Currently browsing shots for kids posts

Little Kids Get So Many Shots …As a Parent I’m Concerned

“There are so many shots these days.  As a pediatrician… what are your thoughts on spreading out the timing of the vaccines?  What do you recommend?”

little girl getting an injectionFirst, allow me to make the argument for never saying the work “shots” when referring to immunizations or vaccines given to children.  Coming from a parent, this sounds very much like throw your child under the bus now that he is in the Dr.’s office, and pretty much you have become part of the enemy.  Coming from a Physician or a nurse or other office staff, this merely confirms the awful images already conjured up by your child.  Let me suggest “immunization” or “medicine to keep you healthy”.

Next, let me deal with the perceptions out there that somehow these immunizations are actually “bad” for your child.

1.  “That’s too many to give to a very young child/infant at one time”.  Every vaccine currently given to your child has been exhaustively researched and evaluated from every direction.  Many times, the vaccines used in this country have been used for some time in another country. Not only are these found to be effective to prevent disease (not completely, but enough to want to protect someone), but they have been given in various combinations with other vaccines and found to be as effective when given together as when given individually. The individual side effects have also been carefully evaluated and it has been found that side effects (usually very mild) are no more frequent or severe when several immunizations are given together.

It has also been shown, unfortunately usually by trial and error, that for the most part the diseases for which there are vaccines tend to cause a much worse problem in the very young and the very old.  So if the parental decision is to postpone or divide these up in some random schedule they are actually doing a disservice to their child by not protecting him/her as early as possible.    In addition to which, a random schedule makes it more unlikely that the entire batch of suggested vaccines will ever be completed.  It can also lead to confusion in office records and neither is recommended by the Academy of Pediatrics and all significant groups doing research on these topics.

2.  “My child’s immune system is too immature to bombard him/her with all these manmade chemicals at such an early age”.  Bingo!  It is just because an infant or child’s immune system is incomplete that we aim to protect him/her from what is potentially out in the community.  These vaccines have also been studied as to the best timing (age) for each of them so as to afford the greatest protection with the fewest side effects.

3.  “I’d rather have him/her get the disease and develop immunity the ‘natural’ way”.   Oops!, you really didn’t say that, did you?  To answer this I can only ask the question, at what price?  These diseases are very dangerous and can be fatal in the very young. This is the chance a parent will be taking while awaiting an unwanted illness.  There is also the concept of “herd immunity” in which, if a certain percentage of the population can be immunized, the entire population may be protected.  Every child who is not immunized decreases the possibility of success with the theory of “herd immunity”.

4.  “We have read that certain vaccines (MMR) can cause serious problems such as autism, etc. If you aren’t up to date with the latest information on this topic, you should be, and it is readily available on the internet.  It so happens that the only information that has ever linked immunizations to autism was based on a single study involving very few patients and published in England by a physician who used very poor scientific methods more than a decade ago  and has since lost his license.  Furthermore, the journal that published this paper has since denounced this as false information and retracted the article.

5.  Finally, since this is the Flu season please allow me to approach the topic as it relates to the previous information.  There are two main types of Flu vaccines, the injectable, which is composed of totally killed or inactive Flu viral particles, and the active or live vaccine which can be given intranasally (spray  into the nose).  Flu vaccine is currently recommended for everyone above the age of 6 months.  The injectable is incapable of transmitting the illness or similar symptoms to anyone receiving that vaccine and can be given to all ages.  The live intranasal vaccine can only be used in children over the age of two and may cause mild cold- like symptoms for 1-2 days.

In conclusion: Try to follow the recommendations from the Academy of Pediatrics guidelines in which your Pediatrician is well versed and can explain them to you.  These recommendations are well thought out and tested and you will be protecting your children as well as you can.

