Seasonal allergies: how to prevent asthma in children?

Millions of Canadians, especially kids, suffer from seasonal allergies and asthma. When their immune system identifies a normally harmless material as a threat, it can set off symptoms like sniffles, sneezes, rashes, or breathing problems.

With the right precautions, you can allow your children to keep enjoying the great outdoors and limit the risk of asthma attacks.

What are seasonal allergies?

When trees and grasses begin growing in the spring and early summer, they release light, powdery pollen that floats in the wind. If you’re allergic to this pollen, it can result in sniffling, sneezing, wheezing, a runny nose, and itchy and watery eyes. For some people with asthma, pollen can also trigger an asthma attack.

How to enjoy the great outdoors without allergies symptoms?

Here are a few tips to help your children enjoy outdoors without allergies symptoms:

    • Keep windows closed so pollen can’t drift in. Air conditioning will keep you more comfortable in hot, humid weather. But don’t forget that air conditioners also create the best conditions (damp and dark) for mould to grow in your home. Do some spring-cleaning, and do it regularly.
    • If possible, let your child inside when pollen counts are high (watch for these in weather reports) and on windy days when pollen and spores can get blown around. Avoid being outdoors in the early morning hours (between 5 am and 10 am), when pollen counts are usually highest.
    • If your child has been outside all day, remove all its clothing and put it aside to be laundered, and take a shower after coming home. This will prevent your kid from taking all that pollen to bed.
    • Don’t hang your laundry outside to dry – it can trap pollen and mould, bringing them inside. Use your dryer instead.

An effective control of allergies may lead to better control of asthma. Unfortunately, asthma attacks cannot always be prevented.

How to control asthma symptoms?

Experts know that allergies and asthma are related. In fact, children with allergies often have asthma and a skin condition known as atopic dermatitis (eczema) as well. Seeing your child have an asthma attack can be worrisome and very frightening, and can make you feel unsure of what to do the next time an attack occurs. 

What to do in case of an asthma attack due to seasonal allergies?

If your child has an asthma attack, here’s what to do:

    • Act calm and confident and speak to the child reassuringly.
    • Give the asthma-reliever medications at the very start of an attack, as directed by your doctor.
    • Try to determine what triggered the attack, and then remove it (or the child) from the area.
    • Follow the action plan designed with your pediatric allergist. The goal of the action plan is to have no asthma symptoms at all (i.e., no wheezing, coughing, or shortness of breath).  If your child uses a peak flow meter, take a measurement to use with the action plan.
    • If the attack is under control, you can relax. If it isn’t, follow the action plan– you may need to call the doctor or get immediate medical attention.

You can be your child’s most important ally in controlling asthma. Inform teachers, principals, school nurses, coaches, and babysitters of the asthma, what triggers it, and what should be done during an attack. As kids get older, you can teach them to manage their asthma themselves. And if you’re a smoker, try to quit, or at least don’t smoke in the house – smoke aggravates asthma symptoms.

Get health advice from a pediatric allergist

The best option to manage your child with seasonal allergies and asthma symptoms, is to talk to your pediatric allergist.

immunotherapy and pollen desensitization for children

Pollen desensitization

Pollen desensitization can be used to limit the symptoms and aggravation of seasonal allergies. Also known as immunotherapy, this treatment aims to reduce a person’s sensitivity to pollen allergens by gradually exposing the immune system to increasing quantities of these allergens. The process usually takes 3 to 5 years. Desensitization is possible for children aged 5 and over, but may not be recommended for certain severe cases of asthma. Talk to your doctor.

Allergy medicine for children

There are eye drops, nasal sprays, oral antihistamines and anti-allergy medications, sinus rinses, and even allergy shots that can be helpful in treating specific allergies. Many treatments are available without a prescription, but others will need a prescription from your doctor.

Medications to treat asthma in children

Your child’s doctor and pharmacist will recommend the right medication(s), doses and delivery devices for your child to treat an asthma attack. These can come in such forms as aerosol inhaler, turbuhaler, or diskus. They will also learn you how to give the medications properly and conceive an “action plan” in case of asthma attack.

Do you have questions about seasonal allergies and asthma affecting your child? Book an appointment with our pediatric allergists in Montreal.

