That vaccine was recommended by the Centers for Disease Control and Prevention’s Advisory Committee on Immunication Practices in 2015 for people age 16 to 23.
What researchers found was that only 51 percent of pediatricians mentioned the vaccine to patients in this age range and only 31 percent of family practice doctors mentioned it. The good news was that when doctors talked about it, 91 percent of them recommended it to their patients. Doctors were more likely to recommend it when there was a disease outbreak or incident of the disease locally.
Diphtheria/Tetanus/Pertussis: four or five doses depending on which version your kid got.
Polio: four or three doses
Measles, Mumps and Rubella: two doses
Hepatitis B: three doses
Varicella: two doses
Hepatitus A: two doses
All of the above, plus
Diphtheria/Tetanus/Pertussis: three doses of the primary series plus a booster within the last five years
Meningococcal: one dose
Eighth- throught 12-graders
All of the above, but if the diptheria/tetanus/pertussis shot has not been given in the last 10 years, a booster is needed.
The Centers for Disease Control and Prevention also recommends these vaccines for the 11-year-old or 12-year-old check up:
Human papillomavirus (HPV) vaccine helps protect against HPV infections that cause cancer. For kids age 9-14, it’s two doses, one six months to a year after the first. For kids 15 or older, it’s three doses, the second one to two months after the first; the third, six months after the first.
Quadrivalent meningococcal conjugate vaccine
Quadrivalent meningococcal conjugate vaccine protects against some of the bacteria that can cause infections of the lining of the brain and spinal cord (meningitis) and bloodstream infections (bacteremia or septicemia). These illnesses can be very serious, even fatal. It recommends one dose at 11.
Tdap vaccine provides a booster to continue protection from childhood against three serious diseases: tetanus, diphtheria, and pertussis (also called whooping cough).
Preteens and teens should get a flu vaccine every year, by the end of October if possible. It is very important for preteens and teens with chronic health conditions like asthma or diabetes to get the flu shot, but the flu can be serious for even healthy kids.
“Rise of the Black Panther.” Meet author Evan Narcisse. 7 p.m. Friday, Carver Branch.
Heroes in a Half Shell: A Teenage Mutant Ninja Turtles Celebration. Mondo Gallery offers art of the cartoon. Noon-6 p.m. Tuesday-Saturday. Mondo Gallery is located at 4115 Guadalupe St. mondotees.com
Marvel Universe Live! Now you can see your favorite action heroes live. 7 p.m. Thursday-Saturday, 11 a.m. and 3 p.m. Saturday, 1 p.m. and 5 p.m. Sunday. $25-$90. Erwin Center, 1701 Red River St. uterwincenter.com
“Beauty and the Beast” at Zach Theatre. 7:30 p.m. Wednesdays-Saturdays, 2 p.m. Saturdays and Sundays. $25-$150. Zach Theatre, 202 S. Lamar Blvd. zachtheatre.org
Alamo Drafthouse Kids Club. Kids movies for a $1-$3 donation. “Kung Fu Panda.” 10:20 a.m. Saturday and Sunday, Mueller. 11 a.m. Friday, 10:35 a.m. Saturday, 9:30 a.m. Sunday, Slaughter Lane. “Paddington 2.” 10 a.m. Friday-Sunday, Lakeline. drafthouse.com.
Zach Theatre Open House. Try out some of the classes for children age toddler to fifth-grade. 10 a.m. to noon Saturday. This week it’s at the Downtown Austin location, 1510 Toomey Road. RSVP on a link on zachtheatre.org
Thinkery. Splash Into Summer this August for Baby Bloomers, 9 a.m. Saturday. $5. Tinkering Take Home. For ages 4 and older. Make a sewn circuit. 10 a.m. to 1 p.m. Saturday. $5. Thinkery, 1830 Simond Ave.thinkeryaustin.org
BookPeople events. 10:30 a.m. story times.Coloring story time, Saturday. BookPeople, 603 N. Lamar Blvd. bookpeople.com
Barnes & Noble. 11 a.m. Saturday story times. This week hear “We Don’t Eat Our Classmates.” barnesandnoble.com
Minecraft Club. 1 p.m. Saturday, Ruiz Branch.
