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Treating Your Child As One of Our Own

                             

                                                   

 

                                                                               

 

Winston-Salem Pediatrics is a Patient Centered Medical Home.  We are proud to be an independent, physician-owned practice, which allows us the freedom to focus only on what is best for your child.  At Winston-Salem Pediatrics, our primary goal is to provide quality care for your children and ensure their good health from infancy through adolescence. Our practice incorporates a partner-like relationship between the provider, parent, and patient to obtain our goal of providing the highest quality of care.  This partnership helps us to make certain your child receives comprehensive preventative health care and that parents understand the development processes that are part of growing up for your son or daughter. 

What is a Patient Centered Medical Home?

A medical home functions to meet the needs of patients/families. It is to provide adequate and meaningful communication and evidence based health care.  We have responsibilities to our patients and we ask the patient to assume responsibilities as being a member of the Winston-Salem Pediatrics Medical Home.  

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Does my unvaccinated child still have to wear a mask when the rest of the family doesn't?

Answer:
Positive Parenting & COVID-19: 10 Tips to Help Keep the Calm at Home

​​New   guidance   from   the   Centers   for   Disease   Control   and   Prevention   (CDC)   says people who are fully vaccinated against COVID-19 no longer need to wear masks indoors or outdoors in most cases. But we realize that families with children who are not yet old enough for a vaccine may find it difficult to decide what's best for everyone. Here are a few things to keep in mind:

For inside activities, family members who live in the same household do not need to wear masks when they are together. Schools and childcare centers may have different guidelines about mask wearing indoors, so check with officials in those places.  

For outside activities, anyone who is not yet fully vaccinated, including children, should still wear masks, except:

  1. For activities with just members of your household, such as a bike ride or walk

  2. At small gatherings with fully vaccinated family and friends

  3. During water sports like swimming and diving or sports where masks could pose a safety risk like gymnastics, cheer stunts, tumbling and wrestling.

  4. In activities where individuals can keep a distance like golf and singles tennis.

  5. For children under 2 years old

Families should continue to engage their children in school and community activities, both indoors and outdoors. Children and adolescents who are not fully vaccinated for COVID-19 should continue to wear masks when social distancing isn't possible.

Why masks are still important

Currently, there is no COVID vaccine for kids under age 12. Which means masks are still an important way to protect them. And since unvaccinated children can still transmit the virus to others, mask wearing protects others as well.

Parents, if you are vaccinated and your children are not, you can choose to go without a mask. But you could also choose to model mask-wearing behavior in support of your children when you are all out together. For example, everyone can wear masks for a trip to the grocery store.

If some siblings are vaccinated, younger ones who aren't vaccinated might feel it's unfair that they have to wear a mask. If they're hanging out with friends together, everyone could agree to wear masks anyway.

Remember that to be fully vaccinated, you must be at least two weeks past your final dose of the vaccine. For kids ages 12 and older, that means two weeks after their second dose. Until then, they should continue to wear a mask in public places.

Normal is coming

Research shows the COVID vaccines are remarkably effective and safe and we urge all children 12 and up and adults to get the COVID-19 vaccine as soon as it is available to them. Also, clinical trials are now underway in children as young as six months old. Until everyone can be protected with the vaccine, masks can keep your family safe and healthy.

 

The Importance of Flu Vaccines as the COVID Pandemic Continues

The American Academy of Pediatrics recommends that all healthy children 6 months and older are vaccinated for influenza this fall as the best protection against the flu, especially now that many children have returned to in-classroom learning.

 

​​​​​​The American Academy of Pediatrics recommends that all healthy children 6 months and older are vaccinated for influenza this fall as the best protection against the flu, especially now that many children have returned to in-classroom learning.

The AAP policy statement, "Recommendations for Prevention and Control of Influenza in Children, 2021–2022," will be published in the October 2021 Pediatrics. A detailed review of the evidence supporting the recommendations is published in an accompanying technical report.

"During the COVID-19 pandemic, it's important to remember that influenza is also a highly contagious respiratory virus that can cause severe illness and even death in children," said Flor Munoz, MD, FAAP, lead author of the policy statement and technical report, developed by the AAP Committee on Infectious Diseases. "The flu vaccine is safe, effective, and can be given alongside other routine immunizations and the COVID-19 vaccine."

AAP recommends that all children aged 12 years and older receive the COVID-19 vaccine now approved for children 12 years to 17 years old and adults. AAP recommends all children age 6 months and older be vaccinated annually with influenza vaccine​

AAP has no preference for a specific type of flu vaccine; depending on the child's age and health, they may receive either the inactivated influenza vaccine (IIV), given by intramuscular injection, or attenuated influenza vaccine (LAIV), which is a nasal spray.

The AAP also recommends:

Children with acute, moderate or severe COVID-19 should not receive influenza vaccine until they have recovered; children with mild illness may be vaccinated.

Children in high-risk groups should receive a vaccine for flu, unless it is contradicted.

Children with an egg allergy can receive influenza vaccine (IIV or LAIV) without any additional precautions beyond those recommended for all vaccines.

Pregnant women should receive an inactivated influenza vaccine at any time during pregnancy to protect themselves and their infants. Women in the postpartum period who did not receive vaccination during pregnancy should receive influenza vaccine before discharge from the hospital.

Influenza vaccination during breastfeeding is safe for mothers and their infants.

 

If children do get sick with the flu, those who have been vaccinated are less likely to have severe illness or be hospitalized. In prior years, about 80% of children who died of influenza had not been vaccinated, according to research.  Similarly, about half of the deaths from influenza occur in children who are otherwise healthy, with no underlying medical conditions. In 2017-18, there were 188 pediatric deaths reported to the Centers for Disease Control and Prevention. During the 2018-19 flu season, 144 children died from influenza, while 199 deaths occurred in the 2019-2020 season.

The 2019–2020 influenza season was unusual and complicated by the emergence of the COVID-19 pandemic in early 2020. Flu activity began early in October 2019, continuing through mid-March 2020, with an abrupt decline after the implementation of physical distancing measures.

With school back in person, public health experts are concerned about a resurgence of flu activity this winter.

"This year it will be especially important to keep our children healthy, as we've seen hospital beds and emergency services fill beyond capacity in communities where transmission of SARS-CoV-2 and other respiratory viruses remains high," Dr. Munoz said. "This means catching up on all immunizations, including the flu vaccine, and making sure children wash hands frequently, wear masks in school and during indoor group activities, and maintain physical distance from others."