We’re Teaching Kids to Fear Shots: a Pediatrician’s Perspective

Editor’s Note: As the events in West Africa show, infectious disease epidemics devastate communities, spread fear, and create civil unrest. Vaccinations – when available – protect our children and society. However, as Dr. Amy Baxter explains in this post and accompanying TEDx Talk video, our vaccination approach is creating the unintended consequence of widespread needle fear in children.  In honor of our 5 Year Bloggiversary, we are publishing 5 of our favorite posts – one from each year since the day we started. This is our final “look back” post.   

***************************************************************************************************************************

mother holding boy while he gets a shot“How do you respond when the place that you trust to keep you healthy hurts you…or ignores your plan…or ignores you?” …”We have had an erosion of empathy in medicine. Somehow we’ve decided to ignore the fact that shots…hurt.” …TEDx Talks 11/2013

As flu season hits, there is a segment of our society whose immune system health won’t be protected this year – those who fear needles. In a 2012 study, 23% of those who don’t get their shot avoid the protection because of a fear of needles. While needle-less options are improving, they better get here soon: 63% of our teenagers are now afraid of needles.

For most people, the fear of needles develops around age 4-6 years of age. That’s the age when kids born since 2000 are getting 4-5 shots on one day. Before 1983, people only got 6 shots total, and mostly before age two, so not as many adults remember…and consequently, not as many fear needles. Not the same for their kids…

“Last year a paper came out and now 2 out of 3 children have a severe fear of needles. What happens when they grow up? The fear of needles doesn’t usually go away by itself. And adults who are afraid of needles are less likely to get health care, they are less likely to donate blood…and they’re even less likely to vaccinate their own kids. So when these children who were born in 2000 or later are old enough to drive themselves to the doctor…what if they don’t??” …TEDx Talks 11/2013

Given the group of kids growing up now, if we don’t start addressing this, the problems for public health are only going to grow.

“The number and the way we’re giving shots is causing needle fear …and needle fear causes people to avoid healthcare as adults. In order to keep our communities safe, doctors need to own the problem of needle pain…the solution is not to stop vaccinating…it’s to partner to start making the 4-6 year old shots better” …TEDx Talks 11/2013

There are ways to advocate to decrease pain for kids getting shots, as seen here. But to hear more about the rise and consequences of fear of needles and some of the solutions we can pursue, watch my full TEDx Talks presentation below:

We’re Teaching Kids to Fear Shots: a Pediatrician’s Perspective

“How do you respond when the place that you trust to keep you healthy hurts you…or ignores your plan…or ignores you?” …”We have had an erosion of empathy in medicine. Somehow we’ve decided to ignore the fact that shots…hurt.” …TEDx Talks 11/2013

Shots hurtAs flu season hits, there is a segment of our society that won’t be protected this year – those who fear needles. In a 2012 study, 23% of those who don’t get their shot avoid the protection because of a fear of needles. While needle-less options are improving, they better get here soon: 63% of our teenagers are now afraid of needles.

For most people, the fear of needles develops around age 4-6 years of age. That’s the age when kids born since 2000 are getting 4-5 shots on one day. Before 1983, people only got 6 shots total, and mostly before age two, so not as many adults remember…and consequently, not as many fear needles. Not the same for their kids…

“Last year a paper came out and now 2 out of 3 children have a severe fear of needles. What happens when they grow up? The fear of needles doesn’t usually go away by itself.  And adults who are afraid of needles are less likely to get health care, they are less likely to donate blood…and they’re even less likely to vaccinate their own kids. So when these children who were born in 2000 or later are old enough to drive themselves to the doctor…what if they don’t??” …TEDx Talks 11/2013

Given the group of kids growing up now, if we don’t start addressing this, the problems for public health are only going to grow.