“The Legends of Robin Hood.” Directly from Sherwood Forest Faire, Robin Hood and his merry band of outlaws are bringing mischief to Austin Scottish Rite Theater. 12 and 2 p.m. Saturday and Sunday. $8-$12. Austin Scottish Rite Theater. 207 W. 18th St. brownpapertickets.com/event/3527404.
Hideout Kids: “Mission Kid-Possible.” Enjoy a kid-centric improve. $5 11 a.m. Sunday. Hideout Theatre, 617 Congress Ave. hideouttheatre.com
Come Dance 2018. Ballet Austin’s annual free day of dance allows you to sample a variety of the organization’s community dance classes, including ballet, Bollywood, hip hop, Brazilian, African, Irish dance and more. No RSVP is necessary — just get yourself moving. 1 to 5:45 p.m. Sunday. Butler Center for Dance & Fitness, 501 W. Third St. balletaustin.org.
Austin Symphony Hartman Concerts in the Park. 7:30 p.m. Sunday. Free. The Long Center, 701 W. Riverside Drive. thelongcenter.org
BackYard at Waller Creek Sunday Funday. Games, face-painting, bounce house and more. 11 a.m. to 2 p.m. Sunday. Free for kids younger than 12, $5 adults. 701 E. 11th St. backyardbaraustin.com
“We’re recommending that doctors write a prescription for play, because it’s so important,” said pediatrician Michael Yogman, the lead author of the report in a press release. “Play with parents and peers is fundamentally important for developing a suite of 21st century skills, including social, emotional, language and cognitive skills, all needed by the next generation in an economically competitive world that requires collaboration and innovation. The benefits of play cannot really be overstated in terms of mitigating stress, improving academic skills and helping to build the safe, stable and nurturing relationships that buffer against toxic stress and build social-emotional resilience.”
What the study and others like it note is that children are playing less.
Here are some stats this study offers:
Children’s playtime has decreased by 25 percent from 1981 to 1997, and we bet that if someone did a current study, it would be even less.
About 30 percent of kindergarten children don’t have recess and instead have more academic lessons, says research from Advances in Life Course Research.
In a study of 8,950 preschool children and parents, only 51 percent of those children went outside to walk or play once a day with a parent.
Part of what has happened is that academics have replaced play at a very young age, and parents don’t know how to play with their children or they are fearful about safety concerns to let their children play.
It enhances brain structure and function and promotes that executive function, the study says
When kids play, stress is reduced and kids learn to regulate their stress. One of the things the study found was that preschool children who were anxious about going to school were twice as relieved of their stress when they were able to play with their teacher of fellow students for 15 minutes instead of listening to a story. Kids with disruptive behaviors were also less stressed and disruptive when a teacher played with them one-on-one.
Children who played as preschoolers had a better advantage when it came to paying attention and behaving appropriately in the classroom.
Of course, the study also looked at play in rats and changes in the brain structure of the rats who played and the rats who weren’t allowed to play. “Rats that were raised in experimental toy-filled cages had bigger brains and thicker cerebral cortices and completed mazes more quickly.”
And in kids, the study notes that “Children who were in active play for 1 hour per day were better able to think creatively and multitask.”
Play also helps our children be physically active, be socially aware, learn self-regulation skills, language development, imagination and more.
So, parents, get out there and play with your children. Yes, you can put the phone down and they can put down that tablet or gaming device. Also, make sure that your child’s school still has elements of play such as outdoor time or recess.
Zach Theatre is starting a new class for parents and young children to play together called Wee Play. It will be showcased at the open house on Saturday at it’s 1510 Toomey Road location and on Sept. 1 at its 12129 RM 620 N. location.
This morning, while the school bus was approaching to whisk my son off to his final year of high school, I watched as car after car tried to pass the slowing-down-with-its-lights-on school bus. Trying to game the system and get around my kid’s bus, makes you a jerk.
All over Central Texas as kids go back to school, we have kids and parents who aren’t sure where they are going, who aren’t sure what the traffic pattern at school is yet, or are waiting for buses that are running late.
