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Archive for July, 2009

Swimming Safely: Life Jackets in a Swimming Pool?

Tuesday, July 28th, 2009

Q:  A Mom from Massachusetts has asked:  “My neighbors have a swimming pool. I would like to take my children there—ages 3 and 18 months—but I am reluctant to have them wear life jackets which is my neighbor’s rule.  Isn’t she being overprotective and ridiculous?”

A:  You are asking an excellent question about swimming safety, and you have a very smart neighbor!

Watching both swimming and non-swimming children near water is of enormous and potentially life-saving importance.  It is unfortunately taken casually in this country which is why we have so many drownings every year.  Perhaps two pearls will help you make understand your neighbor’s perspective.

First, drowning is silent.  Parents are so used to hearing their children cry when they are hurt (and needing adult help) that they often rely on their ears when “watching” their children.  But, with drowning, a child is unable to cry out for help.  Therefore, you need to really watch a child in the water all of the time.  Drowning is silent and drowning is fast.

Second, the more people at a pool or beach having fun together, the greater the risk of harm to small children.  Parents and older siblings watching the little ones can easily get distracted, and the littlest head can slip under water unnoticed. This is obviously tragic. “Neighborhood” pools are a place where lots of families may gather and where young children may be at special risk. It is the rare family that has a “toddler” pool—with no deep end—at their home; but even a “toddler’ pool can of course prove deadly. A small child near a pool needs to be in “touch” arm’s length away from a grown-up at all times.

Your neighbor’s insistence that your children wear life jackets in her pool is her way of making sure that they stay safe.  This is an excellent idea and one recommended by many pediatric practices: all children  inside pool enclosures should be watched continuously (no texting!) and non-swimming children should have life jackets on.  If they get old enough that this embarrasses them, then it is time to learn to swim!

Thanks for an excellent question in the middle of the summer.

Dr. Hippo

Resources: 1. http://www.aap.org/publiced/BR_WaterSafety.htm

                         2. http://www.aap.org/advocacy/releases/summertips.cfm

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The (H1N1) Flu and the WHO

Tuesday, July 14th, 2009

Q: From Maine: “What is the latest on the H1N1 flu?”

A:  Yesterday, the World Health Organization (or WHO) declared that the new H1N1 virus is “unstoppable” and suggested that drug companies all over the world begin to prepare vaccines for what is expected to be an especially bad flu season beginning in the fall.

According to Dr. Marie-Paule Kieny, WHO director of the Initiative for Vaccine Research, “all countries will need access to vaccine.” The WHO has recommended that health care workers be the first to be vaccinated so that they may take care of the sick without becoming ill themselves.  A functional health care system is critical to helping those who do get sick.

We learned last winter that the H1N1 flu affects an unusual group of patients.  Unlike “traditional” seasonal flu infections which affect the elderly and those with chronic illnesses most severely, the new H1N1 flu affects younger people–including healthy children– and healthy adults. Obesity also may put patients at special risk if they get the H1N1flu. Dr. Kieny stated: “Obesity has been observed to be one of the risk factors for more severe reaction to H1N1 — something never before seen…It is not clear if obese people may have undiagnosed health problems that make them susceptible, or if obesity in and of itself is a risk.”

The CDC estimates at least a million people are infected in the United States alone. The United States has documented 211 deaths and WHO counted 429 early last week.

Clearly, we will need to watch the news and keep our eyes out as the fall unfolds! It seems very likely that several vaccines will become available to address the expected H1N1outbreak. Check with your pediatrician and doctor to learn what their recommendations are.  Who should be vaccinated, and when? No one knows yet for sure, but I am confident that we will be advised as early in the flu season as possible about what to expect and what to do.  Stay tuned and stay well!

 Dr. Hippo

Reference:  AAP Smartbrief, July 14, 2009 (Cited Reuter’s article written by Maggie Fox)

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