Eye Exams…When to Start and Why

According to the American Optometric Association (AOA), infants should have their first eye exam at 6 months of age. Children then should have additional eye exams at age 3, and just before they enter the first grade — at about age 5 or 6.

For school-aged children, the AOA recommends an eye exam every two years if no vision correction is required. Children who need eyeglasses should be examined annually or as recommended by their eye doctor.

The AOA stresses early eye exams for children because 5 to 10 percent of preschoolers and 25 percent of school-aged children have vision problems. Early eye exams also are important because children need the following basic skills related to good eyesight for learning:

  • Near vision           eye
  • Distance vision
  • Binocular (two eyes) coordination
  • Eye movement skills
  • Hand-eye coordination
  • Focusing skills
  • Peripheral awareness

For these reasons, some states require a mandatory eye exam for all children entering school for the first time.

The American Academy of Ophthalmology (AAO) says on its Web site that your family doctor or pediatrician likely will be the first medical professional to examine your child’s eyes. If eye problems are suspected during routine physical examinations, a referral might be made to an eye doctor for further evaluation. Eye doctors have specific equipment and training to assist them with spotting potential vision problems.

Babies should be able to see as well as adults in terms of focusing ability, color vision and depth perception by 6 months of age. To assess whether a baby’s eyes are developing normally, the doctor typically will use the following tests:

  • Tests of pupil responses evaluate whether the eye’s pupil opens and closes properly in the presence or absence of light.
  • “Fixate and follow” testing determines whether your baby’s eyes are able to fixate on and follow an object such as a light as it moves. Infants should be able to fixate on an object soon after birth and follow an object by the time they are 3 months old.
  • Preferential looking involves using cards that are blank on one side with stripes on the other side to attract the gaze of an infant to the stripes. In this way, vision capabilities can be assessed without the use of a typical eye chart.

 Preschool-age children do not need to know their letters in order to take certain eye tests. Some common eye tests used specifically for young children include:

  • LEA Symbols for young children are similar to regular eye tests using charts with letters, except that special symbols in these tests include an apple, house, square and circle.
  • Retinoscopy is a test that involves shining a light into the eye to observe the reflection from the back of the eye
  • Random Dot Stereopsis testing uses special patterns of dots and 3-D glasses to measure how well your child’s eyes work together as a team.

AAO offers the following reminders:

  • Appropriate vision testing at an early age is vital to insure your child has the visual skills he or she needs to perform well in school.
  • A child who is unable to see print or view a blackboard can become easily frustrated, leading to poor academic performance.
  • Some vision problems, such as lazy eye, are best treated if they are detected and corrected as early as possible while the child’s vision system is still developing.

What About Those Other Foods?

foodsa

Many of us are good at reading the nutritional labels on the foods we buy, but what about the other labels that some foods carry. What about labels such as “fat-free,” “reduced calorie,” or “light.”

Here are some definitions from the U.S. Department of Health and Human Services Office on Women’s Health that might be helpful:

Calorie terms:

  • Low-calorie – 40 calories or less per serving
  • Reduced-calorie – at least 25 percent fewer calories per serving when compared with a similar food
  • Light or lite – one-third fewer calories; if more than half the calories are from fat, fat content must be reduced by 50 percent or more

Sugar terms:

  • Sugar-free – less than 1/2 gram sugar per serving
  • Reduced sugar – at least 25 percent less sugar per serving when compared with a similar food

Fat terms:

  • Fat-free or 100 percent fat free – less than 1/2 gram fat per serving
  • Low-fat – 3 grams or less per serving
  • Reduced-fat – at least 25 percent less fat when compared with a similar food

Remember that fat-free doesn’t mean calorie free. People tend to think they can eat as much as they want of fat-free foods. Even if you cut fat from your diet but consume more calories than you use, you will gain weight.

Also, fat-free or low-fat foods may contain high amounts of added sugars or sodium to make up for the loss of flavor when fat is removed. You need to check the food labels carefully. For example, a fat-free muffin may be just as high in calories as a regular muffin. So, remember, it is important to read your food labels and compare products.