Those big yellow school buses are a reminder that school is back in session and there are lots of kids and parents walking around, and not just in and around a school bus. Watch out for kids walking or riding bikes to school and from. Watch out for their parents walking to bus stops before or after the bus gets there.
If you did hit a kid or a parent and he or she was seriously injured or died, how would you live with yourself?
Kristen Hullum, MSN, RN, the trauma injury prevention coordinator at St. David’s Round Rock Medical Center, offers the following tips on how to keep your children safe between home and school.
Kids who walk, bike or take the bus to school must be familiar with street safety rules. Remind them to use crosswalks whenever available; always wear a helmet when riding a bike, scooter or skateboard; and never assume that a car can see them. Help them understand how to take extra precautions when watching for vehicles and crossing streets safely. Use the sidewalk when available, and walk facing the flow of traffic.
Children should wear reflective strips on their backpacks, shoes or jackets if walking or riding to school in the dark.
Remind children to keep their “head up, phone down.” Many students can be seen walking to school while texting. It is easy for them to become distracted—and lose awareness of their surroundings and moving vehicles—while using their phone.
Lap and shoulder belts have been available on Texas school buses for many years. Insist your child always wears their seat belt on the school bus and sets an example for other children. Remind them to stay in their seat until the bus comes to a complete stop, to keep their arms and head inside the windows at all times, and never to assume that cars will stop for the bus or children crossing the street — they still must watch carefully for vehicles.
More than 20,000 kids visit the emergency room every year with injuries sustained on the playground. The majority of these injuries are related to falls. Remind children to be aware of moving swings, broken equipment, platforms from which they could fall and activities that may not be appropriate for younger kids.
Children should always be closely supervised when playing on the playground, and injuries (even minor ones) should be reported to teachers and parents so they can be monitored.
Ask children to report safety hazards to an adult to prevent other children from getting hurt.
Be sure your child wears the proper sports safety equipment for whichever sport they play.
Monitor your children for subtle signs of an injury—limping, grimacing, holding or rubbing a certain area. If your child ever hits his or her head, with or without a helmet, monitor the child carefully for signs of a concussion, and see a physician immediately if symptoms occur. Signs include confusion and forgetfulness, changes in mood or behavior, loss of consciousness, headache, nausea or vomiting, dizziness, blurry vision and complaints of “just not feeling right.” If you suspect a concussion, see a physician and have your child refrain from further physical activity. When in doubt, sit it out.
Keep kids well hydrated. Ensure they are drinking plenty of water or electrolyte replacement fluids before, during and after sports activities. Monitor for signs of heat exhaustion—confusion, lack of sweating (a sign they have already lost all fluids through the skin), nausea, headache, pale skin, rapid heartbeat and muscle cramping. Kids experiencing any of these symptoms need to be moved to a cooler place, drink lots of fluids, use a damp washcloth to cool their body and seek medical attention if symptoms do not resolve quickly.
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This week, on Wednesday, a bunch of schools started back including Lake Travis, Bastrop, Liberty Hill, Wimberley and Lago Vista. The next wave came on Thursday with Round Rock, Leander, Pflugerville and Georgetown joining them.
On Monday, Austin ISD, Manor and Burnet return to class. Followed by Dripping Springs, Hutto and Smithville on Tuesday, and Eanes, Elgin and Marble Falls next Wednesday.
Bringing up the rear on Aug. 27, is Hays Consolidated, San Marcos Consolidated and Del Valle.
So, is it better to start mid-week or on a Monday?
That’s like asking: do you rip off the bandage in one jerky move or do you peel it away millimeter by millimeter?
A long time ago… like when my now senior in high school was in kindergarten … Austin ISD did start on a Thursday. At the time I thought, “That’s just crazy!” Why a Thursday?
Now I get it. There are pluses and minuses.
You get a gradual ease in. For those anxious kids, it’s just a few days and then a weekend break. Whew!
You have two days to pick up school supplies before the next class, rather than one night. If you have a middle-schooler or high-schooler, you know what I’m talking about. The first time your kid goes to a class, they get a list of supplies they need. If you have a kid on an A-day/B-day schedule, it takes two days to see all of their teachers. If you start on a Monday, your kid doesn’t get their complete list until Tuesday.
