Tag: Omicron

  • Keep it real when explaining Omicron to older people

    Keep it real when explaining Omicron to older people


    By Thomas Goldsmith

    Given the near constant emergence of new permutations of COVID and the rise of the Omicron variant of the virus, a Duke clinician says he sticks to verifiable, often common-sense paths during conversations with people such as his own grandparents, who are in their 90s and living in long-term care. 

    As with almost every factor since the pandemic started, the best guidance and information can be – and has been – transformed as new science and variants arise. Thomas Holland, a specialist in infectious disease at Duke University Medical Center, says that means it can be difficult to settle on hard and fast rules that people might prefer. 

    “If you think back, about 18 months ago we were [communicating] about, ‘Is it six feet you need to be away from someone else or is it seven feet?’” Holland said over the phone. 

    “We all want to know exactly what we can and can’t do; and this has sort of defied our ability to do that.”

    Part of the path forward will involve following recommendations that have been in place since the beginning of the pandemic, say additional experts involved with public health.

    “In some ways, we’re going back in time to some of the recommendations at the beginning of the outbreak,” Jennifer Wolff, a professor of health policy and management at the Johns Hopkins University Bloomberg School of Public Health, told The 19th, an independent nonprofit newsroom. 

    Growing opinion on the importance of wearing well-fitting N95 or even KN95 masks also applies to older people, especially those who are likely to encounter larger groups of people.

    “If the older person is wearing a tightly fitted mask like an N95, it might be fine for them to go grocery shopping,” Nina Blachman, director of the geriatrics fellowship program at NYU Langone Health, told The 19th. 

    ‘Good idea to be masked’

    In another shift of the guideline, family gatherings or outings that seemed for a short while to fall within acceptable places for older people to go are now out. For the moment, those activities should be considered for delays or cancellations given the rise of Omicron. 

    Even given the pandemic’s shifting landscape, Holland said, it’s possible to share usable guidelines on more specific topics with people like his mentally sharp grandparents.

    “I told them that this variant is more transmissible and that I think it’s a good idea to be masked when they’re around other folks, except when they’re eating,” Holland said. 

    People of any age must deal with risks and benefits when making choices, and it’s not possible to deal with zero risk, he said.

    “My grandparents are 96 years old and they are not going to wait it out for two more years without socializing or seeing anybody,” Holland said, referring to a potential endpoint for the pandemic. “So I don’t tell them that they need to stay confined to their rooms if they are not under sort of an outbreak situation.

    “I tell them to enjoy socializing with other folks, but to be safe about it, meaning masking. I tell them to enjoy their meals as it’s a really important social time or part of the day for them. Hopefully, that’s the right balance.” 

    96 percent of 75-plus are vaccinated 

    Meanwhile, specific information about how the ultra-infectious, ultra-transmissible COVID variant Omicron is affecting older people in North Carolina is emerging amid the flood of sometimes contradictory COVID-19 info.

    Even though it’s been a major factor for only about a month, the Omicron strain also seems less likely to bring death and hospitalization, according to the Centers for Disease Control and Prevention. It might not be as harmful to older people if they’ve been vaccinated and boosted.

    There are exceptions in the risk to people with existing conditions like underlying respiratory diseases, such as COPD. That means clinicians must pass on to COPD patients the additional risks they face from the more easily transmissible COVID.

    “When people have flare-ups of their COPD there’s often some kind of trigger, including respiratory viruses,” Holland said. “Pre-COVID, you knew that other viruses, whether it was flu or common cold viruses, might trigger COPD flare and now COVID gets you like that.”

    The huge number of new cases — in the six figures daily — means that the overall triggering of COPD cases will also increase. 

    That means people with that and other underlying conditions, such as heart disease, diabetes, asthma and immune problems still need to be careful, perhaps more careful than they were this fall after the surge of Delta cases had subsided. 

    “We are seeing hundreds of thousands a day in this country and so, even if it’s a really small percentage that gets severely ill, that’s still a big number,” Holland said. “It’s a bit of a paradox because it’s simultaneously true that Omicron is associated with less severe illness and also true that our hospitals are overflowing and that we’re really swamped.”

    The new waves of Omicron infections are affecting older people in North Carolina even though more than 90 percent of people over 65 have had at least one dose of vaccine. For 65-74s, it’s 89 percent and for those older than 75, it’s a whopping 96 percent.

    But the nuances and variants matter here, too. That’s another bit of revised news that health care workers must tell the ranks of older vaccinated people: Omicron could still affect them. 

    “It certainly is the case that that Omicron variant is causing infections in people that are vaccinated,” Holland said.

    In addition, there are indications that vaccines can lower the risk of the vexing long COVID syndrome as well as the chances for the potentially devastating multisystem inflammatory syndrome in adults or MIS-A.

    “Getting a booster dose  really helps protect against Omicron and then most importantly it really protects against bad outcomes from  infections,” Holland said.