Book an appointment

The ELNA Medical clinics offer pediatric allergy consultations and allergy skin testing to determine what your children are allergic to, and how severe the allergy is. Based on the outcome of this testing, we recommend an allergy treatment plan that may include medication, desensitization through allergy serums or immunotherapy. Stop suffering and ask your family physician for a referral for a consultation with one of our allergists and immunologists today.

All material copyright MediResource Inc. 1996 – 2023. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: https://www.medbroadcast.com/healthfeature/gethealthfeature/allergy-and-asthma 

Which vaccines are recommended for children in Quebec?

Although there are no mandatory vaccinations for children in Canada, the Government of Quebec has set up the Quebec Immunization Program (QIP), a system designed to protect the population against infectious diseases by providing free vaccinations and ensuring constant public health surveillance.

In our article, find out more about the importance of vaccination for your children’s collective health, and the vaccines recommended by age.

3 important reasons to vaccinate your child

Vaccination is the best way to protect your children and those around them from contagious and dangerous diseases. It is important to follow the vaccination schedule recommended in Quebec for several major reasons:

  1. Protect the most fragile: Children, especially babies and toddlers, have more fragile immune systems, putting them at greater risk of contracting disease.
  2. Avoid complications: Some illnesses, such as the flu, may seem harmless, but can lead to long-term and serious complications, even fatal.
  3. Reinforcing herd immunity: Vaccination offers double protection, safeguarding not only the health of the child, but also that of the entire community, both children and adults, by limiting the spread of contagious diseases such as measles and rubella.

Vaccines are safe, effective and the risks associated with vaccination are very rare. The WHO estimates that pediatric vaccines save more than 4 million lives every year1. If you have any doubts about the risks of a vaccine, talk to a healthcare professional.

What vaccines are covered in Quebec?

In Quebec, the Ministry of Health and Social Services2 has set up the Quebec Immunization Program (QIP)3, which establishes a schedule of free vaccinations based on the child’s age. The QIP recommends several vaccines to protect your children against highly contagious and/or potentially dangerous diseases:

  • Measles: a highly contagious respiratory disease that can cause brain damage and other complications, and is sometimes fatal.
  • Mumps: contagious disease that causes inflammation of the salivary glands and can lead to permanent deafness.
  • Polio (poliomyelitis virus): a viral disease that can lead to permanent paralysis.
  • Tetanus: contracted by infection of a wound or injury, affects nerves and muscles.
  • Meningitis and pneumonia (haemophilus influenzae virus, meningococcus C and pneumococcus): can cause brain damage and lung infection.
  • Rubella: highly contagious respiratory disease that can lead to bleeding and encephalitis.
  • Diphtheria: contagious respiratory infection.
  • Pertussis: infection of the lungs and respiratory tract.
  • Hepatitis B: can cause liver disease.
  • Rotavirus: gastroenteritis in infants and young children.
  • Influenza: respiratory infection that can have serious consequences for infants.
  • Chickenpox: contagious disease that causes vesicles to erupt on the skin and mucous membranes.
  • Human papillomavirus: in girls, possibly responsible for cervical cancer and genital infections.

Vaccination schedule for babies and toddlers

The PIQ recommends the following vaccination schedule for children aged 0-18 months.

Immunization schedule for babies in Québec - QIP

Vaccination schedule for school-age children

Immunization schedule for school-age children in Québec - QIP

Source: Québec Immunization Program

Quebec offers the vaccines included in the QIP free of charge, and recommendations may evolve. Depending on your child’s state of health, lifestyle, activities or travel plans, other vaccines may also be recommended. Please contact a healthcare professional for the latest vaccine recommendations.

How do I know if my child’s vaccinations are up to date?

To find out whether you or your child’s vaccinations are up to date, please refer to your child’s vaccination record.

  • Consult the vaccination record: Your child should have a health record with all the vaccinations he or she has received. You can check this record to see which vaccinations have been given, on what dates and which ones are due in the future.
  • Check Quebec.ca: If you can’t find your child’s vaccination record, you can request a copy of this information on Quebec.ca.
  • Consult your family doctor or pediatrician: If you have any doubts or questions about your child’s vaccination schedule, don’t hesitate to consult your doctor or pediatrician. They’ll be able to check your child’s vaccination status and advise you on the vaccines he or she needs.

