Mrs. Kauffman’s Nurses Notes

HANDWASHING:  Consistent thorough hand washing is the cornerstone of preventing the spread of infection.  Hand washing will decrease the number of disease-causing germs on the surface of your skin.  To be effective, handwashing should be performed:

BEFORE leaving a washroom

BEFORE and after preparing any food

BEFORE eating

AFTER providing care to someone who is ill

 Proper hand washing involves using warm, running water, soap, plenty of friction and a clean towel (or paper towel) to dry your hands.  Be sure to follow these simple steps and make hand washing a daily part of your family’s routine at home and school.

 HAND WASHING IS AND REMAINS THE SIMPLEST AND MOST EFFECTIVE WAY TO CONTROL THE SPREAD OF GERMS 

Good thorough HANDWASHING is very simple and should become a habit for everyone. 

How long should this take?  Try singing the“HAPPY BIRTHDAY SONG”.

If your child has a tendency to have chapped lips during the colder months, please send in a Chapstick with your child so he or she can apply it as needed during the day.        
                                                           
             Debra L. Kauffman, RN

 

FEBRUARY IS HEART MONTH

HERE ARE SOME TIPS TO KEEP OUR  HEALTHY

EAT RIGHT

Make half your grains whole.  Choose whole-grain foods, such as whole-wheat bread, oatmeal, brown rice, and lowfat popcorn, more often.

 Vary your veggies.  Go dark green and orange with your vegetables – eat spinach, broccoli, carrots, and sweet potatoes.

 Focus on fruits.

Eat them at meals, and at snack time, too.  Choose fresh, frozen, canned, or dried, and go easy on the fruit juice.

Get your calcium-rich foods.  To build strong bones serve lowfat and fat-free  milk and other milk products several times a day.

Go lean with protein.  Eat lean or low fat meat, chicken, turkey, and fish.  Also, change your tune with more dry beans and peas.  Add chick peas, nuts, or seeds to a salad; pinto beans to a burrito; or kidney beans to soup.

 Change your oil.  We all need oil.  Get yours from fish, nuts, and liquid oils such as corn, soybean, canola, and olive oil.

Don’t sugarcoat it.  Choose foods and beverages that do not have sugar and caloric sweeteners as one of the first ingredients.  Added sugars contribute calories with few, if an, nutrients.

 EXERCISE

Set a good example.  Be active and get your family to join you.  Have fun together.  Play with the kids or pets.  Go for a walk, tumble in the leaves, or play catch.

 Take the President’s Challenge as a family.  Track your individual physical activities together and earn awards for active lifestyles at www.presidentschallenge .org.

Establish a routine.  Set aside a time each day as activity time – walk, jog, skate, cycle, or swim.  Adults need at least 30 minutes of physical activity most days of the week; children 60 minutes everyday or most days.

 Have an activity party.  Make the next birthday party centered on physical activity.  Try backyard Olympics, or relay races.  Have a bowling or skating party.

Set up a home gym.  Use household items, such as canned foods, as weights.  Stairs can substitute for stair machines.

 Move it!  Instead of sitting through TV commercials, get up and move.  When you talk on the phone, lift weights or walk around.  Remember to limit TV watching and computer time.

Give activity gifts.  Give gifts that encourage physical activity – active games or sporting equipment.

 

March

National Poison Prevention Week is the third week in March each year, and was established in 1961 by the U.S. Congress’ passage of Public Law 87-319 authorizing the President to designate annually the third week in March as a poison prevention awareness week.

 In 2004, U.S. poison centers reported over 1.2 million poisonings in children less than 6 years old.  While most of these poisonings resulted in little or no clinical effects, there were 27 fatalities.  NPPW activities focus on ways to reduce unintentional poisonings among children and emphasize the responsibility that caregivers such as parents, grandparents, babysitters and others have in preventing poisonings in the home.  The website is www.poisonprevention.org.

 DID YOU KNOW THAT…March 18-24, 2007 is also designated as National Inhalants and Poisons Awareness Week (NIPAW)?

 By the 8th grade, one in five students in America has used an inhalant to get high.  NIPAW is a program to raise awareness of the use and risks of inhalant abuse.  More information on NIPAW and free materials to promote Coalition website, www.inhalants.org, or by calling 800-269-4237.

 From fertilizer to antifreeze and medicines to makeup, there are poisonous items located throughout our homes. Here are some important steps you can take to help prevent your child from ingesting a poisonous substance.

