April is Child Abuse Prevention Month

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Post by the Skagit Valley Family YMCA

Every day, the Skagit Valley Family YMCA focuses on creating healthy activities and environments for kids to learn and grow! As part of this, each April, we join Washington State’s Department of Children Youth & Families (DCYF) in spreading awareness about child abuse and prevention strategies. Here are a few tips to help protect children in your community:

Know the signs.

Unexplained injuries aren’t the only signs of abuse. Depression, watchfulness, fear of a certain adult, difficulty trusting others or making friends, sudden changes in behavior, poor hygiene, secrecy, and hostility are often signs of abuse. Learn more about the signs here.

Evaluate if a report should be made.

Anyone who has reasonable cause to believe a child has suffered from or is at risk of abuse or neglect, should make a report. “Reasonable cause” means a person witnesses or receives a credible report alleging abuse. The report must be made at the first opportunity, no more than 48 hours after witnessing or receiving a credible concern.

Make a report.

If you witness a child being harmed or see evidence of abuse, make a report to your state’s child protective services department or local police. When talking to a child about abuse, listen carefully, assure the child that he or she did the right thing by telling an adult, and affirm that he or she is not responsible for what happened. If the child is in immediate danger, please call 911. For all other reports, call, text, or online chat the Childhelp National Child Abuse Hotline at 1-800-4-A-Child (1800- 422-4453).

Not sure about making a report? The Skagit Valley Family YMCA is here to help! All Y Kids staff are trained in child abuse prevention and reporting and our childcare centers are located across the Skagit Valley from Anacortes to Sedro-Woolley. Give us a call or visit one of our Skagit Y childcare centers.

Long-Term Effects

Child abuse has many long-term effects on children including brain trauma, PTSD, alcohol or drug use, and criminal activity. Childhood maltreatment has also been linked to life-long health problems including lung and heart damage, diabetes, high blood pressure, vision problems, and more. Fortunately, however, there is promising evidence that children’s brains and bodies may be able to recover with the help of early and appropriate interventions to decrease the risk of long-term effects.

Abuse Today

While school and childcare staff are trained to recognize the signs of potential abuse and the proper reporting procedures, COVID has limited contact that children have with trusted adults outside of their homes. With the lack of contact that trained adults have to youth due to COVID restrictions, there have been fewer reports made and a rise in hospital visits of kids who have experienced abuse or neglect. That’s why we need your help to identify and report signs of abuse or neglect. 

Get Involved

Join us for Wear Blue Day on April 2 as we kick-off child abuse prevention month! We encourage you to take photos and post them on social media using the hashtag #growingbettertogether and #CAPmonth.

Show your support by purchasing, making your own, or coloring a printable pinwheel! All proceeds from purchased pinwheels go toward Prevent Child Abuse America

Consider joining a parent group within Skagit and encourage other parents to keep an eye out for any signs of abuse or neglect. If you see something strange, you are likely not the only one. Together, you will be able to better determine if making a report is the right next step.

Prepare your Kids

Talk to your kids about what appropriate relationships look like with other adults. It may not be the right time for you to share what inappropriate behavior looks like, but by setting expectations for appropriate behavior, you provide a guide for your child to know what to expect and recognize behaviors that fall outside of the norm. It’s important for kids to know that they should trust their instincts and if something doesn’t feel right, to talk to you, a teacher, coach, or other trusted adult.

Even if your child isn’t exposed to abuse, they may know someone who is. Your kids are the best judge of any changes in their peers’ behavior and can help recognize potential signs of abuse or neglect. Consider asking your child questions such as: Did all of your friends seem happy today? Is there anyone in your class who seems left out? 

Many times, children who are abused, may repeat their abuse to other children without early intervention and support. Together, we can help stop the cycle to protect all children from abuse and neglect.


Get Familiar with the Family Resource Center!

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If you live in Skagit County and have young children, you most likely know about—and love—the Children’s Museum of Skagit County. Once snuggled in Cascade Mall, the museum now sits prominently at The Shops (a.k.a. the outlet mall) in Burlington.

It was truly a sad day for all Skagit families last year when the museum’s doors closed temporarily due to COVID-19. I can’t tell you how many times my toddler asked to go to the museum, only to be told that we couldn’t because of the virus.

But even though the doors have been closed to visitors, the staff at the Children’s Museum have been busier than ever! Through a partnership with the Children’s Council of Skagit County, Help Me Grow Washington, and Skagit County Public Health, the museum has been able to continue to serve our community in a new and innovative way.

What is the Help Me Grow – Family Resource Center?

Opened in October 2020, the Help Me Grow – Family Resource Center is the brainchild of the Children’s Council and was made possible through Coronavirus Aid, Relief and Economic Security (CARES Act) funding from Skagit County. Partners decided to house the center at the Children’s Museum because the museum was already an established, safe, and trusted community center for Skagit County families.

Though Skagit County has many resources for families, all too often community providers hear from people that they didn’t know that support was available at the time when they needed it. It is the goal of the Family Resource Center to make accessing help an easy process, so that families can quickly find what they need, when they need it, in the way that they need it.

Now, more than ever, parents and families need extra help. As our community faces this pandemic, we have witnessed the reality that many families are being left without a safety net, whether due to loss of income, loss of childcare, or the over-night shift to remote learning. Families are feeling stressed, anxious, and scared. Traditional supports (like extended family or neighbors) may also be less accessible because of state-mandated social distancing and concerns around disease transmission. 

Who can get assistance through the Center?

The Center is available to anyone who could benefit from a little extra help or connection. Even if a family isn’t struggling to afford basic needs, there are so many other types of supports and services available—if you are curious, just ask! The Center’s staff would love to hear from you!

