Tips for Fun in the Sun and Water

This summer, make sure to keep your family safe by following some tips recommended by the American Academy of Pediatrics (AAP).

The best way to protect yourself and your children from harmful ultraviolet radiation (UVR) exposure is to cover up. It is best to limit exposure during hours of intense sun, which are between 10 a.m. to 4 p.m.

Use a sunscreen with an SPF of at least 15 to protect against UVA and UVB rays on both sunny and cloudy days. Reapply sunscreen every two hours or after sweating or any activity in the water, such as swimming.

To prevent heat stress in exercising, children should choose light-colored and lightweight clothing. Dress in one layer of absorbent material to help with the evaporation of sweat. Ensure that your children take a break to drink every 20 minutes while active in the heat.

The best way to prevent drowning in children is to closely supervise your children while near water. Avoid inflatable swimming aids, such as “floaties,” as they can give a false sense of security. Instead, use approved life vests if your children need help in the waters.

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For more tips on sun and water safety, visit

AAP Updates Lice Treatment

Lice, it is every parent’s worst nightmare and surprisingly enough most cases are not acquired at school. Head lice is not a disease or sign of poor hygiene and it can be treated. The American Academy of Pediatrics (AAP) recommends that children not be restricted from attending school because of lice. Pediatricians are encouraged to educate communities and schools that children can finish the school day at school, be treated at home and then return to school.

An updated clinical report by the AAP in May 2015 provides safe and effective methods of treating head lice and informs of new medications and products. Pediatricians and parents should consider using over-the-counter medications containing 1 percent permethrin or pyrethrins as a first choice of treatment for active lice infestations unless the community has shown previous resistance. The best way to stop a chronic lice problem is with regular checks by parents and early treatment with a safe, affordable, over-the-counter pediculicide.

Click on this link for more information from the AAP:

Measles in the U.S.

By Elizabeth Chea, M.D.

As the number of cases of measles in the U.S. has reached over 100 people, this is the time to make sure that your child is protected. Most of these cases can be traced back to an exposure in Disneyland in December but now 17 states and Mexico have confirmed measles. 

Measles is a very contagious virus that can be passed into the air when an infected person coughs, sneezes, or talks and can be inhaled for up to 2 hours after leaving the infected individual.  Symptoms of measles include fever, cough, runny nose, red eyes, and rash.  If contracted, measles can cause pneumonia, encephalitis, and even death. 

Due to the rise in measles cases, the CDC is now recommending that infants 6 to 11 months old who are in an outbreak area or traveling internationally receive the MMR vaccine.  The CDC recommends that children receive their first MMR vaccine at 12 to 15 months and the second vaccine at 4 to 6 years old.  There are instances when the MMR vaccine should not be administered to include pregnant women, anyone immune compromised, or anyone with a history of an allergic reaction to the MMR vaccine.  Please discuss with your pediatrician any concerns with your child receiving the vaccine. The American Academy of Pediatrics just released a statement to encourage MMR vaccination.

Click on this link to read a letter from the AAP:

This is the time to make sure that your child is adequately vaccinated and protected from the disease. Please talk to your CMC pediatrician if you have any questions about measles or vaccines so we can keep your child protected and healthy.

AAP Recommends Flu Vaccine for All Children Six Months and Older

A recent report by the AAP proposes that children ages six months and older should be immunized against influenza once the vaccination is available. The report, published September 22, 2014, states that although the vaccine strains have not changed since last season, another dose of the vaccine is essential.

To learn more about this news, read the American Academy of Pediatrics article here.

Ingestions, Exposures and Other Holiday Hazards

As we enter into the Holiday season, it is important to remember a few things to keep your children healthy.



Unfortunately our favorite times of year to gather together with family members fall right in the middle of the peaks of cold and flu season. This year especially, Type A Influenza is circulating widely in our area. Along with that are many common cold viruses and RSV, a virus which causes wheezing in infants and young children. Most of these viruses are airborne illnesses. With that in mind, there are a few things you can do to increase your child’s chances of staying healthy.

1) Don’t take your baby under 2months old to large family gatherings. Aunt Betty might be fine today but have flu tomorrow and could expose your infant without knowing she is a carrier. Unfortunately, many common, relatively mild illnesses for adults could be devastating for a young infant.

