Ask the School Nurse: Parents' Top 9 Questions for Back to School
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8. If my child has been immunized for flu and the kids around her haven't, will her immunity be less effective?
No, your child's immunity is not going to be compromised because other children haven't been vaccinated. But there is a certain herd phenomenon with vaccine-preventable illnesses, such as the flu. That means that the more children who are vaccinated, the fewer kids will become sick and miss school.
9. What should my child's school be doing to protect kids from germs?
Ask what the school is doing to keep the grounds clean. Particularly during flu season, we make sure drinking fountains and other surfaces are cleaned several times a day. Also ask what the school is doing about prevention and if it has a plan for what to do during a flu outbreak. Is it providing classroom instruction about hygiene and making sure kids follow through? Will it be offering a flu vaccine on site? Ultimately, it's important to remember that a sanitized room is clean only until you and I walk into it.
Getting Your Kids Off to a Healthy School Start
Need some more basic tips on keeping kids healthy? Follow these guidelines:
Healthy lunches for kids
• Primary colors. Load up their lunchboxes with a colorful mix of fruits and vegetables to keep them energized and ready to learn. Apples, pears, berries, dried fruit, baby carrots, cauliflower, and edamame are easy to pack -- and fun to eat.
• Fluid motion. Drinking plenty of fluids helps active children stay hydrated. But not all drinks are created equal. According to the American Academy of Pediatrics, kids who drink one can of soda a day increase their obesity risk by 60%. Offer water and limit soft drinks (some can pack 150 calories per 12-ounce can).
• The whole truth. Whole grains are an important part of a healthy diet for kids. Offer whole grain, low-sugar cereals at breakfast and low-sodium whole grain snack bars or crackers in their lunch box. Try making sandwiches with whole grain bread (look for "100 percent whole wheat" on labels to get the most grains).
• Dairy queen. Strengthen their bones and brains with nonfat or low-fat dairy foods, including yogurt and flavored milk (choose products with no more than 30 grams of sugar).
Exercise for children
• Class action. Don't assume your child is getting enough physical activity at school. Giving kids a chance to move and get their heart rates up before studying makes it easier for them to learn. Ask your child's teacher about having the class do jumping jacks, run in place, and other quick exercises in between classroom activities.
• Power hour. Make sure your kids run around for at least an hour each day. Don't have a full hour for exercise? Try short 15-minute bursts of running, jumping, or games that encourage these activities to keep them interested and active.