Next Tuesday night, I and all the other frustrated parents of Austin ISD kids will be in the Walmart or Target scrounging for supplies that are no longer there.
One year, I tried to out-guess the teachers and pre-buy supplies. I ended up with a bunch of stuff that neither one of my kids needed. Now I buy basics: notebook paper, pencils, composition books, pens. That’s it and wait until we get the list.
That means I’m with all of you desperate and irritated parents at the big box store. One year, my kid needed a certain kind of dry erase marker that I checked five different stores to find and finally located it in the CVS of all places. And then my kid transferred out of that class two weeks later. The time spent, the pressure around finding items, is crazy-making.
Teachers get a weekendbetween the first few days of school and the first full week to get their classrooms back in order. (And yes, we know you’re not supposed to be working on the weekend, but we also realize that you do.)
Pro-Monday start date:
Teachers get a weekend between Meet the Teacher and the first day of school. They have time to touch base with parents who had questions at Meet the Teacher. They can put away all the supplies the kids brought to Meet the Teacher. They can follow up with the parents who weren’t able to make it.
Parents don’t have to find a half-week camp for their kids or take off a couple of days because they can’t find a camp for those two or three days.
High-schooler and middle-schoolers really get a sense of their whole schedule that first week. There’s no delay in figuring out if the course load is too crazy.
The transition could be easier if you have a kid who likes routine. Bedtime and wake-up time routines get established quickly. It feels like school has begun.
What do you think? Are you Pro Midweek Start or Pro Monday Start? Share your thoughts in the comments.
Every afternoon around Central Texas, the band kids are marking their halftime performances on the parking lot pavement. The football players are practicing downs on the field. The cross country runners are setting new paces on trails and sidewalks. And the elementary-schoolers are on the playground for recess.
And it’s 100+ degrees.
We asked Dr. Lisa Gaw, a pediatrician with Texas Children’s Urgent Care, to give us some tips on keeping kids cool, hydrated and not experiencing heat exhaustion or heat stroke.
How much and how often should you drink water?
If you’re out in the sun, she recommends that at least every 15 to 20 minutes you take a break and drink water. If you feel thirsty, you need to drink water. That’s a sign that your body is in the earliest stages of being too hot.
Rather than give you a ratio of how many ounces of water per hour, Dr. Gaw likes to tell parents and kids that your urine should be closer to a light lemonade-colored yellow rather than a yellow that looks more like apple juice.
If you no longer feel the need to go to the bathroom, that’s a warning sign.
Should it always be water?
Water is great, but if a kid is very active, think about a sports drink like Powerade or Gatorade to replace the electrolytes and salt rather than just water. What you don’t need is an energy drink like a Red Bull or a Monster drink. You don’t need the caffeine. The same is true for soda.
What are the warning signs of becoming overheated, having heat exhaustion or heat stroke?
The first warning sign is that you are thirsty. You might also have muscle cramps.
For heat exhaustion, you might feel hot, dizzy, light-headed, nauseated or weak.
With heat stroke, you’ll feel all of those things, but you’ll also feel confused, possibly become unresponsive. Your body won’t be able to regulate its temperature, and your body temperature could climb to 104 to 106 degrees. You’ll stop sweating because you cannot regulate your temperature.
What should you do if you or someone else is experiencing these symptoms?
If someone becomes unresponsive or is very confused, call 911.
For less-severe symptoms, go to a cool, shaded area, hopefully with some air circulation. The person should start sipping water. Add cool towels or cool compresses around their neck, in their groin area or under their armpits to cool down their core temperature.
Have a backpack and binder cleaning out party regularly. Consider doing it whenever we have a school holiday or at the start of a new grading period.
Establish positive communication with teachers, parents. Read the regular emails and notes your child’s teachers sends. Ask questions but not in an accusatory way.
Look for ways you can help teachers. Does that teacher need help copying papers or cutting things for an upcoming project? Ask how you can help, even if you can’t be at school during daytime hours.
