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Your kids are home sick again. You have to work. Here's what to do

Your kids are home sick again. You have to work. Here's what to do

CNN18-02-2025

There have been three days over the past month that my two children have both gone to school. By the time one of them recovers from the latest virus they've brought home, the other one is sick again.
I know many of you are going through the same experience. Doctors saw more patients with flu-like symptoms during the week ending February 1 than at any time in the last 15 years, according to the US Centers for Disease Control and Prevention.
For parents working outside the home, having kids home sick is often a nightmare.
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Many parents don't have the option to work from home. That includes my husband, who is an emergency department doctor. He will often cover for colleagues when they ask him to switch shifts due to family emergencies. I try to say yes if we can make it work — even when it's inconvenient for our family. That way, I hope they'll do the same when our daughters are sick.
As a professor, I'm often able to work remotely. But it isn't easy to do so while caring for a sick child. Since I expect to be in this situation again, I reached out to experts to learn what parents can do to take care of their sick kids and themselves while working from home.
Parenting while working at home
Kids who are sick benefit from regular contact and reassurance from their parents, said Dr. Michael Glazier, chief medical officer at Bluebird Kids Health, a Florida-based pediatric practice. That's hard to give them when parents must be in meetings or meet deadlines.
Under such circumstances, 'it is very helpful for kids to be given a schedule and reminded of the times when meetings occur and when parents will be back to check in,' he said via email. 'Often kids will also benefit from having a direct line of sight with their parents when their parents are at home but working.' That way, kids are reminded their parents are there for them.
Glazier also recommended giving kids 'gentle activities that can preoccupy them and divert their attention away from their symptoms.' He suggested keeping a stash of new things on hand to pull out during sick days, such as Play-Doh, blocks and art activities.
Accept that we can't do it all
To stay sane, it's a good idea for parents to remind themselves that the situation is temporary, said Lauren Tetenbaum, a New York-based licensed clinical social worker who specializes in maternal mental health.
'Be gentle with yourself and accept that if today is a sick day for your kid, it likely won't be your best day at work,' she said. 'Health is truly the priority here, and if you wear yourself down trying to do everything at 100% and get sick yourself, you'll have even more to worry about when it comes to balancing it all.'
We also have to ask for help, Tetenbaum said. 'It's really important to build a system of supportive adults who can step in as needed, even if your kid may be spreading germs. That adult can be a paid babysitter, a family member or a neighbor or friend who will do you a favor that you will one day return.'
Tetenbaum, who is a mom of two elementary school-age kids, said it's important 'not (to) assume that one parent is always the default caregiver.' In most families, that's the mom. 'Couples must explicitly communicate about who can do what on certain days, even if one parent usually has a more flexible schedule,' she said.
She also recommended that parents be compassionate with themselves. 'You are doing your best,' she noted.
For me, it means sometimes allowing my daughters to consume extra media content, such as YouTube videos or online content from PBS Kids, while making sure it's appropriate.
Let's try to keep our kids healthy
When kids return to school, Glazier said there are ways to try to prevent them from bringing the next virus home.
Keeping up to date with vaccinations is important, he said. The American Academy of Pediatrics recommends that all kids over age 6 months get the flu vaccine unless they have medical reasons not to do so.
Making sure kids get good nutrition and enough sleep and exercise can also help keep their immune systems healthy. 'A strong healthy immune system will help both prevent and minimize the effects of infections,' he said.
He also suggested telling kids to wash their hands frequently, especially before they eat at school. They should wash for at least 20 seconds, he said, which is about how much time it takes to sing the 'Happy Birthday' song twice.
If it's not possible to do so at school before eating, they should use a hand sanitizer. (I stashed a small one in my daughter's backpack.) A hand sanitizer can't kill all germs, but it can help protect against many.
It's also a good idea to send food to school that kids can eat with utensils, rather than with their hands, which could be full of germs, Glazier said. And he recommended telling kids not to share food with their friends. While hard to enforce, it's another way to avoid the spread of germs.
When many classmates are sick, it's also a good idea to have kids wash their hands and change their clothes when they come home from school, even before giving them hugs, Glazier said. Doing so can help prevent them from making their parents sick.
Taking care of a sick kid isn't easy, especially when parents also have to work. But parents with the option to work remotely can be strategic about keeping our kids home when they're sick and teaching them about hygiene for when they return to school.

