Winter Safety 101


It may be cold outside, but it’s just as important for children to get physical activity during the winter as it is during the warmer months. Physical activity should be a healthy part of your family’s routine throughout the year. And safety should always be a central part of your children’s recreational fun.

Fun in the Winter Sun
It’s true that many safety concerns are the same regardless of season. For example, parents still need to remember sunscreen. Even though it might seem odd, you can get sunburn in the winter. The sunlight reflects off snow and ice.

Choose a sunscreen made for children with a sun protection factor (SPF) of at least 15. Apply the protection 15 to 30 minutes before going out. It needs to be reapplied every one and a half to two hours, particularly if your child spends a lot of time outside. Consult the instructions on the bottle. You should also wear protective eyewear and an SPF lip balm.

Safety in Layers
When thinking about outside activity, think about clothing, too. Layering is a good idea; so are moisture-wicking fabrics and clothing that’s geared to the sport. Keep in mind that regulating body temperature is more difficult in younger children (just as it is during warm weather), so hypothermia can occur more easily. For example, kids can sweat when they’re warm and, as they remove layers, that sweat can chill them quickly when it gets exposed to the cold air.

Parents have to be really proactive and responsible about dressing children appropriately in layers, covering their heads and necks.

Stay Alert
Injuries can happen anywhere, anytime. Be aware and use caution.

  • Children should always wear helmets while sledding, skiing, snowboarding, and playing ice hockey.
  • Parents should also make sure that the hill your children are sledding down doesn’t empty onto a pond that might not be frozen solid.
  • Don’t load up the sled with multiple riders; take turns. “Reckless play,” or actively trying to crash into each other or knock people off, is obviously a setup for injury.

By taking a few precautions, you can make sure that your children get the healthy benefits of winter exercise without taking unnecessary risks.

Source Adapted from Healthy Children Magazine. The information contained in this article should not be used as a substitute for the medical care and advice of your pediatrician.

January is Family Fit Lifestyle Month

Did you know that children need 60 minutes of play with moderate to vigorous activity every day? Given our hectic schedules otherwise, that seems like a lot! So, how can we find that kind of time on a regular basis? In honor of Family Fit Lifestyle Month, we’re offering these suggestions from the National Heart Lung and Blood Institute…


Make Time

  • Identify free times. Keep track of your daily activities for one week. Pick two 30-minute time slots you could use for family activity time.
  • Add physical activity to your daily routine. For example, walk or ride your bike to work or a friend’s house, walk the dog with your children, exercise while you watch TV, or park farther away from your destination.
  • Try to walk, jog, or swim during your lunch hour, or take fitness breaks instead of coffee breaks. Try doing something active after dinner with your family, or on weekends.
  • Check out activities requiring little time. Try walking, jogging, or stair climbing.

Bring Others Into It

  • Ask friends and family to support your efforts. Invite them to be active with you.
  • Develop new friendships with physically active people. Join a group, such as the YMCA or a hiking club.

Energize Yourself

  • Plan to be active at times in the day or week when you feel you have a lot of energy.
  • Convince yourself that if you give it a chance, physical activity will increase your energy level—then try it.

Stay Motivated

  • Plan ahead. Make physical activity a regular part of your family’s schedule. Write it on a family activity calendar.
  • Join an exercise group or class. Sign your children up for community sports teams or lessons.
  • Pick activities requiring no new skills, such as walking or climbing stairs.
  • Exercise with friends who are at the same skill level as you are. Create opportunities for your children to be active with friends.

Build New Skills

  • Find a friend who can teach you new skills.
  • Take a class to develop new skills and enroll your children in classes too, such as swimming, dancing, or tennis.

Use Available Resources

  • Select activities that don’t need costly sports gear, such as walking, jogging, jumping rope, or doing push-ups.
  • Identify cheap, local resources in your area, such as programs through your community center, park or recreation group, or worksite.

Make the Most of All Conditions

  • Develop a set of activities for you and your family that are always available regardless of weather, such as indoor cycling, indoor swimming, stair climbing, rope skipping, mall walking, dancing, and active games that you can play indoors.
  • When the weather is nice, try outdoor swimming, jogging, walking, or tennis.

Adapted from: “Overcoming Barriers to Physical Activity?” Centers for Disease Control and Prevention’s Division of Nutrition and Physical Activity.

