Archive for the ‘Ways to Stay Healthy’ Category

Staying healthy at the Minnesota State Fair

Thursday, August 23rd, 2012

Today kicks of 12 days of jam-packed fun, food and more at Minnesota’s Great Get-Together.

We’ll be at the Minnesota State Fair every day at our Making Safe Simple booth, located at Randall Avenue and Cosgrove Street, across from the Fine Arts building.

We love the Minnesota State Fair and so do our kids.  As always, taking a few safety steps can ensure a fun time while keeping children healthy.  With a higher than usual number of cases of pig to human influenza this year (without pig to human to human transmission) taking basic precautions in the pig barns is wise.  We balance risks and benefits of the things we do every day including preventing infections.  So take a minute to think it through for your family.

You might have heard from the Minnesota Department of Health that the state recorded its first confirmed and a second probable case of a new influenza strain that people acquire through contact with pigs. The cases were reported in a pre-school-age child and an older sibling. MDH officials believe they were likely exposed to the new strain from pigs while they were at an animal market (not at a fair).

Before we eat our first Pronto Pup, we asked our infectious disease and infection prevention guru and Nurse Practitioner Patsy Stinchfield for a few tips so we stay healthy while we’re at the fair.

  • Wash ‘em proud!  Clean hands are still the No. 1 way to prevent the spread of germs. Wash your hands after exposure to animals or animal barns and before touching your eyes, nose or mouth in any way.
  • People who are high risk for influenza complications should skip the pig barns this year.  This includes infants and pre-schoolers, the elderly, pregnant women, the immunocompromised and anyone with a neurological or difficulty managing their own saliva.
  • If you do go to the pig barns (we know we will), don’t kiss the animals.  We agree – they’re cute – but don’t smooch them (in fact, looking at the pigs from 6 feet away or more is safest).
  • Wash bottles and pacifiers in hot soapy water after they’ve been in an animal exhibit area.
  • Oh, and, pork chops on a stick do not cause influenza so enjoy!

The MDH and fair officials have also discouraged fairgoers or exhibitors from eating, drinking or placing anything in their mouths while in the animal exhibit areas.

We hope to see you at the fair!  Stop by our Making Safe Simple booth and say hi.

Pertussis: High number of cases cause for concern

Friday, July 27th, 2012

Pertussis. It sounds foreign, doesn’t it?

But Pertussis, also known as “whooping cough,” is a highly contagious respiratory disease that can strike infants to the elderly. And there’s currently an epidemic underway in Minnesota.

There were 1,758 Pertussis cases reported in Minnesota as of June 30, according to the Minnesota Department of Health. More than 400 cases have been reported so far in July alone. Nationally, the number of cases could reach its highest level in 50 years, according to the Centers for Disease Control and Prevention.

Children’s Hospitals and Clinics of Minnesota saw nine Pertussis cases just this past week and 41 in the month of July, said Patsy Stinchfield, director of Infectious Disease/Immunology and Infection Prevention. The hospital typically sees 32 cases over the course of a year.

The numbers are concerning.

“Everyone should be on their toes thinking about and testing for Pertussis for people with a cough lasting more than a week,” Stinchfield said.

Pertussis can be a serious illness in infants, children and adults and can be life-threatening, especially for infants. A person with Pertussis develops a severe cough that usually lasts four to six weeks or longer, even up to 100 days. It can make it hard to breathe or cause vomiting. The “whooping” sound isn’t always present.

It’s unknown what has caused the spike in cases. While Pertussis occurs in all age groups, the average age is 14 and outbreaks have occurred in middle schools, according to the Minnesota Department of Health.

“Teens are like a perfect storm of infection,” Stinchfield said.

They may not have gotten their Tdap booster yet, and they tend to continue socializing when they’re sick, spreading their infection to others in their social groups and communities, she explained.

The good news is that Pertussis is preventable. Stinchfield offered the following tips to protect your children and yourself:

  • Children need their primary series of DTaP vaccinations
  • All adolescents and adults need a Tdap booster—one dose for anyone 10 and older
  • Women who are 20 or more weeks pregnant, adults who have significant contact with children and elderly need to make sure they get a Tdap booster
  • Thoroughly wash hands and avoid touching eyes, nose or mouth
  • Those who have Pertussis should not leave home until they have completed their entire antibiotic treatment which is generally five days.  If no antibiotics are taken, Pertussis can spread during the first 21 days of the cough.  Avoiding social contact (stay home from work, school and daycare) until five days of antibiotics are completed is essential
  • It’s called “The 100 day Cough” for a reason—the antibiotics reduce spread to others, but it does not repair damage in the airways which can cause the person to have a harsh cough for many weeks and even a few months
  • Babies too young to be immunized are the ones most likely to die from Pertussis and usually get it from their mom, dad or grandparent.  Vaccinating anyone in contact with a newborn helps prevent needless tragedy

Patsy Stinchfield talks more about Pertussis by video. To watch the series, click here.