When you contact the Center, staff will use a screening form to determine need. From your call, online form, or email, staff can prepare a package to meet your specific needs.

What kinds of assistance are available through the Center?

The Family Resource Center is providing reliable local information, referrals to services, and application assistance for public programs. The Center is also distributing emergency basic needs items to families who demonstrate a COVID-related financial need.

Whether parents are looking for connections with other parents, opportunities for fun and educational activities for their family, information about their child’s development, or help applying for services, Help Me Grow staff will be able to help in many ways. Here are some examples:

  • Basic Needs assistance: help with things like food, shelter, utilities, diapers
  • Pregnancy & Breastfeeding Support: maternity support services, new parent groups, and the support through the Welcome Baby program
  • Childcare/Early Learning: find options for childcare, preschool, play-and-learn groups, library story times, Kindergarten registration, and more
  • Family Fun: activities and events
  • Family Support: parent coaches, support groups, warm lines, and home visiting programs
  • Health and wellness: free/low-cost health care, dental care, family planning, mental health services and supports, and recovery services
  • Special needs: services and supports for families of children with health and developmental concerns

The Center is also providing activity kits and books to families to promote early learning and to help occupy young children in positive ways for short periods if their parents are struggling to care for their children while working from home, or assisting older children with virtual education. Each family receives a care package filled with items like hand sanitizer, cloth face masks, toothbrushes and toothpaste, bubbles, resource lists and information, tissues, Vroom parenting tips and prompts.

How can I connect with the Center?

TheFamily Resource Center is not a drop-in center, however staff will work with you if special arrangements are needed. There are several ways to get in contact with the Center, including by phone, text, email, and by submitting an online form. At present, assistance is available in English, Spanish, and Mixteco. See below for contact options:

Scheduled pickups are COVID-friendly. Plan for curb-side pickup at the Children’s Museum: 432 Fashion Way, Burlington, WA 98233.

Will the Center eventually close when COVID isn’t as prevalent?  

The Help Me Grow – Family Resource Center and partners are busily making plans for the future. Once the museum reopens in the coming weeks, the Family Resource Center will continue to operate out of the museum, and assistance will continue to be provided through curb-side pickup. Onsite programs, such as Kaleidoscope Play & Learn groups, the Parent Café weekly groups, and parenting classes will also resume at the museum.

Are there plans to reopen the museum soon?

Wait—did I just read that the museum will reopen soon?! Yes, you read correctly!

The Children’s Museum of Skagit County is excited to reopen on Wednesday, June 2nd! Museum staff are working tirelessly behind the scenes to prepare the facility and exhibits. The plan is to operate at reduced capacity (according to the WA State guidelines) with time ticketing and following all state mandates. At this time, staff are also planning for Summer Camps to take place this year. For updates about reopening, visit the Children’s Museum website here.

To learn more about the Help Me Grow – Family Resource Center, visit the Help Me Grow Skagit website. If you have questions about the program, or need additional information, call Skagit County Public Health at (360) 416-1500.


Celebrating Safely This Easter

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“Here comes Peter Cottontail, Hoppin’ down the bunny trail, Hippity, hoppity, Easter’s on its way…”

Spring is here, the tulips are blooming, and Easter is just a hop-skip and a jump away. Spring is an exciting time—especially in the Skagit Valley—as we say “see ya later” to winter and begin planning for the warmer days ahead.

After a relatively dreary winter season, I’m eager to begin putting together spring and summer plans for my family. Like most, we’ve been essentially homebound this past year, and now that more and more people have gotten vaccinated, I’m feeling excited for what the next several months may bring.

That said, we still have a little ways to go until things can really open up again. COVID-19 is still spreading in our community, and with the new variants that we’re seeing across the state, it remains vitally important that we continue to use precaution.

So, what does that mean for Easter this coming Sunday?

The CDC continues to recommend staying home and postponing travel at this time. Doing so remains the best way to protect yourself and others this springtime. The recommendations are the same as they’ve been for a while: Limit your gatherings, keep a 6-foot distance, avoid unnecessary travel, wear a facemask, and wash your hands frequently.

Skagit County—and the rest of the state—is currently in Phase 3 of the Roadmap to Recovery, which means that indoor social and at-home gatherings have increased to 10 people from outside your household, and outdoor social and at-home gatherings have increased to a maximum of 50 people. When gathering, remember to wear your mask and practice safe distancing from non-household members.

The CDC’s recommendations are slightly different for those who have completed their series of COVID-19 vaccinations and have waited two weeks after their final dose. That said, everyone must continue to do everything that they can to end the pandemic until more is understood about how the vaccines will affect the spread of COVID-19 and how long protection lasts for those who have been vaccinated.

If you intend to travel for Easter (or at any time this spring or summer), please keep current travel recommendations and restrictions in mind. It is still recommended that Washingtonians avoid unnecessary travel when possible and delay travel if the traveler is experiencing signs of COVID-19 or has been recently exposed to someone with COVID-19. After all, travel increases your chance of getting and spreading COVID-19.

If you must travel, the CDC offers the following steps to protect yourself and others:

  • If you are eligible, get fully vaccinated for COVID-19.
  • Before you travel, get tested with a viral test 1-3 days before your trip.
  • Wear a mask over your nose and mouth when in public.
  • Avoid crowds and stay at least 6 feet (about 2 arm lengths) from anyone who did not travel with you.
  • Get tested 3-5 days after your trip and stay home and self-quarantine for a full 7 days after travel, even if your test is negative. If you don’t get tested, stay home and self-quarantine for 10 days after travel.
  • Follow all state and local recommendations or requirements after travel.