Medications

  • Don't rely on packaging to protect your children - child-resistant packaging does not mean childproof packaging.
  • Never give medication to a child in the dark: You may give the wrong dosage or even the wrong medication.
  • Never leave vitamin bottles, aspirin bottles, or other medications on kitchen tables, countertops, bedside tables, or dresser tops. Small children may decide to try to copy adults and help themselves.
  • Never tell a child that medicine is candy.
  • Store all medications - prescription and nonprescription - in a locked cabinet, far from children's reach. Even items that seem harmless, such as toothpaste, can be extremely dangerous if ingested in large quantities by children. Just because cabinets are up high doesn't mean kids can't get their hands on what's in them - children will climb up (using the toilet and countertops) to get to items in the medicine cabinet.
  • Make sure purses and bags - yours and guests' - that could contain poisonous items such as medications are kept out of the reach of children at all times.
  • Always keep pills and liquids in their original containers.

Cleaning Products and Other Household Chemicals

  • Never put cleaning products in old soda bottles or containers that were once used for food.
  • Never put roach powders or rat poison on the floors of your home.
  • Store household cleaning products and aerosol sprays in a high cabinet far from reach.
  • Don't keep any cleaning supplies, including dishwasher detergent and dishwashing liquids, under the sink.
  • Use safety latches for all cabinets containing hazardous substances.
  • Keep hazardous automotive and gardening products in a securely locked area (ideally, in your garage, if you have one).
  • When you're cleaning or using household chemicals, never leave the bottles unattended if there's a small child present.

Alcohol

  • Don't leave alcoholic drinks where children can reach them. Take special care during parties - guests may not be conscious of where they've left their drinks. Clean up promptly after the party.
  • Keep bottles of alcohol in a locked cabinet far from children's reach.
  • Keep mouthwash out of the reach of children. Many mouthwashes contain substantial amounts of alcohol.
  • Food extracts, such as vanilla and almond, may contain alcohol and can be harmful to children.

Lead Paint

  • Don't use cribs, bassinets, highchairs, painted toys, or toy chests made before 1978; these may have a finish that contains dangerously high levels of lead.
  • If you have an older home, have the paint tested for lead. For more information on lead, call the National Lead Information Center at (800) 424-LEAD (5323).

Other Items

  • Never leave cosmetics and toiletries within easy reach of children. Be especially cautious with perfume, hair dye, hairspray, nail and shoe polish, and nail polish remover.
  • Keep your child away from houseplants - and plants around your yard - that can be poisonous. Either put plants out of your child's reach or buy only plants that are nonpoisonous. A few examples of toxic houseplants include: rhododendron, English ivy, lily of the valley, and holiday plants such as holly and mistletoe.
  • Discard used button cell batteries (like those in watches) safely, and store any unused ones far from children's reach (alkaline substances are poisonous).

Be Prepared
If you're expecting a baby or you already have a child, it's a good idea to:

  • Learn cardiopulmonary resuscitation (CPR) and the Heimlich maneuver.
  • Keep the following numbers near the phone (for yourself and caregivers):
    - toll-free poison-control number: (800) 222-1222
    - child's doctor's number
    - parents' work and cell phone numbers
    - neighbor's or nearby relative's number (if you need someone to watch other children in an emergency)
  • Make a first-aid kit and keep emergency instructions inside.
  • Install smoke detectors and carbon monoxide detectors.

Maintaining a Safe, Kid-Friendly Environment
To check your childproofing efforts, it's a good idea to get down on your hands and knees in every room of your home to see things from your child's perspective. Be aware of your child's surroundings and what might be potentially dangerous.

If you opt to minimally childproof, you can shut the doors (and install doorknob covers) to any room your child shouldn't enter to prevent wandering into places that haven't been properly childproofed. Doorknob covers and childproof locks for sliding doors are also great for keeping little ones from leaving your home. Of course, how much or how little you childproof your home is up to you. Supervision is the very best way to help prevent your child from getting injured. However, even the most vigilant parent can't keep a child 100% safe at all times.

Whether you have a baby, toddler, or school-age child, your home should be your little one's safe haven, where he or she can explore safely. After all, touching, holding, climbing, and exploring are the activities that develop your child's body and mind.

 Source:  www.kidshealth.org

Mrs. Kauffman’s Nurses Notes

            Spring has finally arrived.  Hopefully, the many viruses we encountered over the past season are behind us.  As a result of this past season with numerous illnesses presented to the health room, it is important to stress the need to be consciously aware of your child’s health status prior to sending them to school.  If your child received medication prior to the school day for a suspected illness, be aware that the medication only masks the symptoms for a duration period of 4 – 6 hours.  The nature of the illness remains and could be communicable to others in the school community.  With your support and attention to this matter, the school can continue to promote and maintain a healthier environment for all.