Attend as many school activities as possible. If you can, chaperone a field trip. Come to games and performances. Be that embarrassing fan in the stand cheering for your kid, just don’t undermine the coach or director.
Give teachers praise. Like something that the teacher did for your child or the rest of the class? Parents and students always can drop teachers a handwritten note or an email. ‘Thank you” goes a long way. Think about nominating a particularly great teacher for an award.
Get to know the staff at your school. The principal and vice-principals, the secretaries, the counselors all can be good allies to have.
Some kids have already gone back to school this week and more are headed back next week or the week after. Mark this start of the new year with a memory box or memory letter a la “Eighth Grade.”
One of the sweetness of the movie is when Kayla opens the box her sixth-grade self left for her leaving-middle-school self. And then (spoiler) her eighth-grade self leaves a box for her leaving-high-school self.
What would your kids put in a box for them to open at the end of the school year? What would letter would they write to themselves?
Here are some questions to have them answer: (If your kid is a kid with some anxiety, only ask the positive ones, perhaps.)
Minecraft fans rejoice! The largest convention for a single video game is coming to Austin Sept. 15-16. Minefaire is expected to bring 15,000 people to the Austin Convention Center to celebrate the game.
See a video of the convention:
Here are some of the things you can expect to see at Minefaire:
Minecraft Virtual Reality Experience: Play Minecraft with virtual reality.
Learning Lab: Learn from Minecraft Education Global Mentors who use Minecraft in the classroom.
Build Battles and Challenges: Compete in live gaming arenas, code within the game and learn to solve problems in creative ways.
Minecraft Costume Contest: Dress up, dance and have fun on stage as your favorite Minecraft characters.
YouTube Meet & Greets: Meet Minecraft YouTube superstars who will share their favorite tips and tricks.
Nonstop, Live Stage Shows: Multiple stages will show different Minecraft experiences for different skill levels.
World’s Largest Official Minecraft Merchandise: Of course, there will be shopping.
Tickets are $49-$69.50, but kids younger than 2 are free. Find them at Minefaire.com.
If you’ve thought school nursing was just about taking temperatures and handing out bandages, a few hours at “Kids First” workshop at University of Texas School of Nursing proves you wrong pretty quickly.
During the course of two days last week, about 300 nurses from districts around Central Texas learned about the latest in managing diseases like ADHD, diabetes and mental health disorders, how to recognize child abuse, and how to recognize signs of stress and sleep deprivation in students. They also brushed up on skills such as catheterization, cleaning gastrostomy tubes, changing tracheal tubes and how to recognize abnormal heart and lung sounds and ear infections.
While school nurses cannot diagnose anything, they might be the first medical professional to see warning signs of life-threatening or chronic illnesses, and they also might be called on to help manage some of the care during the school day.
Some of the nurses who attended “Kids First” were regularly having to do things like catheterization or GT tubes because of the kids who are in their schools, others had never had a kid on their campus with those needs and welcomed the refresher lessons.
Deanne Hemmenway, CD Fulkes Middle School in Round Rock Independent School District, who regularly has done catheterization on a student, says it’s all about creating privacy and a trust factor, as it would be for any student she sees.
She’s been a school nurse for 20 years and knows that what comes into her office definitely depends on the time of year. There’s flu season, and allergy seasons, there’s also football season, volleyball season and track season. She also sees a lot of asthma and diabetes management come in as well as scrapes and falls. She’s called ambulances for football paralysis, severe asthma and falls down the staircase.
Sometimes the nurse’s office is where kids take a breather in the sanctuary of a quiet space and a nurse with an empathetic ear.
“Every day I have a handful of kids that don’t want to go to class,” Hemmenway says. Sometimes it’s a test they are trying to avoid. Other times there is more going on, like avoiding peers or family struggles.
The nurses office, she says, is like a mini emergency room or clinic, in the variety of things that come in.
“You never know what is going to happen day to day,” says Joanne Johnson, a nurse at Ridgeview Middle School in Round Rock ISD.
What has changed is some of the things that are coming nurses’ offices weren’t decades ago. Mental health crises, particularly depression and anxiety, and problems with stress management come into the office more frequently, says Violet Filley, who has been a nurse for 23 years and works with sixth-graders to 12th-graders at Round Rock Opportunity Center.
