Some Children Are Developing a Mysterious Blood Illness That May Be Related to Coronavirus

Fifteen children have been hospitalized in New York City with the illness, with similar cases being reported in Europe.

By Julie Mazziotta 

May 05, 2020

GETTY IMAGES

A small number of children in the U.S. and Europe have been hospitalized with an unknown blood illness that may be related to the new coronavirus, COVID-19.

Doctors say that the mysterious, “multisystem inflammatory” illness they’re seeing in children is similar to two known conditions: toxic shock syndrome, a life-threatening bacterial infection, and Kawasaki disease, a very rare, but treatable, condition more common in babies and toddlers that causes inflammation in blood vessels.

Doctors in the U.K., Spain and Italy had previously reported seeing a few cases of the illness, and on Monday night, the New York City Department of Health put out a memo to hospitals warning that there have now been 15 identified cases in the city’s hospitals.

The 15 children in NYC are between the ages of 2 and 15 and have symptoms similar to toxic shock syndrome and Kawasaki disease. All have had a fever, and most have had a rash, abdominal pain, vomiting or diarrhea. Four of the children have tested positive for COVID-19, but the other 11 did not.

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None of the children have died, but most needed blood pressure support. And while the majority did not have respiratory problems, five needed to be put on ventilators.

NYC health commissioner Dr. Oxiris Barbot asked doctors to look out for patients who may have this illness.

“Even though the relationship of this syndrome to Covid-19 is not yet defined, and not all of these cases have tested positive for Covid-19 by either DNA test or serology, the clinical nature of this virus is such that we are asking all providers to contact us immediately if they see patients who meet the criteria we’ve outlined,” she said in the memo.

“And to parents, if your child has symptoms like fever, rash, abdominal pain or vomiting, call your doctor right away,” she added.

COVID-19 does not appear to affect children in the same way that it is attacking adults, although a small number of children in the U.S. have died from the virus. This illness, while worrisome, also seems to be very rare.

New York state health commissioner Dr. Howard A. Zucker said that they are investigating the illness.

“So far, from what we understand, this is a rare complication in the pediatric population that they believe is related to Covid-19,” he told The New York Times. “We are following it very closely.”

• RELATED: All About Coronavirus: A Concerned Parent’s Guide

As information about the coronavirus pandemic rapidly changes, PEOPLE is committed to providing the most recent data in our coverage. Some of the information in this story may have changed after publication. For the latest on COVID-19, readers are encouraged to use online resources from CDC, WHO, and local public health departments. PEOPLE has partnered with GoFundMe to raise money for the COVID-19 Relief Fund, a GoFundMe.org fundraiser to support everything from frontline responders to families in need, as well as organizations helping communities. For more information or to donate, click here.

NOTE: Dr. Guise will update this article as new information becomes available, up until everything gets back to normal.

Did You Already Have Coronavirus Without Knowing It? Experts Explain Why That's Possible

One 28-year-old woman developed a fever, dry cough, and shortness of breath during a trip to New York City in February, but her doctor assumed it was the flu. Was it actually COVID-19, and what would the implications be?

By Jenna Birch 

Updated April 08, 2020

Toward the end of February, I traveled to New York City for a work trip. On day four or five, I started to feel ill. I did not have a thermometer, and so I did not think to take my temperature. But I was extremely tired, had a mild sore throat, developed a dry cough, and had trouble walking around the city due to shortness of breath.

Back home in Ann Arbor, Michigan, a week later, I was waking up in the middle of the night with coughing fits. The cough was “unproductive,” a term that I have now learned means I was not able to expel mucus. The coughing spells would be overwhelming, often leaving me hoarse and feeling like I was going to throw up. My shortness of breath was growing more persistent, as well. Generally active and an avid walker, I could barely take my dog outside for a few minutes a day before needing to sit down.

• RELATED: All About Coronavirus COVID-19: A Concerned Parent’s Guide

Finally, after about two weeks, I went to see a doctor. “This just doesn’t feel like anything I’ve ever had,” I remember telling him. He listened to my lungs, which sounded more or less okay. He declared it “a virus,” insisting it might take two or three weeks to fully run its course. Coronavirus crossed my mind because of the shortness of breath, but very few people were talking about it at the time and it was only being reported on the West Coast. I thought to myself, If it was even possible, he’d test me, right? I did not realize how little testing was actually being done anywhere in the country at that time.