“The number and the way we’re giving shots is causing needle fear …and needle fear causes people to avoid healthcare as adults. In order to keep our communities safe, doctors need to own the problem of needle pain…the solution is not to stop vaccinating…it’s to partner to start making the 4-6 year old shots better”  …TEDx Talks 11/2013

There are ways to advocate to decrease pain for kids getting shots, as seen here.  But to hear more about the rise and consequences of fear of needles and some of the solutions we can pursue, watch my full TEDx Talks presentation below:

Great News Needle-phobic Parents: New Flu Shot Uses Tiny Needle

If you are among the many moms and dads who are scared of needles, this year’s flu shot might be a lot less scary. Ninety percent less scary, that is!

Have you seen the cute Fluzone hedgehog commercial? The new intradermal needle is 90% shorter!

The new intradermal flu vaccine uses a 90% smaller needle to inject the vaccine into the skin, instead of muscle. According to the Centers for Disease Control and Prevention (CDC), the intradermal vaccine not only requires a smaller needle but it has 40% less antigen that the regular flu shot while still being as effective as the traditional vaccine. Antigen is the part of the vaccine that helps your body build protection against flu viruses and since each intradermal vaccine requires less than the traditional shot, more doses can be made from the same amount of antigen.

The intradermal vaccine is designed to protect against the three strains of flu deemed most likely to be the most prevalent this flu season as determined by flu research. It is recommended for adults ages 18 through 64. Unfortunately, it has not yet been approved for children younger than 18, but the traditional flu vaccine shot and nasal spray flu vaccines are still available for those who fall outside the age range for the intradermal shot.  Consult the CDC Seasonal Influenza guidelines to help you decide which form of the vaccine is appropriate for you and your family members, and if you have any concerns, consult your healthcare provider.

Flu season typically peaks in the winter months, but the CDC recommends getting vaccinated as soon as the influenza vaccine is available, since it can take two weeks for your body to develop the necessary antibodies to protect you. With flu shots widely available at doctor’s offices, pharmacies and flu shot clinics, it is more convenient and easier than ever to get vaccinated and protect yourself and your family from the flu this season.

For more information about the intradermal and traditional flu vaccines, please visit the CDC for up to date seasonal flu information.

****************************************************************************************************

Editor’s Note: For those of you with little ones whose needle-phobia rivals your own, consider reading the story of Buzzy by Dr Amy Baxter. Not only did she create an innovative way to help reduce the pain of getting a shot but she also has some terrific hints to help overcome your child’s stress before and during their visit to the doctor). 

Now it’s a little easier for all of you to be brave – so go ahead and get your flu shots…and have a safe and healthy winter.  🙂

Resetting Needle Phobia for Kids Who Get “Home Shots”

A recent post on an arthritis blog I belong to discussed a common problem, out of control needle fear. In many cases, it has grown so out of control that home shots are going to be transferred to the hospital, or effective IM medications are going to be swapped for less effective oral ones. If you’re on this path, here is a way to try to address the issue for children age 4 – 10: try a “do over”.

Kids are used to new rules being laid down, and so long as you are 100% consistent after calling a “do over” they usually adapt in one to three events. Say, OK, this isn’t working, before we decide to just do this at the hospital every time let’s make a plan for next time and you choose what you want to try. Write down the options to make the exercise super legit and read it to her or let her circle what she wants to give control.

  1. Freeze spray/no freeze spray: Research shows for children under age 6 freeze spray hurts more than helps on average. We don’t recommend it.
  2. Position (sitting in dad/mum’s lap, lying on side, etc): Tensing muscles makes shots worse (that’s awfully hard not to do when a child is freaking out). Since lying on the back is anxiety provoking, you can try lying on the side.
  3. Entertainment or distraction so as to NOT pay attention to shot: watching TV, blowing out on a kazoo (blowing helps naturally decrease fear), etc.
  4. Other sensations: take a big sip of something cold and sweet right at the moment of the shot, turn a Buzzy on and off in her hand, press Buzzy to her forehead (THAT’s a big counter stimulation) etc. (see the Buzzy story in Pediatric Safety).
  5. Poke-r chips or a token economy: Decide on a prize for working on this together, a treat you’ll both get like an outing to a movie or a favorite shop. Make a goal number of chips and a value for behavior, perfect = 3, but you get 1 no matter what, that kind of thing. Assign enough chips to behaviors so it’s attainable in that magic three events, and then let her decide how well she did and how well you did. Both of you performed the plan perfectly? Three chips for you, 3 chips for her, only 4 more to go! You forgot to have the cold sweet drink nearby but otherwise did well? 2 for you, 3 for her (and you got some feedback on what was most important to her). She lost it, freaked out, had to be dragged out from under a table? Well, one chip is the lowest you can get, so 1 for her, 2 for you maybe, and the prize is still within reach. Having a tangible token is important here. (*acknowledgement to Nancy Potash of the Platelet Disorders Support Association for this Poke-r Chips pun and concept.)

