Toronto Star

Pediatrici­ans give tips on keeping germs at bay

Vaccinatio­ns and hand washing good ways to keep children healthy

- TANYA ALTMANN AND TIFFANY FISCHMAN

Colder weather is upon us, which means the flu and other winter illnesses will soon follow. Contrary to popular belief, the cold weather itself, or getting caught outside on a cold, rainy day, doesn’t make us sick.

But certain viruses, including the flu and the virus that causes the common cold, seem to thrive in cool, dry winter air. People are also more likely to stay indoors in cooler weather, putting them in more frequent close contact with household objects and other people, both of which may harbour germs. And it’s a time when our bodies tend to get run down because of darker days and longer nights, less vitamin D from sunshine, less activity and holiday exhaustion.

Children seem to bear the brunt of winter illnesses and get sick frequently, mainly because their immune systems are less developed and they are always in close contact with other children, making it easier to share germs. But just because they’re more susceptibl­e doesn’t mean you can’t try to minimize the effects of cold, flu and other infections on your family. As pediatrici­ans, we’re exposed to all kinds of germs year-round, and we are old pros at preventing and battling sickness. Here are some measures that, in our experience, can help make those nasty illnesses less frequent, or at least less severe. Hand washing

It seems like ridiculous­ly basic advice, but when germs are ev- erywhere it really is your best defence against spreading them. Encourage your kids to wash properly, with soap, rather than just quickly rinsing their hands in the sink. This requires kids to rinse, lather and scrub for at least 20 seconds before doing a final rinse and then drying with a clean towel, or letting their hands air dry. Try to make it fun by having them sing the ABCs or another favourite tune while washing. Observe and help them until your kids are reliably doing this on their own and have made good hand hygiene a habit throughout the day. Washing with soap and water is generally better than using a hand sanitizer, but sanitizer is certainly better than nothing at all, so keep it handy when you are out and about. Vaccinatio­ns

Make sure your child’s vac- cines are up to date and get your annual flu shot. Vaccine-preventabl­e illnesses are fortunatel­y no longer very common, but that is because we have prevented many of them with these vaccines. So do your part and make sure your kids are up to date. It will keep your children healthy and also protect those who may not be able to receive vaccines because of chronic illness, disease or medication­s. Keep those little hands away from their faces

Kids’ hands get into everything and come into contact with a variety of fomites (household objects such as clothes, towels and furniture that are likely to carry germs). Teach them to keep their hands away from their mouths and noses as much as possible. When they put their fingers in their mouths and noses, it gives germs direct entry to the mucous membrane linings, and that makes getting into the body and the bloodstrea­m an easy next step. Sleep and nutrition

Aim for kids to get 10 hours of sleep each night, even for teens. Try to keep your routines streamline­d to maximize sleep and minimize wasted time that could be spent sleeping. A diet rich in whole foods, colourful fruits and veggies and free of processed junk food is another great way to keep your body healthy and strong enough to combat germs. Stay hydrated by drinking plenty of water.

Even with the most careful prevention, kids will still get sick. In most cases, it isn’t serious. Kids commonly experience some sort of upper respirator­y tract infection, with or without fever, several times per year.

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