This news most likely isn’t what you were hoping for, especially since this is our second COVID Easter. However, compared to 2020 (ugh!), we have a lot more opportunities to celebrate safely this year!

If you’re feeling like me, you may be itching to make this year’s festivities a bit more…festive? The mom guilt is strong and I’m looking for new (and safe) ways to make Easter fun for my family. For those looking to shake up the usual “Easter egg and chocolate” routine, there are some great ideas online! This is the perfect year to try an Easter-themed Nature Scavenger Hunt or an Easter Egg Relay Race.

Looking to do something out of the house and in the community? Check out Skagit Kid Insider’s EASTER EGG HUNTS & ACTIVITIES GUIDE for some local events taking place this Easter weekend. If you decide to take part, please remember to wear your mask and follow all COVID-19 guidelines.

Hoppy Easter!


COVID-19 Vaccines & Children

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On March 17th, Washington State will move into the next COVID-19 vaccine tier: Phase 1b-Tier 2. That means that even more people will soon be eligible for a vaccine. And—for the first time—some minors will become eligible for the vaccine, as well.

Those eligible beginning later this month will include people 16 and older who are pregnant and people 16 and older with disabilities that put them at high-risk for severe illness. In April, the State estimates that people 16 and older with two or more underlying conditions that put them at higher risk of severe illness will also become eligible.

Parents and those 16 and older may have questions or concerns about the COVID-19 vaccine—and that is okay! Below are some answers to commonly asked questions about the vaccine that may help parents and minors decide whether the vaccine is right for them. And of course, if you don’t find the answers you are looking for here, talk to your child’s pediatrician.

Are children currently eligible for the vaccine?

At this moment, children are not eligible for the vaccine in Washington State. Those 16 and older who are pregnant and people 16 and older with disabilities that put them at high-risk for severe illness will be eligible when the state moves to the next tier (Phase 1b-Tier 2) on March 17th.

When will I know when my child is eligible?

To determine your child’s eligibility (or your own), visit www.findyourphasewa.org. After completing the online survey, you will be notified when you or your child become eligible for the vaccine. You can also find updates about eligibility on our website at www.skagitcounty.net/COVIDvaccine.

Is the vaccine safe for children?

The vaccines that have been authorized by the Food and Drug Administration (FDA) thus far are safe for the ages included in their authorizations. At present, only the Pfizer vaccine is authorized for use in people 16 and older; the Moderna and Johnson & Johnson vaccines are authorized for use in people 18 and older. Currently, there are no vaccines that have been authorized for use in ages younger than 16.

For more information about vaccine safety, visit: https://www.doh.wa.gov/Emergencies/COVID19/VaccineInformation/SafetyandEffectiveness#heading62095.

Have the vaccines been tested in children?

To date, only the Pfizer vaccine has been authorized for use in those 16 year and older. This is because the Pfizer vaccine included those 16 and older in clinical trials, and data was collected on the safety and efficacy of the vaccine on this population.

Vaccine developers are now studying their vaccines in younger adolescents between the ages of 12 and 16. Once these studies are complete, the developers will report the results and apply for authorization through the FDA to vaccinate children as young as 12. Developers will begin studying their vaccines in children between age 5 and 11 after results from adolescent trials are made available.

Are the vaccines effective in children?

The Pfizer vaccine (which has been authorized for those 16 years and older) boasts 95% protection against COVID-19 after an individual has received both doses of their vaccine. This is an extremely high level of protection! Please keep in mind that this is a two-dose vaccine, given 21 days apart. Your child will not be considered fully protected until two weeks after they receive their second dose.

Will the vaccine affect my child’s future fertility?

No. There is no evidence that the COVID-19 vaccine affects future fertility. Experts believe that COVID-19 vaccines are unlikely to pose a risk to a person trying to become pregnant in the short or long term. The COVID-19 vaccines are being studied carefully by scientists around the globe, and their safety will be studied continuously for many years, just like other vaccines.

My child has already had COVID-19. Should they still get the vaccine?

Yes, people should be vaccinated regardless of whether they already had COVID-19. Experts do not yet know how long people are protected from getting sick again after recovering from COVID-19, and information is still being gathered around how long protection lasts. If your child was treated for COVID-19 with monoclonal antibodies or convalescent plasma, talk to their doctor before making a vaccine appointment.

Should my child get the COVID-19 vaccine if they are currently sick with COVID-19?

No, it is recommended that those who are currently sick with COVID-19 should wait until they have fully recovered before receiving the vaccine. If you have questions, please consult your child’s pediatrician before scheduling a vaccine appointment.

Are there side effects after getting the vaccine?

Minor side effects are possible after receiving the vaccine. Common side effects may include:

  • Pain at the site of the injection
  • Painful, swollen lymph nodes in the arm where the vaccine was injected
  • Tiredness
  • Headache
  • Muscle or joint aches
  • Nausea and vomiting
  • Fever or chills

When side effects occur, they typically last just a few days. A side effect or reaction isn’t necessarily a bad thing! It may indicate that the body is building protection against the virus. Talk to your child’s pediatrician about taking over-the-counter medicine, such as ibuprofen, acetaminophen, or antihistamines, for any pain and discomfort they may experience after getting vaccinated.

Note: If your child has experienced severe complications (such as anaphylaxis) in the past after receiving a vaccine, please consult their pediatrician before scheduling a COVID vaccine appointment.

Where can my child get the vaccine?

When your child becomes eligible for the vaccine, they will be able to schedule an appointment with any provider that is administering the Pfizer vaccine (which is authorized for use in those 16 years and older). To find a provider near you, visit: https://www.doh.wa.gov/YouandYourFamily/Immunization/VaccineLocations. You can also call Skagit County’s Vaccine Hotline at (360) 416-1500 for assistance.

