Kids are back in school, and between early bus rides, a packed day of classes and after-school activities, they can get hungry. So, what should parents pack to give their children the energy they need throughout the day?

Nicole O’Neill, RD, a dietitian with OSF HealthCare, says parents should remember that kids have different nutritional needs than adults. 

“They need fuel, so you have to give them good fuel,” she says. “Things like protein, fiber and fats are going to be the most important part. And remember, their little bellies are smaller than ours, so they can't eat three square meals and have just enough. They probably need a snack, especially if they get up earlier now than they did in the summer. If their lunch hour is earlier than noon, if they play sports, if they have a gym class, snacks are important for kids.”

What makes a healthy snack?

The best snack depends on the child, including their tastes and what they are actually willing to eat. But O’Neill says a good starting point is to pair foods that provide protein, healthy fats or fiber. For example, she recommends apples with peanut butter. Fruit cups packed in juice can also work, especially when paired with a protein or fat, such as a cheese stick.

“I personally recommend, for snacks, apple and peanut butter. That is an easy win right off the bat,” O’Neill says. “I do like the fruit cups in fruit juice, but you need to pair that with something that has a little protein or fat, like a cheese stick. Cheese and crackers is a great option.” 

O’Neill also likes homemade snacks, such as energy bites made with peanut butter, banana, oatmeal and a few chocolate chips.

Get kids involved

Parents can also get their children involved in picking out their snacks with some guidance. “Because every kid is going to want candy or chips, but you do have to offer them something that they like,” O’Neill says.

She recommends taking children to the grocery store, letting them help pick out a few options and trying those foods at home before packing them for school. “Still get their input, see what they like, see what appeals to their eyes, and try it at home before you send it to school,” she says. “Make sure they genuinely, truly like it.”

Timing matters

How often a child needs a snack can depend on their age, schedule and activity level. A child who leaves home early, has gym class or participates in sports may need additional fuel throughout the day.

For young athletes, O’Neill recommends having a snack before practice or a game. A snack after the activity or on the way home can also help keep hunger in check before dinner.

When choosing packaged snacks, O’Neill recommends reading nutrition labels and paying attention to sodium and the percent daily value.

Above all, she says, parents should focus on providing foods with nutritional value while remembering that treats can still be part of a healthy overall diet.

“When you go to the grocery store, it's important to pick good things, not just candy, not just chips, which those do have a role in a normal diet. You can't eliminate all of that all the time,” O’Neill says. “But if we're going to have a snack every single day after school, it needs to be a beneficial snack that gives nutritional value.”

For healthy recipe options, visit OSF HealthCare.

Interview Clips

B-Roll

A former college athlete and mother of a youth sportster, Emily Isom knows all about long nights at the ballpark.

But by day, Isom is a certified medical assistant in pediatrics at OSF HealthCare. She’s combining her life experiences to give parents a roadmap during back-to-school season: What sport or activity is right for my child? How can they get the most out of it?

The benefits of kids getting active

• Physical: Isom says sports help kids strengthen muscles, speed, endurance and balance.
  
  “They’ll be able to run further and faster,” Isom says, noting that improves lung and heart health.
   
• Social and emotional: Sports can teach kids social skills like teamwork, communication and self-esteem.
  
  “It helps them become who they are as a person,” Isom says. “It helps them take ownership of their communication. They can build that communication within a team.
  
  “When you win, it feels great. But when you lose, some kids can take it really hard. They think they’re a failure and they’re not good at the sport. It becomes mental,” Isom adds, commenting on how sports can build skills to overcome stress, conflict and adversity. “But that feeling of being a failure is not true. You win and lose. That’s how it goes. But the key is to get better. They can work on kicking, running, hitting, catching or whatever it is.”
  
  Plus, you never know when a teammate will turn into a lifelong friend.

Navigating the season

Isom says a parent should never pressure a child into a certain sport or activity. They won’t enjoy it, she says. Instead, keep the conversation light and open ended. For example: is there a sport you’ve seen on TV that you’d like to try? Or, show them videos of different sports. And parents should not be upset if their child chooses an activity out of the norm. Maybe a boy from a family of football players wants to do dance or theater instead. That’s OK, Isom says.

“Kids look for support from their parents in anything they do. It doesn’t matter if it’s sports or the arts. If it’s something they want to do, you should encourage and support your kid,” Isom says. “My daughter is really into art. She might want to do art instead of sports one summer. I’m all for it. She’s still interacting with people. She’s happy doing something she wants to do.”

