Fireworks have long been a part of celebrating major events and holidays, such as the 4^th of July, but in the hands of the untrained they can and do cause serious injuries, including severe burns and other injuries in children.

Each year, fireworks send 3,000 +children under the age of 15 to emergency rooms in the U.S.

The National Fire Protection Association(NFPA) reports that sparklers, which burn at about 1,200°F and are typically viewed by parents as relatively harmless fireworks for children, cause serious burn injuries, accounting for one-third of the injuries to children under five.

According to The National Fire Protection Association, the best way to protect your family is to not use any fireworks at home…period. Attend public fireworks displays and leave the lighting to the professionals.

Follow these simple fireworks tips:

• The best way to enjoy fireworks is to visit public fireworks displays hosted by professionals who know how to safely handle fireworks.

• Closely supervise children around fireworks at all times.

• Do not give children sparklers or allow them to pick up fireworks or other novelty items.

• If your friends or family members refuse to stop using fireworks, please follow these tips:
  • If you plan to use fireworks, make sure they are legal in your area.
  • Never light fireworks indoors or near dry grass.
  • Always have a bucket of water and/or a fire extinguisher nearby. Know how to operate the fire extinguisher properly.
  • Do not wear loose clothing while using fireworks.
  • Stand several feet away from lit fireworks. If a devise does not go off, do not stand over it to investigate it. Put it out with water and dispose of it.
  • Closely supervise children around fireworks at all times.
  • Do not give children sparklers or allow them to pick up fireworks or other novelty items.

Sources: Safe Kids USA, The National Fire Protection Association(NFPA)

 Be Safe! Have Fun! Celebrate our Nation’s Birthday!

Mealtime with a picky eater is a daily challenge! Getting a picky eater to eat more than one or two foods from the food pyramid is a feat.

There were a few years there when my mother had two picky eaters and three that had the following rigid eating guidelines:

• No food could touch another food on the plate.
• All foods on the plate needed to be in the same amount so the eater could eat in clockwise order and finish all the foods in equal rotation.
• Each bite of food had be followed by one sip of water or milk.

The mealtime rules had to be followed otherwise the meal could not be eaten!

Eventually we all grew out of our picky and ritualistic meal behaviors. Today we all eat just about anything under any mealtime conditions.

What follows are URL addresses of sites that have suggestions for handling the picky eater in your home. You may have tried some, but hopefully there will be some suggestions that you haven’t tried. Good Luck!

http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/childrens-health/art-20044948

https://www.ucsfbenioffchildrens.org/education/picky_eaters/

http://www.choosemyplate.gov/preschoolers/picky-eaters.html

http://www.parentingscience.com/picky-eaters.html

http://www.webmd.com/parenting/features/feeding-a-picky-eater

I never thought about children snoring until I heard a public service announcement on the radio the other day.

I did  some research on the subject and want to share what I found out as it might be an area of concern if you have a young child who snores. My research source…The National Sleep Foundation (NSF).

According to NSF, children, three years old or older tend to snore during the deeper stages of sleep. Primary snoring is defined as snoring that is not associated with more serious problems such as obstructive sleep apnea syndrome (OSAS), frequent waking from sleep, or inability of the lungs to breathe in sufficient oxygen.

Statistics show that about 10% of children experience episodes of snoring at some point during the night. Snoring occurs during sleep when your child is breathing and there is some blockage of air passing through the back of the mouth. The opening and closing of your child’s air passage causes a vibration of the tissues in the throat and the loudness of the snore is impacted by how much air passes through and how fast the throat tissue is vibrating.

About one to three percent of children not only snore, but also suffer from breathing problems during their sleep.

The American Academy of Pediatrics recommends that children be screened for snoring and that a diagnosis be conducted to determine if a child is experiencing normal primary snoring or obstructive sleep apnea syndrome. Loud and regular nightly snoring is often abnormal in otherwise healthy children and could be a sign of a respiratory infection, a stuffy nose or allergy; other times it may be a symptom of sleep apnea.

In children, the most common physical problem associated with sleep apnea is large tonsils. Young children’s tonsils are quite large in comparison to the throat, peaking at five to seven years of age. Swollen tonsils can block the airway, making it difficult to breathe and could signify apnea.

According to the National Center for Health Statistics, more than 263,000 children in the U.S. have tonsillectomies each year and sleep apnea is a major reason.

A child suffering from sleep apnea may experience the following symptoms:

• Loud snoring on a regular basis
• Have pauses, gasps, and snorts and actually stop breathing. The snorts or gasps may waken them and disrupt their sleep.
• Be restless or sleep in abnormal positions with their head in unusual positions.
• Sweat heavily during sleep.

The daytime effects of sleep apnea in children may manifest themselves in ways such as:

• Experiencing behavioral, school and social problems
• Being difficult to wake up
• The child suffering headaches during the day, but especially in the morning
• Your child being irritable, agitated, aggressive, and cranky
• Being so tired during the day that they fall asleep or daydream
• Speaking with a nasal voice and breathe regularly through the mouth

If your child has any of the above symptoms, the National Sleep Foundation suggests speaking with your child’s physician.

June 08, 2015

By Crystal McDade-Ngutter, Ph.D., Food Safety Education Staff, Food Safety and Inspection Service, USDA

It’s summer time! Break out the swim suit, sunglasses, sandals and grill. Not only is summer peak season for backyard barbeques, it is also prime time for foodborne illnesses. Bacteria grow fast at warmer temperatures and can make you sick—leaving you with not so good memories of your family barbeque this summer.

