Liquid nicotine, used in electronic cigarettes can be deadly to children. Nicotine is an addictive chemical and a potent poison. The number of calls to poison control centers about liquid nicotine has risen significantly in recent years. During 2014, the poison helpline received more than 2300 calls about contact with liquid nicotine for children younger than 6 years. These children had ingested or had skin contact with liquid nicotine. Only half a teaspoon (2.5 ml) can cause severe stomachache, vomiting, seizures, fast heart rate, difficulty breathing, and even death.

HealthyChildren.org is a trustworthy website for parents. The American Academy of Pediatrics maintains the site. Recent articles were about measles. This article is in three formats. Choose the printed article in English or Spanish. You can have a narrator read the words. This option highlights the words in the article as the narrator says them. Combining visual and auditory presentation improves understanding.

Early care and education programs need a note from a licensed health care provider for over – the-counter (OTC) and prescribed medications. Prescription medicines should include clear instructions on the pharmacy label. OTC medications need a note from a health care provider in addition to the label on the medicine container. The note must specify the name of the child and medicine, when, how much and the route to give the medicine.

West Nile Virus (WNV) has been a problem in the U.S. for more than ten years. The virus spreads to humans who are bitten by mosquitos that have fed on infected birds. Several types of ticks are common in gardens and bushes. They carry infections from animals to humans when they feed while attached. Prevent these diseases by preventing mosquito and tick bites. Use insect repellent as recommended below and follow instructions on the product label.

Mosquitoes may carry serious diseases. West Nile Virus is present in Pennsylvania. Mosquitoes are spreading Zika virus in the US. Health departments in Pennsylvania are working to eliminate standing water where mosquitoes breed. Chemicals that kill mosquitoes are being used to treat some areas. Spraying may be done from the ground or from the air in larger areas. If your facility or child care home is located near a spray area, remain indoors while spraying is being done. Close windows, and turn off ventilation systems that draw-in outside air during and 30 minutes after spraying ends.

Nebulizers, Asthma and COVID-19

Do you have children in your care with asthma? Parents/caregivers of children with asthma who use nebulizers should contact their child’s health care provider about using a metered dose inhaler (MDI) instead of a nebulizer. Use of inhalers with spacers instead of nebulizers involves decreased close exposure time during the medication administration. According to The Centers for Disease Control’s (CDC), people with asthma should use inhalers with spacers (with or without a face mask, according to each student’s personal treatment plan) instead of nebulizer treatments whenever possible during the COVID-19 pandemic. Children’s medical records/care plans should be reviewed to see who may require nebulizer treatments. Care plans should be updated as per the health care provider’s recommendations. K-12 Schools and Child Care Programs FAQs for Administrators, Teachers, and Parents offers important guidance to consider and precautions to take.

Increased cleaning and disinfecting is necessary because of the pandemic. Disinfecting products maybe a trigger for some children so care should be taken to prevent exposure to them:

If you have asthma:
    •  Ask an adult without asthma to clean and disinfect surfaces and objects for you.
    •  Stay in another room when cleaners or disinfectants are being used and right after their use.
    •  Use only cleaning products you must use. Some surfaces and objects that are seldom touched may need to be cleaned only with soap and water.
    •  Make a list of the urgent care or health facilities near you that provide nebulizer/asthma treatments. Keep it close to your phone.
    •  If you have an asthma attack, move away from the trigger such as the disinfectant or the area that was disinfected. Follow your Asthma Action PlanCall 911 for medical emergencies. 7/8/21

 The National Resource Center for Health and Safety in Child Care has separately published the nutrition, physcial activity and screen time standards from Caring for Our Children. View these obesity prevention standards on the website of the National Resource Center for Health and Safety in Child Care.

Early education and child care professionals should include preventive practices in the curriculum. In addition, early educators have many opportunities to notice possible areas of decay on children’s teeth. Coupling prevention and early recognition of possible trouble with referral to an oral health professional can save significant suffering. Early decay looks like dull white bands on the smooth surface of the tooth at the gum line. It is caused by bacterial activity in the mouth. It is a form of infectious disease. Early decay may be reversible with fluoride treatment and removal of plaque that builds up on the teeth. If this early decay is not treated, it becomes yellow, brown or black spots. These spots are places where decay destroyed the tooth enamel. If you see chalky white spots or discoloration on a child's teeth, urge the child's family to take the child to a dentist as soon as possible.