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  • Effort to Vaccinate Kids Stalls as Omicron Surges | Healthiest Communities Health News

    Effort to Vaccinate Kids Stalls as Omicron Surges | Healthiest Communities Health News

    By Rachana Pradhan and Hannah Recht

    The national effort to vaccinate children has stalled even as the omicron variant upends schooling for millions of children and their families amid staffing shortages, shutdowns and heated battles over how to safely operate. Vaccination rates vary substantially across the country, a KHN analysis of the federal data shows. Nearly half of Vermont’s 5- to 11-year-olds are fully vaccinated, while fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} have gotten both shots in nine mostly Southern states.

    Pediatricians say the slow pace and geographic disparities are alarming, especially against the backdrop of record numbers of cases and pediatric hospitalizations. School-based vaccine mandates for students, which some pediatricians say are needed to boost rates substantially, remain virtually nonexistent.

    “You have these large swaths of vulnerable children who are going to school,” said Dr. Samir Shah, a director at Cincinnati Children’s Hospital Medical Center. Compounding the problem is that states with low vaccination rates “are less likely to require masking or distancing or other nonpartisan public health precautions,” he said.

    In Louisiana, where 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of kids ages 5 to 11 have been fully vaccinated, Gov. John Bel Edwards, a Democrat, added the shot to the list of required school immunizations for the fall, over the objections of state legislators, who are mostly Republicans. The District of Columbia and California, where about 1 in 5 elementary school kids are fully vaccinated, have added similar requirements. But those places are exceptions — 15 states have banned COVID vaccine mandates in K-12 schools, according to the National Academy for State Health Policy.

    Mandates are one of multiple “scientifically valid public health strategies,” Shah said. “I do think that what would be ideal; I don’t think that we as a society have a will to do that.”

    Vaccine demand surged in November, with an initial wave of enthusiasm after the shot was approved for younger children. But parents have vaccinated younger kids at a slower pace than 12- to 15-year-olds, who became eligible in May. It took nearly six weeks for 1 in 5 younger kids to get their first shot, while adolescents reached that milestone in two weeks.

    Experts cite several factors slowing the effort: Because kids are less likely than adults to be hospitalized or die from the virus, some parents are less inclined to vaccinate their children. Misinformation campaigns have fueled concerns about immediate and long-term health risks of the vaccine. And finding appointments at pharmacies or with pediatricians has been a bear.

    “One of the problems we’ve had is this perception that kids aren’t at risk for serious illness from this virus,” said Dr. Yvonne Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases. “That’s obviously not true.”

    Parents are left to weigh which is more of a threat to their children: the COVID virus or the vaccine to prevent the virus. Overwhelmingly, research shows, the virus itself presents a greater danger.

    Kids can develop debilitating long-COVID symptoms or a potentially fatal post-COVID inflammatory condition. And new research from the CDC found that children are at significantly higher risk of developing diabetes in the months after a COVID infection. Other respiratory infections, like the flu, don’t carry similar risks.

    Katharine Lehmann said she had concerns about myocarditis — a rare but serious side effect that causes inflammation of the heart muscle and is more likely to occur in boys than girls — and considered not vaccinating her two sons because of that risk. But after reading up on the side effects, she realized the condition is more likely to occur from the virus than the vaccine. “I felt safe giving it to my kids,” said Lehmann, a physical therapist in Missouri, where 20{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of younger kids have gotten at least one dose.

    Recent data from scientific advisers to the CDC found that myocarditis was extremely rare among vaccinated 5- to 11-year-olds, identifying 12 reported cases as of Dec. 19 out of 8.7 million administered doses.

    The huge variations in where children are getting vaccinated reflect what has occurred with other age groups: Children have been much less likely to get shots in the Deep South, where hesitancy, political views and misinformation have blunted adult vaccination rates as well. Alabama has the lowest vaccination rate for 5- to 11-year-olds, with 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} fully vaccinated. States with high adult vaccine rates such as Vermont, Massachusetts, Connecticut and Maine have inoculated the greatest shares of their children.

    Even within states, rates vary dramatically by county based on political leanings, density and access to the shot. More than a quarter of kids in Illinois’ populous counties around Chicago and Urbana are fully vaccinated, with rates as high as 38{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in DuPage County. But rates are still below 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in many of the state’s rural and Republican-leaning counties. In Maryland, where 1 in 4 kids are fully vaccinated, rates range from more than 40{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in Howard and Montgomery counties, wealthy suburban counties, to fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} along parts of the more rural Eastern Shore.

    Nationally, a November KFF poll found that 29{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of parents of 5- to 11-year-olds definitely won’t vaccinate their children and that an additional 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} would do so only if required. Though rates were similar for Black, white and Hispanic parents, political differences and location divided families. Only 22{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of urban parents wouldn’t vaccinate their kids, while 49{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of rural parents were opposed. Half of Republican parents said they definitely wouldn’t vaccinate their kids, compared with just 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Democrats.

    The White House said officials continue to work with trusted groups to build vaccine confidence and ensure access to shots. “As we’ve seen with adult vaccinations, we expect confidence to grow and more and more kids to be vaccinated across time,” spokesperson Kevin Munoz said in a statement.

