I don’t know if it is snowing where you are, but it is coming down pretty hard outside my window! The sound of snow blowers can be heard loud and clear, and then there is the sound of a shovel scraping against the sidewalk.

I can’t help thinking of all the men, and women shoveling their walkways who may not know the safe way to shovel. While shoveling snow can be good exercise, it can also be dangerous for optimistic shovelers who take on more than they can handle.

The National Safety Council offers the following tips to help you get a handle on safe shoveling:

• Individuals over the age of 40, or those  who are relatively inactive, should be especially careful.

• If you have a history of heart trouble, do not shovel without a doctor’s permission.

• Do not shovel after eating or while smoking.

• Take it slow! Shoveling (like lifting weights) can raise your heart rate and blood pressure dramatically; so pace yourself. Be sure to stretch out and warm up before taking on the task.

• Shovel only fresh snow. Freshly fallen, powdery snow is easier to shovel than the wet, packed-down variety.

• Push the snow as you shovel. It’s easier on your back than lifting the snow out of the way.

• Don’t pick up too much at once. Use a small shovel, or fill only one-fourth or one-half of a large one

• Lift with your legs bent, not your back. Keep your back straight. By bending and “sitting” into the movement, you’ll keep your spine upright and less stressed. Your shoulders, torso and thighs can do the work for you.

• Do not work to the point of exhaustion.

• If you run out of breath, take a break. If you feel tightness in your chest, stop immediately.

• Dress warmly. Remember that extremities, such as the nose, ears, hands and feet, need extra attention during winter’s cold. Wear a turtleneck sweater, a warm jacket, waterproof pants, gloves and boots, and a warm hat, scarf and face covering when you go out to shovel.

The School Nutrition Association (SNA) launched a PR campaign called Tray Talk in 2010. The official website (www.TrayTalk.org), is designed to emphasize the benefits of school meals and showcase success stories from school nutrition programs nationwide. SNA members can help send positive messages about school meals by submitting their own “school nutrition success stories” at the Tray Talk website.

Here is some of the information shared on the site:

School meals are well-balanced, healthy meals that are required to meet science-based, federal nutrition standards.

• • No more than 30% of calories can come from fat, less than 10% from saturated fat
  • Meals must provide 1/3 of Recommended Dietary Allowances of protein, vitamins A and C, iron and calcium
  • School meals are served in age-appropriate portion sizes
• Every School Lunch Includes five choices that add up to a great value:
  • Milk – Fat free or 1% – flavored or regular
  • Vegetables – From jicama slaw to fresh carrot sticks
  • Fruit – Everything from kiwi to locally grown apples; often fresh
  • Grains – More whole grain items like rolls or sandwich bread
  • Meat or meat alternate –White meat chicken, bean chili, lean beef

•  In January 2011, the US Department of Agriculture released proposed nutrition standards including new calorie and sodium limits, larger fruit and vegetable serving sizes and requirements to expand the variety of vegetables served in schools each week. The standards were finalized in 2012.
  

The School Nutrition Association makes the case for your child eating a school lunch saying, “A school lunch provides students with their choice of milk, fruits and vegetables, grains and proteins. School meals are a great value and a huge convenience for busy parents. School cafeterias offer students a variety of healthy choices and help children learn how to assemble a well-balanced meal. Parents can be assured that there’s no super-sizing in school cafeterias because federal regulations require schools to serve age-appropriate portions.”

For more information on healthy school meals, visit www.schoolnutrition.org.

The holidays bring with them extra helpings of sweets. So, it is a good time to review your child’s oral hygiene routine.

Unfortunately, tooth decay affects 50 percent of first-graders and 80 percent of 17-year-olds.

The National Institute of Dental & Craniofacial Research estimates that children will miss 52 million hours of school each year due to oral health problems and about 12.5 million days of restricted activity every year from dental symptoms.

The American Dental Hygiene Association states that a good oral hygiene routine for children includes:

• Thoroughly cleaning your infant’s gums after each feeding with a water-soaked infant cloth. This stimulates the gum tissue and removes food.
• Gently brushing your baby’s erupted teeth with a small, soft-bristled toothbrush and using a pea-sized amount of fluoridated toothpaste.
• Teaching your child at age 2 or 3 about proper brushing techniques and later teaching them brushing and gentle flossing until 7 or 8 years old.
• Regular visits with their dentist to check for cavities in the primary teeth and for possible developmental problems.
• Encouraging your child to discuss any fears they may have about oral health visits, but not mentioning words like “pain” or “hurt,” since this may instill the possibility of pain in the child’s thought process.
• Determining if the water supply that serves your home is fluoridated; if not, discussing supplement options with your dentist or hygienist.
• Asking your hygienist or dentist about sealant applications to protect your child’s teeth-chewing surfaces and about bottle tooth decay, which occurs when teeth are frequently exposed to sugared liquid

Because oral problems cause such a significant loss in children’s academic performance, the Surgeon General has made children’s oral health a priority.