Pediatrics Plus COVID Updates

December 31, 2021

As Covid numbers increase and we see a rise in sick patients, we continue to adapt to help our patients and community as best we can and to accommodate all the sick patients we possibly can. The increased demand for sick care may result in rescheduling well appointments or delays in returning calls about less urgent matters. We understand the frustration this may cause and thank you for your patience. Our staff continues to work long hours and we appreciate your understanding.

Covid Testing/Office Visits:

At this time, we are able to offer a limited number of in-office sick appointments for lower risk patients (those with no known exposures to Covid). We can offer telemedicine sick appointments for those at higher risk for Covid and can help facilitate Covid testing at YNHH for those patients.

We spoke with the YNHH Covid Hotline on 12/27/21 to clarify their booking protocol for tests. They told us that, if a patient has symptoms concerning for Covid and an order for a test from our office, the YNHH Covid Hotline will be able to book an appointment for testing that is sooner than those available on their website for self-referrals. Unfortunately, due to high demand, YNHH tells us that, at this time, they are unable to expedite testing appointments for asymptomatic patients, even with an order for a test from our office.

New CDC Isolation/Quarantine Guidelines:

The CDC released new Covid guidelines on 12/27/21. It’s difficult at this time to know exactly how to apply these new guidelines to our pediatric population. The recommendations seem mostly geared to getting adults back to work or the grocery store/other essential errands. They do not 100% translate to our pediatric population.

The shortened isolation/quarantine time does not mean someone with Covid is suddenly not contagious at day 5. You should assume that someone with Covid could be contagious for 10 days.

Here’s a summary based on our current understanding of the recommendations. We’ll update you in the future when further guidance is available from the CDC, AAP, or YNHH ID department.

First, a few important details:

  • The day you start to have symptoms (or test positive with no symptoms) is day 0. Day 1 is the next day, and so on.
  • “Quarantine” means staying home after an exposure. “Isolation” means staying home when you have Covid. But basically you’re doing the same thing: staying home so you don’t expose others to Covid
  • “Fully vaccinated” is defined by the CDC as receiving two doses of the vaccine plus a booster OR receiving two doses of the vaccine in the last 6 months and being 2 weeks out from your second dose. Adolescents 12-15 years old who are more than 6 months from their second dose but not yet eligible for a booster, are also considered “fully vaccinated.”


Start with the assumption that you should Isolate for 10 days. This may be able to be shortened for some people.

Who can Isolate for less time?

If you have no symptoms on day 5 (asymptomatic) AND can wear a mask 100% of the time when not at home, you can leave the house on day 6. But you could still be contagious through day 10, so you should wear a mask 100% of the time when not at home.

If you have symptoms of illness past day 5 or are unable to wear a mask 100% of the time when not at home (such as young children), you should not leave Isolation after 5 days.

Your school, daycare, place of employment, etc may have their own guidelines in place that are different from this, in which case follow the guidance of your school, daycare, place of employment, etc.


This is more complicated.

If you develop any symptoms of illness during the 10 days after exposure, even if mild symptoms:
You should Quarantine immediately until you can get tested for Covid. This is true even if you had a previously negative test.
This is true even if you are vaccinated.

If you have no symptoms of illness:
If you are “fully vaccinated”, you do not have to Quarantine. But for the 10 days after exposure, you should wear a mask 100% of the time when not at home, and you should get tested on day 5.

If you are unvaccinated or not “fully vaccinated” (see above), you should Quarantine for 5 days and get tested on day 5. If that test is negative, you can leave the house but should wear a mask 100% of the time when not at home (through day 10 after exposure).

If you cannot wear a mask 100% of the time when not at home (such as young children), you should Quarantine for 10 days. You should still get tested on day 5.

Your school, daycare, place of employment, etc may have their own guidelines in place that are different from this, in which case follow the guidance of your school, daycare, place of employment, etc.

Kinds of Covid tests:

The most accurate kind of Covid test is a molecular test (such as a PCR). That’s the kind of test we have in our office.

The other main kind of test are antigen tests (also called rapid tests). That’s the kind of test available for in-home use.

If you have symptoms of illness and a positive antigen test, you can assume it’s a “true positive” Covid test and no further testing is needed.