Who should come to my child’s vaccine appointment and what should they bring with them?

Check with the vaccine provider for specific instructions regarding minors with vaccine appointments. For some providers, a parent or legal guardian may be required on-site at the time of the appointment in order to provide consent for vaccination of a minor.

If making an appointment at the Skagit County Fairgrounds Vaccine Site: Consent to vaccinate will be required for dependent minors. Dependent minors should either bring a parent/legal guardian with them to their appointment, or be prepared to have their parent/guardian provide verbal consent by phone at the time of their appointment. If a parent/guardian is planning to accompany a minor, please limit to one accompanying adult per patient. For more information about our clinic, visit: www.skagitcounty.net/COVIDvaccine.

How much will the vaccine cost?

The federal government will pay for the full cost of the vaccine. You should not be charged out of pocket costs or receive a bill from your provider for the COVID-19 vaccine administration fee.

As my child’s caregiver, am I also eligible to be vaccinated?

Most people will become eligible for vaccine based on their age, occupation type, or medical status. To find out if you are eligible, visit: www.findyourphasewa.org. You can also access the state’s full prioritization plan here: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/SummaryInterimVaccineAllocationPriortization.pdf.

If you are a caregiver of a child with disability who is eligible under Phase 1b-Tier 2, you may be eligible under Phase 1a. Caregivers who meet the definition below are eligible for vaccine in Phase 1a as workers in health care settings:

  • Eligible caregivers (licensed, unlicensed, paid, unpaid, formal, or informal) who support the daily, functional and health needs of another individual who is at high risk for COVID-19 illness due to advanced age, long-term physical condition, co-morbidities, or developmental or intellectual disability. For the caregiver to be eligible, the care recipient:
    • Must be someone who needs caregiving support for their daily, functioning, and health needs.
    • Can be an adult or minor child. For dependent minor children, the caregiver is eligible if that child has an underlying health condition or disability that puts them at high risk for severe COVID-19 illness. For example: a caregiver of a minor child with Down syndrome.

To determine your eligibility, visit findyourphasewa.org and respond “Yes” when asked if you work in a health care setting.

My child is over 16 and pregnant. Should they receive the vaccine?

There is currently no evidence that antibodies formed from COVID-19 vaccination cause any problems with pregnancy, including the development of the placenta. In addition, there is no evidence suggesting that fertility problems are a side effect of any vaccine. If you or your child has specific concerns, please consult your child’s physician.


Why Do Baby Teeth Matter?

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Saying that new parents are mentally and emotionally overwhelmed is an understatement! Between nighttime feeding, colic, breast or bottle feeding, and sleep training, it is amazing that new moms and dads are capable of handling anything else during the first year!

It is easy to forget all the little details when life is changing so quickly; one of those things that gets forgotten may be your baby’s dental health. Whether your baby pops a few cute teeth right away or rocks a gummy grin for months, it is important to always keep dental—and gum—health in mind!

Those little chompers are doing more than just gnawing on baby teethers and bars of their crib. It may not be obvious why baby teeth are so important, especially since children lose them eventually anyway. But the reality is that these little teeth, and the behaviors that children develop in order to keep them clean, are vitally important to their long-term dental health. Baby teeth can actually impact the health and wellbeing of incoming adult teeth!

Here are some things to consider when thinking about your child’s baby teeth:

Tooth alignment and position

Baby teeth (or “primary teeth”) save space for adult teeth and help to guide the adult teeth into their proper position. So long as the teeth and gums remain healthy (and there are no serious accidents!), these primary teeth stay in place up until the adult teeth underneath are ready to erupt through the gums. 

If a baby tooth is lost early due to tooth decay, the adjacent teeth may drift or tip into that gap. The adult (or “permanent tooth”) then has less room to come in properly.

Speech and facial development

Everything in the mouth plays a part when it comes to forming sounds, including your tongue, cheeks, and teeth. The presence and positioning of baby teeth can impact your baby’s ability to form words correctly.

Tooth structure also provides support for the developing facial muscles and gives shape to your child’s face. A healthy mouth is a happy face! And who doesn’t love a cute little baby face?!

Healthy adult teeth

Permanent teeth develop under the gums, very close to the roots of baby teeth. Cavities can spread very quickly through the thin enamel of baby teeth and can be detrimental to the health of the adult teeth below. If cavities are left untreated, baby teeth can become infected, which can, in turn, cause further damage to the permanent tooth underneath.

Health and nutrition

If your baby is experiencing pain when they chew due to dental infection, this can lead to feeding issues. Nothing is worse than a cranky baby who won’t eat—especially since many times they cannot express why they are upset. Left unchecked, it can even result in nutritional deficiencies. Furthermore, if an infection spreads, it can impact other parts of the body.

Self-esteem and concentration

While your baby or young child may not care how goofy they look, eventually, their appearance will matter. Decayed or missing teeth can impact a child’s confidence, leading to low self-esteem and behavioral issues.

Dental health can also impact your child’s ability to concentrate. If a child is having dental pain, it can get in the way of them paying attention and learning in school. If emergency dental work is needed, this could mean missed school (and work for parents).

So, what should parents do?

It is recommended that parents schedule a dental checkup within 6 months of a child’s first tooth appearing and definitely by age one (regardless of how many teeth the child may have at this point). Why so early? As soon as teeth break through the gums, he or she can develop cavities.

Getting your child used to visiting the dentist from an early age is also a great way to begin developing a healthy relationship between your child and their dentist. It can be intimidating for a child to sit in a dentist chair and have a stranger looking around in their mouth! Parents can do a lot to help to dissipate any fears their young child may have.