Where can I have my child vaccinated?

It is recommended to schedule an appointment as soon as possible to avoid waiting times and thus adhere to the immunization schedule. Several healthcare establishments from ELNA Medical network offer vaccination, including the following:

RAMQ family doctors or pediatricians :If you are already affiliated with a family doctor or pediatrician, you can request a consultation. Book an appointment.

Private family doctors or pediatricians: If you don’t have a RAMQ doctor or would like a no-wait appointment, private clinics accept new patients and offer no-wait appointments. Book an appointment.

Laboratories: A subsidiary of ELNA Medical, CDL Laboratories offer private vaccination services for children with no waiting times. Book an appointment.

Pediatric travel clinics: Depending on your destination, your child may need to be vaccinated against specific diseases such as yellow fever, dengue fever or malaria. Travel health clinics can advise on and administer mandatory and recommended vaccines. Book an appointment.

For further information, please contact a clinic.

Book a consultation

1 : WHO – Vaccines and immunization: What is vaccination?
2 : Ministère de la Santé et Services sociaux
3 : Quebec Immunization Program

What impact do screens have on your children?

Our screen time has soared in the pandemic, including among young children. Whether at home, at school, or even during moments of relaxation, it’s hard to escape the omnipresent influence of screens such as televisions, computers, tablets and smartphones.

In this article, we explain the damage these screens can have on your children’s development, as well as recommendations for healthy, balanced use.

What effects can screens have on children’s development?

The impact of screens on children’s development is a growing concern among parents, teachers and health professionals. Their excessive use can have harmful consequences on children’s physical, cognitive and emotional development1.

Cognitive development:

  • Delay in language acquisition, as screen time can reduce the amount of time devoted to verbal interaction.
  • Difficulty paying attention, poor memory and problem-solving. This can affect their performance at school.
  • Reduced reading skills, as they are less inclined to read as part of their daily routine.

Physical development:

  • Overweight and obesity due to a sedentary lifestyle.
  • Growth problems, often linked to sleep disturbances caused by screens.
  • Vision problems, which can be affected by the blue light emitted by screens.

Social and emotional development:

  • Reduced interaction time with other people, which is spent in front of screens. This can have an impact on communication development, conflict resolution and emotional regulation.
  • Risk of cyberbullying and exposure to various forms of cybercrime, which can have serious repercussions on their emotional well-being.
  • Screen addiction, which can have negative consequences for children’s mental health.
screen time for children

Health professionals and the Quebec government2 recommend limiting children’s screen time, and balancing its use with other activities. These recommendations vary according to the child’s age:

  • Toddlers aged 0 to 2: no screens.
    Children in this age group should avoid screens except in specific situations, such as video calls with relatives. Direct interaction with adults and toys is essential for their development.
  • Children aged 2 to 5: less than 1 hour a day.
    Limit exposure to screens to one hour a day, and give priority to high-quality, educational, age-appropriate content. Encourage them to take part in physical activities, play outdoors and read books.
  • Children aged 6 and over: less than 2 hours.
    We recommend setting limits based on their individual needs and activities. Make sure they have enough time for sleep, education and face-to-face social interaction. Pay particular attention to their use of social media!

What rules should you set to limit screen use?

Setting rules to limit screen use can be a challenge, but it’s essential for your children’s well-being. Here are a few tips to help you:

  • Set dedicated times, taking into account your child’s needs. For example, limit screen use at mealtimes and before bedtime.
  • Create screen-free spaces. Set up areas of the house where screens are not allowed, such as the dining room and bedroom. This encourages face-to-face interaction and quality sleep.
  • Set an example by limiting your own use of screens. Children are more likely to follow the rules when their parents respect them too.
  • Encourage alternative activities such as reading, board games, sports, art and music to occupy the time your children spend in front of screens.
  • Stay informed about the content your children consume online. Talk to them about the potential risks of the Internet, cyberbullying and privacy.
  • Be flexible! It may be necessary to adjust the rules to suit their individual needs.

Consult a pediatric clinic

By respecting the recommendations on screen use and setting clear rules at home, you’ll be helping to safeguard your children’s health and well-being. However, every child is unique, and some may have special needs.