With so much going on, and having a plan and feeling more in control, perhaps you can reset the fear windup. When she starts ramping up a day or so before, remind her, “No, no, this is going to be completely different, remember? We have our plan.”

Not everything works for every kid…so if you have additional solutions that worked for you, I’d love to hear them…

A recent post on an arthritis blog I belong to discussed a common problem, out of control needle fear. In many cases, it has grown so out of control that home shots are going to be transferred to the hospital, or effective IM medications are going to be swapped for less effective oral ones. If you’re on this path, here is a way to try to address the issue for children age 4 – 10: try a “do over”.

Kids are used to new rules being laid down, and so long as you are 100% consistent after calling a “do over” they usually adapt in one to three events. Say, OK, this isn’t working, before we decide to just do this at the hospital every time let’s make a plan for next time and you choose what you want to try. Write down the options to make the exercise super legit and read it to her or let her circle what she wants to give control.

1) Freeze spray/no freeze spray: Research shows for children under age 6 freeze spray hurts more than helps on average. We don’t recommend it.
2) Position (sitting in dad/mum’s lap, lying on side, etc): Tensing muscles makes shots worse (that’s awfully hard not to do when a child is freaking out). Since lying on the back is anxiety provoking, you can try lying on the side.
3) Entertainment or distraction so as to NOT pay attention to shot: watching TV, blowing out on a kazoo (blowing helps naturally decrease fear), etc.
4) Other sensations: take a big sip of something cold and sweet right at the moment of the shot, turn a Buzzy on and off in her hand, press Buzzy to her forehead (THAT’s a big counter stimulation) etc.
5) Poker chips or a token economy: Decide on a prize for working on this together, a treat you’ll both get like an outing to a movie or a favorite shop. Make a goal number of chips and a value for behavior, perfect = 3, but you get 1 no matter what, that kind of thing. Assign enough chips to behaviors so it’s attainable in that magic three events, and then let her decide how well she did and how well you did. Both of you performed the plan perfectly? Three chips for you, 3 chips for her, only 4 more to go! You forgot to have the cold sweet drink nearby but otherwise did well? 2 for you, 3 for her (and you got some feedback on what was most important to her). She lost it, freaked out, had to be dragged out from under a table? Well, one chip is the lowest you can get, so 1 for her, 2 for you maybe, and the prize is still within reach. Having a tangible token is important here. (*acknowledgement to Nancy Potash of the Platelet Disorders Support Association for this Poke-r Chips pun and concept.)

With so much going on, and having a plan and feeling more in control, perhaps you can reset the fear windup. When she starts ramping up a day or so before, remind her, “No, no, this is going to be completely different, remember? We have our plan.” Not everything works for every kid, and if you have additional solutions that worked for you, I’d love to hear them…