Remember to get your child into the dentist at least once a year, if not twice! Routine dental checkups are important in order to prevent cavities and other oral health issues. These appointments also give parents the opportunity to learn more about healthy oral practices that they can encourage at home. 

Looking for resources?

Families with children ages five and younger can call Skagit County’s ABCD program at (360) 416-1500 for help finding dental care for their children. For families who quality, some benefits of the program include:

  • An initial dental exam
  • Two dental exams per year (6 months apart)
  • Three fluoride varnish applications per year
  • Two parent education sessions per child per year
  • Fillings and other dental work (as needed)  

For more information about the ABCD program, visit our webpage at: https://www.skagitcounty.net/Departments/HealthFamily/dental.htm.


Preventing Poisoning During COVID-19

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Earlier this month, the Washington Poison Center (WAPC) released its data “snapshot” for 2020. This is something that WAPC puts out annually in order to educate the public about poisoning trends at the state level. These trends are based on the types of calls that WPAC’s hotline receives throughout the year, compared to years prior.

This year has been one for the books in so many ways, and the new data snapshot tells an interesting story. I had the opportunity to talk with one of WPAC’s staff, and I’d like to share what I learned.

But first: What is the Washington Poison Center (WAPC)?

The Washington Poison Center (WAPC) provides immediate, free, and expert treatment advice and assistance on the telephone in case of exposure to poisonous, hazardous, or toxic substances. Each year, its specialists answer more than 63,000 calls from Washingtonians related to poisoning and toxic exposures. All calls are free, confidential, and help is available 24/7/365.

Major Takeaways

COVID-19 has increased our risks of accidental poisoning. Period. So what is the reason for this increase? WAPC staff believe that it is due to several factors, including:

  • We are home more due to social distancing and other safety guidance
  • We may have new daily routines this year that are out of the ordinary
  • More products in the home (perhaps due to stockpiling) may cause increased access
  • More stress can cause people to be less focused
  • Rumors and misinformation can lead to dangerous choices

Calls to the Center have increased in 2020, and staff have seen spikes in calls regarding substances common to COVID prevention (hand sanitizer and household cleaners). They have also seen spikes in calls for vulnerable demographics like adolescents and adults over 60.

This data is concerning, and parallels poison trends across the U.S.

Cleaners & Sanitizers

It isn’t unusual for WAPC to receive calls about household cleaners; however, this year has definitely seen a serious uptick. Most calls have been in regards to accidental poisonings, or poisonings due to misuse (mixing products, using in low ventilated areas, etc).

The vast majority of hand sanitizer exposures have been in children ages 0-12, most likely due to increased access to the products in the home. The high alcohol content in these products can be very dangerous for young children, so it is extremely important to supervise kids when using hand sanitizer and to make sure that bottles are always out of reach.

Nicotine

An interesting find this year has been the decrease in nicotine exposure calls. In 2020, nicotine exposure in children ages 0-5 actually decreased—a trend that even WAPC staff were a bit surprised about. Perhaps the decrease is due to parents being home more? Or perhaps the new Tobacco 21 law has decreased access to these products? While it is difficult to pinpoint direct correlations, it is certainly nice to see this type of data!

That said, it is still very important to keep nicotine products stored safely and away from children. The vast majority of calls for 0-5 year old’s were for raw tobacco, with vape products in second. WAPC staff explained that raw tobacco can be dangerous, but vape liquid—if ingested—can be fatal. Always, always, keep these products away from children, as flavored liquids can be especially enticing to little kids.

Cannabis

WAPC 2020 Data Snapshot

Trends for THC exposure are less rosy. All age groups saw an increase in THC exposures this year, with a sizeable increase among children 0-5. Among this group, exposures were almost 100% due to unintentional use (getting a hold of an edible, plant-based product, or concentrate). Safe and secure storage of these products is crucial to keeping kids safe.

Medications

This is another area that has historically been a concern for WAPC, however COVID has exacerbated the problem. Stress, distractions, and new routines can lead to user error and poor judgement. WAPC staff encourage people to use medication lists, trackers, and reminders in order to decrease risk of double-dosing or mixing meds.

It is also encouraged that people secure medications in the home. This simple step can decrease the likelihood of accidental poisonings in young children, or misuse among adolescents.

Adolescent Self-harm

By far, this data tells the most worrisome story. Historically, data has shown an increase in youth self-harm/suicidal intent since 2014, and this trend continues. COVID-19 related isolation and stress may increase these risks—something that mental health experts have been concerned about for months.

WAPC 2020 Data Snapshot

It is encouraging, however, to see this data and to realize just how amazing our kids are. Despite all the ups and downs of 2020, our youth are showing resilience in magnitudes. We must not forget that we can all make a positive difference everyday in the lives of our young people.

Two steps that each of us can take today are: 1) locking up medications (even over-the-counter meds like Tylenol and Advil); and 2) talking to our children about substance use. Don’t know where to start with this? Visit Start Talking Now for some ideas.

What to expect when you call

It doesn’t need to be an emergency to call the Washington Poison Center—you can call to get advice or directions if you are concerned or confused about poison-related issues.

You will speak with an expert (nurse, pharmacist, or poison information provider), and there are always Board Certified Medical Toxicologists on-call if necessary. You are not required to give your name, however providing your age and gender can be extremely helpful in order to gauge risk. What was taken, when, and how much are other vital details to provide to the staff.

These calls are always confidential. You do not need to be worried about law enforcement or CPS getting involved. WAPC is concerned about your safety and about providing care.