If you have any concerns about your child’s development, or if you notice any signs of developmental delay, it is advisable to consult a healthcare professional in the Greater Montreal area.

  • Specialized pediatric clinics: The ELNA network offers three specialized pediatric clinics, covering more than 30 pediatric specialties (ELNA Pediatrics – Decarie, ELNA Pediatrics – Dollard-des-Ormeaux and Children’s clinic – Pointe-Claire).

  • Pediatric services: Some of our pediatricians offer their services at our RAMQ and private clinics. See the clinics.

  • Family medicine: If you don’t have a pediatrician, please refer to a family doctor for a requisition. He or she will also be able to advise you on the use of screens. See our clinics.

  • Private family medicine: If you don’t have a RAMQ family doctor or would like to get an appointment quickly, our private clinics welcome new patients and offer consultations with almost no waiting time. See our clinics.

  • Our healthcare professionals can help you assess your child’s development and set up an appropriate intervention plan. Don’t hesitate to ask us for advice!

    Contact a pediatrician

    ELNA Pediatrics

    Screens have become an integral part of our lives. At ELNA Pediatrics, we understand the importance of your children’s health and well-being, which is why we offer solutions and professional medical care.

    1: Canadian Paediatric Society
    2: Quebec.ca – Balanced screen use for children and teens

    How do I know if my child has ADHD? Screening and solutions

    Attention deficit disorder with or without hyperactivity (ADD or ADHD) affects between 5% and 8% of children. ADHD can affect different aspects of their lives, whether at personal, school, family or social level, which is why it’s so important to detect it. In this article, find out what the symptoms are and what solutions you can put in place to better live with it. To get more details about ADHD, consult a doctor.

    Ask a consultation

    What is ADHD?

    Attention Deficit Disorder with or without Hyperactivity (ADD or ADHD) is a common neurological problem caused by abnormalities in brain development and function. The disorder can be hereditary, the result of environmental factors (tobacco, pesticides or solvents breathed in during pregnancy, for example) or caused by other physiological reasons.

    What are the signs of ADHD in children?

    Children with ADD or ADHD often display inattention, impulsivity and/or hyperactivity. Symptoms are mainly detected between the ages of 6 and 9, when the child starts school.

    Main symptoms of hyperactivity:

    • Agitated, moves limbs
    • Can’t sit still or still
    • Runs and climbs everywhere
    • Talks a lot

    Main symptoms of impulsivity:

    • Cuts off, answers before end of question
    • Imposes presence or ideas
    • Has difficulty waiting turn

    Main symptoms of inattention:

    • Lack of concentration, easily distracted
    • Disorganized, difficulty completing projects
    • Lack of attention, forgetfulness and carelessness
    • Doesn’t notice details

    Symptoms of hyperactivity and impulsivity are more frequent in boys, while those of inattention are more frequent in girls. As the brain matures during adolescence, the disorder tends to diminish or even disappear. It’s also important to note that these symptoms are not specific to ADHD and can be found in other conditions.

    screening for ADHD in children with a healthcare professional, doctor or psychologist

    How is attention deficit disorder diagnosed?

    It’s advisable to consult a health professional (doctor or nurse) as soon as symptoms become a problem in your child’s life, such as learning difficulties at school, anxiety or relationship problems. If this is the case, it is advisable to make an appointment with a doctor.

    A teacher may also recommend screening. However, it’s up to your doctor to make the diagnosis. The health professional will answer all your questions and may suggest different types of tests for your child:

    • Attention tests
    • Psychological tests
    • Neuropsychological tests
    • Assessment based on the child’s behavior

    How is ADHD treated in children?

    There is no miracle cure for ADHD, but many treatments help to reduce the symptoms and consequences of this condition:

    • Stimulant medications: They stimulate dopamine production to reduce symptoms of hyperactivity and impulsivity and improve attention.
    • Non-stimulant medications: Used when stimulants are ineffective or poorly tolerated by the child.
    • Psychological and behavioral therapies: A child psychiatrist can help you develop adaptive strategies to help your child live better with his or her disorder at home and at school (implementation of adapted rules and routines). This type of therapy aims to develop skills in organization, time management and impulse control.
    • Neurofeedback : This neuropsychological treatment has been used for ADHD for over 30 years. It helps patients regulate their brain activity to increase attention span, reduce impulsivity and improve learning.