Teach how to manage aggressive behavior with "Play Nicely." Pediatrician Dr. Seth Scholer developed this 40 minute free instructional multi-media program. It is available at www.playnicely.org. The Multimedia Program: Smartphone and Tablet Version runs on a computer. The program is Research done at the Children's Hospital at Vanderbilt University shows the instructional video lessens physical punishment. Many studies show physical punishment of young children is harmful. It fosters aggression, later mental health problems such as depression and an increased incidence of spouse and child abuse as physically punished children grow into adults.

As of the end of February 2013, all play yards sold in the United States must meet the new and improved federal safety standard to prevent injuries and deaths of children. All child care providers who care for infants and toddlers and new parents, should be aware that newer is better when it comes to the safety of play yards. The new federal standard addresses hazards associated with play yard side rails, corner brackets, and mattress attachments. These changes are meant to prevent strangulation, entrapment, lacerations, and other injuries. New tests add to existing requirements that include a stability test to prevent the play yard from tipping over, latch and lock mechanisms to keep the play yard from folding on a child when it is being used, and minimum side height requirements to  prevent children from getting out of the play yard on their own. The U.S. Consumer Product Safety Commission has a poster that summarizes the new standard and is available in English (PDF). The poster also has Safe Sleep tips to help keep baby safe in his or her sleep environment. Be sure to post this free resource wherever parents and care givers might see it. Reviewed and reaffirmed 7/2021

State regulations require documentation that the child has received vaccines and screening tests according to the recommendations of the American Academy of Pediatrics and the Advisory Committee on Immunization Practices. Any document (including an electronic printout from the child's medical record) that provides this information is acceptable. The Office of Child Development and Early Learning (OCDEL) offers a form that allows health care providers to say whether the child is up to date, the CD 51. This Child Health Report form was last revised in 2008. It does not require the dates and results of the recommended screening tests. It has a check box to indicate "yes" or "no" that the child has received all the recommended screenings. The only screening information it requests is the results of any abnormal vision, hearing or lead screening. These are important, but not all the screenings that assess whether a child is healthy and ready to learn. 

Promote healthy nutrition with children, families and staff at your program. Examine the Academy of Nutrition and Dietetics’ website. Use their toolkit with individual files such as 20 Health Tips. See Smart Snacking Tips for Kids.

The Early Childhood Education Linkage System (ECELS) websiteoffers resources to promote healthy nutrition. Explore valuable options in the Child Care Health Consultant Toolkit- Obesity Prevention, for example: Tips for Feeding Picky Eaters (one minute video and resources). Use Model Child Care Health Policies, 5th Ed. to revise/develop policies and practices to support improved nutrition, breastfeeding, physical activity and screen time. Contact ECELS at This email address is being protected from spambots. You need JavaScript enabled to view it..

Use the Healthy Kids, Healthy Future resources. Review the Nutrition and Physical Activity Self- Assessment for Child Care (Go NAP SACC). Based on your assessment, develop an action plan to make improvements. Share these nutrition tips for infants, toddlers and preschoolers with families from the Early Childhood Learning & Knowledge Center (ECLKC). Encourage small changes to improve healthy eating and habits. 

Help fight hunger in PA. Visit DHS’ Ending Hunger webpages - a resource for food security in Pennsylvania. Click on the link to find a food pantry or view the network of food banks in PA. 7/2021

Learn about strategies to manage children with challenging behaviors. Complete ECELS Managing Challenging Behaviors in Young Children Self Learning Module (SLM). This updated online module will help you promote mental health in young children. Explore risk factors for challenging behaviors and use tools to review behaviors related to development. Share resources to help children with challenging behaviors and their families. Identify policies to help prevent suspension and expulsion of children. The per person fee is $15.00 for each module submitted. Addresses Pennsylvania’s Pre-Kindergarten Learning Standards for Early Childhood Standard Areas 16.1-3

Seize this great opportunity to improve nutrition for children in your care. The United States Department of Agriculture (USDA) Team Nutrition recently released 30 award-winning recipes. They were picked from those submitted to the nationalRecipes for Healthy Kids Competition. All recipes are child-tested and child-approved, using only healthy ingredients.  They feature Child Care and Adult Food Program (CACFP) foods. All of the recipes are low in total fat, saturated fat, sugar and salt. Use them with the Crediting Handbook to easily document for CACFP. 

Children who eat more salty foods also drink more sweetened beverages. Children who drink more than one sugar-containing beverage per day are 26% more likely to be overweight or obese. These findings are from a study that enrolled over 4,200 Australian children. The study findings are in the January 2013 issue of Pediatrics, the journal of the American Academy of Pediatrics.