Staff are trained to provide direction on what to do, what to watch for, and most of the time this can all happen with the caller at home. If/when it is decided that the caller needs medical intervention, staff can advise the caller to go to the emergency room, or WAPC can actually contact EMS on the caller’s behalf.

Finally, WAPC staff will follow-up with you—just to make sure that everything is alright!

It is important to be vigilant when it comes to poisoning prevention—now more than ever. With that said, I feel comforted in knowing that there are trained professionals available to answer my questions. If you don’t have the Washington Poison Center’s phone number somewhere in your home, I encourage you to jot it down! 1-800-222-1222

You never know when you might need it!

To view the Washington Poison Center’s full data report, visit: www.wapc.org/programs/covid-19-resources-information/covid-19-data/.


Wellness During the Postpartum Period

Reading Time: 5 minutes

Considering how difficult the postpartum period was with my first child–how much I struggled with my mental health for months on end—it was a wonder that my husband and I decided to take the plunge again. So when we finally decided to have a second, we were both on high alert for any signs of depression or anxiety.

I knew that I needed to be cautious this time; after all, women who have experienced postpartum depression with previous births are 10% to 50% more likely to experience it again. Even still, there were parts of me that were certain that this time would be different, and that the worst was behind us.

What I came to find is that with each new child brings new challenges, both as a mom and as an individual. In the case of my second child, I realized that the timing of her birth (and my subsequent maternity leave) was a challenge that I had not anticipated.

You see, my first child was born in April—a time of budding flowers and warming temperatures. My second? She was born mid-November. I think it rained consistently for the first three months of her life!

Now that she’s coming up on her first birthday, I am reflecting on my recent postpartum period. What were some things that I did to keep my mental health in check? How did I—despite the potential odds—manage to cope with a newborn, even during the gloomy months?

Here are some things that I did that may be helpful to any new, or expecting, mom (and dad!) out there:

Make a Plan

There is so much preparation before having a baby: buying all the essential baby items, reading the books, taking the classes. But how about making a wellness plan? Perinatal Support Washington has an awesome template that breaks down wellness into a few different categories.

After all, wellness isn’t just one thing. There are so many ways to build up one’s resilience. Thinking about yourself holistically is important; what are you made up of? Consider the brain, the body, and the spirit. All are important for your overall wellbeing.

Lean On Your Person

One of the categories in the wellness template is your Support Team. How important these people are! During these complicated times, my heart goes out to all the new moms and caregivers out there who may not have the physical support of a family member or loved one.

I encourage new parents to think creatively. Your Support Team might not look the way you’d expected or wanted. The support may not come in the form that you’d envisioned. But who is in your circle of trusted people that can be your ally? It can be a husband, partner, parent, neighbor, or friend. Heck—it can be your healthcare provider!

The most important thing is that you have someone who checks in and who watches for potential trouble. Go over your mental health red flags with these individuals before the big day: What do you look like, sound like, or act like when things are getting too hard? And if they begin to notice anything, they need to feel empowered to make the call.

Practice Self-Care (no, really!)

This is way more easily said than done. Here are just a few things that I recommend and that worked for me:

  • Create structure out of chaos: Babies love routine; providing a bit of structure can even enhance your baby’s development! While it may not be feasible to break your day (and night) down to the minute, it can be useful to write down a flexible schedule. This is especially helpful for the days that seem to drag on—when all you seem to be doing is feeding a baby, changing diapers, and running the laundry.
    Apps like Vroom or Bright By Text can help you to fill your routine by providing simple ideas for activities that you can do with your little one.
  • Go outside: I cannot overstate this enough! Even when the days are drizzly and cold, bundle up and get some fresh air. After all, infants are the perfect walking companion. An infant carrier or wrap will mimic the feeling of being safe and cozy in the womb, and it will also allow you to be hands-free for a moment.
    My gloomy-day recommendation is to look up while you walk, instead of staring at the pavement. When you are exhausted and overwhelmed, it can be easy to feel weighted down. Even when the clouds are thick and there is no sun in sight, keep your gaze up and look at the trees, houses, and scenery around you.
  • Breathe: This was the best advice my midwife gave me when I was first struggling with postpartum anxiety. It is also something that I’ve carried with me since then, for whenever I am feeling overwhelmed.
    When we’re stressed or anxious, we forget to breathe deeply. But this is the easiest—and perhaps most effective—way to put yourself at ease. Try a deep breathing exercise to calm your nerves. Try breathing in through your nose for 5 counts, hold for 5 counts, and exhale through your mouth for 6 counts. It really does help!
  • Take care of the essentials: This isn’t a novel idea, but it is also one of the first things that goes out the door when you bring a new baby home!
    YOU are the most important part of the equation. YOUR health and YOUR wellbeing directly impact your ability to care for your new baby. Eat well, drink lots of water, and try to get a little sleep. While it may not be eight (or even five) hour stretches, a 3-4 hour stretch can make a world of difference.
    A tip from me to you? Talk to your doctor about nutrition: What vitamins can help to elevate mood, and what foods are especially important during the postpartum period? Your body and hormones fluctuate on hyper-drive after giving birth, and eating well is so important.
  • Laugh and dance: I did not take this advice the first time around. I don’t think I laughed for six weeks after my first daughter was born. But with my second? I let my freak flag fly!
    Try doing something silly…after all, your baby won’t judge! Put some slippery socks on and see how far you can slide across your kitchen floor—just make sure to put the baby down first! Sing at the top of your lungs to songs that you haven’t heard since childhood, or listen to a funny podcast. You will find yourself laughing at yourself and the weird things that you do with little sleep and baby-brain. Embrace the weird.
    If all else fails, just smile. Smile at yourself in the mirror, smile at your baby, smile at your partner. Even if it feels phony at first, keep doing it!