How can parents best work with their school nurses? We asked some nurses at the training what information they’d like parents to be given them and how parents can be better partners in their child’s care.
Make sure your contact information is updated online (if your district has an online emergency contact form) and also by paper (if they don’t have the online form or the power goes out).
Make sure your child knows your phone number and the phone number of a few more people to call in an emergency. It’s not enough to have it in their phone. Their phone might not be charged at that moment.
Take the nurse’s call when she calls you and have a plan on what to do if your child needs to go home. Have a backup person who can pick up your child if you’re not available and make sure that your backup person is on the emergency contact form.
Know that a school nurse cannot diagnose. They can make a suggestion of what they think might be going on, but you have to take your child to a doctor to receive a diagnosis and treatment. The school nurse also is not your primary care clinic. However, sometimes school nurses might notice things that a teacher or parent has not, and often, they know what ick is going around.
Follow the 24-hour fever-free rule to return to school. Our nurses understand that parents have to work, but giving a kid Tylenol or Advil to get the fever down, doesn’t qualify as being 24-hours fever-free. It has to be 24-hours fever-free with no assistance. This is for your child’s safety as well as other children’s to stop the spread of disease. Remember last year’s flu season in which some districts had classrooms with very few kids in them? Let’s try to avoid that this year.
For very young kids, put a clean pair of pants and underwear in their backpack and keep it there all year. Make sure your child and your child’s teacher knows where those clothes are.Nurses often have to send kids home or find clothes in the lost-and-found or try to clean up kids after an accident.
Share medical information with the nurse. They want to know if your child has a chronic illness, what medication your child is on and how much, what food or other allergies your child has and what to do if she has an attack, and what mental health diagnoses your child might have. If you think the teacher or the counselor has this information, don’t assume it’s filtering down to the nurse. It can be beneficial to sign a records sharing request for your child’s doctor’s office to send over medical information.
Let the nurse know if there has been flu, strep or other communicable diseases. The school districts’ health departments are required to share numbers with the state and even the Centers for Disease Control and Prevention. Those numbers start with the school nurse and can help establish a pattern of where and how quickly a virus is moving.
Share the 504 plan or individualized education plan with the nurse. The teachers, counselors and administration might know it, but the nurse also should be informed, especially if it’s for behavior, physical health or mental health. They want to know what works with your child. They also want to know if the behavior that has caused your child to go to the nurse is normal for them. If your child regularly has panic attacks, that’s helpful for the nurse to be able to rule that out if your child comes in with shortness of breath.
Let the nurse know about a long-term medical condition that might mean homebound services will be needed. Sometimes the school nurse gets tasked in getting assignments for kids who can’t attend school.
Have the right paperwork for giving a child medication. If your child needs to take medicine while at school, most districts won’t let you just give the kid the pill bottle. There will be paperwork involved that comes from your doctor if it’s prescribed or from you if it’s an over-the-counter. Each district has its own set of guidelines. Ask your nurse what you need to provide and know that she can’t give your child anything if the paperwork is not filled out properly.
Realize that kids are different at school than at home. Sometimes kids will have stomachaches and headaches at school and be fine at home or the opposite can be true. It depends on how your child is wired. Recognize that what the nurse sees might not be the same symptoms you see regularly.
Understand that the nurse might not need to call you. Most districts have protocols for calling parents if there is a fever or head injury. If there’s an injury that seems to be fixed with a bandage or if the kid just needs a break, the nurse might not call you. Sometimes nurses who know families well have more information about whether or not you’re the kind of parent who wants a call at every visit to the nurse’s office or not. If you are that parent, let the nurse know that you’d like a call. Realize that the nurse’s time is valuable (usually there’s only one of her for hundreds or even thousands of children). She might not be able to call you that moment. A good reason that you might want a call is if you’re trying to establish a pattern to your child’s symptoms or if you’re trying out a new medication and need data if it’s working.
When in doubt, overshare information. Often the school nurse is the last to know, but the first to see your child in an emergency.