It’s that time again; it’s back to school time.  It’s time for all the prep and practical planning needed to launch the school year for your children. The American Academy of Pediatrics shares about health and safety tips at the start of the school year. 

MAKING THE FIRST DAY of SCHOOL EASIER

• Remind your child that there are probably a lot of students who are uneasy. Assure your child that the teachers will make an extra effort to make sure everyone feels as comfortable as possible.
• Point out the positive aspects of starting school.  She’ll see old friends and meet new ones. Refresh her positive memories about previous years. Especially when she returned home, after the first day, with high spirits because she had a good time.
• Find another child in the neighborhood with whom your student can walk to school or ride with on the bus.
• If it is a new school for your child, attend available orientations and tour the school before the first day.
• If needed, drive your child (or walk with her) to school and pick her up on the first day.

BACKPACK SAFETY

• Choose a backpack with wide, padded shoulder straps and a padded back.
• Pack light. Organize the backpack to use all of its compartments. Pack heavier items closest to the center of the back. The backpack should never weigh more than 10 to 20 percent of your child’s body weight.
• Always use both shoulder straps. Slinging a backpack over one shoulder can strain muscles.
• If your school allows, consider a rolling backpack. This type of backpack may be a good choice for students who must tote a heavy load. Remember that rolling backpacks still must be carried up stairs. They may be difficult to roll in snow, and they may not fit in some lockers.

TRAVELING TO AND FROM SCHOOL

Review these basic rules with your student:

SCHOOL BUS

• Children should board and exit the bus at locations that provide safe access to the bus or the school building.
• Remind your child to wait for the bus to stop before approaching it from the curb.
• Make sure your child walks where she can see the bus driver. This means the driver will be able to see her, too.
• Remind your student to look both ways to see that no other traffic is coming before crossing the street. 
• Your child should not move around on the bus.
• If your child’s school bus has lap/shoulder seat belts, make sure your child uses one at all times.

CAR

• All passengers should wear a seat belt and/or an age and size appropriate car safety seat or booster seat.
• Your child should ride in a car safety seat with a harness as long as possible. Then she needs to ride in a belt-positioning booster seat. Your child is ready for a booster seat when: She has reached the top weight or height allowed for her seat, her shoulders are above the top harness slots, or her ears have reached the top of the seat. 
• Your child should ride in a belt-positioning booster seat until the vehicle’s seat belt fits properly. This is usually when the child reaches about 4′ 9″ in height and is between 8 to 12 years of age. This means that the child is tall enough to sit against the vehicle seat back with her legs bent at the knees. Her feet should be hanging down and the shoulder belt lies across the middle of the chest and shoulder. The shoulder belt should not be near the neck or throat. The lap belt needs to be low and snug across the thighs, and not the stomach.
• All children younger than 13 years of age should ride in the rear seat of vehicles. If you must drive more children than can fit in the rear seat, move the front-seat passenger’s seat as far back as possible. Then have the child ride in a booster seat if the seat belts do not fit properly without it.
• Remember that many crashes occur while novice teen drivers are going to and from school. You should require seat belt use, and limit the number of teen passengers. Do not allow eating, drinking, cell phone conversations,  texting or other mobile device use to prevent driver distraction. Limit nighttime driving and driving in inclement weather. Familiarize yourself with your state’s graduated driver’s license law. Consider using a parent-teen driver agreement to facilitate the early driving learning process. For a sample parent-teen driver agreement, see www.healthychildren.org/teendriver 

BIKE

• Always wear a bicycle helmet, no matter how short or long the ride.
• Ride on the right, in the same direction as auto traffic.
• Use appropriate hand signals.
• Respect traffic lights and stop signs.
• Wear bright-colored clothing to increase visibility. White or light-colored clothing and reflective gear is especially important after dark.
• Know the “rules of the road.”

WALKING TO SCHOOL

• Make sure your child’s walk to school is a safe route with well-trained adult crossing guards at every intersection.
• Identify other children in the neighborhood with whom your child can walk to school.  In neighborhoods with higher levels of traffic, consider “walking school bus,” in which an adult accompanies a group of neighborhood children walking to school.
• Be realistic about your child’s pedestrian skills. Small children are impulsive and less cautious around traffic. Consider whether or not your child is ready to walk to school without adult supervision.
• If your children are walking to a new school, walk with them until you are sure they know the 
• Bright-colored clothing will make your child more visible to drivers.

EATING DURING THE SCHOOL DAY

• Most schools regularly send schedules of cafeteria menus home and have them posted on the school’s website. So, you can plan on packing lunch on the days when the main course is one your child prefers not to eat.
• Look into what is offered in school vending machines. Vending machines should stock healthy choices such as fresh fruit, water and 100 percent fruit juice.  Learn about your child’s school wellness policy and get involved in school groups to put it into effect.
• Each 12-ounce soft drink contains approximately 10 teaspoons of sugar and 150 calories. Drinking just one can of soda a day increases a child’s risk of obesity by 60%. Choose healthier options to send in your child’s lunch.

BULLYING

Bullying or cyberbullying is when one child picks on another child repeatedly. Bullying can be physical, verbal, or social. It can happen at school, on the playground, on the school bus, in the neighborhood. It can also occur over the Internet, or through mobile devices like cell phones.

When Your Child Is Bullied

• Help your child learn how to respond by teaching your child how to:
  1. Look the bully in the eye.
  2. Stand tall and stay calm in a difficult situation.
  3. Walk away.
• Teach your child how to say in a firm voice.
  1. “I don’t like what you are doing.”
  2. “Please do NOT talk to me like that.”
  3. “Why would you say that?”
• Teach your child when and how to ask a trusted adult for help.
• Encourage your child to make friends with other children.
• Support activities that interest your child.
• Alert school officials to the problems and work with them on solutions.
• Make sure an adult who knows about the bullying can watch out for your child’s safety and well-being when you cannot be there.
• Monitor your child’s social media or texting interactions so you can identify problems before they get out of hand.