             The arrival of spring usually reduces the incident of illnesses, however, the incident of injuries has a tendency to increase.  One contributing factor is dress attire.  Although spring brings out the fashion in all of us, please be cautious when selecting various shoe styles for school.  With nicer weather, outdoor activities for free play and gym will increase.  Please be advised that certain styles of sandals/flip flops, shoes with a higher heel, shoes with straps/strapless, and shoes with open toe could become a safety hazard for your child.  Please be conscious of this matter when your child is dressing for school.

             DISEASE AWARENESS FOR SPRING.  Fifth Disease is a virus most common in spring.  The virus is usually spread before the rash appears.  The rash usually appears two weeks after exposure.  Pregnant women or others with suppressed immune systems should consult their physician if they have been in contact with this virus.  Symptoms include a red “slapped cheek” appearance, lace like rash on arms and trunk accompanied by a fever.  Exclusion for school is for FEVER ONLY; NOT THE RASH.

             Spring is also time to be on the outlook for ticks.  In our area two types of ticks are common.  One is the wood tick, which is large enough to be seen and which we have probably found on ourselves, our children or our dogs at one time or another.  These ticks may carry disease, however, the deer tick, which may carry Lyme Disease, is currently causing greater concern.  A deer tick is very small; about the size of a sesame seed.  Deer ticks live in tall grass and brush.  The deer tick cannot survive in direct sunlight, so keeping grass mowed and brush cut back in childrens play areas can be helpful.  Because deer ticks are very prevalent in Maryland, it is a good idea to examine both children and adults for ticks.  Using a bright light can be helpful because these ticks often look like freckles.

             The best way to remove a tick is to use sharp-pointed tweezers, grab the tick as close as possible to the skin and pull it out firmly and gently.  Don’t use a match, petroleum jelly or nail polish remover because it may agitate the tick and cause it to inject the bacteria.  Use an antibiotic ointment at the bite site and look for a bull’s eye rash around the site.  Save the tick in a zip-lock bag because it can be examined to see if it is carrying Lyme Disease.  If the bull’s eye rash appears within 7 – 30 days, seek medical treatment.  Sometimes other symptoms such as minor fever, body aches, and joint pain may also be present.  On the bright side, not all ticks are infected.  According to statistics, about 1 percent of people bitten by a tick end up contacting Lyme Disease.  If you take the tick off within the first 36 – 48 hours, it hasn’t been attached long enough to transmit the bacteria. 

            For more information, the Centers for Disease Control and Preventions National Center for Infectious Disease has fact sheets and other useful information on Lyme and other tick-borne diseases on the web at www.cdc.gov/ncidod/diseases.

 

WATER, WATER EVERYWHERE!

 

Do you sometimes get headaches for no obvious reason?

                            OR

                            Do you get sore throats a lot?

                           OR

Does your nose get so stuffy you can’t even blow it?

 When you don’t drink enough water your body begins to DEHYDRATE. That means it loses enough water to be out of balance and all of your body cells start to dry out and shrivel up.

This can make your head hurt, your throat feel chapped, and nose drainage gets thick and stuffed up.

A little known fact:

Sometimes thirst masquerades as hunger, so you think your body is asking for

food (calories) when it’s actually asking for water.                     "

So if you feel hungry and it’s not mealtime yet, drink a LARGE glass of water.

 

THE WELL DRESSED KID IS PREPARED

 

Winter can give us extremes of weather. With snow and ice under foot, the COLD and wind can cause dangerous conditions especially if not prepared. Shorter recess times are scheduled on days when the temperature and/or wind chill is below zero. However, children should always leave home dressed for the wait at the bus stop and the probability of outside play time at recess. Boots usually provide a little more grip underfoot than sneakers or dress shoes, as well as keeping feet warm and dry. A hat, warm jacket, snow pants, and mittens/gloves are a must every day during the winter months!

The nurse has a very limited number of hats and mittens for children for emergencies only. We hope we can help children even as young as kindergarten to learn to become responsible for bringing their own things everyday.

 

 

 

Mrs. Kauffman's Nurses Notes

 

COLD, ICE, AND SNOW SAFETY

Winter isn't a time to just stay indoors and wait for spring. There's a whole wonderland of sports out there for the entire family - sledding, snowmobiling, and snowboarding, to mention a few. Plus, someone has to shovel the snow, right?

Once outdoors, however, you may need to take extra steps to keep your family safe in the cold. In ice and snow, accidents can occur easily, and before you know it, you may

be on your way to the emergency room.                                                                         .

There are ways to keep safe  and stay fit during the cold months. By following a few tips, you can have a great time, no matter how much white stuff piles up outside.