If you have a negative antigen test, it could be a “false negative” test, which means you might not be truly negative for Covid. You should get a molecular/PCR test to confirm.

If you’re sick, you could start by doing an antigen test at home. If positive, you’ve made the diagnosis of Covid and you don’t need further testing.

Healthy New Year’s Resolutions for Children & Teens


The start of the new year is a great time to help your children focus on forming good habits. The American Academy of Pediatrics (AAP) provides the following list of ideas for you to talk to your children about trying, depending on their age.


  • I will try hard to clean up my toys by putting them where they belong.
  • I will let my parents help me brush my teeth twice a day.
  • I will wash my hands after going to the bathroom and before eating.
  • I will learn how to help clear the table when I am done eating.
  • I will be friendly to all animals. I will learn how to ask the owners if I can pet their animal first.
  • I will do my best to be nice to other kids who need a friend or look sad or lonely.
  • I will talk with my parent or a trusted adult when I need help or am scared.

Kids, 5 to 12 years old

  • I will drink reduced-fat milk and water most days. Soda and fruit drinks are only for special times.
  • I will take care of my skin by putting on sunscreen before I go outdoors on bright, sunny days. I will try to remember to stay in the shade whenever possible and wear a hat and sunglasses, especially when I’m playing sports.
  • I will try to find a sport (like basketball or soccer) or an activity (like playing tag, jumping rope, dancing or riding my bike) that I like and do it at least three times a week!
  • I will always wear a helmet when riding a bike, scooter or skateboard.
  • I will wear my seat belt every time I get in a car. I’ll sit in the back seat and use a booster seat until I am tall enough to use a lap/shoulder seat belt.
  • I’ll try to be friendly to kids who may have a hard time making friends by asking them to join activities such as sports or games.
  • I will tell an adult about bullying that I see or hear about to do what I can to help keep school safe for everyone.
  • I will keep my personal info safe and not share my name, home address, school name or telephone number on the Internet. Also, I’ll never send a picture of myself to someone I chat with on the computer without asking my parent if it is okay.
  • I will try to talk with my parent or a trusted adult when I have a problem or feel stressed.
  • I promise that I’ll do my best to follow our household rules for videogames and internet use.

Kids, 13 years old and older

  • I will try to eat two servings of fruit and two servings of vegetables every day. I will drink sodas only at special times.
  • I will do my best to take care of my body through fun physical activity and eating the right types and amounts of foods.
  • When I have some down time for media, I will try to choose educational, high-quality nonn-violent TV shows and video games that I enjoy. I will spend only one to two hours each day – at the most – on these activities. I promise to respect out household rules for videogames and internet use.
  • I will do what I can to help out in my community. I will give some of my time to help others, working with community groups or others that help people in need. These activities will make me feel better about myself and my community.
  • When I feel angry or stressed out, I will take a break and find helpful ways to deal with the stress, such as exercising, reading, writing in a journal or talking about my problem with a parent or friend.
  • When faced with a difficult decision, I will talk about my choices with an adult whom I can trust.
  • When I notice my friends are struggling, being bullied or making risky choices, I will look for a trusted adultso that we can attempt to find a way to help.
  • I will be careful about whom I choose to date. I will treat the other person with respect and not force them to do something they do not want to do. I will not use violence. I will expect to be treated the same way in return.
  • I will resist peer pressure to try tobacco-cigarettes, drugs, or alcohol. I will also avoid the use of e-cigarettes.
  • I agree not to use a cell phone or text message while driving and to always use a seat belt.


Books Are a Uniquely Portable Magic

“Books are a uniquely portable magic.” ― Stephen King

Books also make wonderful holiday gifts. Wondering what books to get your child this year?

Consider the American Library Associations list of Notable Books for 2021. Each year, a committee of the Association for Library Service to Children (ALSC) identifies the best of the best in children’s books. According to the Notables Criteria, “notable” is defined as: Worthy of note or notice, important, distinguished, outstanding. As applied to children’s books, notable includes books of especially commendable quality, books that exhibit venturesome creativity, and books of fiction, information, poetry and pictures for all age levels (birth through age 14) that reflect and encourage children’s interests in exemplary ways.

NPR posts a beautiful collage of “Books We Love” on their website, including Kids’ Books, books for Young Adults, and some age-appropriate books under Comics & Graphic Novels.