HILL STREET STUDIOS/GETTY IMAGES

About one week after I got home from my trip on March 1, New York City’s first official diagnosis of COVID-19 was announced. Now that weeks have passed, I am recovered from that peculiar respiratory illness. And as I learned about the novel coronavirus, I have become more curious as to whether I may have contracted it in February.

Perhaps a lot of us are thinking about our most recent illnesses, and wondering the same thing as I am: was it a bad cold, the flu, or perhaps COVID-19? So I reached out to doctors who might be able to help me figure it out—and explain what it would mean if I did have the coronavirus.

Why anyone who was sick earlier this year might have had undiagnosed COVID-19

Scientists believe the virus emerged in China in December 2019. International travel continued throughout January, as cases popped up in other destinations—such as Australia, Bangkok, South Korea, France, the UK, Japan, and Russia. The US confirmed its first COVID-19 case on January 21. But the virus was already spreading other places, too.

By the time we recognized the start of the pandemic in the US, it’s very possible it was already here and well-established. Part of the problem in tracking the virus has been its vague symptom profile, which is relatively similar to symptoms you would have with the common cold or influenza, especially in the virus’s milder forms: dry cough, pressure of pain in the chest, shortness of breath, nausea, and diarrhea.

Pandemics start slow but pick up heat as community spread begins. According to Greg Schrank, MD, MPH, an associate hospital epidemiologist at the University of Maryland Medical Center and COVID-19 response co-incident commander, epidemiological studies and genetic analysis of the virus indicate COVID-19 was likely “circulating in these epicenter communities for weeks to months” before those locations began to experience a surge of cases.

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It’s not out of the realm of possibility that this virus has been spreading in the United States since the very early part of the year, perhaps in early January or very late December, Jagdish Khubchandani, PhD, MPH, an associate chair and professor of health science at Ball State University in Indiana, tells Health. “Given the timelines and incubation period reported by studies, it could be possible that many Americans had this infection way back and we are just now getting to see the severe most cases,” he says.

When the virus is just beginning to spread in a community, with low numbers of infected people, “the time it takes for the number of cases to double” was observed to be a week or more, Dr. Schrank tells Health. “The doubling time is primarily determined by the incubation period along with the number of people that are actively infected and can spread the virus to others,” he says. “As the prevalence of infection increases in a community, this doubling time decreases, and the growth of the epidemic becomes exponential.”

Early on, the virus was likely making the rounds, but in relative stealth mode, misperceived as other common respiratory illnesses. Now that we have a critical mass of patients and improved testing access, we are starting to experience rapid doubling of the virus, which leads to exponential growth and a surge of infections. One problem of not testing early and widely is that we don’t currently know who’s been infected—which could provide important insight for individuals and the country at large.

The implications of knowing if you've been exposed

If you contract COVID-19 and then subsequently fight the virus off, the theory among many scientists is that you become immune to reinfection. Like similar coronaviruses, antibodies develop to help your body defeat the illness, and the body develops at least short-term immunity as those antibodies linger around after COVID-19 is gone.

This is why knowing who has immunity could be critical as we await a vaccine. “Many people will become infected,” William Schaffner, MD, a professor of medicine in the division of infectious diseases at the Vanderbilt University School of Medicine in Tennessee, tells Health. “The question is, will we be able to determine who has been infected and who remains susceptible? We would have to test everyone to see if they have evidence in their bloodstream of proteins that would indicate they’ve been exposed.”

To look for those proteins, we need a screening method. “Laboratories are working to develop a blood test to look for antibodies which are a sign that a person was recently infected with COVID-19,” says Dr. Schrank. As of April 2, the FDA issued its first approval to Cellex, Inc. for a test that would allow medical professionals to look for antibodies. About 30 other companies have tests like this in the works, as well.

Of course, knowing if you were exposed and asymptomatic or had a mild form of COVID-19 and now in the clear, would relieve a lot of stress and wonder. But nationally, knowing who’s immune could have broader implications. “It might, if it were quick and easy, determine who needs to be vaccinated and who doesn’t,” says Dr. Schaffner. He also says it could “help communities decide how open they could be again.”

Germany has been working on widely testing for immunity, so they can get certain people back to work sooner rather than later. Some leaders in the UK are also pushing for “immunity passports,” which would clear some essential workers to get back to their jobs by testing to see if they’ve been exposed to the virus.