Listeria monocytogenes is a dangerous bacterium that you should be on the lookout for all year round—especially in the summer months. Listeria can cause a foodborne illness called listeriosis. It can grow at refrigeration temperatures and is one of the deadliest foodborne illnesses.

Pregnant women are more likely to be affected by Listeria than healthy people. In fact, they are about 10 times more likely than the general population to get listeriosis. Listeria can be passed to your unborn baby, even when you show no sign of sickness. It can lead to premature delivery, miscarriage, stillbirth, and death in newborns.

During pregnancy, it is important to be aware of the foods you are eating. Listeria is commonly found in ready-to-eat foods. These foods include:

• Soft-ripened cheeses (traditional Mexican-style cheeses, Camembert, Brie, Feta, and Ricotta);
• Raw vegetables;
• Store-brought salads (ham, chicken, tuna, and seafood);
• Deli meats; and,
• Hot dogs (a barbeque favorite).

If these foods can’t be reheated or cooked, pregnant women should avoid eating them.

Hot dogs are a certainty at any barbeque. For this reason, it is important to keep Listeria from lurking in your hotdogs especially for pregnant guests, their unborn babies, and newborns. Here are a few tips to keep your grilled hot dogs in tip-top shape:

• Never eat hotdogs straight out the package as a pre-BBQ snack—hot dogs must always be heated to 165°F or higher before eaten.
• Wash hands after handling hot dogs from the package.
• Avoid getting hot dog juice from the package on other foods, utensils, or preparation surfaces.
• After grilling hot dogs, keep the temperature at 140°F or higher until served.
• Make sure leftover hot dogs are refrigerated or put on ice two hours after they are removed from the grill or one hour if the temperature is over 90°F. When you reheat them, heat them to 165^?F or higher.
• Leftover hot dogs that have been refrigerated should be eaten within three to four days.

Properly cooking hot dogs WILL help keep Listeria from making a surprise appearance at your backyard BBQ.

Please visit www.foodsafety.gov for more information about food safety and direct food safety questions to the USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-674-6854) or www.AskKaren.gov.

A dog can be a wonderful family pet and loving companion.

But, with the joy of owning a dog there is the responsibility of training and socializing a dog. Children need to learn how to treat a dog; not only their own dog but any dog they may encounter. What follows is a press release that speaks to preventing dog bites.

National Dog Bite Prevention Week  / May 17-23, 2015 Press Release

The American Society for Reconstructive Microsurgery and the American Academy of Pediatrics have joined forces with the U.S. Postal Service, non-profit community, insurance industry and veterinarians to educate the public that dog bites are a serious health issue and are avoidable.  According to the Centers for Disease Control, approximately 4.7 million Americans are bitten by dogs annually – more than half of whom are children. Over the past five years, dog bite injuries are reported to be the 11^th leading cause of nonfatal injury in children ages 0-14 in America.

Dog Bite Prevention Week is an ideal time to educate children and adults on how to handle, train and treat dogs. If you are considering getting a dog, talk with a veterinarian about choosing a dog that will fit in well with your family. As a dog owner, you should socialize your new pet, train your dog with commands, vaccinate your dog against rabies? and other diseases, and neuter your dog, as they are less likely to bite.

The American Humane Association reports that 66 percent of bites among children occur to the head and neck. In 2014 approximately 28,500 reconstructive procedures were done to repair dog bites, as reported by the American Society of Plastic Surgeons, which is a 6 percent increase since 2013.

“Even the friendliest dog may bite when startled or surprised. Be cautious; once a child is scarred they are scarred for life,” said Gregory R. D. Evans, MD, FACS, president of the ASRM. “Most children love dogs and like to put their faces up close to the dog’s face. Parents should never permit this. Injuries to the face and hands can be disfiguring or disabling and require prompt, expert medical attention.”

The ASRM and AAP joined this coalition to raise awareness and help prevent devastating, life-changing injuries from dog bites.  Medical experts suggest steps you can take to protect your family from a dog bite:

• Never leave a baby or small child alone with a dog.
• Teach your child to see if the dog is with an owner and looks friendly. Then ask the owner for permission to pet the dog. Let the dog sniff your child and have your child touch the dog gently, avoiding the face, head and tail.
• Tell your child not to bother a dog if it is sleeping, eating or caring for puppies.
• Tell your child not to run past a dog.

If you’re threatened by a dog, remain calm. Avoid eye contact. Stand still until the dog leaves or back away slowly. If you are knocked down, curl into a ball and protect your face with your hands. If you are bitten by a dog take the following steps immediately:

• Rinse the bite area with soapy water.
• Elevate limb(s) that have been bitten.
• For deeper bites or puncture wounds, apply pressure with a clean bandage or towel to stop the bleeding. Then wash the wound, dry it and cover with a sterile dressing. Don’t use tape or butterfly bandages to close the wound.
• It’s a good idea to call your child’s physician because a bite could require antibiotics or a tetanus shot.  The doctor also can help you to report the incident.
• If your child is bitten severely, call 9-1-1 or go to the emergency room.
• When going to the emergency room, advise the personnel of:

o        your tetanus vaccination status;

o        vaccine status of the dog;

o        who the dog owner is; and,

o        If the dog has bitten before.