Finding the nutrient content of foods that don’t have food labels:

When you get a pound of salmon in the meat department of your grocery store, it doesn’t come with a Nutrition Facts label. The same goes for the fresh apples or eggplants that you get in the produce department.

How do you find out the nutrient content of these foods that don’t have food labels?

You can use the U.S. Department of Agriculture (USDA) National Nutrient Database. This is a bit harder than using the Nutrition Facts label. But by comparing different foods you can get an idea if a food is high or low in saturated fat, sodium, and other nutrients. To compare lots of different foods at one time, check out the USDA’s Nutrient Lists.

Bedroom Fire Safety

fireIt seems that the nightly news carries coverage of at least one home fire a week during the winter months.

It may be a good time to share this fire safety message from the US Fire Safety Administration with your family members.

Bedroom Fires

Each year, fire claims the lives of 3,400 Americans and injures approximately 17,500. Bedrooms are a common area of fire origin. Nearly 600 lives are lost to fires that start in bedrooms.

Many of these fires are caused by misuse or poor maintenance of electrical devices, such as overloading extension cords or using portable space heaters too close to combustibles. Many other bedroom fires are caused by children who play with matches and lighters, careless smoking among adults, and arson.

The United States Fire Administration (USFA) and the Sleep Products Safety Council (SPSC) would like you to know that there are simple steps you can take to prevent the loss of life and property resulting from bedroom fires.

Kids and Fire: A Bad Match

Children are one of the highest risk groups for deaths in residential fires. At home, children usually play with fire – lighters, matches and other ignitables – in bedrooms, in closets, and under beds. These are “secret” places where there are a lot of things that catch fire easily.

  • Children of all ages set over 35,000 fires annually.
  • Every year over 400 children nine years and younger die in home fires.
  • Keep matches and lighters locked up and away from children. Check under beds and in closets for burnt matches, evidence your child may be playing with matches.
  • Teach your child that fire is a tool, not a toy.

Appliances Need Special Attention

Bedrooms are the most common room in the home where electrical fires start. Electrical fires are a special concern during winter months which call for more indoor activities and increases in lighting, heating, and appliance use.

  • Do not trap electric cords against walls where heat can build up.
  • Take extra care when using portable heaters. Keep bedding, clothes, curtains and other combustible items at least three feet away from space heaters.
  • Only use lab-approved electric blankets and warmers. Check to make sure the cords are not frayed.

Tuck Yourself In For A Safe Sleep

  • Never smoke in bed.
  • Replace mattresses made before the 2007 Federal Mattress Flammability Standard. Mattresses made since then are required by law to be safer.

Finally, having working smoke alarms dramatically increases your chances of surviving a fire. Place at least one smoke alarm on each level of your home and in halls outside bedrooms. And remember to practice a home escape plan frequently with your family.


Bicycle Safety: An Issue for Adult Riders

BICYCLE

 Kids are not the only ones who have to practice bicycle safety. According to a press release from the Governors Highway Safety Association, adult bike fatalities are on the rise.

Press Release: Bicyclist Fatalities a Growing Problem for Key Groups

WASHINGTON, D.C. – The number of bicyclists killed on U.S. roadways is trending upward, particularly for certain subsets of the population, according to a recent report released by the Governors Highway Safety Association (GHSA). GHSA’s notes that yearly bicyclist deaths increased 16 percent between 2010 and 2012, while overall motor vehicle fatalities increased just one percent during the same time period.

The report’s author, former Insurance Institute for Highway Safety Chief Scientist Dr. Allan Williams, analyzed current and historical fatality data to uncover bicyclist crash patterns. There have been some remarkable changes. For example, adults 20 and older represented 84 percent of bicyclist fatalities in 2012, compared to only 21 percent in 1975. Adult males comprised 74 percent of the total number of bicyclists killed in 2012.

Bicycle fatalities are increasingly an urban phenomenon, accounting for 69 percent of all bicycle fatalities in 2012, compared with 50 percent in 1975. These changes correlate with an increase in bicycling commuters – a 62 percent jump since 2000, according to 2013 Census Bureau data.