Swine Flu for Parents: Real World Answers Part II

Swine Flu for Parents

In our last post we walked you through what we hope was everything you needed to know about the virus in general:  how to recognize symptoms, avoid the virus and take care of your kids if they happened to catch it. Our goal today is to provide you with the same kind of detailed information…but on the vaccines. We’re not going to make choices or judge anyone’s decisions or tell anyone what they should believe or what actions they should take. But there is a lot of information out there, a lot of rumor and a lot of conjecture. There are polls saying that a large percent of parents are choosing not to vaccinate for the swine flu because of concerns about what is or isn’t in the vaccines…And there are numerous mixed message coming from the media. What we can do is help you sort through all the media coverage and pull together some of the best, most reliable information currently available to hopefully provide you with some much needed “real world” answers to some very important questions. AND THEN…we will let you make your own decision about what’s right for you and your child. So as we did yesterday…let’s start off with a little background, but this time… about the H1N1 vaccine…

The H1N1 vaccine for kids…

Dr Ari Brown: The vaccine will be available as both a nasal spray and a shot. Currently the FDA has approved three flu shots from three manufacturers and one nasal spray from another manufacturer. Keep in mind that all of these protect against just H1N1. They will NOT protect against the other flu strains we typically see in the fall and winter season

All three vaccine shots are inactivated vaccines and like the seasonal flu vaccines are created with egg product, so people with egg allergies need to steer clear. Here are the key differences between the 2 brands that have been approved for young children:syringe w vaccines2

  • Novartis Brand: FDA approved for children four years of age and older. There are two forms of this shot: The single dose uses thimerosal in the manufacturing process but then it is extracted before the final production. The multidose vials use thimerosal as a preservative
  • Sanofi Brand: FDA approved for children six months of age and older. There are two forms of this shot—a single dose in a prefilled syringes and a multidose vial. Both products are thimerosal preservative free.

The nose spray is similar to the Flumist vaccine used for seasonal flu vaccine. It is also made with egg product and it does not have any preservative.

  • Medimmune makes the H1N1 nasal spray. It is FDA approved for healthy people two years old up to 49 years of age. Because it is a live vaccine, pregnant women, people with asthma, people with immune deficiencies, and those with underlying medical conditions should NOT get this vaccine.

If I choose to vaccinate, how many shots or doses does my child really need?

AAP: The seasonal flu vaccine is given separate from the H1N1 vaccine and is available now for all children ages 6 months through 18 years. If your child is less than 9 years old and this is his or her first time getting a flu vaccine, s/he will need two doses.

Parents and caretakers of infants under 6 months of age should also get the seasonal flu vaccine now to protect these children who are too young to be vaccinated.

Dr Brown: For H1N1 flu, kids under ten will need a series of two shots or doses, given approx. one month apart. Ten years of age and older will only need one shot or dose for protection. Infants under 6 months are too young to be vaccinated.

It is definitely a good idea to get both vaccinations, but keep in mind all live-attenuated flu vaccines (the nose sprays) must be given at least four weeks apart so you have an adequate immune response to the vaccinations. So, if your child gets Flumist over the next few weeks for seasonal flu, he has to wait a full four weeks to get the H1N1 nose spray. Consider that before getting Flumist right now.

There is not a special time interval to receive seasonal flu shot and H1N1 shot.

My kids are not great with shots – any suggestions?

Mattel Children’s Hospital UCLA: The good news is that there are several techniques that parents can use to positively impact their child’s experience when getting a needlestick – the key is to be creative and use the right combination of tactics depending on your child’s age, the particular procedure being done and the child’s fear level.child doesnt like shots3

Parents of young children can bring soap bubbles and ask them to blow bubbles during the injections, suggesting they are “blowing away the hurt.”With a crying infant, if the parent places the plastic bubble maker in front of their mouth, as they cry out, they will make bubbles. “I have seen babies stop crying mid-cry because they were distracted by the bubbles,” said Dr. Lonnie Zeltzer, director of the Pediatric Pain Program.

For older kids and adolescents getting the shots, but parents can help the child to breathe out slowly to relieve the pain.

Parents can ask their kids to use their imagination and experience being somewhere else really fun during the injections, such as at the park or at the beach. Other distraction ideas include jokes, video games, stories and music.