    The Hunt for Shots

    Just before her younger son’s 5th birthday, Lehmann was eager to book COVID vaccine appointments for her two boys. But their pediatrician wasn’t offering them. Attempts to book time slots at CVS and Walgreens before her son turned 5 were unsuccessful, even if the appointment occurred after his late-November birthday.

    “It was not easy,” she said. Wanting to avoid separate trips for her 10-year-old and 5-year-old, she nabbed appointments at a hospital a half-hour away.

    “Both of my kids have gotten all their vaccines at the pediatrician, so I was kind of shocked. That would have certainly been easier,” Lehmann said. “And the kids know those nurses and doctors, so I think it would have helped to not have a stranger doing it.”

    The Biden administration has pointed parents to retail pharmacies and 122 children’s hospitals with vaccine clinics. Nationwide, more than 35,000 sites, including pediatricians, federally qualified health centers and children’s hospitals have been set up to vaccinate young kids, according to the administration. Yet administering the COVID vaccine to children presents obstacles that haven’t been as prominent for other inoculations.

    Enrolling pediatricians in the COVID-19 vaccine program is a challenge because of the application process, reporting requirements for administered doses, and staffing, said Claire Hannan, executive director of the Association of Immunization Managers.

    “Many of them are short-staffed right now and don’t necessarily have huge capacity to serve,” she said. Plus, “it’s not as easy to engage the schools in school-based clinics in certain areas just due to the political environment.” Health centers, government officials and other groups have set up more than 9,000 school vaccination sites for 5- to 11-year-olds nationwide.

    The CDC’s long-standing program, Vaccines for Children, provides free shots for influenza, measles, chickenpox and polio, among others. Roughly 44,000 doctors are enrolled in the program, which is designed to immunize children who are eligible for Medicaid, are uninsured or underinsured, or are from Native or Indigenous communities. More than half of the program’s providers offer COVID shots, although the rates vary by state.

    Pharmacies have been heavily used in Illinois, where 25{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of 5- to 11-year-olds are fully vaccinated.

    Dr. Ngozi Ezike, a pediatrician and the director of the Illinois Department of Public Health, said 53{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of shots administered to younger children as of Jan. 5 were done at pharmacies. Twenty percent occurred at private clinics, 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at local health departments, 6{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at federally qualified health centers and 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at hospitals.

    “You need all pieces of the pie” to get more kids vaccinated, Ezike said.

    Kids Respond to ‘the Greater Good’

    The Levite Jewish Community Center in Birmingham, Alabama, tried to boost vaccinations with a party, offering games and treats, even a photo booth and a DJ, along with shots given by a well-known local pharmacy. Brooke Bowles, the center’s director of marketing and fund development, estimated that about half a dozen of the 42 people who got a dose that mid-December day were kids.

    Bowles was struck that children were more likely to roll up their sleeves when their parents emphasized the greater good in getting vaccinated. “Those children were just fantastic,” she said. In parts of the Deep South like this one, pro-vaccine groups face a tough climb — as of Jan. 12, only 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Jefferson County’s children had gotten both shots.

    The greater good is what pediatricians have emphasized to parents who are on the fence.

    “Children are vectors for infectious disease,” said Dr. Eileen Costello, chief of ambulatory pediatrics at Boston Medical Center. “They’re extremely generous with their microbes,” spreading infections to vulnerable relatives and community members who may be more likely to end up in the hospital.

    Seventy-eight percent of the hospital’s adult patients have received at least one dose. For children 5 and up, the figure is 39{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}, with younger children having lower rates than adolescents, Costello said. Particularly amid an onslaught of misinformation, “it has been exhausting to have these long conversations with families who are so hesitant and reluctant,” she said.

    Still, she can point to successes: A mother who lost a grandparent to COVID was nonetheless reluctant to vaccinate her son with obesity and asthma whom Costello was seeing for a physical. The mother ultimately vaccinated all four of her children after Costello told her that her son’s weight put him at higher risk for severe illness.

    “That felt like a triumph to me,” Costello said. “I think her thinking was, ‘Well, he’s a kid — he’s going to be fine.’ And I said, ‘Well, he might be fine, but he might not.’”

    This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues and one of the three major operating programs at KFF (Kaiser Family Foundation). It has been republished with permission.

    Methodology

    Vaccination numbers are from the Centers for Disease Control and Prevention as of Jan. 12.

    National vaccination rates are calculated by the CDC and include vaccinations provided by federal programs such as the Indian Health Service and the Department of Defense, as well as U.S. territories. To compare the vaccination rollout for kids and adolescents, we counted day 0 as the day the CDC approved the vaccine for each age group: May 12, 2021, for 12- to 15-year-olds and Nov. 2, 2021, for 5- to 11-year-olds.

    The CDC provides vaccination numbers at the state and county level. These numbers do not include the small fraction of children who were vaccinated by federal programs. To calculate rates for 5- to 11-year-olds, we divided by the total number of kids ages 5 to 11 in each state or county.