 WHY IS IT IMPORTANT TO BE SAFE IN THE COLD?- ~

Certain injuries are more common in the winter because of special cold-weather activities. Activities like ice-skating, sledding, snowboarding, and skiing lead to the most accidents and injuries in the winter, and often it's children who get hurt.

Now that snowboarding is drawing more kids out in the

cold weather, emergency rooms are seeing more abdominal, head, and neck injuries in those who run into trees or large rocks while snowboarding.

It's not just winter sports that send people to the hospital or a doctor's office. Certain illnesses are more common when the seasons change. Respiratory illnesses, especially viruses like the flu, are particularly prevalent during this time of year.  That’s because everyone spends more time indoors in chilly weather, exposing themselves to more germs in the air.

  

ON THE HOME FRONT 

One way to stay healthy while cooped up inside is to make sure your family washes their hands. It's especially important to wash after sharing toys, coughing, and blowing a  runny nose to help prevent the spread of viruses.

                  Otherwise, it's difficult to avoid getting sick. People who sleep and eat well may be less likely to get sick because their bodies are more resistant to viruses and other germs, including bacteria.

Decided you've had enough of the indoors and you're going to get the family outside to shovel the snow? Fine, but take care. Snow shoveling is strenuous work. It's OK for older, school-age kids to help out, but young children should not be shoveling because they can strain their muscles from lifting heavy shovels full of snow.

Younger or older, kids sometimes have a tough time knowing when to come inside from the cold. To nip frostbite in the bud, check on your kids regularly to make sure that mittens are dry and warm and noses aren't too red.

 BRAVING THE COLD

 If you’re going outside in the cold, stay safe and warm.  Make sure your kids have a snack before going out.  The calories will give their bodies energy in the cold weather.

Kids should dress warmly using layers of clothes - but not before using the bathroom!

And protect your kids' faces with sunscreen. Even though the idea of a sunburn in January can seem odd, snow can reflect up to 85% of the sun's ultraviolet rays.

 Avoid cotton clothing because it won’t keep kids very warm.  Stick with wools or other fabrics.  Dress them in long underwear, a turtle neck, a sweater and coat.  Add more layers depending on the temperature.  Waterproof pants and jackets are great top layers because they don't let the wetness seep into the other clothing. The cold-weather ensemble wouldn't be complete without warm socks and boots to keep feet dry and a hat to top it off.

       There's no set amount of time children should be allowed to stay

out in the cold. However, when being cold becomes unpleasant, it's

    time to go inside. Sometimes, though, kids may just need some dry

      gloves. It helps to have an extra pair of gloves or mittens tucked

            into their pockets if they plan to be outdoors for a while.

If your kids decide to go sledding on their own for the day, make sure you know about the hill where they will be playing. Is it steep or covered with trees? If so, it's not a good

location for sledding. Also, watch out for hills where there are rocks or those that are near busy roads.

Sledding injuries can be very serious, resulting in head trauma, neck trauma, and broken bones. In serious injuries, there often is internal bleeding and abdominal trauma, which is why it's a good idea to supervise when your kids are sledding.

Ice-skating and hockey are great cold weather activities, but they require safety smarts.  Make sure your children avoid sports injuries by wearing properly fitted skates. In addition, ice rinks are always safer than ponds for skating. If you only have access to a pond, check the thickness of the ice the ice and supervise your children while they skate.

Snowmobiling is more popular than ever, and the machines also go faster than ever. When snowmobiling, follow these safety steps:

~ Travel in groups and make sure someone knows where the

     snowmobilers are going.

 

>- It it's necessary to snowmobile on frozen bodies of water, do so with

      caution.

>- When crossing a roadway, make sure the way is clear in both

     directions.

>- Operate at a reasonable and prudent speed for trail conditions.

>- Remember that alcohol and snowmobiles don't mix.

   

WHAT TO DO IN AN EMERGENCY 

                 Children are at greater risk for frostnip and frostbite than adults, and the best way to prevent it is to make sure kids are dressed warmly and that they don't spend too much time in extreme weather.

Frostnip is an early warning sign of the onset of frostbite.   It leaves the skin white and numb. After bringing your child inside, remove all wet clothing because it draws heat from the body.  Immerse the chilled body parts in warm (not hot) water - 104 to 108 degrees Fahrenheit (40 to 42 degrees Celsius) - until they are able to feel sensation again.      

Frostbite occurs mostly on fingers, toes, ears, noses, and cheeks. The area becomes very cold and turns white or yellowish gray. If you notice frostbite, take your child immediately to the nearest hospital emergency room.

Going on a road trip? Make sure you have a first-aid kit, extra blankets, and gloves in the car.

  

HELMETS COULD HELP HEAD OFF INJURIES IN SKATERS

 

 Is ice skating your family's favorite way of spending a winter day?