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More measles exposures are happening at airports and tourist destinations. Here's what travelers need to know
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More measles exposures are happening at airports and tourist destinations. Here's what travelers need to know

More than 1,100 measles cases have been reported in the United States this year, and the highly contagious virus has put people at risk while they wait in ERs and doctor's offices — but also at a Shakira concert in New Jersey, at a mall in Minnesota, at a Buc-ee's store in Texas and in airports and planes in several states. 'Travelers can catch measles in many travel settings including travel hubs like airports and train stations, on public transportation like airplanes and trains, at tourist attractions, and at large, crowded events,' the US Centers for Disease Control and Prevention said in a recently updated travel notice. 'Infected travelers can bring the disease back to their home communities where it can spread rapidly among people who are not immune.' It's a situation that may feel unfamiliar for US travelers. In 2000, measles was declared eliminated from the US due to highly effective and coordinated vaccination efforts. 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But he emphasized that that this extra dose is still safe: 'The MMR vaccine is one of the safest vaccines we know.' Neither the Texas health department nor the CDC recommends the MMR vaccine for adults born before 1957, Hotez notes, riding on the assumption that measles exposure was common in the first half of the 20th century and that exposure would have led to enduring immunity. However, there are exceptions for health care workers serving a measles outbreak area, for whom two MMR doses are recommended regardless of birth year. Hotez highlights that vaccine recommendations may change as outbreaks continue, stressing the importance of staying aware of updates from local health officials. The MMR vaccine is not recommended for pregnant women, infants younger than 6 months and people who have severely weakened immune systems. Although the risk of exposure is generally low, people who can't be vaccinated should speak with their doctor about their individual risk tolerance, said Dr. Scott Roberts, associate medical director for infection prevention at the Yale School of Medicine. 'A lot of this depends on their access to therapeutics at their travel destination, like are they going to an area where immunoglobulins may be available?' Immunoglobulins, also known as antibodies, are naturally produced by the body as a part of immune responses. They play a crucial role in identifying and neutralizing foreign substances like bacteria and viruses and are specific to each pathogen. People who have a weakened immune system can get immunoglobulins, typically at a hospital or clinic, if they're exposed to measles. Historically, Roberts said, the most common source of US measles outbreaks has been non-immune US residents who traveled abroad, were exposed to the virus and then brought it back. Although some international travelers have brought measles into the US, this makes up a minority of cases. Although no country requires proof of MMR immunization for travel, Roberts advises travelers to 'double-check their immunity status before traveling internationally.' This immunity may involve a prior measles infection, birth before 1957, lab test results of measles immunity or written documentation of MMR immunization. Travelers should check their status at least 6 weeks before they leave, he said. Full immunity includes the two doses of MMR vaccine at least 28 days apart as well as the two weeks it takes to build up final immunity after the last dose. Two doses of the MMR vaccine are 97% effective against measles infection, so vaccinated travelers who suspect that they have been exposed to the virus shouldn't need to worry, Roberts said. Although that leaves a 3% chance of infection, symptoms are significantly lessened with the vaccine. 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Now, through the GAVI Vaccine Alliance and other programs, we've brought it down to around 100,000 deaths, but it's still a lot. And we're seeing what happens in West Texas. Ten percent, 20% of kids are being hospitalized, measles, pneumonia, neurologic injury. We've had over 90 hospitalizations so far in Texas and two measles deaths.'

More measles exposures are happening at airports and tourist destinations. Here's what travelers need to know
More measles exposures are happening at airports and tourist destinations. Here's what travelers need to know

CNN

timean hour ago

  • CNN

More measles exposures are happening at airports and tourist destinations. Here's what travelers need to know

