can get the virus. However, it doesn’t always affect everyone in the same way.

A healthy older child, teen or adult may have mild cold-like symptoms. But an infant, the elderly or anyone who has a compromised immune system may experience more serious symptoms. According to the CDC, 57,000 children under five-years-old are hospitalized annually with RSV infections.

Children under one year may develop bronchiolitis (an inflammation of the lungs’ small airways) or even pneumonia. This isn’t to say that RSV will progress into these often-severe illnesses in every infant. But kiddos under age one are more at risk.

Is There an RSV Vaccine?

Vaccination is an easy way to prevent your child from getting any number of dangerous diseases. Unfortunately, there is no vaccine for RSV currently. But you can take steps to protect your child. The CDC recommends washing your hands often—and your child’s too. Also, skip the playdates with kids who might be sick and teach your kids not to touch their face as it spreads germs. For grownups, make sure you disinfect surfaces often.

Another important pro-tip: if you or your child get sick, stay home. This helps your child’s teachers, friends at school, neighbors, the bagger at the grocery store, the attendant at the indoor play-space and everyone else stay healthy.

How Do I Know if My Kid Has RSV?

RSV typically presents with mild cold-like symptoms. These can include:

  • Runny, stuffy nose
  • Fever
  • Wheezing
  • Coughing and sneezing
  • Fatigue
  • Decreased appetite

Your child may have a few or all of the symptoms, but typically not all at the same time. Infants and young children may also seem irritable or particularly fussy.

When Should We See a Doctor?

The best answer: when in doubt, see your healthcare professional, whether you think it’s a cold, RSV or even the flu. There’s really no substitute for qualified medical advice. (Read: Call your actually doc instead of paging Dr. Google.)

If your child is lethargic, wheezing, has a fever, has trouble breathing, won’t eat or drink or just doesn’t seem right, always call your pediatrician immediately.

—Erica Loop

 

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The most dreaded season has officially arrived: the season of stuffy noses and fevers is here—and we’ve got the complete rundown on everything you need to know about the flu season this year.

Read on for all the important updates parents need to know.

photo: sweetlouise via Pixabay

How Many People Have the Flu Right Now?

Flu activity has begun to increase in the past two weeks, according to the Centers for Disease Control. While several states are still showing little to no flu activity, both New York and California are among a handful of states already reporting widespread cases of the flu. This is in addition to  the 37 states reporting regional or local flu activity, at the time of writing.

This is just the start of the season, however, so you can continue to check the CDC’s flu activity map as we head into the New Year; it’s updated weekly.

What Flu Vaccines Are Currently Available?

One of the hardest parts of parenting is convincing your kids to face the needle at the doctors office. In years past, the flu vaccine has been available in a nasal spray form, making it easier to convince unwilling kids to get vaccinated. During the 2017-2018 flu season, however, the nasal spray was not recommended for failing to provide effective protection against the flu.

This year both the American Academy of Pediatrics (AAP) and the CDC support the use of the nasal spray, however, the shot is still recommended over the spray as it will likely offer kids and adults more protection.

How Many People Have Received a Flu Vaccine?

According to the CDC, about 45 percent of adults and kids have received the flu vaccine as of November 2018. That’s nearly seven percent more than the amount who had received the shot at the same time last year.

However, according to a recent survey published by the the C.S. Mott Children’s Hospital, approximately one-third of American kids will likely not get their flu shots this year. (And yes—you should definitely make sure your kids get their flu shot this year.)

Photo: Rawpixel

When Is the Best Time to Vaccinate Against the Flu?

The optimal time to get the flu shot is as early in the season as possible. Experts at both the CDC and the AAP recommended people should have been vaccinated by the end of October 2018. Before you throw your hands up say “Oh well, too late,”—its’ not too late! Just because you missed the optimal vaccination window doesn’t mean the shot won’t still help you.

Getting the vaccine at any time throughout the season will help—but the sooner you get it, the better.

What Flu Treatments Are Currently Available?

Whether you vaccinate or not, there’s still a chance you can get the flu—but luckily there are some treatments available to help fight the symptoms and make things a little less miserable if you start them early enough.

In addition to Tamiflu and Relenza, the FDA also approved a new treatment in time for this year’s flu season, Xofluza. Unlike the other two treatments, this new one only requires a single dose, which makes it easier to administer. The only downside is that it can only be prescribed to those ages 12 and up, so it won’t help with your youngest if they catch the flu.

Beware These Common Flu Myths

Contrary to popular opinion, the flu shot will not give you the flu and getting the vaccine last year will not protect you against this years strain. There are many myths when it comes to the flu and the flu vaccine, so if you’re ever in doubt, forgo Dr. Google and call up your IRL pediatrician to get the answers you need in order to keep your family healthy and safe this flu season.

—Shahrzad Warkentin

 

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