 Along with winter weather comes itchy, dry skin.

Our home heating systems, those at work, stores and other buildings we frequent during the winter months tend to dry out our skin. Moisture is what our skin needs if our skin is going to remain smooth and supple. The older we get the more moisture our skin needs and the more we need to moisturize.

The American Osteopathic College of Dermatology makes the following suggestions to avoid dry skin:

1. Each day when you take your bath or shower, try to use lukewarm water. Hot water dries out the skin. Try to limit your time to fifteen minutes or less in the bath or shower. Bathing should be done no more than once a day. If you bathe too frequently you will remove the natural oils from the skin causing dryness.
2. Avoid using harsh soaps that dry the skin. Recommended soaps are Dove, Olay and Basis. Even better than soap are skin cleansers such as Cetaphil Skin Cleanser, CeraVe Hydrating Cleanser and Aquanil Cleanser.
3. Deodorant soaps are often very harsh and drying. If you need them, limit their use to areas that develop an odor such as the armpits, genital area, and feet.
4. Avoid vigorous use of a washcloth in cleansing. When toweling dry, do not rub the skin. Blot or pat dry so there is still some moisture left on the skin.
5. Next apply a moisturizing cream (not lotion) to the skin. The best time to do this is immediately after a bath or shower so that the moisturizer holds in the moisture from the shower. Choose either Cetaphil, Moisturel, CeraVe or Eucerin Cream. If you have severely dry skin, apply an oil to the still moist skin such as Neutrogena Light Sesame Oil, Hermal Body Oil, Alpha-Keri Oil or Robathol, then apply a moisturizing cream and also apply the moisturizer at bedtime.
6. All areas that are exposed to the sun, such as the face, ears, hands, and back of the neck should have a moisturizer containing sun block or a sunscreen of SPF 25 or greater applied daily.
7. For laundry, use “All-free”, “Tide-free” or “Cheer-free” detergents. Avoid using fabric softeners, especially in the dryer. Keep irritating fabrics away from your skin. Don’t wear clothing made of wool or other “scratchy” fabrics. Use cotton percale sheets on your bed.

8. Use a humidifier in your home during the central heating season. If sweating causes itching, modify your activity and surroundings to minimize sweating. Work and sleep in a fairly constant temperature (68-75o F) and humidity (45-55%). Remember to keep drinking plenty of water and other liquids to keep your skin moist from the inside, too.

Source information:The American Osteopathic College of Dermatology – http://www.aocd.org/

    Let’s get those flu shots! Not just adults, kids too !

MedlinePlus, a service of the U.S. National Library of Medicine, National Institutes of Health reports that even healthy children can die from the flu in as little as three days after they get symptoms. The original research report, which points to the importance of getting kids flu shots, was published online on October 28^th in Pediatrics.

The U.S. Centers for Disease Control and Prevention reported that between 2004 and 2012, flu complications killed 830 children in the United States, many of whom were otherwise healthy.

“We found these influenza-related deaths can occur in children with and without medical conditions and in children of all ages, and that very few of these children have been vaccinated,” said lead author Dr. Karen Wong, a CDC medical epidemiologist.

“Parents don’t realize that flu can be fatal,” said Dr. Marcelo Laufer, a pediatric infectious diseases specialist at Miami Children’s Hospital.

Because flu can progress so quickly, prevention is really the best strategy, Wong said. “And that’s why we recommend every child 6 months or older get vaccinated every year,” she said.

Because an infant under 6 months of age can’t be given flu vaccine, Wong said it is vital that pregnant women get a flu shot to help protect their newborn, and that everyone likely to be near the baby also be vaccinated so they can’t pass flu to the infant.

Wong said children who get the flu need to be watched carefully. She recommends getting in touch with the child’s doctor when symptoms start.

Parents should take their child to the doctor or emergency department if they’re sicker than what one would expect with a common cold, he said.

“Parents should realize that influenza is much more than sniffles,” Laufer added. “A kid with influenza is a kid who is very sick, is a kid who is lethargic, has decreased appetite, is not drinking as much and not urinating as much in addition to other flu symptoms,” he said.

Flu causes an estimated 54,000 to 430,000 hospitalizations and 3,000 to 49,000 deaths each year in the United States, with infection rates highest among children, according to the CDC.

SOURCES: Karen Wong, M.D., M.P.H., medical epidemiologist, U.S. Centers for Disease Control and Prevention; Marcelo Laufer, M.D., pediatric infectious diseases specialist, Miami Children’s Hospital; November 2013, Pediatrics