Vaccines Children's health Aviation newsFacebookTweetLink Follow More than 1,100 measles cases have been reported in the United States this year, and the highly contagious virus has put people at risk while they wait in ERs and doctor's offices — but also at a Shakira concert in New Jersey, at a mall in Minnesota, at a Buc-ee's store in Texas and in airports and planes in several states. 'Travelers can catch measles in many travel settings including travel hubs like airports and train stations, on public transportation like airplanes and trains, at tourist attractions, and at large, crowded events,' the US Centers for Disease Control and Prevention said in a recently updated travel notice. 'Infected travelers can bring the disease back to their home communities where it can spread rapidly among people who are not immune.' It's a situation that may feel unfamiliar for US travelers. In 2000, measles was declared eliminated from the US due to highly effective and coordinated vaccination efforts. That year, only 85 cases were recorded, all of which were imported. But at least 1,157 measles cases have been reported this year, according to a CNN tally using data from state health departments. Only one other year since 2000 has had more cases: 2019, when there were 1,274. The vast majority of this year's cases have been part of an ongoing multistate outbreak centered in West Texas. The outbreak appears to be stabilizing, but there is growing concern around the risk of additional spread due to summer travel, said Lori Tremmel Freeman, chief executive officer for the National Association of County and City Health Officials. At the epicenter of the measles outbreak in Gaines County, 'that community has either become immune by contracting measles and developing immunity from the disease, or in some cases, they've gotten vaccinated,' Freeman said, but she added that 'there's a cautionary tale,' because of summer travel. 'Heavy travel is anticipated,' she warned. 'The travel spread could continue throughout the rest of the country as these groups become mobile and still carry the disease.' The CDC's health notice emphasizes that all international travelers should be fully vaccinated with the recommended two doses of the measles-mumps-rubella (MMR) vaccine and that infants ages 6 months to 11 months who are traveling should receive an extra dose. Dr. Peter Hotez, co-director of the Texas Children's Hospital Center for Vaccine Development, said this recommendation for infants was also given by the Texas Department of State Health Services in the 10 counties that have seen increased measles transmission during this year's outbreak. 'That means, then, that you're going to wind up giving three doses instead of two doses. Usually, you give one dose [to children between] 12 to 15 months, a second dose at 4 to 6 years [old]. Now, you're going to give three doses,' he said. But he emphasized that that this extra dose is still safe: 'The MMR vaccine is one of the safest vaccines we know.' Neither the Texas health department nor the CDC recommends the MMR vaccine for adults born before 1957, Hotez notes, riding on the assumption that measles exposure was common in the first half of the 20th century and that exposure would have led to enduring immunity. However, there are exceptions for health care workers serving a measles outbreak area, for whom two MMR doses are recommended regardless of birth year. Hotez highlights that vaccine recommendations may change as outbreaks continue, stressing the importance of staying aware of updates from local health officials. The MMR vaccine is not recommended for pregnant women, infants younger than 6 months and people who have severely weakened immune systems. Although the risk of exposure is generally low, people who can't be vaccinated should speak with their doctor about their individual risk tolerance, said Dr. Scott Roberts, associate medical director for infection prevention at the Yale School of Medicine. 'A lot of this depends on their access to therapeutics at their travel destination, like are they going to an area where immunoglobulins may be available?' Immunoglobulins, also known as antibodies, are naturally produced by the body as a part of immune responses. They play a crucial role in identifying and neutralizing foreign substances like bacteria and viruses and are specific to each pathogen. People who have a weakened immune system can get immunoglobulins, typically at a hospital or clinic, if they're exposed to measles. Historically, Roberts said, the most common source of US measles outbreaks has been non-immune US residents who traveled abroad, were exposed to the virus and then brought it back. Although some international travelers have brought measles into the US, this makes up a minority of cases. Although no country requires proof of MMR immunization for travel, Roberts advises travelers to 'double-check their immunity status before traveling internationally.' This immunity may involve a prior measles infection, birth before 1957, lab test results of measles immunity or written documentation of MMR immunization. Travelers should check their status at least 6 weeks before they leave, he said. Full immunity includes the two doses of MMR vaccine at least 28 days apart as well as the two weeks it takes to build up final immunity after the last dose. Two doses of the MMR vaccine are 97% effective against measles infection, so vaccinated travelers who suspect that they have been exposed to the virus shouldn't need to worry, Roberts said. Although that leaves a 3% chance of infection, symptoms are significantly lessened with the vaccine. If you are unvaccinated and suspect that you may have been exposed, Roberts says you should see a doctor as soon as possible. 'Depending on how soon you are after exposure, you can still do something,' he said. You may be able to get immunoglobulin or even the MMR vaccine to help lessen symptoms. Other than verifying immunity, Roberts advises typical travel guidance such as packing commonly used and prescribed medications, as well as keeping a list of hospitals or clinics at your destination and other first-aid supplies. When traveling internationally, Roberts recommends checking the country-specific travel health notices on the CDC website to stay aware of additional vaccinations and medications needed for certain destinations. Roberts advises travelers wash their hands frequently, avoid people who are sick when possible, stay in well-ventilated areas and wear masks if they are at high risk of severe illness, staying up to date with vaccinations, especially those who were unable to get vaccinated because of severe immunodeficiency. These practices don't just help prevent measles infection, they help curb infection from other circulating pathogens such as Covid-19 and the flu. Measles is one of the most contagious germs around. In one case 10 years ago, four travelers were infected by a person at the same airport gate. 'This highlights how contagious [measles] is,' Roberts said. 'Even airports and terminals are risky.' The ongoing measles outbreak is not to be taken lightly, Hotez said. 'In the 1980s, measles was the single leading killer of children globally. It [led to] 3 million deaths annually. Now, through the GAVI Vaccine Alliance and other programs, we've brought it down to around 100,000 deaths, but it's still a lot. And we're seeing what happens in West Texas. Ten percent, 20% of kids are being hospitalized, measles, pneumonia, neurologic injury. We've had over 90 hospitalizations so far in Texas and two measles deaths.'

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