As a registered nurse, Alison Warren knows how important it is for her 3-year-old son, Hector, to wash his hands properly.
"The way to get rid of germs on your hands is to use soap and to apply friction," says the Madison mom, who recognizes that it can be tough to get kids to wash well. "This last week [Hector] has been a little more cooperative putting soap on his hands and rubbing, and doesn't just want to run his hands under the water."
Hands and home. These are the two fronts infection-control experts have this flu season to prevent spreading regular seasonal viruses and the added H1N1 flu. First off, if you're sick, you should stay at home. But schools, day-care centers and public-health officials have all stepped up efforts this fall to educate people on how exactly to get your hands clean and keep the germs at bay so kids - and parents - don't have to stay home sick.
With these campaigns and a new form of flu etiquette, health officials hope to keep the 30% of us expected get sick from the H1N1 virus to a minimum.
Part of the responsibility in educating the public, according to Meriter Hospital infection-control professional DeAnn Richards, is to learn the new norm for germ protocol and hold each other accountable for proper hygiene.
"There's an opportunity to have more one-on-one conversations. If you see someone cough or sneeze into their hands, you can advocate for kids to say let's go back and correct it," says Richards.
Hands are the number one way germs spread from person to person. You can blame old-school rules for creating the hard-to-break habit that many adults have. Back in the day, mom preached covering coughs and sneezes with hands. But that's exactly the wrong thing to do, according to new knowledge.
"What happens when someone sneezes or coughs and they take hand to mouth, which is what we have been accustomed to doing for many decades, the next thing we touch, whether it be desk, handrail, telephone or doorknob, becomes covered with virus," explains Dr. Ellen Wald, chair of Department of Pediatrics at UW Hospital & Clinics.
The virus can live on the surface for hours, where it can easily spread to others.
The solution: Cover your cough with a tissue, and then throw it away immediately. Alternately, turn away and use the inside of your elbow to catch a cough or sneeze.
And wash your hands frequently. Soap and water work best. Spend at least 20 to 30 seconds lathering before rinsing off and drying your hands. Sing the "Happy Birthday" song twice or the ABC's once to gauge the proper amount of time. Hand sanitizer is effective, too, but only in concentrations containing 60% or higher alcohol, and only if applied liberally - enough to keep hands wet for 30 seconds or more.
"This is a new era for hand hygiene," Wald says. "Now there are signs posted in schools and in hospitals. I try to educate people when I see them do the wrong thing, and it just takes years and years. You do the best you can and try to educate kids because you don't want them to get sick."
Education was the key last month when Meriter and the University of Wisconsin-Madison held a workshop aimed at getting information to child-care centers and family care providers. The H1N1 Pandemic Program Planning session (available for viewing online at the city channel: www.cityofmadison.com/mcc12/streaming.html) stresses what steps those who care for children can take to keep germs from spreading rapidly.
Says Richards, who spoke at the session: "We're more focused on the fact that illness really impacts the child as well as the parents and the workplace in general. If we can keep the kids healthy, it will have a positive effect on all of those areas."
Pam Bennett, manager at the Meriter Children's Center, says focusing on hand washing makes sense because it's so effective, and kids love the sensory experience of using soap and water. "Teaching them this simple life skill is really helpful," she says.
The Children's Hospital of Wisconsin last month launched a new website aimed at teaching kids four simple steps to flu prevention. With characters including Captain Cough and Misty Clean, Children's Flu Fighters (childrensflufighters.com) urges kids to 1. Wash your hands. 2. Cover your cough. 3. Sneeze in your sleeve. 4. Take the day off.
"Everyone, even children, has a role to play when it comes to stopping the spread of germs," says Seth Foldy, state health officer and administrator of the Wisconsin Division of Public Health of this campaign that makes teaching about flu fun.
Making it fun works when teaching washing technique, says Red Caboose Preschool teacher Lee Szuch. "In my class, I'm quite silly, but I'm pretty strict too. I make sure they're doing the right thing. The best thing you can do is to make it fun," Szuch says of the necessary hand-washing task. Szuch uses the smell test to get kids to the sink with a smile.
Last month, the Madison School District put its pandemic plan into action. Brief, age-appropriate flu-prevention lesson plans were taught in all schools. In addition, the district sent home information on guidelines for keeping kids home, and tips on prevention. Some recommend watching a Centers for Disease Control video (www.cdc.gov/CDCTV/HandsTogether/index.html) to understand good hand-washing technique.
District Health Services coordinator Freddi Adelson says Madison schools will work with public-health officials to make H1N1 vaccine available in schools for those who want to receive it there. So far, they've made available more soap and towels as well as providing sanitizing wipes and hand sanitizer to elementary classrooms.
"We're really focused on prevention and having everyone taking responsibility to do everything they can to protect themselves," Adelson says. "We hope people respect the advice to stay home."u
Kids critics choice
Kalaanjali School of Dance
Oct. 10, Overture Hall Rotunda, 9:30 am, 11 am & 1 pm
Overture's free Kids in the Rotunda series introduces your child to classical Indian dance (assuming you haven't already done so).
They Might Be Giants
Oct. 11, Barrymore Theatre, 4 pm
The veteran alt-rock band now make goofy music for kids, both on TV shows and CDs. They perform a family concert.