    To calculate the number of children ages 5 to 11 in each state, we used the U.S. Census Bureau’s 2019 Population Estimates Program “single year of age” dataset, the latest release available. For county-level data, we used the National Center for Health Statistics’ Bridged Race Population Estimates, which contain single-year-of-age county-level estimates. We selected the 2019 estimates from the 2020 vintage release so the data would reflect the same year as the state-level estimates.

    Vaccination data by age is unavailable for Idaho, counties in Hawaii and several California counties. For county-level vaccination data, we excluded states in which the county was unknown for at least 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the kids vaccinated in that state.

  • 6 Mental Health Tips for Students During Omicron

    6 Mental Health Tips for Students During Omicron

    3 min browse

    U.S. Surgeon Standard Dr. Vivek Murthy not long ago warned of the amplified prices of despair, stress, ADHD and suicide attempts in today’s youth. As an elementary faculty psychologist, I evaluate students’ social-psychological wants to enhance their psychological health and fitness and positive conduct. Starting my job at the top of the pandemic permitted me to see that children’s distress and trauma have been exacerbated. Psychological health stigmas persist, but it is very important to tackle children’s challenges to avoid an additional disaster.

    The Omicron variant threatens to further more derail balance in colleges, as distant mastering might grow to be vital once more to quell the pandemic’s new wave. With this, educators currently sense the difficulties in advance. This time very last year, teachers grappled with how to navigate new technological innovation, and households struggled to sustain a semblance of buy.

    My perform, generally with very low-earnings little ones of shade and small children with disabilities (two populations disproportionately affected by the pandemic and psychological health and fitness difficulties), highlighted the systemic limitations lots of confronted.

    [Read Related: COVID Continues in 2021, but we can Still Have Hope]

    Food, position, housing and political insecurity contributed to a perception of isolation and pressure. Inconsistent on the net logins impacted students’ potential to retain the curriculum, specially those people with distinctive education expert services, such as speech and language, students’ occupational and actual physical treatment and counseling.

    Specific educational interventions, geared toward pupils already struggling to stay on grade amount, were being paused. Standardized testing for distinct disabilities was cautionary, but social-psychological and behavioral assistance for all college students and their family members skyrocketed. 

    Following months of transforming from remote to hybrid types, most students have returned entire-time. In accordance to the National Institute of Wellbeing, additional than 140,000 university-aged children shed caregivers to COVID-19.

    Some kindergartners and first graders have hardly ever been portion of an in-man or woman course. Instructing essential social and pre-academic techniques this kind of as sharing, social distancing and sitting down accurately in a chair for an extended period of time were being paramount. College-primarily based fantastic motor expertise, this sort of as handwriting, coloring and slicing were tough. As the 12 months progressed, issues with emotional regulation and social trouble solving escalated.

    Faculties felt the simultaneous boost of disruptive conduct, struggles to remain centered and collective grief or burnout from educators who labored tirelessly over the past two several years.

    As kids return from wintertime break, I mirror on how the pandemic compounds the struggles linked with youth growth and improvement. Studying wholesome social abilities, challenge resolving and reasoning, self-advocacy and coping are elementary factors that a risk-free, structured school natural environment can give with in-individual modeling and reinforcement. While some little ones thrived remotely, others’ risk of difficulties and delays intensified with out the routines and expectations of a normal school working day.

    School-based mostly mental health and fitness clinicians supply students evidence-based and culturally mindful tactics to assistance their wellbeing. Family members may perhaps carry out these to assist instill the equipment required for life’s difficulties.

    1. Acknowledge

    Foremost, acknowledge that “negative” feelings this sort of as sadness, stress and anger are ordinary and expert by all. Condition that it is all right to sense these feelings and really encourage the capability to make favourable possibilities that enable us offer with them.

    2. Techniques

     Teach a multisensory deep respiratory physical exercise as a coping tactic and way to give pause. An instance is “birthday respiration,” where the individual’s palms relaxation on their tummy and they inhale/exhale when visualizing blowing out a birthday cake. An additional strategy is “take five respiration,” where one hand is prolonged like a star while the reverse finger traces up and down the fingers, coinciding with deep breaths. Normally exercise this even though calm as a means of remembering it when stressed.

    3. Stimulate Crucial Pondering

    To have interaction in trouble-fixing and self-recognition, persuade wondering about the “size of the problem.” Youngsters find out that their reactions should ideally match the severity of the issue as opposed to acquiring trapped focusing on the negative feelings involved with it.

    4. Emphasize Workflow

    To aid with focus and function completion, supply motor breaks and set ambitions on how significantly perform should be finished in a supplied time. Motivate the use of self-discuss to get the job done by the techniques of a trouble and designate specific workspaces devoid of distractions.

    5. Examine in Day-to-day

    Look at in with small children day by day to build their emotional vocabulary. Have them reply in an “I-statement” form, stating how they feel and why.