Find Help

You are not alone in these feelings; it is normal to feel overwhelmed during the postpartum period. If nothing above seems to improve your mood, talk to your doctor. I urge you to not let mom guilt get in the way of your wellbeing—and I promise, there is little else stronger in this world than mom guilt.

Not ready to talk to a doctor just yet? That’s okay! There are resources available to you. Perinatal Support Washington’s website is a great place to start. Call or text their Warmline at 1-888-404-7763 to talk with a professional today.

Skagit County also has a great resource for new parents! Visit Welcome Baby to get connected up to local support groups, parenting classes, and assistance with basic needs.

You can and will get through this time. Yes, there are extra challenges right now and yes, the days seem long (and yet, so short). Even still, you are strong, capable, and so perfect for your little one. Give these tips a try, and give yourself some much needed grace.


Knock out Flu: Think of it as Essential

Reading Time: 2 minutes

Blog post by the WA Department of Health

Think of It as Essential

This year, it’s more important than ever to get vaccinated against the flu. The flu vaccine can keep you from getting and spreading the flu to others during the COVID-19 pandemic and help keep our hospitals from being overwhelmed. We may not have a vaccine for COVID-19 yet, but we do have one for flu.

When should I get the flu vaccine?

You should get your flu vaccine before the end of October for the best protection through the winter months when the flu is most likely to spread. However, flu vaccines will still be available for several months after October and will still offer protection through the end of the flu season in the spring.

How can I safely get a flu vaccine during the COVID-19 pandemic?

Just like running errands, you should take the same precautions while getting your flu vaccine to keep you and your family safe from COVID-19 and other illnesses. Be sure to wear a face covering, wash your hands often, and stay six feet away from others while you are out.

Clinics and pharmacies are also following special safety guidelines during the COVID-19 pandemic. This year, there may be options like drive-through vaccination clinics, or you may be asked to wait outside or in your car until your appointment time to limit the number of people in the building. Call your clinic or pharmacy and ask what kind of safety procedures they follow.

Some grocery stores have also created special hours for adults over 65 and people with compromised immune systems, and those hours may be a safer time for you to visit the pharmacy for a vaccination.

Where can I get a flu vaccine?

You can visit your local doctor’s office, pharmacy or clinic event in your area. Visit www.vaccinefinder.org to find a flu vaccine location near you.

Does my insurance cover the flu vaccine?

Most insurance plans, including Medicaid and Medicare part B, cover the cost of flu vaccine for adults. If you do not have insurance, you may still be able to get the flu vaccine at no cost. Talk to your local health department for more information.

Children aged 18 and under in Washington can get a flu vaccine and other recommended vaccines at no cost. The provider may charge an administration fee to give the vaccine. You can ask them to waive this fee if you cannot afford it.

For more information, visit www.KnockOutFlu.org.
To reach Skagit County Public Health, dial (360) 416-1500.


Staying Healthy, Staying Active: Physical Education During Distance Learning

Reading Time: 3 minutes

It is National Health Education Week—a week in which we seek to increase national awareness on major public health issues and promote a better understanding of the role of health education. And who better to highlight than our fabulous health educators in schools?!

In celebration of National Health Education Week, I wanted to share what local Physical Education (PE) teachers have been doing to keep students healthy and active during this not-so-normal school year. This particular interview is with Michele Kloke, a PE teacher with the Sedro-Woolley School District.

What grades and subjects do you teach?

I teach Kindergarten through 6th grade currently. I’ve been a Specialist most of my years in Sedro-Woolley—a Librarian/Tech teacher, PE Specialist, and I’ve even taught Kindergarten and 1st grade. What I LOVE about being a Specialist at Lyman Elementary is that I normally get to see each child every day!  It is also what’s made teaching remotely so difficult. I’ve missed the personal contact with our students. We all have.

What does a typical day look like for you?

I have other teaching responsibilities besides PE so part of my day is devoted to those. While some of our PE teachers are teaching online, others—like myself—are teaching remotely because it works best for our situations. Time is spent researching sites and activities that reinforce the curriculum we are teaching within our district as elementary PE teachers. Other activities include: emails, Zoom Meetings, videotaping to make lessons more personal, Loom, work on Google Classroom, Google Slide lessons, creating Docs, PD Trainings, working on site and more.

What types of things do you do to keep students engaged?

I keep things perky and provide lots of options and choices for them to engage in as they work on lesson TARGETS and Success Criteria. Making sure the sites and activities are not only engaging but that they provide differentiation and awesome Challenges is important. The Challenges are usually ones we’ve done in class or are from experts in a sport or activity. It’s inspiring!  I also give students the choice to do their own activities and let me know what they did on their Exit Slips.

I use Google Slides and link them to PE Google Classrooms. What’s great about using Google Slides is that I can personalize them and it gives students and their families more flexibility. They can do a slide or two a day (lessons are meant to be done over several days) and they can do them when it works best for them. Having Exit Slips at the end of each lesson is a way to engage students and provide feedback. I also like to email, encourage, and congratulate students on their effort.

Those teaching lessons via Zoom mentioned they try to keep things light, lively, and keep students moving.

What are some things that students can be doing at home on their own time to stay active and stay healthy?

Take brain breaks often! Even 2 minutes of movement is helpful in boosting their ability to stay focused. Longer is better, of course! Getting outside, riding bikes, or just playing and moving will do wonders! Students are building and growing their bodies right now so movement is really important, and eating foods that are healthy. This time of year provides a lot of fresh and delicious food choices.