Experts have also advised parents to ask doctor for a prescription for a numbing cream or patch and put on the areas to be injected. Or if the doctor approves, parents can give the child a dose of pain reliever, such as Tylenol, about one hour before the injection.

After returning home, put an ice bag on the injection site to reduce local swelling and pain.

Finally, do not lie to your child about getting an injection…No one likes to get poked with a needle, but if you reassure your child that there are ways to make the hurt go away, then you can help them achieve a successful, less painful experience

Am I better off with the H1N1 nose spray? What about antivirals and the nose spray?Nasal swine flu vaccine for 4 yo

Dr Brown: If someone is taking an antiviral (such as Tamiflu), he should not take the nasal vaccine until it has been at least 48 hours after completing the medication. And, if a person receives the nasal vaccine, he should not take an antiviral (such as Tamiflu) for two weeks after being vaccinated unless it’s medically necessary. That’s because the medication will reduce the ability for the vaccine to work.

What about vaccine safety concerns?

Folks, here I will depart from providing information – only because this topic could be a post unto itself. I will say that Dr Brown, The American Academy of Pediatrics, Public Health of Canada and Pediatric Safety’s own Dr Kim among others feel confident in their recommendations to immunize (please read Dr Kim’s comments at the end of this article). I will also say that other professionals – including some in the medical profession – feel differently.  What I can do is provide you with several links that should hopefully give you some useful reference points to consider… For my family, I feel safer with the H1N1 vaccination than taking a chance without one.

When will the vaccine be available?

Dr Brown: The seasonal flu vaccine (both shot and Flumist nose spray) is available now.

Wall St Journal: For the United States: The first available H1N1 vaccine will be the nasal spray for 2 years and older and started distribution as of US FlagTuesday; the first H1N1 vaccine shots for 6months and older, could start becoming available for high priority groups (pregnant women and anyone with an “at risk” medical condition) as early as later this week. 45 million doses are expected to be distributed across the US by mid-October. Approx. 250 million doses have been ordered which should cover any American who wants to be vaccinated

Public Health Agency of Canada: For Canada: The Canadian government intends to purchase 50.4Canada flag million doses of H1N1 vaccine on behalf of the provinces, territories and federal populations, which should meet the need of every citizen desiring vaccination. The government remains on target to have a safe and effective vaccine available in November 2009. However we expect the vaccine could be available as early as mid October should this be necessary.

We hope our vaccine overview has been a help. We know you have some tough decisions in the weeks ahead…and we hope we gave you some useful information that makes it a little easier for you to make some of them.  We also know it can be a bit scary…and that no matter how good the information we provide, sometimes it just helps to hear a few words of advice from someone who speaks from the heart…and while she may not be your own pediatrician, she’s really great with kids and she cares an awful lot… So here is Dr Kim, our own in-house pediatrician, to give you her thoughts on the H1N1 vaccines.  In the end…we leave it up to you and your pediatrician to decide on the best path forward for your kids…

Dr KimHere’s my take on the upcoming flu season and influenza vaccines for children this year.

First, every single year the regular seasonal influenza kills approximately 35,000 people in America. And it is responsible for severe illnesses and hospitalizations, as well as the missing of school and work days, for many more kids and families.

As much as we may wish, we cannot prevent your children from getting sick each winter. There are more than 200 cold viruses and we have no vaccines to prevent these illnesses. But influenza is among the most severe and the most miserable of the viruses, and we can prevent severe illness with vaccinations.

But is it safe doctor?

I have fielded questions from worried parents and watched the media stir up fears for the past months about the safety of the H1N1 vaccine.

Many patients and writers in the press have expressed concerns about the “new-ness” of the H1N1 vaccine. That concern is based on a lack of understanding of the way that flu vaccine is made. Every year a “new” influenza vaccine is made based on the circulating strains of virus and given to millions of people with excellent safety and efficacy. The H1N1 vaccine has been made in the same way, at the same companies and factories. We know how to do this well and safely.

