May is Asthma Awareness Month. Health and Human Services Secretary Kathleen Sebeliusa issued a statement asking us to consider what we can do better, as individuals and as a nation, in managing one of the most common lifelong chronic diseases.

In her statement she reports:

• More than 25 million Americans have asthma, including 7 million children.
•  Children with asthma missed more than 10 million days total of school in 2008.
• Medical expenses associated with asthma are estimated at $50 billion annually.
• It is critical to take the necessary steps to reduce asthma attacks.
• Successful asthma management includes: knowing the warning signs of an attack, avoiding things that may trigger an episode and following the advice of your health care provider.

The U.S. Department of Health and Human Services is working to raise awareness about asthma and to provide tools to help families and communities get the information they need:

• Having access to high-quality affordable health care is a must for asthma suffers.
• As a result of the Affordable Care Act, the 7 million children who have asthma cannot be denied health coverage now by insurance companies on the basis of a pre-existing condition. In 2014, that fundamental protection will be afforded to adults with asthma as well.
• We know that African-American children visit emergency departments for asthma care more often than Caucasian children, and that Latino children are less likely to see a doctor for routine office visits than non-Latino Caucasian children. While we’ve made progress in reducing disparities over the years, more needs to be done. That is why the health care law and Recovery Act investments are expanding the capacity of community health centers to care for the most vulnerable Americans regardless of their ability to pay.
• The Centers for Disease Control and Prevention is working with communities and schools to develop the tools they need to make their environments healthier for children with asthma.  Three Louisiana school districts, for example, have adopted indoor and outdoor air policies, such as requiring school buses to turn off their engines while idling. Rhode Island families have gotten help in learning how to manage their children’s asthma from the new Home Asthma Response Program, which identified potential participants during asthma-related emergency room visits.
• The National Asthma Education and Prevention Program–coordinated by the National Institutes of Health–promotes improved asthma care and control through a focused outreach effort centered on written asthma action plans.  These plans are a recommended but underutilized tool for managing asthma long-term and handling symptoms. These efforts include coordination with other federal agencies and key stakeholders and activities to promote resources and educational materials.

Secretary Sebeliusa concludes her statement by asking that we all learn what each of us and our communities can do to reduce the physical, social, and financial costs of asthma.

For more information, see http://www.cdc.gov/asthma/ and http://www.nhlbi.nih.gov/about/naepp.

Despite government and personal physician reassurances on vaccination safety there are parents still parents who are reluctant to get their children vaccinated.

Here are some frequently asked parent questions about vaccination safety and the answers from the NYC Dept of Health and Mental Hygiene.

Why should I get my children immunized? I thought no one gets these diseases anymore.

• Many childhood diseases are no longer common because of vaccines. But the germs that cause most of these diseases are still around. Between 2008 and 2011, about 700 New Yorkers each year got sick from vaccine-preventable diseases.
• When vaccination rates are low, these diseases can come back and spread quickly.
• In Europe, a measles outbreak spread through 30 countries in 2011, with more than 26,000 people infected. The outbreak was mainly due to low immunization rates.
• In 2011, almost 225 people contracted measles in the U.S., with 25 in New York City alone, mostly children and adults who had not been vaccinated.

Is it okay for my children to get so many vaccines at once?

• Yes. Children are exposed to thousands of germs every day. The killed or weakened germs in vaccines are very few compared to the millions of germs children fight off each day.

• Talk to your child’s doctor about combination vaccines, which protect against more than one disease with a single shot. They can reduce the number of shots and office visits your child will need.

I’ve heard it’s safer to skip some vaccines or wait to get my children vaccinated. Is this true?

• No. If you skip some vaccines or wait to get your child vaccinated, you put your child at risk. Your child could get very sick or even die from a serious disease that could have been prevented.
• Children should get the recommended vaccinations at the right age and on time.

For More Information About Vaccinations for Children: American Academy of Pediatrics: aap.org,Vaccine Education Center at the Children’s Hospital of Philadelphia: vaccines.chop.edu, Parents of Kids with Infectious Diseases: pkids.org, Immunization Action Coalition: immunize.org, Every Child By Two: ecbt.org

Did you ever read the salt content of fast foods? Scary! What is even scarier is the news that the same fast foods sold abroad have less salt in them.

According to a study that appeared in the April 16 issues of the  Canadian Medical Association’s journal, CMAJ there are significant differences in the amount of salt in fast foods sold in fast-food restaurants in the U.S., Canada and other countries.

Study researchers examined the salt content of more than 2,100 food items in seven product categories sold by Burger King, Domino’s Pizza, Kentucky Fried Chicken, McDonald’s, Pizza Hut and Subway in the United States, Canada, Australia, France, New Zealand and the United Kingdom.

Researchers found that McDonald’s fast food Chicken McNuggets in Canada contained 2.5 times more sodium than those in the United Kingdom. There were 600 milligrams of sodium (1.5 grams of salt) in a 3.5-ounce serving in Canada, but the same serving size in the United Kingdom contained 240 milligrams of sodium (0.6 grams of salt).

