Miami Herald (Sunday)

What you can do when you’re vaccinated, but your kids aren’t

- BY ALISON KNEZEVICH AND ALEX MANN Baltimore Sun

BALTIMORE

Many Americans are heading into a summer where adults in the family may be vaccinated against COVID-19, while the youngsters aren’t yet eligible – leaving parents and guardians wondering what activities are safe with their kids.

Experts say families still need to follow precaution­s, but that there are many activities that can be enjoyed with low risk. With spring in full swing, many families are eager to get out and have fun, though resuming activities or traveling still can cause nervousnes­s.

Most children who get COVID-19 have mild or no symptoms, but some can get very sick and cases are rising among youths. Kids with the virus also can pass it on to others even if asymptomat­ic.

Older teens already can be vaccinated, and opportunit­ies for those under 16 to get inoculated are expected to grow in the coming months.

This week, the U.S.

Food and Drug Administra­tion is expected to authorize the emergency use of the Pfizer/BioNTech vaccine, currently approved for those ages 16 and up, for kids aged 12 to 15. And the company said this week that it will apply in September for emergency use of the vaccine in children as young as 2. Moderna has begun clinical trials of its vaccine in children and expects results early next year. Johnson & Johnson has expanded clinical trials of its vaccine to include adolescent­s.

A GROWING SHARE OF CASES

For now, children make up a growing share of COVID-19 cases.

Dr. Jinlene Chan, Maryland’s deputy health secretary for public health services, said the increase could be attributab­le to the spread of more contagious variants of the virus, namely the mutation first

Because the platysma muscle is very superficia­l and very thin, it is important that your injector understand the anatomy so as not to go too deep and cause you to have either trouble swallowing or trouble breathing.

If your chin droops, Botox may help. By injecting Botox just inferior to your chin to relax the muscle, your chin will elevate and thus your jaw line will appear to be stronger and more youthful.

As you get older, the skin of your neck becomes thinner and has less elastic fibers. This may be due to your genetic inheritanc­e or it may be due to the sun. When you’re young, your skin is more elastic and detected in the United Kingdom, which has become the predominan­t form of the virus in the state. She also pointed out that the youngest residents have not been vaccinated while older population­s are.

In general, Chan said, the rise in cases among children hasn’t been linked to any activities in particular, though she noted contact tracing data shows youth sports and other school-related activities have been associated with outbreaks. Chan reiterated that masking is crucial in settings where children are present.

Dr. Leana Wen, the former Baltimore health commission­er, encourages will not allow the strong muscle pull of your platysma to pull it down.

Often, with the pulling of your platysmal muscle, your neck will lose its youthful look and you will note cords that appear to pull your skin down.

This is probably the most common complaint that I use Botox for in patients over 50. By injecting Botox in these cords carefully, I create a chemical myectomy (cutting of the muscle). This is a procedure that is commonly done during a face-lift to improve the appearance of the neck. The injections have to be placed strategica­lly and therefore your injector must understand the neck anatomy intimately. parents to get outside, picking activities like outdoor get-togethers, walks and trips to parks and the beach.

“Outdoors is very protective, so be outdoors as much as possible,” Wen said.

Depending on parents’ comfort level, Wen considers it OK for children to play outside without masks if there are only a few kids around.

USE PRECAUTION­S

But parents should not throw caution to the wind, she said, adding: “Use the same precaution­s you would in social settings as you would in school.”

That includes masks indoors when not in the

Q. I am a 60-year-old high level recreation­al runner that developed pain while running in my right hamstring. The pain has been present for two weeks.

It started out just in the back of my upper thigh but now radiates from my gluteal region to my calf. Surprising­ly, my hamstring is not tender to the touch. I rested it for a week but when I returned to run, my pain came back worse.

I really miss running and wonder what I should do to get better quickly.

A. There can be several reasons for discomfort in your hamstring region. The hamstrings are three muscles in the back of the thigh that help you flex your home. And hand hygiene remains important, added Wen, who said she regularly applies hand sanitizer to her toddler when they go to the playground.

She urged adults to get vaccinated, as “having everyone else in the family be vaccinated helps the children.”

Parents still need to take precaution­s as summer arrives, said Dr. Amber D’Souza, an epidemiolo­gist at the Johns Hopkins Bloomberg School of Public Health. Anyone who is not vaccinated remains susceptibl­e to the virus, she said.

“Think about the way that you’re traveling and the locations that you’re choosing,” she said. “Picking non-congested locations to have fun is going to keep risk lower.”

RETURN TO THE PLAYGROUND

Jackie McHale, 45, said preschool reopened for her son Quin, 4, in February and they began returning to the playground­s this spring after a “monotonous” year at home.

News of reopening and more people getting vaccinated has made McHale feel more comfortabl­e about going out in public with Quin.

“As long as it’s not super-crowded and the kids are wearing their masks, we feel pretty safe,” McHale said as Quin scootered around Federal Hill Park on Tuesday afternoon.

Quin resisted wearing a mask at first, she said, and it was hard to explain why he couldn’t play with other children.

“It was such a burden – for us and for him,” McHale said. “As a parent, it just breaks your heart.”

Now, Quin gravitates toward his peers whenever they go outside because he missed being around them, McHale said. Quin wears a mask whenever his mom tells him to, usually when there are other kids around, and McHale has signed him up for summer camps, she said.

A friend texted McHale the other day. “I’m nervous, are you guys doing camps this year?” McHale recalled her friend saying.

She said she’s OK with camp so long as they follow CDC guidelines and conduct most of the activities outdoors.

“It’s like a breath of fresh air,” she said. knee and extend your hip.

However, without a history of an acute injury and without hamstring tenderness, I think your pain may related to your lower back. A combinatio­n of a lumbar disc injury and arthritic narrowing of the spinal canal can result in nerve root compressio­n and sciatic nerve symptoms.

Pain, burning or numbness can be felt from your buttock down the back of the thigh and even into the calf or foot. Other possible causes of posterior thigh pain while running include compressio­n of the sciatic nerve by the piriformis muscle or a stress fracture.

I suggest you see an orthopedic surgeon to establish an accurate diagnosis so you can return to running soon. Initial treatment for someone with mild symptoms like yourself usually starts with an anti-inflammato­ry medication and rehab. If this is ineffectiv­e, then an MRI scan of the lower back and thigh may be necessary.

 ?? KIM HAIRSTON TNS ?? Quin McHale, 4, of plays in a Baltimore area playground.
KIM HAIRSTON TNS Quin McHale, 4, of plays in a Baltimore area playground.
 ?? Phillip Reeson/UPPA/TNS ?? An experience­d doctor who works with Botox can help prevent some issues that may come up.
Phillip Reeson/UPPA/TNS An experience­d doctor who works with Botox can help prevent some issues that may come up.

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