Isom says if a child gets burnt out on a sport, they’ll usually tell you. Again, Isom says not to pressure the youth to finish the season. But have a conversation about what’s going on and the paths forward. If you have to pull the kid out of the sport for their health, do it.

“If they’re showing depression, anger or hostility over the sport, I wouldn’t press it any further,” Isom says.

And of course, be a supportive cheerleader from the stands. Don’t heckle or shout criticism.

“It embarrasses the kid. And those kids can develop anger issues. They learn it from their parents,” Isom warns. “It makes the kid feel like a failure when the parents are yelling from the stands. I’ve seen it. It’s not fun. It’s not cool.”

Learn more

Read more about keeping kids healthy in sports and everyday life on the OSF HealthCare website. Pediatric care at OSF includes local offices like the one Isom works at that can provide sports physicals and treatment or minor sports injuries, plus OSF Children’s Hospital of Illinois in Peoria.

Interview clips

Related stories

Dirty nails and mouths don't mix
Don't lose your head over lice
Sneaky signs you might be dehydrated
Keeping backs healthy in school
Hit your head? Don't just shake it off
‘It shouldn’t be a barrier to play'
Don't throw your weight around
Not all fun and games
A shin-termission

We're talking about head lice, something seen often in doctor's offices. 

The good news for parents: in most cases, your child doesn't have to miss school and can be treated with over-the-counter remedies. 

Lice typically spread when you share objects like a comb or hat or when you have head-to-head contact with someone. 

Itchiness is the primary symptom, and the infestation usually lasts seven to ten days. 

You can take your child to their pediatrician if you feel it's needed. 

But for a mild first case of lice, over-the-counter products at home, like the Nix® or Rid® treatment kits, may do the trick. 

To prevent lice from coming back, keeping a clean home goes a long way, says Emily Isom, a certified medical assistant in pediatrics at OSF HealthCare. 

“Spray the couches, bedding and floors with sprays that are for lic. You have to vaccuum,” Isom says. “You have to bag every stuffed animal for at least two weeks to suffocate the lice. Take the sheets off the bed every day and dry them on high heat until you know the lice are gone.”

Isom suggests checking with your child's school to see how it handles lice. Also, look at your kid's scalp often to catch lice early.

Video Version With Chyrons

Video Version Without Chyrons

The OSF Audiologist says since it's his profession, he knows the dangers of loud noise and the lasting impact it can have on his hearing. 

Our listening habits could be doing more harm than good. Especially for younger people.

A recent published study cautions that between 670 million and more than 1.3 billion teens and young adults could face hearing loss due to unsafe habits. 

Researchers concentrated on two main sources of loud music exposure: live music events and personal listening devices like headphones. 

Listening to sounds at a decibel level of 85 or higher for long or a repeated amount of time can cause hearing loss.

“A lot of us feel invincible at that age, so we tend not to take that message to heart," Dr. Workman says. "Hopefully they understand the potential damage they could do.”

Dr. Workman offers a few helpful tips like wearing protection at concerts and sitting in the back of the venue, if possible. 

He also says to wear ear plus and turn the music down on your headphones. 

If you're concerned you may be experiencing hearing loss, Dr. Workman recommends scheduling a hearing test.

Video Version With Chyrons

Video Version Without Chyrons

Up to 95% of kids age 13-17 and nearly 40% of children age 8-12 use a social media platform, according to the U.S. Surgeon General.

The report “Social Media and Youth Mental Health” says evidence indicates that there are “ample indicators” that social media can have a “profound risk of harm to the mental health and well-being of children and adolescents.” Additionally, the advisory says that social media usage can disrupt vital activities for someone’s health and well-being like sleep and physical activity.

It’s no secret a major part of posting that “picture perfect” moment happens after the picture is taken. Through editing with filters, body positioning, and now even artificial intelligence, the photos you see of those you follow may not be an accurate representation of their life.

Kyle Boerke, Psy.D, is the director of behavioral health outpatient services for OSF HealthCare and a clinical child psychologist. He says what we go through as social media users when looking at the influencers we follow is called “upward social comparison.”

“You, as a teenager, take your worst day and you are comparing it to this video of somebody’s best day. Or I would say, artificial day, because it’s not real due to the filters and editing,” Dr. Boerke says. “We have a lot of research that talks a lot about the direct correlation between time spent on social media and an increase in anxiety and depression. We’re talking about a one-to-one correspondence where every hour spent on social media increases your likelihood of anxiety and depression.”

What can we do?