Norman Campbell, of the University of Calgary, and colleagues, said in a journal news release that”Canadian companies indicate they have been working to reduce sodium but the high sodium in these foods indicates voluntary efforts aren’t working.

These high levels indicate failure of the current government approach that leaves salt reduction solely in the hands of industry,” the researchers reported. “Salt-reduction programs need to guide industry and oversee it with targets and timelines for foods, monitoring and evaluation, and stronger regulatory measures if the structured voluntary efforts are not effective.”

The researchers concluded,”Decreasing salt in fast foods would appear to be technically feasible, and is likely to produce important gains in population health — the average salt levels of fast foods are high, and these foods are eaten often.”

SOURCE: Canadian Medical Association Journal, news release, April 11, 2012

If you’re looking for ways to get your kids more involved then you need to look no further than the kitchen.

Spending time together in the kitchen gives you a chance to not only prepare tasty meals and treats but also to teach them important lessons. Plus what kid doesn’t love to get their hands dirty?

Hesitant on including your kids in your cooking or baking? Here are five reasons why you should:

1.      Teaches the ins and outs of nutrition – Having your kids help you cook or bake is a great opportunity to teach them about the importance of nutrition and consuming a balanced diet full of plenty of lean proteins, fruits and vegetables, whole grains, and healthy fats. The obesity epidemic hinges largely on eating a lot of fast food and restaurant fare, and if you want to combat that in your own family then the first step is getting kids interested in cooking and having them understand the importance of healthy eating and good nutrition.

2.      It’s a math lesson in disguise  - Learning how to measure out ingredients and figure out serving sizes may seem like it’s just another component of cooking, but it’s actually teaching your kids valuable math lessons by rolling together fractions, addition, subtraction, etc. If you’re doubling up on a meal or scaling back on it you can get kids to figure out how much more or less of certain items they need to still get the correct measurements.

3.      Cooking and baking are mini science experiments – Why does spinach wilt in the microwave? How come banana bread rises in the oven? What happens when you combine certain ingredients together? Why do eggs become hardboiled eggs when they’re boiled? Every time you bake or cook something you’re essentially performing a small-scale science experiment in the form of food. Explain what’s happening during the cooking process and why certain things happen to sneak in a little science lesson during each cooking or baking experience.

4.      Encourages trying new foods– Kids are notoriously picky eaters; however including them in the cooking process can make them more open to trying new foods. The satisfaction they get from preparing a meal can be just what they need to propel them to actually eat the meal. Plus it gives you a chance to experiment together with different combinations until you find one that everyone can agree is delicious.

5.      It’s automatic quality time–Instead of hanging out watching TV or being holed up in their rooms playing video games you’ll have a rare moment where it’s just you and your kids working together and having fun. Neither you nor your kids will be focused on anything other than spending time with each other and making a great meal, and that is reason enough right there.

Cooking or baking with your kids gives you the unique opportunity to spend time together, save money, experiment in the kitchen, and expose them to new, healthy foods and recipes. They’ll take away more from those nights spent in the kitchen then they ever will playing on the computer or eating on the go.

About the Author: This guest post is contributed by Debra Johnson, blogger, editor & a knowledge gainer of  being full time nanny.  She welcomes your comments at her email Id: – jdebra84 @ gmail.com.

According to a new study conducted by Kaiser Permanente researchers, youngsters aged 4 to 6 are not at higher risk of febrile seizures after receiving measles vaccines.

The study, conducted by the Kaiser Permanente Vaccine Study Center and funded by the U.S. Centers for Disease Control and Prevention, looked at data from nearly 87,000 children ages 48 to 83 months who received the following vaccines: measles-mumps-rubella-chickenpox (MMRV) vaccine; the MMR vaccine plus the varicella vaccine for chickenpox, administered separately but on the same day; or either the MMR or varicella vaccine alone.

Febrile seizures are described as brief, fever-related convulsions. They are not fatal and do not lead to brain damage, epilepsy or other seizure disorders. The researchers noted that febrile seizures typically occur in children ages 6 months to 5 years, and the incidence of these seizures peaks at about 18 months of age.

There was no increased risk of febrile seizures among the children during the six weeks after they received any of the vaccines, according to the study, which appears in the current issue of the journal Pediatrics.

In a news release, lead author for the study, Dr. Nicola Klein, co-director of the Kaiser Permanente Vaccine Study Center, said, “The results provide reassuring evidence that neither MMRV nor MMR plus V appear to be associated with an increased risk of post-vaccination febrile seizures in this 4-to-6 age group.”

Dr. Bruce Hirsch, associate chairman for clinical services at North Shore University Hospital in Manhasset, N.Y. stated that, “Families of 4- to 6-year-olds can be reassured from this study that a combination MMRV vaccine is safe.” He went on to say that, “Febrile seizures are scary; the child develops a high fever and convulses The condition is surprisingly common and can occur after colds and other viral infections.”

(SOURCES: Bruce Hirsch, M.D., attending physician, Infectious Disease, North Shore University Hospital, Manhasset, N.Y.; Kaiser Permanente, news release, April 2, 2012)