Knowing who has already been affected is helpful because antibodies can also be used to treat COVID-19. “The FDA just approved the use of antibodies from recovered patients for new cases as an emergency investigational new drug protocol,” says Khubchandani. On March 28, Houston Methodist in Texas became the first hospital in the country to offer a plasma transfusion for COVID-19; Mount Sinai Medical Center in New York City also began offering them. The hope is that lending plasma with antibodies that developed in response to the novel coronavirus will help some patients overcome the disease easier.

What to do now

Dr. Schaffner senses that a lot of people will want to know if they’re immune. “We’d like to test first responders; many people of a certain age will want to know,” he says. Dr. Schaffner adds that it’s about making a test streamlined, so it can be made widely available.

If there’s a silver lining to this global pandemic, it’s that every ounce of the world’s scientific innovation is being thrown at the coronavirus right now. “We must remain optimistic, as all textbook and novel methods are being tried [to fight COVID-19],” says Khubchandani.

In the meantime, even if you think you may have been infected, it’s important to act like you’re supremely vulnerable—for your sake, and for others’ sakes—because there’s no way to know for sure. “Social distancing is absolutely key,” says Dr. Schaffner. “It is the thing we can do today to prevent the acquisition of infection because it’s transmitted within close contact. Mild symptoms or no symptoms, you can be contagious; anyone can just breathe out the virus, and if you are standing close, and could get infected.  That is why everyone has to maintain social distance, you can’t just focus on who has cold or fever.”

Personally, I’m hoping for that antibody test, so I can figure out my own level of immunity. But if I never get it and never learn if my illness earlier this year wasn't COVID-19, I’m more than okay practicing social distancing—to make myself and my community safer during this life-altering pandemic.

The information in this story is accurate as of press time. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. While Health is trying to keep our stories as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.

This article originally appeared on Health.com.

Isolation during COVID-19 can be worse for those suffering from anxiety. Experts offer ways families can work together to ease anxiety symptoms and get through quarantine together.

By Claire Gallam 

March 26, 2020

The constant news about the number of COVID-19 cases rising and its effects on the country is enough to worry anyone. But for those who suffer from some form of generalized anxiety disorder (about 40 million adults and more than 4 million children in America), this news can be more than just unsettling—especially during a quarantine—and cause their anxiety to spin out of control.

"COVID-19 is causing so much anxiety because the situation is unprecedented and uncertain," says Alexandra Friedmann Finkel, LCSW, a therapist and co-founder of Kind Minds Therapy in New York City. "People are craving answers, security, and comfort, and the media is not able to provide that as information is developing moment by moment."

So, what can you do if you or your loved one is suffering from anxiety during this time? Implementing these expert tips into your daily life during the quarantine may help ease your mind.

• RELATED: All About Coronavirus COVID-19: A Concerned Parent's Guide
  
  

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Focus on What You Can Control

There are things we can't control during the pandemic. That includes the virus happening, what the media is reporting, policies that the government is putting in place, and the financial market.

But there are things we can actually control, like washing our hands, coughing into our elbow or a tissue, social distancing when possible, engaging in positive coping strategies, and our reaction to the situation. Giving your energy to these things may be helpful in putting your mind at ease, says Finkel.

Take a Break from Social Media

There's nothing that can relieve instant stress faster than getting rid of the culprit immediately, says Finkel. If you're with your family at home, set up a "no phone hour" or "no social media Saturday." Things like this will help disconnect from the stressors and connect with loved ones instead.

Tara Egan, D.Ed., of Charlotte Parent Coaching, LLC, in Charlotte, North Carolina, agrees: "The best thing you can do is to encourage your friend or family member to step away from the internet. It may be tempting to use that as a primary modality to entertain themselves, but it can also lead to more feelings of uneasiness, insecurity, increased dread, and even doubt."

• RELATED: Coronavirus Doesn't Affect Children as Severely—And Experts Have No Idea Why

Start a New Hobby Together

Although the go-to may be to hop on the couch and binge a few shows on Netflix, TV is not necessarily the best way to help combat the symptoms of anxiety either. Instead, start a new hobby with your loved one, even if it's from afar due to social distancing. This helps take the mind off stress by giving it a new focus.

If you live with your loved ones, you could try things like knitting, crocheting, or maybe even yoga. If you don't live together, opt for a virtual book club or set up teatime every afternoon.

It can be reassuring to remember that even as we are all apart physically, we are all in this together.