“Limit your exposure to social media as a whole. But certainly, limit those individuals that are negative and that are body shaming. There are body positive individuals out there.”

Dr. Boerke says, in many cases, the people you follow on social media aren’t your friends. You don’t know them personally, and you’ve probably never met them, and never will.

“More important than who you follow on social media is who you surround yourself with in real life. Surround yourself with positive individuals in real life. Surround yourself with people who truly know you, care about you, support you and are going to be there for you in hard times,” Dr. Boerke adds.

Social media is a tool

While social media is used, whether intentionally or not, for negative purposes, there are some cases where it can be used for positive outcomes.

“There are influencers out there that have a good message on body positivity and being healthy, as opposed to your weight and what your figure looks like. However, for every one of those, there are ten to twenty that by using filters, Photoshop and artificial nature. How they portray themselves can be a huge influence,” Dr. Boerke says.

In most cases, people may hear “social media” and think of the apps Instagram, X (formerly known as Twitter), Snapchat and Facebook. But he says a major social media platform reaching the youngest of kids is YouTube.

“I just want to caution everybody that even at a young age, be aware of what they’re watching and be aware of how much time they’re spending on these,” Dr. Boerke says. “While the themes throughout these YouTube videos are mostly good, there’s still probably some upward social comparisons happening even with our six and seven-year-olds.”

What if I’ve built a community on social media?

Connecting with people going through your same experience can potentially be good.

But Dr. Boerke says that can also be troubling, because you can get into a group with people who feel/think the same way you do, and they recommend you do something that is detrimental to your health.

“If you are struggling, tell an adult in your life and ask to talk to somebody. Start with your pediatrician or primary care physician. They can get you in touch with a therapist or psychologist that can help have those discussions with you,” Dr. Boerke says.

OSF HealthCare offers behavioral and mental health services across the Ministry to support adults, teens and children seeking diagnosis, short-term treatment or long-term management of mental and emotional health challenges.

The services offered can best fit your needs, from outpatient therapy to medication management. If you’re interested in speaking with a medical professional, visit the OSF HealthCare website.

Video Interview Clips

Shiny new toys will be lying under many Christmas trees this season, sure to bring joy to kids around the world. 

But inside these things also lie dangerous pieces parents and others need to keep an eye on. 

Things such as batteries and magnets, both small and shiny, are potentially life-threatening objects. 

Tinsley Anderson, MD, a pediatric surgeon with OSF Children's Hospital of Illinois, calls small, round batteries “particularly problematic.” Saying they can easily get stuck in the esophagus and cause a burn injury. 

When a child swallows a battery like this, surgery is needed.

"In buying gifts for your kids, I'd look for toys that don't have parts that come apart. If they have a battery component, make sure it's screwed in," Dr. Anderson says. "That way you're not changing the battery, and in a year from now, your kid probably won't want the toy anyway." 

Dr. Anderson says mucus and moisture inside the body completes the battery's circuit, activating the battery and causing an alkaline burn. 

She says warning warning signs to look out for if your kid swallowed a battery, is if they're drooling, unable to swallow or eat, have belly pain, or if an item is missing and you think your child might have eaten it. 

It's crucial to head straight to the emergency room to be checked.

Video Version With Chyrons

Video Version Without Chyrons

Some are turning to a concept called lighthouse parenting. 

According to experts, lighthouse parenting combines important traits such as nurturing, loving and protecting, while giving their kids space to grow and learn on their own. 

Victor Mendoza, behavioral health provider, OSF HealthCare | TAKE SOT

“[It’s like] a regular lighthouse that guides the ships from one place to another. That's how it is with parenting," says Victor Mendoza, a behavioral health provider with OSF HealthCare. "Just being there for your child and helping them get through difficult times. Sometimes [parents can] step in when they need to, and sometimes they let them try things out.” 

Mendoza says lighthouse parenting falls between two other styles – helicopter parenting and free-range parenting. 

For example – a helicopter parent might stand with their child on the tee-ball field helping him or her get to the ball or run to the right base. 

A lighthouse parent might give some guidance before the game and watch the action from the sidelines.

Video Version With Chyrons

Video Version Without Chyrons

It's caused by Mycoplasma Pneumoniae, a bacterium that causes respiratory tract infections. 

The Centers for Disease Control and Prevention (CDC) reports test positivity for walking pneumonia increased in the late spring of 2024 and remained high. 

The term walking pneumonia wa coined because it's possible for someone to be walking around with the infection and not even know it. 