    Recommended treatments depend on the severity of symptoms and your child’s age. Only a healthcare professional qualified in ADHD can make a diagnosis and suggest the best treatment.

    Screening and treatment for ADHD in Montreal

    A specialist nurse, paediatrician or family doctor are the best people to ask about your child’s ADHD. They will ask you all the questions you need to understand the situation, suggest a suitable test and then, depending on the diagnosis, a suitable treatment and strategy. Don’t hesitate to consult one of our healthcare professional in Montreal for more information!

    PrivaMED – Brossard et Boucherville: PrivaMED offers ADHD screening for children, and refers you to psychologist Dr. Miresco if necessary. Service available by teleconsultation, can be covered by private insurance. Book an appointment.

    ELNA Pédiatrie – Décarie et Dollard-des-Ormeaux: Dr. Harriet Greenstone has extensive expertise in child and adolescent psychology. She can assess your child to make a precise diagnosis and offer you appropriate follow-up. Book an appointment.

    Neurothérapie Montréal mental health clinic: The clinic offers a neuropsychological assessment (brain test) for a full diagnosis and neurofeedback treatment if required. The first consultation is free of charge. Book an appointment.

    ELNA Pédiatrie

    The professionals in the ELNA Medical network stand by the side of children affected by ADHD, offering caring support to families, accurate screening and attentive guidance at every stage of their journey.

    How to protect kids from the sun?

    Children who have been out in the sun a lot and have had serious sunburns (painful, blistering skin) will be at greater risk for skin cancer as adults. Experts think that much of a person’s lifetime ultraviolet radiation exposure happens within their first 18 years. This fact may sound scary, but in fact, all is not lost. If parents help their children protect themselves from the sun, some of the damage can be reversed or delayed.

    Tips for protecting your child from sunburn

    • Be shade seekers. Keep babies under one year of age out of direct sunlight. Invest in a covered stroller or sun umbrella, and keep your little ones cool, happy and protected. Minimize sun exposure for all young children as much as possible. Avoid staying outside in the middle of the day (between 10 am and 4 pm), even if it’s cloudy.
    • Cover up. Make sure children are wearing all the right gear – loose-fitting clothing (long-sleeved shirts and long pants if possible) made of tightly-woven fabrics such as polyester-cotton blends. Don’t forget the wide-brimmed hat and the sunglasses.
    • Reapply, reapply, reapply. Be vigilant and teach children to reapply sunscreen every 2 hours or after swimming. Don’t forget the upper back, tips of the ears, nose, and neck. These are commonly-missed areas where most cancers occur. You may want to consider using a sunscreen with a higher SPF, but remember that you will still need to reapply frequently. Sunscreen is not recommended for children under 6 months of age.
    • Set a good example. Talk to your children about sun safety, and show them examples of how you protect your skin from the sun. Talk to schools and daycares to ensure that they are also sun safe.

    When to call your pediatrician?

    In the event of sunburn, sunstroke or any other symptoms following exposure to the sun (fever, nausea, vomiting, dehydration, dizziness, etc.), we recommend that you contact your pediatrician, especially if your child is under one year old. Your doctor will also be able to answer any questions you may have about the dangers of the sun for your child, or how to protect him or her.

    Book an appointment

    At ELNA Pediatrics our pediatric services provide easily accessible comprehensive and preventative care for children aged 0-17 years. We are proud to offer expanded access to primary and specialty services at ELNA Pediatrics, formerly known as Tiny Tots, Canada’s largest ambulatory pediatric centre in Canada located in the ELNA Medical Complex at Décarie Square and in Dollard-des-Ormeaux.


    All material copyright MediResource Inc. 1996 – 2023. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/healthfeature/gethealthfeature/Sun-Safe-Skin

    Bedwetting: nighttime survival strategies for your children

    Fed up with wet and sleepless nights? If your child is wetting the bed, you’ve probably learned to dread those nighttime wake-up calls and frantic searches for dry sheets. Here are some simple strategies to help you and your child have a dry night:

    Limit fluids after dinner.