From magical picture books and rollicking adventures, to the conclusion of Malorie Blackman’s Noughts and Crosses series, standout reads for all ages are included in The Guardian’s list of The Best Children’s and YA Books of 2021.

And just last week, Goodreads announced its reader-voted Best Books of 2021. Click below for more about these perfect gift ideas!

Young Adult Fiction
Young Adult Fantasy
Middle Grade & Children

Happy Reading and Happy Holidays!

Holiday Gatherings with Unvaccinated Kids


Can we attend holiday gatherings safely with our unvaccinated young children?

For many families, the holidays are about getting together with relatives and friends. As the COVID-19 pandemic continues, children younger than 5 years old are not yet eligible for the COVID-19 vaccine. Even though children ages 5-11 years can get vaccinated, it takes two weeks after the second dose to be fully protected.

Everyone can play a role in protecting those at higher risk of severe illness as we gather together this holiday season. If you’ll be celebrating with unvaccinated children and other higher-risk loved ones, keep these tips in mind to help minimize exposure to COVID-19.

Getting together for the holidays safely

Celebrate with fully vaccinated family and friends. Limiting gatherings to fully vaccinated guests is the best way to protect young children who are not yet vaccinated, or individuals who have weakened immune systems. Encourage loved ones who are eligible to get fully vaccinated before gatherings. Encourage everyone 18 and older to get booster shots. For loved ones who are not vaccinated, consider joining by video chat for traditions such as cooking a favorite dish, opening gifts, or sharing words of gratitude before the meal.

Urge guests to stay home if they have symptoms of COVID-19. They should get tested if they have symptoms of COVID-19 or have a close contact with someone who has COVID-19. Do not host or participate in any in-person festivities if you or anyone in your household has been:

  • diagnosed with COVID-19 and is still at risk of spreading it to others
  • has had any symptoms of COVID-19 within 48 hours of the gathering
  • is waiting for viral test results; or has a known exposure to someone with COVID-19 within the last 14 days

The safest way to prevent the spread of the highly contagious delta variant is for families with vaccinated and unvaccinated members to wear masks at all indoor gatherings with others.

Additional ways to reduce risk:

  • Keep the gathering small and short. Keep your guest list as small as possible and reduce the amount of time you would usually visit.
  • Open windows and celebrate outside when possible. Open windows for better ventilation. If weather permits, gather outdoors.
  • Consider an outdoor treat exchange. Another way to share the holiday spirit is to prepare traditional recipes for family and neighbors. Enjoy the treats outdoors with some hot cocoa or cider.
  • Keep it clean. Remind children to wash hands often, and keep hand sanitizer within reach.

What about holiday shopping?

Wear masks while shopping indoors, especially in areas with substantial or high COVID-19 transmission rates. Avoid bringing children under 2 years old with you during holiday shopping trips, since they are too young to wear masks, or go when stores are not as busy.

Can we travel for the holidays?

Public health experts are still discouraging people who are not fully vaccinated from traveling for holiday gatherings. Families who must travel and have children who are not fully vaccinated should choose the safest travel options for their group.

If your child is too young for the vaccine, you may want to travel by car with members of your household who are vaccinated in a private vehicle, if possible. Wear a mask at gas stations and rest stops. If you must travel by air, be careful around large groups clustered at security lines and concourses, wear masks in airports and on planes, and hang back until lines have thinned.


Stay safe this holiday season and your family will be even more grateful for your traditions in the years to come.

By Jennifer Shu, MD, FAAP, © The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Holiday Mental Health Tips

The holidays can be a happy time of year for many people, as they gather with family and friends, exchange gifts and celebrate traditions. But the changes in family routines and extra demands on time can also cause some added stress, especially for children and parents.