    6. Emphasize a Guidance Process

    Advocate to little ones that you are there for them often, regardless of problems and frustrations. Inform them that it is a discovering method and it is crucial to continue to keep seeking even when our thoughts improve and we don’t truly feel 100{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}.

    Optimistically, all kids are able of making resilience. They choose their emotional cues, from reframing unfavorable ideas to displaying empathy and admitting wrongdoing, from the folks all-around them. It is a two-fold obligation that adults within just the property and university environments collaborate in, endorsing a culture-huge exertion of beneficial youth psychological wellbeing. It is time to beat the damaging connotations encompassing mental overall health and give little ones the assist, assets and constructive part types when wanted.

    Priya Deonarine

    Priya D. Deonarine, M.S, NCSP, is the quintessential Pisces who has been radically shaped by her experiences and thoughts. She believes in forming deep interactions and neighborhood, advocating for a variety of societal leads to, and constantly learning about identification. An avid lover of all points escapism from splendor to badminton, Priya realized from a younger age that she wished to support other folks. Service swiftly grew to become the fantastic medium to learn additional about herself. Now, she is a university psychologist functioning in an urban elementary school and is passionate about parts connected to general public coverage, equality, and mental overall health.

  • Nutritionists share diet, indoor exercise tips to stay in shape amid Omicron | Health

    Nutritionists share diet, indoor exercise tips to stay in shape amid Omicron | Health

    Apprehensive that your New Year’s gymnasium or conditioning resolutions might be beaten hollow, courtesy Omicron lockdown or Deltacron emergence? Sweat not for the reason that regardless of the stay-at-dwelling orders and get the job done-from-residence existence brought on by this pandemic, we obtained the perfect solutions for individuals needing additional motivation to get healthful in 2022 and drop that undesirable fat acquired whilst remaining indoors.

    Your health journey need to have not stall in the existing circumstance of Omicron unfold and Covid-19 linked limits together with perform from home. Examine out these wellness guidelines on food plan and indoor exercising regimen to continue to be in shape amid coronavirus pandemic, as discovered by nutritionists.

    Diet plan tips:

    Mugdha Pradhan, Purposeful Nutritionist and Founder of iThrive, reveals that one’s diet program will have to be compliant with one’s body’s wants, lifestyle and environmental stresses. Suggesting a handful of modifications that one can make to have a healthier way of living, Mugdha listed:

    1. Reduce dangerous meals these types of as seed oils, sugar, refined flours and processed meals

    2. Include things like healthy food items this kind of as eggs, crimson meat, organ meat and ghee. 

    3. Just one of the most useful variations 1 can make is to decide on to snack on fruits. Fruits are a reward boost to your wellbeing.

    Elaborating further more on much healthier life-style changes that one really should integrate amid Omicron unfold, Madhavi Karmokar Sharma, Nutritionist and Accredited Diabetes Educator and Founder of Knowledgeable Well being exposed the techniques to a healthier eating plan chart. She shared:

    1. A straightforward food plan of house-cooked meals is the most sustainable option for wellbeing. Right here, not just the excellent and amount of foods is vital, but time of the meal is most important. 

    2. Aligning our entire body clock to the solar clock makes certain suitable digestion of the meal and the best possible assimilation of the vitamins.

    3. Commence your day with a warm regional breakfast like veg poha/ veg upma/ idli/ parantha. Keep it in a portion that will stimulate you to experience hungry around lunch time. 

    4. Finish your lunch by 1:30pm highest. Lunch can be dal/ sambhar/ kadhi as well as roti or rice and a seasonal cooked vegetable. 

    5. Have a mid-meal all around 4pm that can consist of tea and peanuts or chana or makhana. 

    6. Goal for an early supper. This can be basic roti furthermore sabzi/ nutrella/ paneer.

    Indoor exercise guidelines:

    “Functional movement and work out are two unique items. Workout is just 1 element of the motion it can be a thing we have appear up with to bridge the hole designed by our continual condition of immobility. The very best way to beat it is to maintain your human body in motion,” nutritionist Mugdha Pradhan prompt. She endorses:

    1. Take the stairs

    2. Show up at a connect with on foot

    3. Try out to continue to keep your rest pursuits as energetic as you can (like heading for a stroll) and not sit binging on Television set displays. 

    4. Make positive you just take regular breaks when doing the job and are not glued to your chair for extensive durations.

    As for each nutritionist Madhavi Karmokar, “All four facets of workout- power, endurance, extend and steadiness can be adhered to at house with a wise combination of routines.” She implies:

    1. Style a weekly exercise session timetable. 

    2. Contain yoga 2 times a week as Yoga addresses strength, steadiness and extend factors wonderfully. 

    3. Toughness teaching working with resistance bands or weights assistance establish lean entire body mass and in addition to improving upon metabolic process, hold hormones in a condition of balance. Even as minimal as 2 periods of energy education in a week help you reap these added benefits. 