- RACHEL DUBROW, LICENSED CLINICAL SOCIAL WORKER

Make a Schedule

When you're stuck at home, it can be so easy to fall into unhealthy routines. From not practicing proper hygiene to lying in bed longer or putting off chores, the simple act of giving up only adds to the stress and anxiety caused by a pandemic. Set a new schedule—and add some fun elements to it as well.

"While being at home with my family, I am grateful for the time we have for simple rituals like family dinners. We try to involve the entire family, so it feels like something new and fun," explains Anna Cabeca, D.O., triple board certified OB-GYN and author of The Hormone Fix.

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Practice Self-Care

Self-care is a great way for people to reduce stress. That's why it's important to encourage yourself, your partner, or child to find a method of self-care that works and do that. "For some of my patients, we've found that music can be powerful self-care," says Finkel. "Create a COVID-19 playlist to do work to, take a walk to, or just listen without distraction."

Other forms of self-care that therapists recommend are reading a book, organizing or cleaning a messy space, taking a long bath with candles and soothing sounds, or simply taking a few moments to rest or meditate (you can use a meditation app like Insight Timer, Calm, or Headspace, and there are apps that are perfect for kids).

Something as simple as doing a face mask can be enough to relieve some anxiety, so find whatever is most relaxing.

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Opt For At-Home Exercise

Research shows that exercise is one of the most powerful ways to reduce anxiety, thanks to the burst of endorphins you get after breaking a sweat. "Releasing endorphins is an effective way to fight stress and anxiety and to give your mind a break from everything," says Finkel.

Do an in-home workout with help from a favorite gym—both Orangetheory Fitness and Shred415 are offering members classes to take at home—or sign up for low-cost or free classes from sites like Daily Burn or even fitness videos on YouTube. Of course this is something you can also do with others while keeping a six-foot distance.

If you need fresh air, go for a run or walk (keep at least six feet away from anyone outside your household). If you're financially able to, it's also worth looking into companies like Peloton and Mirror, which are offering discounts to new buyers as well.

Create Happy Hours (Even Virtually)

Maintaining social networks is a great way to stay upbeat and feel a connection through the quarantine. You can do this by planning FaceTime, Skype, or Zoom dates, says Rachel Dubrow, LCSW, a therapist in Northfield, Illinois. "One good suggestion is to make contact with one friend and one family member daily if you live alone and at least one person daily if you live with others," says Dubrow. "It can be reassuring to remember that even as we are all apart physically, we are all in this together."

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Also, create a fun happy hour at the end of each day. Whether it's by mixing up new cocktails to try together (either alcoholic or non-alcoholic) or simply setting some time aside to talk about things unrelated to COVID-19—like new books, movies they want to watch, or places they want to see—creating an impromptu party or social session can help you reconnect on a deeper level.

The best thing you can do is to encourage your friend or family member to step away from the internet.

- TARA EGAN, D.ED.

Focus on Gratitude

Mentally detox by taking time to reflect and be thankful for the little things. For Hayley Parker, food blogger and writer at The Domestic Rebel, she found that using a gratitude journal was one of the best ways to cope with her anxiety. "I have started writing down five things I'm grateful for each day. Sometimes I find the usual, obvious things like 'that my family is safe' can be too broad, so I do little things like 'my coffee was delicious this morning' to help me redirect anxiety and stay present," says Parker. "The future is unknown and that is horrid for my anxiety, so staying present helps."

On that note, it's also critical to focus on compassion to help your loved ones suffering from anxiety. "When they're opening up, don't dismiss their fears with statements like, 'Oh, stop worrying. We'll be fine,'" says Dr. Egan. "Instead, make statements like, 'Yes, it is pretty stressful in our world right now. Let's make a plan of how we can follow the CDC's recommendations so we can stay safe and healthy.' Validate their emotions."

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Try Teletherapy

If you, your partner, friend, or child is suffering on an even deeper level, encourage them to seek help immediately. In today's climate, therapists are making themselves available 24/7 using online mediums, FaceTime, and even apps like Talkspace and Sanvello to communicate with patients during the COVID-19 epidemic.

"Most therapists have converted to teletherapy, and insurers are consistently covering video sessions in light of ongoing social distancing," says Nina Kaiser, Ph.D., a clinical psychologist and founder of Practice San Francisco. "This makes support accessible from home for anyone, anywhere—and professional support is more likely to be helpful to someone experiencing severe anxiety than anything that we as partners can say or do."