    Limit the amount of fluids your child drinks after dinner. Instead, have them drink more of their daily fluids earlier in the day.

    Teach your child to use the toilet before bedtime.

    If your child empties their bladder just before they go to bed, there’s less chance that they may wet the bed. Get your child into the habit of using the toilet before bedtime. Encourage them to go even if they don’t feel like they need to.

    Provide easy access to the bathroom.

    Make it easy for your child to reach the bathroom at night. This may mean installing a night light, propping doors open, and having a stool so your child can reach the toilet and sink.

    Try absorbent products.

    Absorbent products, such as nighttime underwear and disposable bed mats, can help minimize the discomfort of wet sheets and the frustration of nighttime sheet changes.

    Take care of yourself.

    To cope with bedwetting, you’ll need patience and understanding. This is easier when you’re not exhausted. Give yourself some extra attention – make time for the things you enjoy, and when you can, get to bed a bit earlier to make a deposit in your “sleep bank.”

    Get help if you need it.

    Talk to your doctor if your child is having accidents during the day, if bedwetting starts again after your child has been dry for at least 6 months, if your child feels a burning sensation when they urinate, or if your child is still wetting the bed at age 5 or 6.

    All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/healthfeature/gethealthfeature/Bedwetting-Nighttime-Survival-Strategies

    School health and happiness

    It’s back-to-school time again! Make the transition from summer to school smooth and stress-free.

    Children’s medical conditions at school

    Amidst all of the back-to-school bustle, some families must add their child’s chronic medical condition to the list of September stresses.

    If your child has a chronic condition like diabetes, asthma, or epilepsy, or if he or she has a significant food allergy, a little extra planning can ensure a safe, healthy, and low-stress school year. For instance, children with diabetes may need to be given insulin injections or check their blood sugar, and parents of a child with asthma may be concerned about air quality in the school. And school staff will need to know what to do in the event of an epileptic seizure or the signs to watch for if a child is exposed to a food allergen.

    Every medical condition will call for slightly different measures and plans, but a few commonalities apply to most:

    • Keep your child’s emergency contact information as up-to-date and thorough as possible. List contacts in order of preference that they be called, and offer clearly marked alternative phone numbers for each, if available (mobile phone, work number, etc.). Include in this list the contact information for your child’s pediatrician, primary physician, or dentist, as necessary.
    • Inform the school of your child’s condition. Write up a document including a brief medical history, medications your child requires, and details about your child’s special needs and/or restrictions (physical activity, dietary considerations). Be clear, concise, and complete so that directives can be easily followed.
    • Ask for a meeting with relevant school staff to discuss your child’s emergency care plan. When it comes to your child’s health, you want to hope for the best but prepare for the worst. You will need to work together with your child’s school to draft a plan detailing the actions and responsibilities in case of an emergency. This plan may also include details about administering medication or treatments within the school day and during class field trips. Invitees to such a meeting may include your child’s teacher, principal, school nurse, and P.E. coach; the coordinator of special needs services; as well as any aids or health care providers who may have helpful input. If your child is old enough, he or she should also be involved in the planning.
    • Keep in touch. Check in with your child’s teacher for any changes in behaviour or energy levels. Ask your child how things are going at school, if they take their medication as they should, if they feel different or are having any trouble with other children in regard to their condition. And be a strong advocate for your child’s health by following up with the school to revisit or update your child’s care and emergency plans.

    School lunch bag safety

    Time and space constraints in schools mean that students often toss lunch bags into a shared classroom bin, cubbies, lockers, or other storage spaces. Sometimes bins are kept outdoors, exposing lunches to heat or cold. Most schools simply cannot offer students space in a refrigerator to keep their food safe from bacteria or cross-contamination. Parents can prevent foodborne illness by practicing a few simple safety habits:

    Pack for posterity: The foods that can “keep” the longest are a better bet for lunch bags.

    • Minimize highly perishable foods, like mayonnaise, eggs, butter, milk-based products, and even those popular lunch meat combos kids seem to love.
    • Opt for non-perishable foods and drinks – water, whole and dried fruits, crackers and chips, cereals and breads, or nuts and seeds.
    • Sandwiches make an easy go-to choice, but keep in mind that lunch meats and tuna require refrigeration to stay safe. Old-fashioned peanut butter and jelly may be nixed from many menus because of fear of food allergies, but it is a natural in a sack lunch because it won’t go bad.