Some people worry that there is not enough safety data. In my opinion, there is never “enough” safety data. But again, given the track record of similarly-made flu vaccine in the past, there is not reason to be concerned that this vaccine will be unsafe at all.

Others worry that the vaccine will not be effective, citing concerns that the virus may mutate and change. Virologists know that this is rare in a single flu year, and we have watched the virus through the spring in Mexico, the summer here and the winter in the southern hemisphere, and the virus has not changed; there is no reason to expect that it will do so this winter.

Other concerns relate to preservatives used in childhood vaccines, such as thimerisol. Please keep in mind that many studies have been done to evaluate the safety of these compounds, and no good scientific study has ever shown that the very small amounts of thimerisol used in vaccines are harmful to children. 

Finally given the recent media attention, questions have been raised about the 1976 flu vaccine and Guillain-Barre Syndrome.  What isn’t being given as much attention is that the 1976 flu vaccine was made in a completely different way than the current swine flu vaccine, with less sophisticated and safe vaccine technology.  So there’s no reason to suspect that GBS (which is typically present at a mild level in the general population), would increase at all with this year’s H1N1 vaccine.

In summary, as I mentioned in my previous post on this topic, I am strongly recommending both the regular seasonal flu vaccine and the H1N1 vaccine to my most vulnerable patients this winter: young children, those with chronic illnesses like asthma, pregnant women, and the parents and caregivers of babies younger than 6 months old who cannot yet be vaccinated. I think that these vaccines are safe, and I think that they are important. They will save lives and decrease pain and suffering this winter.  And as always I recommend to families getting enough rest (sleep-deprived bodies are much more vulnerable to illness), staying well hydrated, practicing extra-vigilant hand hygiene, and reducing stress and increasing joy (both of which have measurable impacts on the immune system)!

I hope that you all have a fun and safe fall and winter! -Dr Kim

Dr Kim Newell is a pediatrician in a busy outpatient practice in San Francisco. At Princeton University she studied the history of religious thought and practice around the world. Only in modern times have healing and religion been separate fields of study. She attended medical school at the University of Pennsylvania to learn the practice of medicine in a busy urban teaching hospital. Along the way she lived in India for a year and worked at hospitals in Guatemala, Uganda, and on the Navajo reservation in New Mexico, where she learned to be grateful for the luxury that allows her patients to fret over the small things. She completed her pediatric residency at the University of California at San Francisco (UCSF). Dr. Kim would like to help parents build healthy families by arming them with knowledge and tools, as well as a bit of lightness and laughter. She believes that the joys of parenting should outweigh the worries. Dr Kim blogs at drkimmd.com

***************************************************************************************************************************

Relevant Links

  • U.S.A.H1N1 Vaccines, 195 Million Doses: Availability, Safety Issues by Dr Ari Brown (Dr Brown is a pediatrician, book author, child health advocate, and a mom. Dr. Brown is Board Certified and is a Fellow of the American Academy of Pediatrics. She has appeared on the Today Show, CNN, Dr.Phil, RachaelRay and ABC News)
  • Frequently Asked Questions About H1N1 Flu (Swine Flu) – AAP
  • How to make flu shots easier for kids – Mattel’s Children’s Hospital, UCLA
  • Public Faces Long Wait to Get New Flu Vaccine – Wall Street Journal 10/5/09
  • Health Canada flu watch
  • Each week the CDC publishes an update on flu statistics including location of flu activitiy, type of flu, hospitalization and mortality stats.  For those interested, the data can be found here:  2009 H1N1 Flu: Situation Update by CDC October 2, 2009  http://www.cdc.gov/h1n1flu/update.htm
  • At Pediatric Safety, we have an active link to the latest flu news from flu.gov.  Visit us here for updates or sign up for email updates https://pediatricsafety.net/awareness/

« Previous Page