I've homeschooled all three of my kids by choice for four years. Here is my advice on how to help your kids learn from home as their schools are shut down because of coronavirus.

By Sarah Bradley 

March 17, 2020

Long before COVID-19 forced school closures, I was sitting at my kitchen table with my school-aged kids, teaching them math, science, language arts, and social studies. I've homeschooled all three of my sons, aged 5 through 9, from preschool on up. My oldest is currently in third grade (although grade levels are usually pretty fluid in homeschool).

It's normal for us and we love it, but for millions of American families facing unexpected school closures in the wake of the coronavirus pandemic, homeschooling has been forced on them rather than chosen. Now, many parents are left scrambling to educate their kids at home when they didn't plan on it, don't really want to, and just plain don't know-how.

I'll be honest: Homeschooling is more complex than it may seem from the outside and it takes practice. You and your kids won't adapt to it right away, but that doesn't mean you're failing or doing it wrong. In order to happily homeschool, you'll have to look at learning through a different lens than what you're used to.

• RELATED: All About Coronavirus COVID-19: A Concerned Parent's Guide

And online learning with tools like Google Classroom, which schools across the country are prepping for, is something older kids may be able to navigate easily. But for younger kids, it might be a bigger struggle to help them get their work done. But here's what you need to know about making a temporary home-school situation work for your family.

CATHERINE DELAHAYE/GETTY IMAGES

Forget what you think you know about homeschooling.

Most homeschooling families don't chain themselves to chairs for eight hours every day. Sure, the older your child is, the more time you'll spend on formal, sit-down instruction—but my third grader is the only one of my kids who spends part of his day reading from texts and answering questions (and it's truthfully a pretty small part of his day). Meanwhile, I ask my preschooler and first-grader for about 15 minutes of their attention before we move on to more hands-on learning activities.

There are no rules about how long homeschool should take, but I usually start with 20 to 30 minutes in kindergarten and then move up in 20 to 30 minutes increments for each grade level after that. If you're a temporary homeschooler or just starting out, I would cut those numbers in half and call it a day.

Don't try to recreate a school environment.

School at home is not the same as school at school. Don't waste time, energy, and sanity trying to make your homeschool function like a classroom—it just isn't necessary. Embrace the fact that your kids will be learning in entirely new ways for the time being.

It's OK to homeschool in your pajamas, or in the backyard if you have one, or in a blanket fort under the top bunk. It's OK to skip the fraction flashcards and get your kids baking in the kitchen with you. It's OK to spin a globe, land on a random country, and look up that country on YouTube. And it's definitely OK to go for a backyard bug scavenger hunt and call it science. Us full-time homeschoolers do these things all the time!

Follow a basic routine with built-in breaks.

Unless your child is especially averse to routine, it's smart to establish a basic flow for your day. I'm not an advocate of a strict homeschool schedule (though it absolutely works for some families), but my kids appreciate knowing generally what's coming next. That will likely be the case for kids who are used to their school schedule too.

• RELATED: How to Stay Busy (And Sane) While Kids Are out of School for the Coronavirus

First we free play, then we learn, then we practice, explore, build, create, whatever. Then we all take a break because we all need one—including me.

If you've ever bemoaned the lack of recess or playtime in your child's school, this is your chance to correct it, at least for right now. If you spend 30 minutes learning in earnest, give your kids twice as much time to regroup. Quiet reading, building with Legos, coloring, playing card games, and yes, even practicing skills with semi-educational apps on a tablet are all great ways to power down periodically without losing your groove.

Count quality, not quantity.

Here's a word problem for you: If Mom A spends 10 minutes working through math equations with her son and only completes five problems, and Mom B spends 45 minutes harassing her son to complete all 25 math equations on his own until they're both frustrated and crying, which child had a more meaningful learning experience?

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Duh, it's Mom A's kid, because even though he accomplished less, he had Mom's full attention for 10 minutes. She connected with her child and gave him a chance to ask questions, correct mistakes, and feel good about his skills. It may be hard, but resist the temptation to tally up how much work your kids complete and focus instead on how many minutes you spent being fully present and attuned to them. That kind of 1:1 instruction, even for a short period of time, goes a lot further than long bouts of semi-distracted learning.

Follow your child's interests.