The American Academy of Pediatrics offers some tips to help your faily enjoy the best of the holiday season:

  • During the busy holiday time, try to keep household routines the same. Stick to your child’s usual sleep and mealtime schedules when you can, which may reduce stress and help your family enjoy the holidays.
  • Take care of yourself, both mentally and physically. Children and adolescents are affected by the emotional well-being of their parents and caregivers. Coping with stress successfully can help children learn how to handle stress better, too.
  • Make a plan to focus on one thing at a time. Try a few ideas to balance the hustle and bustle of things like shopping, cooking, and family get-togethers during the holidays: Stop and pay attention to what is happening at the moment, focus your attention on one thing about it, and notice how you are feeling at the time. Withhold immediate judgment, and instead be curious about the experience.
  • Give to others by making it an annual holiday tradition to share your time and talents with people who have less than you do. For example, if your child is old enough, encourage him or her to join you in volunteering to serve a holiday meal at your local food bank or shelter, or sing at a local nursing home. Help your child write a letter to members of the armed forces stationed abroad who can’t be home with their own family during the holidays.
  • Remember that many children and adults experience a sense of loss, sadness or isolation during the holidays. It is important to be sensitive to these feelings and ask for help for you, your children, family members or friends if needed.
  • Don’t feel pressured to over-spend on gifts. Consider making one or two gifts. Help your child make a gift for a parent, grandparent, or other important adults and friends. Chances are, those gifts will be the most treasured ones and will teach your child many important lessons.
  • Most important of all, enjoy the holidays for what they are–time to enjoy with your family. So, be a family, do things together like sledding or playing board games, and spend time visiting with relatives, neighbors and friends.

Source: American Academy of Pediatrics (Copyright © 2017). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

How to Practice Gratitude & Improve Your Family’s Mental Health

As the COVID-19 pandemic drags on, its effects on our everyday lives feel never-ending. As parents, we want to provide our children with a sense of consistency and normalcy in the middle of a time filled with uncertainty, fear, and change—not an easy task to accomplish.

We are all grappling with the ever-changing rules and demands placed on us by our “new normal” life at home, school, and work. It is mentally and physically exhausting work that often has no tangible reward. We may not be able to change this reality at the moment. However, we can focus our energies on “controlling what we can control” and practicing gratitude for the events—no matter how small—that enrich our days.

The habit of gratitude can help us get off the treadmill of everyday life and acknowledge the small victories that we all have every single day.

Reasons to be thankful: the health benefits

A growing number of studies have looked at the impact of gratitude on our overall health. The results show benefits to both our physical and emotional health. A recent study highlights the direct relationship between gratitude and happiness among young children.

Luckily, gratitude can be added to our daily routines without increasing our “to-do” and “to-learn” lists.

Beyond thanks: 5 ways to nurture gratitude in children

Teaching polite manners, such as saying “thank you,” isn’t the only way to promote gratitude in children. Here are some tips to help build a habit of gratitude in your children.

  1. Focus on what went “right” each day. Take a couple of minutes at bedtime to write down or talk about at least one thing, no matter how small, or one part of the day that you and your family are grateful for. Studies have shown that gratitude improves sleep quality and decreases symptoms like unexplained aches and pains. By focusing on the positive parts of the day, gratitude helps set us up for a positive outlook for the day to come.
  2. Don’t save conversations about gratitude for Thanksgiving. Whether driving back home or enjoying a family game night, talking about the people you are grateful for in your life—and why—can go a long way. Think about positive traits in others that make us feel grounded, loved, and give us a sense of security. Reminding ourselves of those high-quality relationships can help us manage anxious and sad thoughts more effectively.
  3. Promote sincere verbal or written expressions of thankfulness. Creating a habit of thankful expression helps to increase self-esteem, mental strength, and positive social behaviors—such as helping, sharing, and volunteering. All of these are vital to strengthening our resiliency, a trait that we all need right now.
  4. Find ways to help others in need. It’s important to encourage children and teens to take active steps in providing service to their communities. Help them find causes that they are interested in, such as volunteering for a nursing home or raising money for charity. By participating in such giving activities, they will gain a sense of purpose and develop skills that will help them succeed in life.
  5. Be a role model. One way to teach your children to be more grateful is by actually being more grateful yourself. Show them your appreciation on a regular basis and they will learn to follow in your footsteps. You can start by modeling good behavior and practicing positive discipline techniques.


Spending just a few minutes a day to practice gratitude with our families can have a positive impact on how we address stressful situations life unexpectedly throws our way. It is especially effective as part of an overall family wellness plan that focuses on healthy eating, sleeping, screen time habits, and daily physical activity. Regular check-ups with your pediatrician are also a wonderful opportunity to further discuss gratitude and other ways to improve your family’s physical and emotional resilience.