    4. Inclusion of HIIT workout routines or Tabata sessions keeps the cardio element intact. These are tiny sessions of significant intensity exercise routine that make improvements to coronary heart health. 

    5. If you have a stationary bike or a treadmill at household, you can do a 30-45 minutes program twice a week rather.

    Recommending these approaches to ensure that we build a sustainable approach to food plan and workout amid the ongoing pandemic, Madhavi pointed out, “Don’t neglect the most underrated part of excellent health- sleep. Sleeping for 7-8several hours can help balance hormones, hence protecting against any sugar or junk cravings. Very good snooze also aids in recovery and you see a lot quicker final results from your workout routines.”

     

     

  • As Omicron Surges, Effort to Vaccinate Young Children Stalls

    As Omicron Surges, Effort to Vaccinate Young Children Stalls

    Two months after Pfizer’s covid vaccine was authorized for children ages 5 to 11, just 27{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} have received at least one shot, according to Jan. 12 data from the Centers for Disease Control and Prevention. Only 18{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}, or 5 million kids, have both doses.

    The national effort to vaccinate children has stalled even as the omicron variant upends schooling for millions of children and their families amid staffing shortages, shutdowns and heated battles over how to safely operate. Vaccination rates vary substantially across the country, a KHN analysis of the federal data shows. Nearly half of Vermont’s 5- to 11-year-olds are fully vaccinated, while fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} have gotten both shots in nine mostly Southern states.

    Pediatricians say the slow pace and geographic disparities are alarming, especially against the backdrop of record numbers of cases and pediatric hospitalizations. School-based vaccine mandates for students, which some pediatricians say are needed to boost rates substantially, remain virtually nonexistent.

    You have these large swaths of vulnerable children who are going to school,” said Dr. Samir Shah, a director at Cincinnati Children’s Hospital Medical Center. Compounding the problem is that states with low vaccination rates “are less likely to require masking or distancing or other nonpartisan public health precautions,” he said.

    In Louisiana, where 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of kids ages 5 to 11 have been fully vaccinated, Gov. John Bel Edwards, a Democrat, added the shot to the list of required school immunizations for the fall, over the objections of state legislators, who are mostly Republicans. The District of Columbia and California, where about 1 in 5 elementary school kids are fully vaccinated, have added similar requirements. But those places are exceptions — 15 states have banned covid vaccine mandates in K-12 schools, according to the National Academy for State Health Policy.

    Mandates are one of multiple “scientifically valid public health strategies,” Shah said. “I do think that what would be ideal; I don’t think that we as a society have a will to do that.”

    Vaccine demand surged in November, with an initial wave of enthusiasm after the shot was approved for younger children. But parents have vaccinated younger kids at a slower pace than 12- to 15-year-olds, who became eligible in May. It took nearly six weeks for 1 in 5 younger kids to get their first shot, while adolescents reached that milestone in two weeks.

    Experts cite several factors slowing the effort: Because kids are less likely than adults to be hospitalized or die from the virus, some parents are less inclined to vaccinate their children. Misinformation campaigns have fueled concerns about immediate and long-term health risks of the vaccine. And finding appointments at pharmacies or with pediatricians has been a bear.

    “One of the problems we’ve had is this perception that kids aren’t at risk for serious illness from this virus,” said Dr. Yvonne Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases. “That’s obviously not true.”

    Parents are left to weigh which is more of a threat to their children: the covid virus or the vaccine to prevent the virus. Overwhelmingly, research shows, the virus itself presents a greater danger.

    Kids can develop debilitating long-covid symptoms or a potentially fatal post-covid inflammatory condition. And new research from the CDC found that children are at significantly higher risk of developing diabetes in the months after a covid infection. Other respiratory infections, like the flu, don’t carry similar risks.

    Katharine Lehmann said she had concerns about myocarditis — a rare but serious side effect that causes inflammation of the heart muscle and is more likely to occur in boys than girls — and considered not vaccinating her two sons because of that risk. But after reading up on the side effects, she realized the condition is more likely to occur from the virus than the vaccine. “I felt safe giving it to my kids,” said Lehmann, a physical therapist in Missouri, where 20{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of younger kids have gotten at least one dose.

    Recent data from scientific advisers to the CDC found that myocarditis was extremely rare among vaccinated 5- to 11-year-olds, identifying 12 reported cases as of Dec. 19 out of 8.7 million administered doses.

    The huge variations in where children are getting vaccinated reflect what has occurred with other age groups: Children have been much less likely to get shots in the Deep South, where hesitancy, political views and misinformation have blunted adult vaccination rates as well. Alabama has the lowest vaccination rate for 5- to 11-year-olds, with 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} fully vaccinated. States with high adult vaccine rates such as Vermont, Massachusetts, Connecticut and Maine have inoculated the greatest shares of their children.

    Even within states, rates vary dramatically by county based on political leanings, density and access to the shot. More than a quarter of kids in Illinois’ populous counties around Chicago and Urbana are fully vaccinated, with rates as high as 38{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in DuPage County. But rates are still below 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in many of the state’s rural and Republican-leaning counties. In Maryland, where 1 in 4 kids are fully vaccinated, rates range from more than 40{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in Howard and Montgomery counties, wealthy suburban counties, to fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} along parts of the more rural Eastern Shore.