For more information or to contact a provider, please visit www.childrensmn.org.

 

 

Food for thought: 4 ways to avoid getting sick at a picnic

Thursday, June 21st, 2012

This is a post by Dr. Gigi Chawla, a pediatrician/hospitalist and the director of Medical and Surgical Services at our hospital in St. Paul. Dr. Chawla specializes in treating children with special needs.

Picnics, celebrations and holiday potlucks are some of the joys of summer – and, unfortunately, the source of infectious woes.

Consider your summer gatherings where food is a central component in a similar context to eating in a third-world country. Though the tastes may be spectacular, the hygiene issues around preparation may lack. This can lead to serious exposures and illnesses including E.coli, Salmonella, Shigella, Campylobacter, Hepatitis A, Norwalk virus, and a variety of viruses which may produce an upper respiratory tract illness or “cold.” That’s a mouthful!

The standard practices when traveling to a third-world country include using good hand hygiene and selecting foods that come whole, that can be peeled, and that are cooked or boiled before eaten.

The same practices apply to your summer gathering. They’re simple to follow but can be easily forgotten. Here are some reminders:

  1. Wash your hands: Keep your hands clean with soap and water or hand sanitizer while serving yourself at a picnic or eating food with your hands.
  2. Pick smart foods: Select foods that come whole and wash them well, foods that can be peeled, and foods that are cooked or boiled before eating. Well-cooked foods pose a lower risk than uncooked or undercooked foods. Although a pasta or garden salad may look appealing, thoroughly cooked lasagna may be the safer option.
  3. Keep food at a constant cold temperature: The temperature of foods that are placed on ice or in cool water to stay chilled, such as pasta or potato salads, can fluctuate. Ice melts. Cool water becomes tepid. This can lead to bacteria overgrowth.
  4. Bring multiple utensils: Avoid using the same utensil for handling raw meats, opening packages and cutting up fruit.

Have fun at your summertime food gatherings! Just think twice about the foods you place on your paper plate.

Know the Statistics: Children’s Flu Infographic

Monday, January 30th, 2012

Influenza is a serious respiratory illness.  In 2010 alone, 122 kids died from complications from the flu—three of those children were from right here in Minnesota.

We at Children’s want to help bring that number to zero by educating the public and by providing families access to flu vaccinations.

Help us spread the word by sharing this infographic.  Getting the flu vaccine will help protect you, your child, and reduce these numbers—it’s never too late to make sure your child is vaccinated.

Children’s Hospitals and Clinics of Minnesota have programs and services to support influenza prevention. For more facts about the flu and the programs we offer, visit: http://www.childrensmn.org/services/flu/

The winners of the Children’s/Kohl’s Flu Prevention video contest

Wednesday, February 23rd, 2011

This video from Bloomington Jefferson High School students won our video contest! The students will be awarded $3,000 for their school.

St. Mary’s School in Owatonna won second-place with its animated LEGO video.

Dassel-Cokato Middle School won third-place with its “Germinator” video.

Read more about the contest and watch all of the entries.

Teaching Children Mind-Body Skills

Thursday, January 27th, 2011

Dr. Kathleen Farah speaks to the power of mind-body skills at any age

Kathleen Farah, MD, is board certified in both family and holistic medicine, and joins Marti and Erin Erickson for an important and encouraging discussion of the power of mind-body skills to help children face a wide range of everyday challenges, as well as more serious health problems. From simple breathing exercises to guided imagery and biofeedback, these skills can improve the quality of life for people of any age, whether included as part of formal health care or taught and practiced in the home. Erin and Marti already have discovered the importance of these skills in their own lives, so they add their own stories of how these skills now are helping even the youngest members of their family..

Listen to the podcast (30:16)

More Children’s of Minnesota integrative medicine resources

Protecting Children from Winter Injuries

Tuesday, December 28th, 2010

Kristi Moline talks winter fun and winter safety

You remember your children’s helmets when they get on their bikes, but are you putting helmets on your children before they go sledding? Kristi Moline, Injury Prevention Manager at Children’s Hospitals and Clinics of Minnesota, joins Marti and Erin Erickson of Good Enough Moms for a timely discussion of the most important things you can do to reduce your child’s risk of injury during these winter months.