While bicyclists killed in motor vehicle crashes increased in 22 states between 2010 and 2012, six states – California, Florida, Illinois, New York, Michigan and Texas – represented 54 percent of all fatalities.

“These are high population states with many urban centers,” pointed out Williams, “and likely reflect a high level of bicycle exposure and interaction with motor vehicles.”

There are some bicycle fatality data that remain unchanged over the decades. Bicyclists killed are predominantly males (88 percent in 2012), and lack of helmet use and alcohol impairment continue to contribute to bicyclist deaths. In 2012, two-thirds or more of fatally injured bicyclists were not wearing helmets, and 28 percent of riders age 16 and older had blood alcohol concentrations (BAC) of .08 percent or higher, compared with 33 percent of fatally injured passenger vehicle drivers.

“What’s notable here,” said Dr. Williams, “is that the percentage of fatally injured bicyclists with high BACs has remained relatively constant since the early 1980s and did not mirror the sharp drop in alcohol-impaired driving that happened among passenger vehicle drivers in the 1980s and early 1990s.”

State Highway Safety Offices are giving bicyclist safety considerable attention, despite bicyclists representing two percent of overall motor vehicle-related fatalities, a proportion that has remained constant since 1975.

“Many states are dedicating resources to ensuring the safety of all roadway users, including bicyclists, by investing in educating bicyclists and motorists, promoting helmet use, enforcing motor vehicle laws and implementing infrastructure changes,” said Jonathan Adkins, GHSA Executive Director.

As an example, the New York Governor’s Traffic Safety Committee promotes helmet use by funding bicycle helmet distribution programs and proper fit training. In Florida, police officers are stopping bicyclists who ride without lights at night, providing lights to those who are less able to afford them and helping to affix them to bikes.

Adkins stressed that helmet laws are an effective countermeasure particularly with so many inexperienced riders expected to choose bicycling in the coming years. Twenty-one states have helmet laws for younger riders, but no state has a universal helmet law and twenty-nine states do not have any kind of bicycle helmet law.

On the engineering side, several states are adopting Complete Streets policies, which take into consideration all travel modes when building and/or improving existing roadway systems. They are also stepping up efforts to collect information on bicycle crash patterns and locations, which is critical for making informed decisions about countermeasures and resource allocation.

Adkins noted that while bicyclist fatalities are a problem in some states, unlike many highway safety challenges, this is not necessarily a national issue. Twenty-three states averaged five or fewer deaths per year between 2010 and 2012. This suggests a need to focus resources on those states and locations where bicyclist fatalities most often occur.

About GHSA
The Governors Highway Safety Association (GHSA) is a nonprofit association representing the highway safety offices of states, territories, the District of Columbia and Puerto Rico. GHSA provides leadership and representation for the states and territories to improve traffic safety, influence national policy, enhance program management and promote best practices. Its members are appointed by their Governors to administer federal and state highway safety funds and implement state highway safety plans. Contact GHSA at 202-789-0942 or visit www.ghsa.org. Find us on Facebook at www.facebook.com/GHSAhq or follow us on Twitter at @GHSAHQ.

 

Medicines Can Hurt…Use and Store Carefully

medicines

Each year, nearly  500,000 calls to the Poison Control Center are about children ingesting medicines that belong predominately to parents and grandparents.

Safe Kids Worldwide shares the following tips about keeping your child safe from medicines that could have serious consequences for them.