    Nationally, a November KFF poll found that 29{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of parents of 5- to 11-year-olds definitely won’t vaccinate their children and that an additional 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} would do so only if required. Though rates were similar for Black, white and Hispanic parents, political differences and location divided families. Only 22{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of urban parents wouldn’t vaccinate their kids, while 49{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of rural parents were opposed. Half of Republican parents said they definitely wouldn’t vaccinate their kids, compared with just 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Democrats.

    The White House said officials continue to work with trusted groups to build vaccine confidence and ensure access to shots. “As we’ve seen with adult vaccinations, we expect confidence to grow and more and more kids to be vaccinated across time,” spokesperson Kevin Munoz said in a statement.

    The Hunt for Shots

    Just before her younger son’s 5th birthday, Lehmann was eager to book covid vaccine appointments for her two boys. But their pediatrician wasn’t offering them. Attempts to book time slots at CVS and Walgreens before her son turned 5 were unsuccessful, even if the appointment occurred after his late-November birthday.

    “It was not easy,” she said. Wanting to avoid separate trips for her 10-year-old and 5-year-old, she nabbed appointments at a hospital a half-hour away.

    “Both of my kids have gotten all their vaccines at the pediatrician, so I was kind of shocked. That would have certainly been easier,” Lehmann said. “And the kids know those nurses and doctors, so I think it would have helped to not have a stranger doing it.”

    The Biden administration has pointed parents to retail pharmacies and 122 children’s hospitals with vaccine clinics. Nationwide, more than 35,000 sites, including pediatricians, federally qualified health centers and children’s hospitals have been set up to vaccinate young kids, according to the administration. Yet administering the covid vaccine to children presents obstacles that haven’t been as prominent for other inoculations.

    Enrolling pediatricians in the covid-19 vaccine program is a challenge because of the application process, reporting requirements for administered doses, and staffing, said Claire Hannan, executive director of the Association of Immunization Managers.

    “Many of them are short-staffed right now and don’t necessarily have huge capacity to serve,” she said. Plus, “it’s not as easy to engage the schools in school-based clinics in certain areas just due to the political environment.” Health centers, government officials and other groups have set up more than 9,000 school vaccination sites for 5- to 11-year-olds nationwide.

    The CDC’s long-standing program, Vaccines for Children, provides free shots for influenza, measles, chickenpox and polio, among others. Roughly 44,000 doctors are enrolled in the program, which is designed to immunize children who are eligible for Medicaid, are uninsured or underinsured, or are from Native or Indigenous communities. More than half of the program’s providers offer covid shots, although the rates vary by state.

    Pharmacies have been heavily used in Illinois, where 25{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of 5- to 11-year-olds are fully vaccinated.

    Dr. Ngozi Ezike, a pediatrician and the director of the Illinois Department of Public Health, said 53{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of shots administered to younger children as of Jan. 5 were done at pharmacies. Twenty percent occurred at private clinics, 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at local health departments, 6{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at federally qualified health centers and 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at hospitals.

    “You need all pieces of the pie” to get more kids vaccinated, Ezike said.

    Kids Respond to ‘the Greater Good’

    The Levite Jewish Community Center in Birmingham, Alabama, tried to boost vaccinations with a party, offering games and treats, even a photo booth and a DJ, along with shots given by a well-known local pharmacy. Brooke Bowles, the center’s director of marketing and fund development, estimated that about half a dozen of the 42 people who got a dose that mid-December day were kids.

    Bowles was struck that children were more likely to roll up their sleeves when their parents emphasized the greater good in getting vaccinated. “Those children were just fantastic,” she said. In parts of the Deep South like this one, pro-vaccine groups face a tough climb — as of Jan. 12, only 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Jefferson County’s children had gotten both shots.

    The greater good is what pediatricians have emphasized to parents who are on the fence.

    “Children are vectors for infectious disease,” said Dr. Eileen Costello, chief of ambulatory pediatrics at Boston Medical Center. “They’re extremely generous with their microbes,” spreading infections to vulnerable relatives and community members who may be more likely to end up in the hospital.

    Seventy-eight percent of the hospital’s adult patients have received at least one dose. For children 5 and up, the figure is 39{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}, with younger children having lower rates than adolescents, Costello said. Particularly amid an onslaught of misinformation, “it has been exhausting to have these long conversations with families who are so hesitant and reluctant,” she said.

    Still, she can point to successes: A mother who lost a grandparent to covid was nonetheless reluctant to vaccinate her son with obesity and asthma whom Costello was seeing for a physical. The mother ultimately vaccinated all four of her children after Costello told her that her son’s weight put him at higher risk for severe illness.

    “That felt like a triumph to me,” Costello said. “I think her thinking was, ‘Well, he’s a kid — he’s going to be fine.’ And I said, ‘Well, he might be fine, but he might not.’”