    Pack with temperature in mind: Depending on schedules, your child’s lunch will need to “keep” for at least 2 to 3 hours.

    • If food should be eaten cold, use frozen freezer packs or an insulated lunch box.
    • If food should be eaten hot, heat food before your child leaves for school and store in a heat-preserving container or thermos.
    • Freeze a juice box or yogurt snack ahead of time and use these items to keep other foods cool until mealtime.
    • Consider an insulated lunchbox or freezable gel packs to keep lunches at their safest temperatures.

    Practice a safe lunchtime routine with your child: Remind your child of the habits they need to practice each day when they hit the cafeteria.

    • Talk to your child about the lunch bag storage situation and remind them to store their lunch in a cool, dry place out of the sun and away from other heat sources.
    • Discuss hygiene, going over the right way to wash your hands or how to use a sanitary hand wipe before and after their meal.
    • Remind your child to throw out perishable leftovers instead of toting them home (this may not be possible if the school has a waste-free lunch policy). Too many moms and dads have found rotten, stinky surprises in their children’s lunch bags!

    Sort out sharing rules: You try your best to raise generous kids who share without prompting, and then turn and tell them not to share their lunch food or drinks!

    • In an age-appropriate way, explain to your child why sharing a drink bottle or straw is not a good idea (risk of spreading germs).
    • Talk to your child about why you probably shouldn’t swap snacks with a schoolmate (you never know who’s allergic to what).

    Keep a clean, tidy lunch bag: While you can’t control what happens to your child’s lunch during the school day, you can work together with your child to keep their lunch bags clean.

    • Follow manufacturer’s instructions for cleaning lunch bags.
    • Teach your child to wipe down and clean their own lunch bag inside and out after they’ve eaten their school meals.

    Food safety starts at home: Follow smart food safety practices when preparing lunches at home.

    • Thoroughly wash your hands before and after handling food.
    • Wash fruits and vegetables well.
    • Keep kitchen surfaces sanitized and have plenty of laundered dishcloths or towels on hand.
    • Pay attention to the “use by” dates on food packaging.
    • Do not reuse plastic bags and food wrappers.

    Playground safety

    If you’ve taken your child to city parks, you may have noticed that playgrounds have changed a bit since you were a kid. Gone are the metal, wood, and concrete. In their place, you’ll see lots of brightly coloured plastic and spongy, foam-like ground covering.

    Despite the modern safety upgrades, children still fall from monkey bars, get burned by hot slides, and get catapulted off of swings or seesaws by over-exuberant playmates. Kids still sport bruises and bumps, scrapes and cuts, knocked-out teeth, and fractures and sprains.

    Teachers and P.E. coaches often take students on tours of the school playground and go over safety rules and tips and “play skills.” Still, most playground injuries happen to 5- to 9-year-olds, so it wouldn’t hurt to take your younger students to the park to go over some safety basics one-on-one:

    • Know the slide rules: You’d think slides would be simple stuff to explain. They go down, right? Well, kids will find all sorts of creative ways to slide wrong. First off, give your child time to practise getting up the stairs safely. Then set a “bums-not-bellies” rule, emphasizing how important it is to go down feet first, one child at a time. Remind your child to check the bottom of the slide to prevent collisions with straggling sliders.
    • Get in the swing: Playground swings are the sources of many childhood injuries, from fingers caught in chains to kids who face-plant when trying to leap out mid-arc. Warn that no matter how cool some daredevil kid looks, it hurts to fall and a broken arm could be the result. Go over the proper swing posture – sitting, not standing or kneeling – and set a safe distance for walking around or near active swings. Two-to-a-swing may seem fun for best buddies, but swings are only built to safely hold one child at a time.
    • Set the seesaw scene: You may see fewer teeter-totters these days. Too bad, since more than any other piece of playground equipment, a seesaw requires cooperation and communication. Practise with your child the art of balancing and landing without thudding into the ground or springing your partner out of their seat. Talk about how tricky and unsafe it would be to work a seesaw if you faced the wrong direction, let go of your post, or horsed around.
    • Don’t go off the rails: One kind of equipment you may see more of is the track ride, or slider, as kids often call it. Sliders are made up of a suspended handle that slides along a track. To use one of these rides, children grab onto the handle with both hands and propel themselves across the track. Sliders may not be used by children under a certain height. These rides definitely take some practice and getting used to, so this is a good one to work on together outside of school. Test whether your child is tall enough and whether he or she has enough upper body strength to make the slider slide, and practise proper dismount.
    • Clear the area: Especially at early-morning recess when students first arrive at school, the playground can become a minefield of potential trips and falls and injuries, with backpacks, books, balls, and jump-ropes strewn all over play surfaces. Discuss with your child the safest spots to leave their school materials. And while you would hope it would go without saying, warn your child against tying jump ropes to playground equipment.
    • Don’t dress for danger: Cords and drawstrings on clothes pose a playground safety risk, since they can become caught or snagged in play equipment. Same goes for hoods, draping fabric, purses, long keychains, scarves, and even shoelaces. Snaps, buttons, Velcro, or elastic are safer bets.

    Other playground pointers to discuss with your child: keeping “roughhousing” play away from structures, equipment, and crowded areas; looking before leaping off any structure or equipment; and testing the temperature of equipment on hot days.

    Simple ways to foster independence for school success

    Children learn more at school than just reading, writing, and arithmetic. School is a place for children to practise interpersonal skills – like interdependence and sharing. And school is a safe place for kids to “have a go” at independence.

    An independent student may be more comfortable tackling a tough math problem or making sense of a new word. An independent student may maintain optimism and try hard despite fear of failure. You can foster your child’s independence in simple ways every day:

    Hand over all “homework housework.” Depending on your child’s age, homework may be but a few minutes of shared reading and some colouring or a full-on essay or science project. While you should assuredly be aware and involved in your child’s home studies, you should also stand back and let your child lead the way. Homework is an opportunity for children to hone their skills as planners, organizers, time managers, decision makers, and problem solvers. Likewise, children can be given the responsibility of keeping their workspace tidy and loading their backpack with their supplies and books.

    Give your child (gradually widening) space. Children don’t have control over too much in their lives. You can give your child space at home – a special homework space, safe and unsupervised playtime, their own room. And you can give your child space at school, too. One example is the morning drop-off process. Some parents only feel comfortable letting go of their young child’s hand when they can pass their child’s hand directly over to their teacher. But once you and your child understand the drop-off process and the route to the classroom or playground, let your child do it themselves. Those few moments on their own may be met with tears and fears at first. Stick to it: It gets easier!

    Give your child (gradually expanding) responsibility at home. Being held accountable to regular chores may pay off in your child’s classroom accountability. Chores can seem like more work than they’re worth. Is it really worth fighting over an unmade bed or a messy room? Yes, especially when you consider that teachers often assign students to classroom jobs and responsibilities, including watering plants, fetching snack bins, or tidying up the corner book nook.

    Let your child choose. Your child will need to make decisions all throughout the school day. If parents dictate every tiny decision at home, children may be unable to sort through their many options in the cafeteria, on the playground, or in the school library. One way to practise choice at home is with food and clothing. Offer up 3 snack options and let your child decide which they’d prefer. Pick out 3 school-appropriate outfits and your child can choose their favourite.

    Let your child lose. If all a kid knows is A+ and “Perfect!”, how will she react when she misses the mark? Will she fold or will she fight? Yes, it hurts to watch your child hurt. But instead of swooping in to save the day whenever your child faces a challenge, encourage critical thinking and creative problem-solving. Rather than giving an answer to a homework question, brainstorm with your child ways to solve it. Of course, you want to keep your child out of harm’s way and prevent injury or distress, but small moments of struggle are where a child gains strength as an individual.

    Be a model of independence. Your children learn from their teachers, but they learn from you, too. Show them the hard work that goes into making decisions and facing challenges. Let your child in on short-term goals you set and talk about how you hope to achieve them. Talk about times you’ve struggled with new learning or about how you realized the cause-and-effect connection in your successes and failures.

    All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/healthfeature/gethealthfeature/School-Health-and-Happiness