You know that you need to protect little fingers and toes from the cold when skimming across the ice – but you may not realize the importance of protecting their heads, too.  In 2001, hospital emergency departments treated 11,100 injuries from recreational ice skating.  Researchers from the children’s Hospital in Columbus, Ohio studied skating injuries in kids and suggest new rules should be implemented that require helmets for ice skaters.

Researchers compared skating-related injuries that were treated at a large children's hospital, including ice skating, skateboarding, roller-skating, and in-line skating injuries, over a 3l-month period. They noted the type and severity of the injury, the body parts that were affected, whether the child was wearing any safety gear, and whether an adult was supervising the child at the time of the injury.

  

When injuries from ice skating, skateboarding, roller-skating, or in-line skating were compared, ice skaters were at a greater risk of injury to the head (20% of injures) than in-line skaters (4.9%). Head injuries sustained by roller skaters and skateboarders were 9.2% and 15.9%, respectively.

The majority of injuries to in-line skaters and roller skaters were upper arm injuries, presumably because they were attempting to break a forward fall. The current study suggests that skateboarders and ice skaters may be falling backward or sideways and are unable to use their arms to prevent injury to the head.

                         

What this Means to You: For skating sports such as

skateboarding, roller-skating, and in-line skating, medical

organizations such as the American Academy of Pediatrics­

recommend that children always wear protective equipment

including helmets and wrist, elbow, and knee padding. In this study the researchers found that the proportion of head injuries amoung  ice

skaters was even greater than other skating sports, such as in-line

skating. They conclude that helmets should be mandatory for

kids who ice skate. The researchers also suggest that other protective equipment (wrist, elbow and knee pads) should be considered when ice skating and that younger children « 5 years) may not be developmentally ready to participate in skating activities. To reduce the risk of injury in your child, be sure that helmets and protective gear are an essential part of your child's skating preparation.

This information was taken from www.kidshealth.org

 

~

Bike Safety

 

It's a beautiful day - the sun is shining, the birds are chirping. What could be more perfect than a bike ride? But wait! Before you pull your bike out of the garage, let's find out how to stay safe on two wheels.

 

Why Is Bicycle Safety So Important?

Bike riding is a lot of fun, but accidents happen. Every year, about 176,000 kids go to the emergency department because of bike accident injuries. Some of these injuries are so serious that children die, usually from head injuries.

A head injury means a brain injury. That's why it's so important to wear your bike helmet. Wearing one doesn't mean you can be reckless, but a helmet will provide some protection for your head in case you fall down.

 

A Helmet How-To

Bike helmets are so important that the U.S. government has created safety standards for them. Your helmet should have a sticker that says it meets standards set by the Consumer Product Safety Commission (CPSC). If your helmet doesn't have a CPSC sticker, ask your mom or dad to get you one that does.

Your bike helmet should fit you properly. You don't want it too small or too big. Never wear a hat under your bike helmet. If you're unsure if your helmet fits you well, ask someone at a bike store.

Once you have the right helmet, you need to wear it the right way so it will protect you. It should be worn level and cover your forehead. The straps should always be fastened. If the straps are flying, it's likely to fall off your head when you need it most. Make sure the straps are adjusted so they're snug enough that you can't pull or twist the helmet around on your head.

Take care of your bike helmet and don't throw it around. That could damage the helmet and it won't protect you as well when you really need it. If you do fall down and put your helmet to the test, be sure to get a new one. They don't work as well after a major crash.

Many bike helmets today are lightweight and come in cool colors. If don't love yours as it is, personalize it with some of your favorite stickers. Reflective stickers are a great choice because they look cool and make you more visible to people driving cars.

 HELMET ON, NOW WHAT???

 Riding a bike that is the right size for you also helps to keep you safe.

 •  When you are on your bicycle, stand straddling the top bar of your bike so that both feet are flat on the ground.

•  There should be 1 to 3 inches of space between you and the top bar.

 Here's a safety checklist your mom or dad can help you do:

. Make sure your seat, handlebars, and wheels fit tightly.

. Check and oil your chain regularly.

. Check your brakes to be sure they work well and aren't sticking.

. Check your tires to make sure they have enough air and the right tire pressure.

 

 Be Seen, Be Safe!

Wearing bright clothes and putting reflectors on your bike also can help you stay safe. It helps other people on the road see you. And if they see you, that means they're less likely to run into you.

You'll also want to make sure that nothing will get caught in your bike chain, such as loose pant legs, backpack straps, or shoelaces. Wear the right shoes - sneakers - when you bike. Sandals, shoes with heels, and cleats won't help you grip the pedals. And never go riding barefoot! Riding gloves may help you grip the handlebars - and make you look like a professional!