    Methodology

    Vaccination numbers are from the Centers for Disease Control and Prevention as of Jan. 12.

    National vaccination rates are calculated by the CDC and include vaccinations provided by federal programs such as the Indian Health Service and the Department of Defense, as well as U.S. territories. To compare the vaccination rollout for kids and adolescents, we counted day 0 as the day the CDC approved the vaccine for each age group: May 12, 2021, for 12- to 15-year-olds and Nov. 2, 2021, for 5- to 11-year-olds.

    The CDC provides vaccination numbers at the state and county level. These numbers do not include the small fraction of children who were vaccinated by federal programs. To calculate rates for 5- to 11-year-olds, we divided by the total number of kids ages 5 to 11 in each state or county.

    To calculate the number of children ages 5 to 11 in each state, we used the U.S. Census Bureau’s 2019 Population Estimates Program “single year of age” dataset, the latest release available. For county-level data, we used the National Center for Health Statistics’ Bridged Race Population Estimates, which contain single-year-of-age county-level estimates. We selected the 2019 estimates from the 2020 vintage release so the data would reflect the same year as the state-level estimates.

    Vaccination data by age is unavailable for Idaho, counties in Hawaii and several California counties. For county-level vaccination data, we excluded states in which the county was unknown for at least 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the kids vaccinated in that state.

    Visit the Github repository to read more about and download the data.

    KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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    This story can be republished for free (details).

  • Omicron: Useful health tips to manage Covid-19 in children and their caregivers | Health

    Omicron: Useful health tips to manage Covid-19 in children and their caregivers | Health

    Apart from creating the major disruption of instruction methods in record and impacting almost 1.6 billion students in far more than 190 international locations, Covid-19-linked actions are acquiring a profound effect on children’s wellbeing and effectively-remaining and for some,  the effect will be lifelong. The World Health Organisation highlighted that small children and adolescents of all ages and in all international locations are seriously suffering from the effects of the pandemic though the United Nations Kid’s Fund also alerted that they chance staying amid its most significant victims, Benefit Group.

    In its information, UNICEF claimed, “All young children, of all ages, and in all international locations, are remaining influenced, in certain by the socio-economic impacts and, in some situations, by mitigation measures that may inadvertently do extra damage than excellent.” The facts included, “Moreover, the harmful outcomes of this pandemic will not be dispersed similarly. They are anticipated to be most damaging for children in the poorest nations, and in the poorest neighbourhoods, and for these in by now disadvantaged or vulnerable predicaments.”

    On the other hand, the WHO comforted that SARS-CoV-2 bacterial infections among the small children and adolescents lead to much less serious ailment and fewer fatalities when compared to adults. However, if young children with delicate or no signs and symptoms transmit the disease, they may perhaps act as motorists of transmission in just their communities.

    With no vaccines planned for young children and a climbing pattern of them staying infected in the earlier two months, the only solution appears to be to be stricter surveillance, say medical practitioners. Dr Rachna Sharma, Senior Advisor at Paediatric Intensive Treatment and Pulmonology at BLK-MAX Tremendous Speciality Medical center in Delhi, outlined some beneficial recommendations that can be adopted to control Covid-19 in youngsters and their caregivers, to guarantee much better restoration even though protecting against the distribute of Covid-19.

    Pointers for Covid-19 favourable little ones:

    1. Retain the baby in perfectly-ventilated place with an connected toilet

    2. Hold the youngster away from aged, pregnant females, other kids and individuals with co-morbidities.

    3. Assign a focused caregiver.

    4. Keep them well hydrated.

    5. Newborns can be breastfed after the mom observes hand cleanliness program and wears mask.

    6. If necessary, Covid-19 optimistic mom can give expressed milk to the baby by means of the caregiver.

    7. No social gatherings or site visitors need to be authorized in the property.

    8. Devoted linen and consuming utensils should be made use of for the little one and stored separately

    Rules for treatment givers:

    1. Don surgical masks at all situations and transform each 6-8 several hours.

    2. Stay clear of immediate speak to with the body fluid of the contaminated youngster – oral or respiratory secretions and stool.

    3. Use disposable gloves and a mask to take care of dirty linen or system fluids.

    4. Clean and disinfect often touched surfaces these as toilet or furnishings in the place which are on a everyday foundation. Clear employing home bleach or 1{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} hypochlorite.

    5. Cleanse the patient’s clothing, linen, and towels, by utilizing a common detergent in sizzling water or a device wash at 60-90°C.

    Hand hygiene recommendations:

    1. Diligently follow hand hygiene measures.

    2. Observe hand cleanliness right before and just after elimination of gloves and mask.

    3. Thoroughly clean visibly soiled palms with soap and water.

    4. Use alcohol-centered hand rub commonly.

    5. Use disposable paper towels for hand drying. Alternatively use clear cloth towels. Swap usually.

    6. Dispose gloves, masks, and other waste in a waste bin with lid.

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