 2) Get a flu vaccine and immunize your child over 6months of age.

 3) If you are not feeling well, STAY HOME!! Epidemics are typically caused by well meaning individuals who feel they must go to work or must go to a social function.



Most parents are very careful about child proofing the house, but around the holidays, chances are your curious little “George” will have the opportunity to explore many houses other than their own.

1) While you can’t be certain that all of your relatives will have safety plugs, you can ask them to make sure they don’t leave medications within reach. Many adults who don’t have young children will put medicine into daily pill dispensers so they will remember to take it. Unfortunately these are not child proof and look like a fun toy with which to play.

2) Household cleaners pose another common risk. While you may have locks on your cabinets or have them put up high, many homes do not have this safety feature unless there are other young children there. Just make sure your child is not given too much free roaming room.

3) Choking is a common cause of injury in young children. While most of us would not give a toy to a baby that is a choking hazard, we will thoughtlessly hang small ornaments well within a baby’s reach. Try to place smaller ornaments high on the tree and put up a barrier around the tree to keep baby away.

4) Burns-most parents think to put a barrier around fireplaces, but many relatives may not. In addition, they may heat with a wood stove or kerosene heater that can be hot to touch and pose a burn risk for your baby or toddler.

5) New foods- Everybody is always anxious to give babies their first bite of food x-Whether it is Grandma’s sweet potato casserole or a taste of Whipped Cream, it could be a risk for an allergic reaction. Many of the holiday foods we enjoy traditionally have nuts. While most people are perfectly fine with that, children under two should not be exposed to nuts due to an increased likelihood of an allergic reaction.  For the child with a known allergy, let your relatives know to please only feed your child what you have prepared or approved.


Other Hazards

When I was a Resident, the ER census always started to increase around 1-2pm on Christmas Day. It seemed as the toys were opened and kids had time to play, accidents began to occur. Make sure if your child gets a new bike or skateboard, that she also gets –AND USES-a helmet and other protective gear like elbow pads. Older children receiving BB guns or other firearms need to be instructed in safety features. They should also be made aware of the importance of protecting younger siblings or cousins who may not be as safety conscious.

The Holiday Season, from Thanksgiving to New Year’s, is a time of celebration and fun. We hope you also make it a safe and healthy time!!


Healthy Holidays!!


Michelle Lynch, MD

Going out with Baby

     With the holidays approaching, one of the more frequent questions I will get while rounding in the newborn nursery is, “when is it safe to take my newborn out?”  The answer is not as simple as it may seem.

     The quick answer that most pediatricians will give is 6-8 weeks.  Infants in the first 2-3 months of life are susceptible to numerous infections both viral and bacterial.  Some of these include RSV, pertussis (aka whooping cough), and influenza.  Newborn infants do not have the immunity to protect themselves from these infections.  If your new baby were to have infection or fever > 100.4, then there is a strong likelihood that your baby would need hospitalization for 2-3 days, and require numerous invasive tests in order to exclude serious infection.  Sometimes what seems to be a simple “cold” for most will require monitoring in the hospital when a new baby is affected.  These are the most common reasons most pediatricians recommend avoiding close contact in a baby’s first 2 months of life.

     Most pediatricians understand that this is not always practical to a family’s day to day routine.  Most do not expect new parents to lock themselves in their home and not leave for 8+ weeks.  Here are a few tips to help keep your baby well when out and about.

     1)  Have family and friends visit your baby at your house.  This way parents are able to “screen” for anyone sick who may want to visit.

     2)  Avoid large gatherings, especially gatherings with many small children.  Parents have better control over who is touching and holding their baby if gatherings are small or hosting visitors in the home.

     3)  Make sure anyone holding your new baby wash their hands or use hand sanitizer.  Also, keep extra sanitizer in a diaper bag, purse, or stroller when out.

     4)  If out running errands, then go in the morning when less people are out.  Avoid crowded areas with poor ventilation (i.e. the mall).

     5)  Avoid extreme heat or extreme cold when going out.  A good rule of thumb is to dress baby in the same number of layers that an adult would be wearing.  A light blanket or jacket can always be added if necessary.

     Do not stay cooped up in the house for 2 months.  Follow the above tips, use good common sense, and enjoy going out and getting some “fresh” air with your new baby.

William Darby, MD