When Your Child Is the Bully

• Be sure your child knows that bullying is never OK.
• Set firm and consistent limits on your child’s aggressive behavior.
• Be a positive role model. Show children they can get what they want without teasing, threatening or hurting someone.
• Use effective, non-physical discipline, such as loss of privileges.
• Develop practical solutions with the school principal, teachers, counselors, and parents of the children your child has bullied.

When Your Child Is a Bystander

• Tell your child not to cheer on or even quietly watch bullying.
• Encourage your child to tell a trusted adult about the bullying.
• Help your child support other children who may be bullied.
• Encourage your child to include children being bullied in activities.
• Encourage your child to join with others in telling bullies to stop.

BEFORE AND AFTER SCHOOL CHILD CARE

• During early and middle childhood, youngsters need supervision. A responsible adult should be available to get them ready and off to school in the morning and supervise them after school until you return home from work.
• If a family member will care for your child, communicate the need to follow consistent rules set by the parent regarding discipline and homework.
• Children approaching adolescence (11- and 12-year-olds) should not come home to an empty house in the afternoon unless they show unusual maturity for their age.
• If alternate adult supervision is not available, parents should make special efforts to supervise their children from a distance. Children should have a set time when they are expected to arrive at home and should check in with a neighbor or with a parent by telephone.
• If you choose a commercial after-school program, inquire about the training of the staff. There should be a high staff-to-child ratio, and the rooms and the playground should be safe.

DEVELOPING GOOD HOMEWORK AND STUDY HABITS

• Create an environment that is conducive to doing homework. Children need a consistent work space in their bedroom or another part of the home that is quiet, without distractions, and promotes study.
• Schedule ample time for homework.
• Establish a household rule that the TV and other electronic distractions stay off during homework time.
• Supervise computer and Internet use.
• Be available to answer questions and offer assistance, but never do a child’s homework for her.
• Take steps to help alleviate eye fatigue, neck fatigue and brain fatigue while studying. It may be helpful to close the books for a few minutes, stretch, and take a break periodically.
• When your child is struggling with a particular subject, and you aren’t able to help,  atutor can be a good solution. Talk it over with your child’s teacher first.
• Some children need help organizing their homework.  Checklists, timers, and parental supervision can help overcome homework problems.
• If your child is having difficulty focusing on or completing homework, discuss this with your child’s teacher, or school counselor.

Source: American Academy of Pediatrics

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.

Bedtime Tips for Parents of Young Children

Bedtime can be a difficult time for parent and child.  The American Academy of Pediatrics offers the following tips for handling the times when your child cries at bedtime:

• Wait a few minutes before responding; if the crying continues, wait longer each time before you respond to the cries.
• Offer reassurance that you’re there, but don’t play, linger or turn on a light if you do enter the room.
• Each time you enter the room, stay a little farther from the bed; eventually, reassure your child without entering the room.
• When your child calls for you, offer a gentle reminder that it’s time to go to sleep.

Tips for Handling Winter Dry Skin

Winter weather and heat in homes and offices can lead to dry skin, which can be itchy, uncomfortable and even painful if the skin begins to crack.

The Cleveland Clinic offers the following tips for caring for dry skin:

• Make sure your shower or bath water is lukewarm; never too hot.
• Take baths or showers of no longer than 10 minutes.
• Apply a moisturizer as soon as you get out of the bath or shower.
• Wash with a moisturizing cleanser.
• During winter months, moisturize with a heavy cream or ointment. Use a lighter lotion during summer.

Getting Young Children to eat healthy leads to a special edition of The Very Hungary Caterpillar by Eric Carle, being distributed to pediatricians across the United States.

Do you have a picky eater? Are you always trying to get him or her to eat healthy?

Well, it looks like you may be getting some free assistance from a caterpillar who has been helping kids eat healthy for a number of years!

Be sure to check with your pediatrician’s office staff  as to when you can receive a copy of a special edition of  the  book , The Very Hungary Caterpillar, by Eric Carle.  As a parent you will also get a brochure containing tips on getting your child to eat healthy. The effort is a collaboration among the book’s publisher, Penguin Young Readers, and its company’s foundation, We Give Books; the American Academy of Pediatrics; and the Alliance for a Healthier Generation.

The parent handout contains tips for using the book to get your child to eat healthy including:

• After reading the page where the caterpillar eats the green leaf and feels better, talk to your child about how you too eat green leaves (lettuce, spinach, cabbage, etc.) and how it is good for your body.
• Talk about how some foods are for sometimes, like cake and ice cream, while other foods like fruits and vegetables are for every day in order to eat healthy.
• Discuss how it is important to stop eating when you feel full or you will get a stomach ache like the caterpillar.
• Stress the importance of eating breakfast every day.

If kids are going to eat healthy, kids need to get excited about eating in ways that are fun, such as:

• Add fruits and veggies to foods your child already likes to eat
• Cut up fruits and veggies in funny shapes
• Let your child help you prepare fruit and veggie snacks for school,  after school, sports and other events

You can download the brochure at the American Academy of Pediatrics (AAP) or  Alliance for a Healthier Generation links above.

It can’t hurt to download the brochure and pick up a copy of the book when it arrives at your pediatrician’s office. If it helps in only one way to get your child to eat healthy will be worth it!