If you need an older child to work independently, it's OK to set aside her existing curriculum or unit studies and let her concentrate on what she wants to learn.

Is she obsessed with Billie Eilish (who, coincidentally, was also homeschooled)? Cool, that's a unit study. Have your daughter research Eilish online and write a short biography (social studies). Ask her to compare and contrast record sales between Eilish and other top female music artists like Madonna and Britney Spears (math). Tell her to study all the lyrics from Eilish's debut album and analyze them like poems, searching for connections and hidden meanings (language arts).

Basically, almost any topic of interest can be turned into a multidisciplinary unit if you think outside the box just a little. Your child will learn across a variety of subjects and be able to self-direct a lot of their own study. Slam dunk.

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Lower the bar (a few times).

I have no doubt that you're a smart and capable parent if you're reading this. But even the most skilled homeschoolers struggle to find a rhythm each year and have to rethink, replan, and strategize when things aren't working.

Wherever your expectations are set right now, you should probably lower them (and then lower them again, once more, for good measure). If you're hitting that bar, you're doing fine. If you're surpassing it, pat yourself on the back. And if you're consistently missing it, don't throw in the towel yet—try to figure out where things are going wrong and self-correct if you can.

But mostly? Have fun. It's a scary world out there, and the single best thing you can do for your kids right now is making your home a safe, happy place.

More Working From Home Tips:

33 Great Tips From 33 People

5 Free Online Learning Programs for Kids to Do at Home

You don't need to create teacher-level lesson plans to make sure kids keep on learning at home. Here are a few free resources to take advantage of while creating a plan for keeping little ones learning outside of the classroom.

By Libby Ryan 

March 16, 2020

With schools and daycares closing due to safety concerns over the novel coronavirus (COVID-19), parents all over the country need to find ways to keep kids busy for the length of a school day. While you shouldn't put pressure on yourself to create teacher-level lesson plans to implement while you're balancing a new work from home schedule, you can still make some of the day educational.

Here are five free online learning resources to take advantage of while creating a plan for keeping little ones learning outside of the classroom.

• RELATED: How to Stay Busy (And Sane) While Kids Are out of School for the Coronavirus

1. Scholastic Learn at Home

Scholastic Learn at Home is a 20-day program to keep kids entertained and learning through videos, stories, and problem-solving challenges. The website is divided by age and has enough activities for each group to provide parents with three hours of content each day. That means three hours each day of online reading and activity time, all themed around a special topic area for the day. Day one for first and second graders? Spiders. Get ready for some cute spider drawings for the fridge, folks!

2. Brainly

The Brainly app aims to connect parents with other parents to help out their students, aka a virtual study group. That means you can crowdsource other families for help on concepts that you might not remember from grade and high school. For an extra fee, parents can get help with specific homework problems from experts (useful for brushing up on geometry if you don't remember the Pythagorean theorem).

• RELATED: 50 Ways to Get Through Coronavirus Cabin Fever

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3. BrainPop

BrainPop has videos and quizzes on just about every school subject a kid could need—and even has videos on how to explain the virus to children of different ages. They're offering free classes for schools that have shut down because of the coronavirus, so if your school is out for a while, you can fill out a form on the company's website to get access.

4. Twinkl

Parents can take advantage of a free month on teacher-made website Twinkl, where there are educational games, homework help, and even lesson plans on different subjects. There are also guides to break down exactly what kids learn each year for parents who need a refresher on what knowledge comes when. Users can also rate and review the games so you can pick and choose which ones to set your child up with to practice their multiplication tables.

• RELATED: The Best Educational Apps for Kids

5. Sumdog

Sumdog offers a selection of free games with the aim to make math fun for kids. You can also get a family subscription if the kids really take to it for bonus games, plus access to ways to chart kids' learning progress.

Parents, don’t forget to breathe and remember, you don’t have to do everything perfectly in order to keep your kid learning. You're never going to mimic the exact format of a classroom with the kiddos at home, so give yourself some room to experiment with what works for the whole family if you're all housebound. P.S. Don’t forget recess exists for when you need a break—send those kids out into the yard to run off some of that energy!

It might be time to skip the disinfectant wipes in favor of good old-fashioned soap and elbow grease.

By Kristi Pahr 

February 21, 2020

Like most parents, you probably have a container of disinfectant wipes stowed in pretty much every room. Next to the changing table? Yep. Under the kitchen sink? Of course. In the bathroom? Duh. There's no denying the sheer utility of them—no messy spray, just wipe and go, confident that you've done your part to defeat the spread of germs in your home. Go you!