But avoid wearing headphones because the music can distract you from noises around you, such as a car blowing its horn so you can get out of the way.

  

WHERE TO RIDE

You need to check with your mom and dad about where you're allowed to ride your bike. You need to know how far you're allowed to go and whether you should ride on the sidewalk on in the street. Either way, you need to keep an eye out for cars and trucks. Even if you're just riding on sidewalk, a car may pull out of its driveway into the path of your bike. If you're crossing a busy road, it's best to walk your bike across the street.

A bike path free of cars is a great choice if there's one in your area. Just remember to share the path with the other riders, walkers, and strollers who also might be using it! And if you're going on a long ride, bring some water along with you.

And no matter where you ride, keep an eye on the road ahead so you can be prepared for big hills and road obstacles. Some common ones that can cause falls include:

. wet leaves

. big puddles

. changes in the road surface . storm grates

. gravel or rocks

. curbs

. little kids in your way!

  

ROAD RULES

If you’re allowed to ride on the street, follow these road rules:

  

•  Always stop and check for traffic in both directions when leaving your driveway, an alley, or a curb.

•  Cross at intersections.  When you pull out between parked cars, drivers can’t see you coming.

•  Walk your bike across busy intersections using the crosswalk and following traffic signals. 

•  Ride on the right-hand side of the street, so you travel in the same direction as cars do.  NEVER ride against traffic.

•  Use bike lanes or designated bike routes wherever you can.

•  Don’t ride too close to parked cars.  Doors can open suddenly.

•  Stop at all stop signs and obey street (red) lights just as cars do.

•  When passing other bikers or people on the street, always pass to their left side, and call out “On your left!” so they know that you are coming.

 

Mrs. Kauffmans' Nurses Notes'

 WELCOME!

The health and safety of the chiIdren at our school is of utmost importance. If at any time you have questions or concerns, please feel free to contact the school nurse.

If your child requires medication to be given at school, please refer to the school handbook for policies and procedures to be followed. AT NO TIME ARE MEDICA TIONS TO BE SENT IN WITH YOUR CHILD. This includes prescription or non-prescription medication. Please keep the nurse informed of medication changes.

The following guidelines may help determine if your child is ready to return to school from various health conditions.

1) Students diagnosed with strep throat may return to school after 24 hours on prescribed medications and no fever present.

Students diagnosed with pink eye may return to school after 48 hours on prescribed medication. Eyes are to be clear with no drainage. Students diagnosed with Fifth's Disease are excluded from school only if fever is present.

Students with Chicken Pox are excluded from school for one week. Chicken Pox must be dry and crusted before returning to school.

Here is to a healthy year!

                 Mrs. Kauffman, R.N.

   . Chickenpox: Frequentlv Asked Questions

 Since the chickenpox vaccine was licensed in 1995 and put into use throughout the United States, the number 01 chickenpox cases has decreased dramatically and the presentation of this illness has changed. With the occurrence of milder cases after vaccination (known as breakthrough disease), chickenpox is becoming more difficult to diagnose. This FAQ is to provide you with current information on chickenpox.

 What does chickenpox look like? 

Typical chickenpox symptoms include fever, tiredness, and an itchy rash with small blisters that dry up and form scabs in about 5 days. The rash usually appears first on the body and face and can spread over the entire body with 250-500 itchy lesions. Complications from chickenpox, such as pneumonia, inflammation of the brain (encephalitis) or a severe bacterial infection can occur. Individuals who have received the chickenpox vaccine can still get chickenpox if exposed to the virus. This is called breakthrough disease.

 What does breakthrough disease look like?

 Breakthrough disease is usually a very mild case of chickenpox with fewer lesions (usually less than 50) lasting only a few days, with no fever or a low fever, and few other symptoms. The lesions often do not look like typical chickenpox blisters either. They tend to look like small, raised, itchy, red bumps that resemble mosquito bites or acne. Since breakthrough disease usually does not look like typical chickenpox, it can often be difficult to diagnose. Call your health care provider if you are not sure if your child has breakthrough disease.

 My child was vaccinated years ago and this year he/she developed a mild case of chickenpox. Why did this happen? 

No vaccine is 100% effective. Breakthrough disease may be due to a number of different factors. One reason is that some people do not develop enough protection to completely prevent them from developing chickenpox. When they come into contact with a case of chickenpox, they may develop breakthrough disease.

 Can someone with breakthrough disease spread chickenpox?

 Yes. Therefore it is important that these individuals stay at home from school, child care, and extracurricular activities (such as sports, band, drama club), until their lesions have dried and formed scabs, or until no new spots or bumps are forming.