Oct. 27-30, Wisconsin Historical Museum
The museum amps up the spooky quotient with movies, crafts and - of course - educational tidbits.
Beakers & Broomsticks
Oct. 30, Madison Children's Museum, 5:30-8 pm
A Halloween costume parade, music and trick-or-treating at participating businesses on State Street and the Capitol Square.
This will not (although it could) be a treatise on the value of "alone time" for a healthy marriage, though. Nor will it be an ode to how nice it was for me to have a few days off from lunch-packing, carpool-driving and homework-nagging.
For those of you who haven't yet seen it, the eight-week-long transit campaign, placed both inside and on the outside of buses, features a photo of an orange tabby with a stainless steel bar drilled into its head accompanied by the line "I am not lab equipment. End UW cat experiments!" Just as PETA hopes, the image is shocking and demands an immediate response.
If I had my druthers, I'd sit out the entire shopping week that follows Thanksgiving. Black Friday, for starters, has corrupted the fine art of bargain shopping and turned it into a gladiator sport. There is no percentage off that is worth losing sleep, or even worse an eye, over. Especially if you have kids in tow.
When you shop for toys, there is always the conflict between what you think is appropriate/adorable and what the child being shopped for might actually want/play with.
Many of the pop-culture seasonal touchpoints of my youth are completely lost on my kids. You see, while I may have memorized every word to both the Snow Miser and the Heat Miser's songs from The Year Without a Santa Claus, I'm pretty sure the only Rankin-Bass stop-motion Christmas special my kids have ever seen has been Rudolph.
I am so thrilled that the United Way is sponsoring a Teen Gift Drive this holiday season. Sure, teen "wants" often aren't as fun to shop for as precious baby dolls and sweet Lego sets. But middle and high school kids still "need" to feel valued and loved during this time of year. And helping a family in need to provide this for their child is a wonderful way to get in the spirit.
My 11th-grade and 8th-grade sons have heard "the chant" for years. You know which one I'm talking about -- the ESFY (U?) chant (I'm not sure what the parenting post rules are for writing two of the more forbidden four-letter words in the English language) that appears to have both Barry Alvarez and Chancellor Blank quite concerned.
There are many different criteria parents use when evaluating which pre-school programs will be right for their children. Some parents might be looking for an educational philosophy that stresses creativity and community. Others may desire an option that revolves around learning through play or is more academic in approach.
We spent hours poring over name books and checking for inappropriate initial combinations. We looked at meanings, variant spellings and popularity charts. And, as I am sure every parent does, we thought we'd hit the name jackpot with each of our kids. But there are always surprises.
A generation or two ago, the pediatrician was the guy (yes, they were mostly guys) who gave your kids shots and prescribed big bottles of antibiotics for every sniffle. Madison's Dipesh Navsaria is a different breed of pediatrician.
Gamehole Con will be the premier tabletop gaming convention in the region. And with Wisconsin being the birthplace of Dungeons and Dragons, as well as the nation's leader in gaming stores per capita, it kind of makes sense that the convention's organizers want the Dairy State to be known for more than just cheese, beer and bratwurst.
This year I will also try to ease up some of my previous costume concerns. Sure, the world is rife with inappropriate dress up choices for our kids; there is no parent out there that is keen on his or her child dressing like a pint-sized prostitute, even for one night.
This past Saturday, I took my youngest to hear Caldecott award-winning author/illustrator Kevin Henkes read from his latest work, The Year of Billy Miller, a short novel for the early elementary grades.
I was greeted at the door by Tom Moen, who has served as executive director of what he likes to call "Madison's best kept secret", for the past 39 of the center's 47 years. Located in the middle of the subsidized Truax Park apartment complex, EMCC, with its vast array of offerings for kids, seniors and everyone in between, is unquestionably the heart of the neighborhood.
Madison's Kashmira Sheth has written four award-winning novels for middle grade and teen readers, and a popular chapter book for six- to nine-year-olds, but right now her picture books are what she's excited to talk about.
A few summers back, my daughter, maybe 8 or 9 at the time, decided to take part in our swimming pool's annual water ballet show. I'm not really sure what initially piqued her interest in the somewhat under-the-radar, very much under-the-water sport of synchronized swimming.
We rarely included a stop at the Central Library as part of our regular outing. For those of you who've been in Madison for a while, I'm sure you'd agree that the old building was pretty run down. Not to mention, dark, cavernous and depressing. Libraries, at their best, should be portals to discovery, right?
My eleven-year-old daughter spent most of last weekend alone in her room, door shut. It wasn't a temper tantrum or an overwhelming need for tween privacy that led to her self-induced isolation, though. Instead, I didn't see her (except for meals) for two days because she was, in her words, "going through her closet."
Yes, the 2004 classic comedy Mean Girls is an absolutely delightful movie. But it's definitely not the smartest mother/daughter viewing as your child is about to enter her inaugural year of middle school.
Despite celebrating 30 years in business this year, Knowledge Unlimited Inc. remains relatively unknown in the community. Those concerned with closing the achievement gap in Madison's schools, however, may want to take note. This award-winning educational-materials producer, based in Middleton, is unique in emphasizing multiculturalism throughout its lines of educational posters, DVDs and children's books.