Unfortunately, a recent report from Consumer Reports shines a light on some of the less awesome parts of the ubiquitous cleaning supply. Namely, quaternary ammonium compounds (quats for short), which as you can probably guess from the name, aren't that great for you or your kids. They're actually registered as pesticides with the EPA. Some wipes also contain bleach or hydrogen peroxide, which are also ... not great. But it's the quats that we really need to be aware of. Compounds like bleach and peroxide are familiar enough that we know to be careful when using them on surfaces our kids might touch, but quats? Who's ever even heard of those?

Turns out, inhaling quats can trigger asthmatic episodes and a 2005 study published in the Journal of the American Medical Association found that disinfectants that contained bleach or quats were responsible for over 30 percent of pesticide-related injuries like eye, skin, and respiratory complaints in school children.

In fact, kids are at higher risk than adults from these compounds. “Kids breathe more air per pound of bodyweight than an adult does. Their exposure will be greater in terms of inhalation than an adult exposure would be,” Jerome Paulson, M.D., a pediatrician and emeritus professor at George Washington University, told Consumer Reports.

The takeaway is this: Go easy on the disinfectants that kill bacteria and viruses. If you're not in a medical or child care facility, you probably don't need to disinfect many surfaces in your home. A good, old-fashioned cleaning can do the trick. (You can take a look at the Environmental Protection Agency's list of cleaners that aren't known to trigger respiratory difficulties.)

However, there are times when you might want to disinfect your home, like when someone has a stomach bug or the flu. Read labels and use products correctly—many need to maintain contact with the contaminated surface for several minutes before disinfection is considered complete.

And be mindful of using disinfectants anywhere near kids or older adults. Make sure there's adequate ventilation and keep little hands from contacting surfaces still wet with disinfectants—let them dry completely.

Maintaining a clean home is important, but disinfecting every surface every day is overkill. Save the money you spend on wipes and maybe treat yourself instead!

Wondering if your family's fur baby is susceptible to COVID-19? Here's what we know so far about how the coronavirus affects pets.

By Maressa Brown 
March 16, 2020

As the number of people around the globe affected by the novel coronavirus and being diagnosed with COVID-19 continues to skyrocket, so too do our questions about the disease. Pet owners, in particular, are wondering if their family's fur babies are susceptible to the illness—especially because scientists say the virus initially jumped from animals to humans.

Here's what we know so far:

Can Pets Get COVID-19?

The Guardian reported that a Pomeranian in Hong Kong tested positive for SARS-CoV-2 last week. The dog's owner had tested positive for COVID-19, but the dog itself wasn't showing symptoms, according to authorities with the Hong Kong Agriculture, Fisheries, and Conservation Department. Test results suggested the dog, which has been quarantined since February 26, had "a low-level of infection, and it is likely to be a case of human-to-animal transmission."

In a press release, the department noted that they "will continue to closely monitor the dog which tested weakly positive for COVID-19 virus and repeat the test later. It will only be returned to its owner when the test result is negative."

Vanessa Barrs, who studies diseases in pets at City University of Hong Kong’s Jockey Club College of Veterinary Medicine and Life Sciences, explains to Parents.com, "The results of all of the tests show that the dog has a mild infection, acquired from its owner. The dog is not sick. The tests show that the virus is replicating inside of the dog's body, but it is not very good at it, and consequently, it is only shedding small amounts of virus in its nose and mouth."

To catch COVID-19, you have to be exposed to a certain dose of the virus, she notes. But the dog is shedding just a tiny amount of it, which means it is unlikely to be contagious. Barrs says that when a virus doesn't replicate very well in an animal—as is the case here—no onward transmission occurs.

J. Scott Weese, a professor at the University of Guelph’s Ontario Veterinary College who studies zoonotic disease (disease spread between animals and people), tells Parents.com that researchers are hoping the novel coronavirus behaves like human flu in pets. "We can occasionally pass human flu to dogs," notes Weese. "They can get sick, but it's not their flu virus, so we assume they are 'dead-end' hosts, meaning they don’t pass it on any further. Hopefully, that’s the case with this virus in dogs. Cats are a bit more of a concern because they are probably a more amenable host, but we need to learn more about that."

Can Cats and Dogs Transmit Coronavirus to Humans?