 Does breakthrough disease provide immunity like naturally occurring chickenpox?

 Yes. A mild case of chickenpox, such as breakthrough disease, produces immunity to chickenpox as does the more moderate or severe cases of naturally occurring chickenpox. 

If a person who has never had chickenpox or the vaccine comes into close contact with someone with chickenpox, would getting vaccinated help?

 Yes. Vaccination may prevent or modify chickenpox if given up to 3 days, and possibly 5 days, after close exposure to chickenpox. They should contact their health care provider for vaccination. 

 What if I am pregnant and exposed to chickenpox?

 Pregnant women who have never had chickenpox are at risk of getting chickenpox during their pregnancy.  A small percentage of pregnant women who get chickenpox in the first or second trimester can have babies with birth defects.  In addition, chickenpox may be more severe in pregnant women and place them at a high risk for complications due to chickenpox.  You should contact your health care provider and inform them that you have been exposed to chickenpox.

 If you have any questions or need more information, please contact Harford County Health Department, Division of Communicable Diseases at (410) 638-8458.

 All About Allergies

 

Dust, cats, peanuts, cockroaches. An odd grouping, but one with a common thread: allergies - a major cause of illness in the United States. Up to 50 million Americans, including millions of children, have some type of allergy. In fact, allergies account for the loss of an estimated 2 million school days per year.

What Are Allergies?

An allergy is an overreaction of the immune system to a substance that's harmless to most people. But in someone with an allergy, the body's immune system treats the substance (called an allergen) as an invader and reacts inappropriately, resulting in symptoms that can be anywhere from annoying to possibly harmful to the person.

In an attempt to protect the body, the immune system of the allergic person produces antibodies called immunoglobulin E (IgE). Those antibodies then cause mast cells (which are allergy cells in the body) to release chemicals, including histamine, into the bloodstream to defend against the allergen "invader."

It's the release of these chemicals that causes allergic reactions, affecting a person's eyes, nose, throat, lungs, skin, or gastrointestinal tract as the body attempts to rid itself of the invading allergen. Future exposure to that same allergen (things like nuts or pollen that you can be allergic to) will trigger this allergic response again. This means every time that person eats that particular food or is exposed to that particular allergen, he or she will have an allergic reaction.

Who Gets Allergies?

The tendency to develop allergies is often hereditary, which means it can be passed down through your genes. However, just because you, your partner, or one of your children might have allergies doesn't mean that all of your children will definitely get them, too. And a person usually doesn't inherit a particular allergy, just the likelihood of having allergies.

But a few children have allergies even if no family member is allergic. And if a child is allergic to one substance, it's likely that he or she will be allergic to others as well.

 

What Are the Most Common Airborne Allergens?

 

Some of the most common things people are allergic to are airborne (carried through the air):

 

Dust mites are one of the most common causes of allergies.  These microscopic insects live all around us and feed on the millions of dead skin cells that fall off our bodies every day.  Dust mites are the main allergic component of house dust, which is made up of many particles and can contain things such as fabric fibers and bacteria, as well as microscopic animal allergens.  Present year-round in most parts of the United States (although they don’t live at high altitudes), dust mites live in bedding upholstery, and carpets.

 

Pollen is another major cause of allergies (most people know pollen allergy as Hay fever or rose fever).  Trees, weeds, and grasses release these tiny particles in the air to fertilize other plants.

Pollen allergies are seasonal, and the type of pollen a child is allergic to determines when he or she will have symptoms. For example, in the mid-Atlantic states, tree pollination begins in February and lasts through May, grass from May through June, and ragweed from August through October; so people with these allergies are likely to experience increased symptoms during those times. Pollen counts measure how much pollen is in the air and can help people with allergies determine how bad their symptoms might be on any given day. Pollen counts are usually higher in the morning and on warm, dry, breezy days, whereas they're lowest when it's chilly and wet. Although they're not exact, the local weather report's pollen count can be helpful when planning outside activities.

 

Molds, another common allergen, are fungi that thrive both indoors and out in warm, moist environments. Outdoors, molds may be found in poor drainage areas, such as in piles of rotting leaves or compost piles. Indoors, molds thrive in dark, poorly ventilated places such as bathrooms and damp basements, and in clothes hampers or under kitchen sinks. A musty odor suggests mold growth. Although molds tend to be seasonal, many can grow year-round, especially those indoors.

 

Pet allergens from warm-blooded animals can cause problems for kids and parents alike. When the animal - often a household pet - licks itself, the saliva gets on its fur or feathers. As the saliva dries, protein particles become airborne and work their way into fabrics in the home. Cats are the worst offenders because the protein from their saliva is extremely tiny and they tend to lick themselves more than other animals as part of grooming.

