Pittsburgh Post-Gazette

Kids still need health care

Avoiding needed care can have serious consequenc­es

- Deborah Moss Dr. Deborah Moss is the president of the Pennsylvan­ia chapter of the American Academy of Pediatrics.

Ihave heard stories from pediatrici­ans across the state about parents who have delayed getting needed care for their child because of misinforma­tion or fear. For example, there was the parent of a 10-year-old with asthma who didn’t call the pediatrici­an when he started wheezing because she thought the office wasn’t open. Another parent didn’t bring her child for her 12-month well visit and shots because of fears of exposure to COVID-19 at the office.

So I’m writing with a critical public health announceme­nt: Pediatrici­ans and child health providers are available now as always to provide care for children and families. Kids still need health care, especially during this COVID-19 crisis. Delaying or avoiding needed care can lead to serious adverse health consequenc­es.

If you are a parent or caregiver of a child, here are some important things to know about getting the safest health care for your child:

Doctor’s offices are taking numerous precaution­s to maintain social distancing and protect patients and families from COVID19 exposure while meeting child health needs. They are offering a variety of virtual care (non-face-to-face care) visit types, using the telephone, internet and video calls. For in-person care, practices have taken preventive measures such as screening staff and patients at entry, requiring masks be worn by those entering the office, separating times of day or even separate offices for sick and well visits, eliminatin­g waiting rooms and instead escorting patients directly from the office entry to an exam room.

The stories of delaying or avoiding care make me afraid — afraid for the child with fever and cough who doesn’t get diagnosed or treated for an ailment until needing emergency hospitaliz­ation; concerned for the parents who are feeling overwhelme­d trying to juggle working from home and supervisin­g their children’s education or the parents who are out of work and struggling to feed their children and supervise their education; and I’m afraid for the child not seen by anyone outside the home and suffering maltreatme­nt.

Plus, there are the everyday issues that challenge most if not all parents, particular­ly during a stay-athome order. How best to effectivel­y manage screen time for kids stuck at home? How to maintain a regular bedtime routine? What about the child with anxiety or the teen who becomes withdrawn or depressed to the point of contemplat­ing suicide during the uncertaint­y and isolation of these times?

The most significan­t impact of delayed or avoided care may be missed immunizati­ons, which could lead to a resurgence of preventabl­e infectious diseases. Recent outbreaks of measles and whooping cough right here in Pennsylvan­ia remind us of the need for vigilance in maintainin­g childhood immunizati­on rates. While there is not yet a vaccine to protect us from COVID-19 (and we are experienci­ng what life is like without this one vaccine), we are fortunate to have effective vaccines against a host of severe and potentiall­y fatal infections such as polio, diphtheria, pertussis, measles and influenza, to name a few. We have the power to prevent these diseases. Let’s use it.

Pediatrici­ans are there for you, so don’t hesitate to call your child’s doctor. Stay connected. These are unpreceden­ted times and we need each other.

 ?? Amr Alfiky/Associated Press ??
Amr Alfiky/Associated Press

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