Simple answer: No. The Centers for Disease Control and Prevention (CDC) states that there is no reason to think that any animals, including pets in the U.S., might be a source of infection with this new coronavirus. To date, they haven't received any reports of pets or other animals becoming sick with COVID-19, noting that "at this time, there is no evidence that companion animals including pets can spread COVID-19."

Meanwhile, a report from the World Organization for Animal Health (OIE) echoed that there is no evidence that dogs can spread the disease or that the disease can cause an animal to fall ill, but further studies may bring new findings. And the Society for the Protection of Animals in Hong Kong has clarified that being infected was not the same as being infectious.

In other words, pets can contract the virus, but there's no evidence that they can transmit it to humans.

Barrs told The South China Morning Post that dogs and cats also contracted low-level infections of severe acute respiratory syndrome (SARS) during the 2003 outbreak. "Previous experience with SARS suggests that cats and dogs will not become sick or transmit the virus to humans," she said. "At that time, a small number of pets tested positive, but none became sick. Importantly, there was no evidence of viral transmission from pet dogs or cats to humans."

The bottom line: People don't get COVID-19 from pets, and pets don't get sick or pass the virus on, says Barrs. "Humans get COVID-19 from humans; they do not get it from dogs," she says.

Precautions for Pet Owners

"For safety, people should avoid close contact with their pets if they are feeling sick, in case they might transmit COVID-19 to their pet," advises Barrs. "If you think you might have COVID-19, don't kiss, cuddle, or sleep with your pet during the period of your illness. You can take your dog for a walk, as long as you are taking normal safety precautions around other people, such as social distancing."

The CDC echoes this guidance, encouraging anyone who is sick to limit contact with their pet. Ideally, another member of the household will step in, but if this is not possible, the CDC urges sick pet owners to wash their hands before and after they interact with pets, avoid sharing food, and wear a face mask.

For more information regarding pet health and the pandemic, check back with the World Organization for Animal Health and the CDC, which will continue to provide updates as new information becomes available.

How to Get Kids to Stop Touching Their Faces: Coronavirus Prevention Tactics

Experts say avoiding touching your face can help quell the spread of the novel coronavirus. But how do you get kids' busy hands to stop rubbing their faces?

By Kristi Pahr 

March 05, 2020

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"Get your finger out of your nose" is a phrase muttered by parents the world over. A toddler or preschooler with their finger buried to the knuckle in their nose is a common if gross, sight and the battle to keep fingers out of noses is a common one. But with the possibility of coronavirus spreading like wildfire, it's more important than ever for kids to fight the urge to dig for nasal gold.

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Since coronavirus, officially called SARS-CoV-2 and which causes the disease called COVID-19, is spread by droplets from coughs and sneezes, it’s quite easily transmissible, making basic hygiene more important than ever. Transmission could occur as easily as touching a doorknob or handrail that someone who had been exposed to the virus touched.

While hand-washing with soap and water or using hand sanitizer is the gold-standard for avoiding transmission of the virus,  experts also recommend not touching your face, which, as any parent knows, is a hard thing to accomplish with young kids.

“One way to avoid germs is to prevent them from entering the mouth eyes, or nose. Keep kids’ hands busy so they aren’t tempted to touch their faces,” says Atlanta-based pediatrician Jennifer Shu. Here are a few ideas to curb the nose-itching (or worse).

1. Have Tissues on Hand

Providing kids with tissue for nose-blowing or even to cover their hands to scratch an itch is a great way to avoid skin contact during times of illness. “Washing or sanitize hands often so if they do touch their face, at least their hands are clean,” adds Shu.

2. Give Them Something Else to Do With Their Hands

Providing kids with fidgets, like fidget spinners or fidget cubes is a great way to keep busy hands away from faces and mouths. 

3. Keep Hair Out of Their Faces

Stray hairs tickling children’s faces is another major cause of face touching. The urge to wipe the hair away or push unruly locks back off the forehead can lead to kids touching their faces frequently. Keeping short hair trimmed or long hair pulled back so it doesn’t tickle their faces is another important step in avoiding face touching, says Dr. Shu.

4. Stay Away From Sick People

It might seem obvious but always try to stay at least six feet away from people who are coughing or sneezing. With a little extra dedication to hygiene and a little more awareness of where our kids are putting their hands, we can help keep them safe, not only from COVID-19 but from influenza and the common cold.