Store Medicines Safely

  • Put all medicines up and away and out of sight including your own. Make sure that all medicines and vitamins are stored out of reach and out of sight of children. In 3 out of 4 emergency room visits for medicine poisoning, the child got into medicine belonging to a parent or grandparent.
  • Consider places where kids get into medicine. Kids get into medication in all sorts of places, like in purses and nightstands.  In 67% of emergency room visits for medicine poisoning, the medicine was left within reach of a child, such as in a purse, on a counter or dresser, or on the ground. Place purses and bags in high locations, and avoid leaving medicines on a nightstand or dresser.
  • Consider products you might not think about as medicines. Most parents store medicine up and away – or at least the products they consider to be medicine. They may not think about products such as diaper rash remedies, vitamins or eye drops as medicine, but they actually are and need to be stored safely.
  • Close your medicine caps tightly after every use. Choose child-resistant caps for medicine bottles, if you’re able to. If pill boxes or non-child resistant caps are the only option, it’s even more important to store these containers up high and out of sight when caring for kids. And remember, child-resistant does not mean child-proof, and some children will still be able to get into medicine given enough time and persistence.
  • Be alert to visitors’ medicine. Guests in your home may not be thinking about the medicine they brought with them in their belongings. In 43% of emergency room visits for medicine poisoning, the medicine a child got into belonged to a relative, such as a grandparent, aunt or uncle. When you have guests in your home, offer to put purses, bags and coats out of reach of children to protect their property from a curious child.
  • Be alert to medicine in places your child visits. You know to store medicine safely in your home, but do you ever think about medicine safety when your child isn’t at home? Asking people your child visits to put their medicines in a safe place works for some parents, but it may feel socially awkward to others.  Another option is to take a look around to see if any medicines are stored within reach and deal with any risks in sight.
  • Even if you are tempted to keep it handy, put medicine out of reach after every use. When you need to give another dose in just a few hours, it may be tempting to keep medicine close at hand. But accidents can happen fast, and it only takes a few seconds for children to get into medicine that could make them very sick. Put medicine up and away after every use. And if you need a reminder, set an alarm on your watch or cell phone, or write yourself a note.

Give Medicines Safely

  • Use the dosing device that comes with the medicine. Proper dosing is important, particularly for young children. Kitchen spoons aren’t all the same, and a teaspoon and tablespoon used for cooking won’t measure the same amount as the dosing device.
  • Keep all medicines in their original packages and containers.
  • Take the time to read the label and follow the directions. Even if you have used the medicine before, sometimes the directions change about how much medicine to give.
  • Even if your child seems really sick, don’t give more medicine than the label says. It won’t help your child feel better faster, and it may cause harm.
  • Read the label and know what’s in the medicine. Take the time to read the label and follow the directions on your child’s medicine. Check the active ingredients listed on the label. Make sure you don’t give your child more than one medicine with the same active ingredient, because it puts your child at risk for an overdose.

Communicate to Caregivers

  • If you are depending on someone else to give your child medicine, communicate clearly to avoid double dosing or dosing errors. More than 67,000 parents call poison control centers about dosing errors each year.
  • Write clear instructions to other caregivers, including what medicine to give, when to give it and the correct dose.

Get Rid of Medicines Safely

  • Clean out your medicine cabinet. Reduce the risk of kids getting into medicine by getting rid of unused or expired medicine. Many communities have a medicine take-back program. This is an easy way to get rid of your unused or expired medicines.
  • To dispose of it yourself, pour the medicine into a sealable plastic bag. If the medicine is a pill, add water to dissolve it. Then add kitty litter, sawdust or coffee grounds to the plastic bag. You can add anything that mixes with the medicine to make it less appealing for children or pets.
  • The Food and Drug Administration (FDA) says that certain medicines are so dangerous they should be flushed down the toilet.

Talk to Your Kids about Medication Safety

  • Talk to your kids about medication safety. Even if their medicine tastes good, don’t compare it to candy to encourage kids to take it.
  • Speak with older kids about the dangers of misusing or abusing prescription or over-the-counter medicines.

Educate Grandparents

  • It is estimated that in 38 percent of ER visits involving a medicine poisoning, the medicine belonged to a grandparent. Talk to grandparents about being extra mindful with medicine or pillboxes when children are around.
  • Don’t forget to remind other family members and visitors as well.

Put the Poison Help Number in Your Phone

  • Put the toll-free number for the Poison Control Center (1-800-222-1222) into your home and cell phones. You can also put the number on your refrigerator or another place in your home where babysitters and caregivers can see it. And remember, the poison help number is not just for emergencies, you can call with questions about how to take or give medicine.
  • If your child has collapsed, is not breathing, or has a seizure, call 911.
  • Do not make children vomit or give them anything unless directed by a professional.

You can download these tips here.

Download Tips