Be sure to talk with your pediatrician if you have any concerns about your child’s health and wellbeing.

Source: Datta Munshi MD, FAAP, American Academy of Pediatrics (Copyright © 2020). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Cleaners, Sanitizers & Disinfectants

Housecleaning may not be the most enjoyable activity in your day, but a few minutes killing germs can go a long way toward keeping your family healthy.

  • Routine cleaning with detergent or soap and water removes dirt and grime from surfaces (ex: floors, walls, carpet, windows).
  • Sanitizing removes dirt and small amounts of germs. Some items and surfaces are cleaned to remove dirt then sanitized (ex: bathrooms, counters, toys, dishes, silverware).
  • Some items and surfaces require the added step of disinfecting after cleaning to kill germs on a surface (ex: changing tables, sinks, counters, toys).

Use caution around cleaners, disinfectants & sanitizers

Although chemical disinfectants and sanitizers are essential to control communicable diseases, they are potentially hazardous to children, particularly if the products are in concentrated form.

  • Products must be stored in their original labeled containers and in places inaccessible to children.
  • Diluted disinfectants and sanitizers in spray bottles must be labeled and stored out of the reach of children.
  • Solutions should not be sprayed when children are nearby to avoid inhalation and exposing skin and eyes.
  • Before using any chemical, read the product label and manufacturer’s material safety data sheet.

Questions to consider when selecting a disinfectant

  • Is it inactivated by organic matter?
  • Is it affected by hard water?
  • Does it leave a residue?
  • Is it corrosive?
  • Is it a skin, eye, or respiratory irritant?
  • Is it toxic (by skin absorption, ingestion, or inhalation)?
  • What is its effective shelf life after dilution?

About bleach

Household bleach (chlorine as sodium hypochlorite) is active against most microorganisms, including bacterial spores and can be used as a disinfectant or sanitizer, depending on its concentration.

Bleach is available at various strengths:

  • Household or laundry bleach is a solution of 5.25%, or 52 500 parts per million (ppm), of sodium hypochlorite.
  • The “ultra” form is only slightly more concentrated and should be diluted and used in the same fashion as ordinary strength household bleach.
  • Higher-strength industrial bleach solutions are not appropriate to use in child care settings.

Household bleach is effective, economical, convenient, and available at grocery stores. It can be corrosive to some metal, rubber, and plastic materials. Bleach solutions gradually lose their strength, so fresh solutions must be prepared daily, and stock solutions must be replaced every few months. Bleach solution should be left on for at least 2 minutes before being wiped off. It can be allowed to dry, because it leaves no residue. Household bleach can be used to sanitize dishes and eating utensils. The concentration of chlorine used in the process is much less than that used for disinfecting other objects.

Cleaners containing disinfectants:

By separating out the cleaning and disinfecting processes, you will reduce the amount of disinfectant chemicals used.

  • Soiled objects or surfaces will block the effects of a disinfectant or sanitizer. Therefore, proper disinfection or sanitizing of a surface requires that the surface be cleaned (using soap or detergent and a water rinse) before disinfecting or sanitizing.
  • Bleach (the sanitizer/disinfectant) and ammonia (the cleaner) should never be mixed, because the mixture produces a poisonous gas.
  • Not all items and surfaces require sanitizing or disinfecting. See the Cleaning, Sanitizing, and Disinfecting Frequency Table from the National Association for the Education of Young Children (NAEYC) for more information.

Alternative/less toxic homemade cleaning products

Alternative or less toxic cleaners are made from ingredients such as baking soda, liquid soap, and vinegar. Many of the ingredients are inexpensive, so you may save money over time. However they may require more “elbow grease,” which means you may have to scrub harder.

Although the ingredients in homemade cleaners (e.g., baking soda for scrubbing, vinegar for cutting grease) are safer, not all are nontoxic. Treat them as you would any other cleaner, with caution.

Talk with your pediatrician

If you’re concerned about cleaning product safety, talk with your pediatrician. Your regional Pediatric Environmental Health Specialty Unit (PEHSU) have staff who can also talk with parents about concerns over toxins in cleaning products.

Source: Adapted from Pediatric Environmental Health, 3rd Edition (Copyright © American Academy of Pediatrics 2011). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.