What has been the biggest struggle so far this school year?

One of my cohorts said it well: “…It seems ironic that PE teachers are using screen time to encourage physical activity, but that’s our means of communication with students at this time.”

Another challenge with PE in our elementary schools is consistent participation in the lessons. While each school is unique in its approach, the lessons are following a district-generated set of instruction which, unfortunately, not all students are receiving.

Troubleshooting technology issues and learning new technology has also been challenging.

What have been some really great moments for you this year?

For all of us, hearing from our students and families personally via emails, posts, or other means is THE BEST! We miss them SO much and love any and all contact we receive.

For example, one of my students mentioned that she hadn’t completed the PE Lesson yet because she and her family went on a long hike. Then she proceeded to explain all the crazy, exciting things that happened on their hike including getting snowed on. I loved hearing that story and it helped make me feel more connected. 

Also, recently beginning to teach PE in-person with our K-2 students has been WONDERFUL!

If you could tell parents one thing, what would you tell them?

Stay healthy and stay active! This isn’t forever, but being active is. Please, take screen time breaks as often as possible by doing something fun that involves movement. You’ll be glad you did…and so will your child. We miss you and your children!


Red Ribbon Week & Youth Substance Use

Reading Time: 4 minutes

Red Ribbon Week is dedicated to spreading awareness about youth substance use prevention and the mission of keeping all kids drug-free. It takes place every year from October 23 through October 31st, and this year is no exception. Your student’s health teacher or prevention specialist may be touching on some prevention messaging right now, so it could be a prime opportunity to continue this conversation with your child (if you aren’t doing so already). So let’s talk prevention!

Why is it important?

Ninety percent of people with addictions started using substances in their teen years. Beginning at age 10 through the mid- to late-20s, massive changes are underway in the brain. This includes the development of capabilities related to impulse control, managing emotions, problem-solving and anticipating consequences. Substance use during this time period can cause the brain to be more susceptible to addiction and other mental health disorders, especially for kids who are vulnerable.

Substance use and COVID-19

Some early research is coming out that shows that youth substance use rates are being negatively impacted by COVID-19 and social distancing measures. An article written in the Journal for Adolescent Health noted that, of those adolescents surveyed, “the percentage of users decreased [since the beginning of COVID-19]; however, the frequency of both alcohol and cannabis use increased.” Perhaps of more concern is that, while the majority of those using substances were engaging in solitary substance use (49.3%), “many were still using substances with peers via technology (31.6%) and, shockingly, even face to face (23.6%).” For parents who are actively working to keep their kids COVID-free, this added information may be worrisome.

Risks of use and COVID-19

We do not know yet if the occurrence of COVID-19 is higher for people who use drugs or have substance use disorder than for those who don’t use drugs, however some underlying medical conditions seem to increase risk of severe illness from COVID-19. For example, vaping may harm lung health, and emerging evidence suggests that exposure to aerosols from e-cigarettes harms the cells of the lung and diminishes the ability to respond to infection. For this reason, it is possible that drug use could make COVID-19 illness more severe, but more evidence is needed.

Can parents really make a difference?

Absolutely! Parents are the biggest influence in a teen’s life. Even though it may not appear to be true at times, deep down they still want you involved. A strong parent/child bond, especially during the teen years, helps reduce the chances of them engaging in unhealthy behavior and helps set the stage for preventing nicotine, alcohol, and drug use.

When and how to talk about substance use?

These conversations should happen frequently, and typically work best when a parent and child are already engaging in some type of activity together. It is important to listen, show empathy, and be understanding. Connecting often, communicating about your expectations and setting boundaries, and even encouraging healthy risk taking are all things that parents can do to set their children up for success.

Parents can begin talking with their children about drug prevention at a surprisingly young age! These early conversations may not sound exactly like “drug prevention;” instead, the focus should be on laying a strong foundation of trust and openness, while also teaching (and demonstrating) healthy habits. For tips on how to talk to your child at any age, visit: https://drugfree.org/article/prevention-tips-for-every-age/.

What should parents be looking out for?

Figuring out if your child is using substances can be challenging; many of the signs and symptoms are typical teen or young adult behavior. However, sometimes they can be attributed to underlying issues.  Mental health concerns like depression and anxiety, as well as traumatic events or periods of transition, can create a greater risk for the development of problematic substance use. Children and teens are dealing with a lot of changes right now, making it all the more important that parents be looking out for concerning behavior.

If you have reason to suspect use, don’t be afraid to err on the side of caution. Prepare to take action and have a conversation during which you can ask direct questions like “Have you been drinking, vaping or using drugs?” No parent wants to hear “yes,” but being prepared for how you would respond can be the starting point for a more positive outcome.

Where do I go for help?

There is help available if you are concerned that your child may be using substances—or even if you’re struggling with how to begin a conversation! Drugfree.org has one-on-one help available for parents: visit https://drugfree.org/article/get-one-on-one-help/ for ways to connect.

Want to get involved in your community?

Between now and December 15th, our three prevention community coalitions are collecting information from Skagit County adults (18+) about their perceptions regarding local youth substance use. Do you live or work in one of these communities? Consider filing out the survey! Your feedback has direct influence on prevention programming available for youth and families.

Mount Vernon
English- https://www.research.net/r/SKMTVEEN2020
Spanish- https://es.research.net/r/SKMTVESP2020

Sedro-Woolley
English- https://www.research.net/r/SKSEWOEN2020
Spanish- https://es.research.net/r/SKSEWOSP2020

Concrete
English- https://www.research.net/r/SKCOEN2020

For more information about prevention in Skagit County, visit: https://www.skagitcounty.net/Departments/Health/preventionmain.htm