Listen to the podcast

More winter sports safety tips and a helmet guide from www.safekids.org.

Children’s featured on Good Enough Moms podcast

Monday, September 13th, 2010

You can now listen to Children’s Hospitals and Clinics of Minnesota staff share their expertise and advice with families on the Good Enough Moms™ podcast. Through a new supporting partnership with Good Enough Moms, each month thought leaders from Children’s will join hosts Dr. Marti Erickson and her daughter, maternal-child health specialist Erin Erickson, to give their perspective on specific behavioral health, mental health, and general health topics important to parents.

Nancy Entgelmeier, a pediatric nurse practitioner at Children’s, offers her expert advice today on the Good Enough Moms podcast. Nancy shares her words of wisdom and tips for successful breastfeeding, new foods, allergy risks and more.

Listen to the podcast.

Paying Attention to “Nature Deficit Disorder”

Thursday, August 12th, 2010

Tim Culbert, MD: Paying Attention to Nature Deficit Disorder

Having just spent a week on vacation in the beautiful mountains around Vail, Colorado, I was impressed how quickly and completely relaxed I felt once I entered the natural beauty of this area. In fact, my personal experience has been that whenever I am in a natural, non-built environment-forests, mountains, beaches, rivers – I feel calmer, more peaceful and usually quite happy.

So this invites a question – how important is a walk in the woods for our own sanity as humans and for our kids’ development?

Turns out, according to author Richard Louv, that this relaxation response I experienced in the lovely areas of Colorado, is quite common and explained by the fact that humans have an instinctive liking of nature (which is called the biophilia hypothesis) and that a nature-oriented existence is likely hard-wired into our brains. Louv authored the book “The Last Child In The Woods” and coined the term “nature deficit disorder” to describe this phenomena of children spending less time outdoors in natural environments and the resultant behavioral problems in children based on this lack of exposure. Children that spend less time in nature may experience higher rates of Attention Deficit Hyperactivity Disorder (ADHD) and depression. We know for example that lack of sun exposure can contribute to low mood via low vitamin D levels.

Causes for “nature deficit disorder” may include parental fears about kids getting hurt or lost in natural settings, restricted access to natural environments for many kids who live in cities, and the lure of indoor “screen” activities including video games, TV shows and surfing the internet on home computers.

Research studies examining the effects of nature exposure (and lack of it) on human behavior are fascinating. In one study of kids with ADHD, parents described their observation that their kids with ADHD generally exhibited less of the core ADHD symptoms (inattention, impulsivity, and hyperactivity) when in a natural environment than when in a “built” environment.

Although time in nature is not a “magic bullet” that will cure all behavioral challenges, parents should see woods, streams, lakes, and fields around their neighborhoods as a potential type of “therapy” to help keep kids focused, confident, healthy and balanced.

Here are some actions parents can take to prevent nature deficit disorder in their kids

  1. Be a role model. Show your children how much you enjoy outdoor activities in nature
  2. Plan a weekly or monthly surprise outdoor adventure for your family
  3. Limit kids to no more than 2 hours of total “screen time” per day on computer, TV or video game
  4. Take a nightly walk after dinner as a family in a natural area
  5. Get a map of local parks and trails and get out and explore them once or twice a month

How does your family take advantage nature to reduce stress and even manage behavioral challenges?

Tim Culbert, MD

 
Tim Culbert

Tim Culbert, MD, is the medical director of Children’s Integrative Medicine program. You can also read more about him in his first post to the Kids’ Health blog.

Moderation is the key

Tuesday, May 11th, 2010

Gigi Chawla, MD, Chief of Staff at Children's of Minnesota Recently, I watched someone eating a bagel with cream cheese drop that bagel, pick it up, brush it off, and start eating it again because it met the criteria of the less-than-5-seconds rule. In clinic that same day, I had a family who used nearly a full container of a hand sanitizer during our visit, and their hands were cracked and irritated from constant alcohol-product exposure.

Shouldn’t there be some middle ground? Abandon anything that drops to the ground. It can’t be worth eating. Don’t use your hand sanitizer constantly, not on open skin, and soap and water still works also. How do you practice moderation to stay healthy?

Gigi Chawla, MD, is the Chief of Staff at Children’s Hospitals and Clinics of Minnesota. Read more about her here.