Cockroaches are also a major household allergen, especially in inner cities. Exposure to cockroach­ infested buildings may be a major cause of the high rates of asthma in inner-city children.

 

What Are the Most Common Food Allergens?

 

The American Academy of Allergy, Asthma, and Immunology estimates that up to 2 million, or 8%, of children in the United States are affected by food allergies, and that eight foods account for most of those food allergy reactions in kids: eggs, fish, milk, peanuts, shellfish, soy, tree nuts, and wheat.

Cow's milk (or cow's milk protein): Between 1% and 7.5% of infants are allergic to the proteins found in cow's milk and cow's milk-based formulas. About 80% of formulas on the market are cow's milk-based. Cow's milk protein allergy (also called formula protein allergy) means that the infant (or child or adult) has an abnormal immune system reaction to proteins found in the cow's milk used to make standard baby formulas, cheeses, and other milk products. Milk proteins can also be a hidden ingredient in many prepared foods.

Eggs: One of the most common food allergies in infants and young children, egg allergy can pose many challenges for parents. Because eggs are used in many of the foods kids eat - and in many cases they're "hidden" ingredients - an egg allergy is hard to diagnose. An egg allergy usually begins when children are very young, but most outgrow the allergy by age 5. Most kids with an egg allergy are allergic to the proteins in egg whites, but some can't tolerate proteins in the yolk.

Seafood and shellfish: The proteins in seafood can cause a number of different types of allergic reactions.  Seafood allergy is one of the more common adult food allergies and one that children don’t always grow out of.

 

Peanuts and tree nuts:  Peanuts are one of the most sever food allergens, often causing life threatening reactions.  About 1.5 million people in the United States are allergic to peanuts.  (Peanuts are not a true nut, but a legume – in the same family as peas and lentils, although people with peanut allergy don’t usually have cross-reactions to other legumes.)  Half of those allergic to peanuts are also allergic to tree nuts, such as almonds, walnuts, pecans, cashews and often sunflower and sesame seeds.

 

Soy: Like peanuts, soybeans are legumes. Soy allergy is more prevalent among babies than older children; about 30% to 40% of infants who are allergic to cow's milk are also allergic to the protein in soy formulas. Soy proteins, such as soya, are often a hidden ingredient in prepared foods.

 

Wheat: Wheat proteins are found in many of the foods we eat - some are more obvious than others. As with any allergy, an allergy to wheat can happen in different ways and to different degrees. Although wheat allergy is often confused with celiac disease, there is a difference. Celiac disease is caused by a sensitivity to gluten, which is found in wheat, oat, rye, and barley. It typically develops between 6 months and 2 years of age and the sensitivity causes damage to the small intestine in a different way to the usual allergic reaction.

 

What Are Some Other Common Allergens?

 

Insect Stings: For most children, being stung by an insect means swelling, redness, and itching at the site of the bite. But for children with insect venom allergy, an insect bite can cause more severe symptoms. Although some doctors and parents have believed that most children eventually outgrow insect venom allergy, a recent study found that insect venom allergies often persist into adulthood.

Medicines: Antibiotics - medications used to treat infections - are the most common types of medicines that cause allergic reactions. Many other medicines, including over-the-counter medications, can also cause allergic reactions. If you suspect a medicine allergy, talk to your doctor first before assuming a reaction is a sign of allergy.

Chemicals: Some cosmetics or laundry detergents can cause people to break out in an itchy rash. Usually, this is because the person has a reaction to the chemicals in these products. Dyes, household cleaners, and pesticides used on lawns or plants can also cause allergic reactions in some people.

Some children also have what are called cross-reactions. For example, kids who are allergic to birch pollen might have reactions when they eat an apple because that apple is made up of a protein similar to one in the pollen. Another example is that children who are allergic to latex (as in gloves or certain types of hospital equipment) are more likely to be allergic to kiwifruit or bananas.

 

 

What Are the Signs and Symptoms of Allergies?

 

The type and severity of allergy symptoms vary from allergy to allergy and child to child. Allergies may show up as itchy eyes or an itchy nose, sneezing, nasal congestion, throat tightness, trouble breathing, and even shock (faintness or passing out).

 

Symptoms can range from minor or major seasonal annoyances (for example, from pollen or certain molds) to year-round problems (from allergens like dust mites or food).

 

Because different allergens are more prevalent in different parts of the country and the world, allergy symptoms can also vary, depending on where you live. For example, peanut allergy is unknown in Scandinavia, where they don’t eat peanuts, but is common in the United States, where peanuts are not only a popular food, but are also found in many of the things we eat.