Keith Hanson, MD, the General Pediatrics Unit Medical Director at OSF Children's Hospital of Illinois, says every year some strains of illness, or a particular virus, are more common than others. 

Right now, it's pneumonia.

“What's a little unusual about this year, is we're seeing that same bacteria causing pneumonia in kids that are younger than usual, and the severity of the illness is more,” Dr. Hanson says. “We're seeing more kids admitted to the hospital with pneumonia, and they're definitely younger than that typical age range like preschoolers and even some infants.”

Dr. Hanson says as is the case with bacterial infections, there are antibiotics to treat walking pneumonia. 

The hope is to shorten the illness and make it less severe, while decreasing the chance of spreading the infection to others.

Health Highlights Video Version With Chyrons

Health Highlights Video Version Without Chyrons

It’s caused by Mycoplasma pneumoniae (M. pneumoniae), a bacterium that causes respiratory tract infections. The Centers for Disease Control and Prevention (CDC) reports test positivity for walking pneumonia increased in late spring of 2024 and remained high.

The term walking pneumonia was coined because it’s possible for someone to be walking around with the infection, and not even know it.

“They're walking around school and they're not feeling that sick. They do have pneumonia but it's not putting them in the hospital typically,” says Keith Hanson, MD, the medical director of the General Pediatrics Unit at OSF HealthCare Children’s Hospital of Illinois.

Dr. Hanson says every year some strains of illness, or a particular virus, are more common than others. Right now, it’s pneumonia.

"What's a little unusual about this year, is we're seeing that same bacteria causing pneumonia in kids that are younger than usual, and the severity of the illness is more. We're seeing more kids admitted to the hospital with pneumonia, and they're definitely younger than that typical age range like preschoolers and even some infants,” Dr. Hanson says.

Tracking cases nationally and across the region

The CDC is tracking the rise in cases, which have been seen both nationwide and locally in central Illinois.

Data from OSF HealthCare show a major increase in overall pneumonia cases for patients younger than 18 years of age this year over last, looking at the dates from August 1 through October 22.

In 2023, there were 171 patients with pneumonia and only three cases were reported to have come from the M. pneumoniae bacterium. In 2024, overall cases jumped to 641 with 143 having pneumonia due to M. pneumoniae. 81 of the cases in the 2024 range were reported from the hospital.

Signs and symptoms of walking pneumonia

"It's that cough, a prolonged cough especially, fevers and difficulty breathing in more severe cases," Dr. Hanson says. “They might be dehydrated and not able to drink as much, so they're not urinating as much. They can be sleepier and more fatigued, which is pretty common.”

Dr. Hanson says as is the case with bacterial infections, there are antibiotics to treat walking pneumonia. The hope of the antibiotics is to shorten the illness and make it less severe, while decreasing the chance of spreading the infection to others.

“This is one that would need antibiotics. Other respiratory infections like RSV or COVID-19 are viruses, where there's no particular medication to treat it," Dr. Hanson says. "So, if it is this Mycoplasma pneumonia, there is an antibiotic that can treat it. We want to make sure kids are staying hydrated and getting enough rest. You can do fever control with Tylenol and ibuprofen." 

While most pneumonia cases don’t send kids to the hospital, it is possible for children with other medical conditions to be hospitalized. If they are admitted, they may need IV fluids for dehydration or oxygen to help with breathing. This is another reason Dr. Hanson recommends starting antibiotics right away, because if pneumonia goes untreated, there’s a higher chance you could end up in the hospital’s intensive care unit (ICU).

When pneumonia is connected to a viral infection

"We start thinking about bacterial infections after times that you're sick, you get better, then you get worse a few days later. That's because the virus was going on first, with a runny nose, low grade fever and some coughing. Then you feel better for a couple of days, and then it comes back. That's when we think there was a bacterial infection on top of the virus,” Dr. Hanson says. “That's because when we have the virus, we get mucus and secretions and we're not coughing things up very well. Things are settling there in the lungs and you're not very active. That increased inflammation and mucus is a setup for bacterial infections.”

Pneumonia prevention tips

-          If you’re sick, stay home

-          Make sure kids blow their nose

-          Cough or sneeze in your elbow

-          Wear a mask in the community if you’re sick. It could prevent respiratory droplets from spreading.

-          Wash your hands

-          Hydrate well

-          Focus on good sleep

Video Interview Clips

The newest tool for protecting our littlest population is now available in the United States. 

The respiratory syncytial virus (RSV) vaccine was initially approved in summer 2023 for adults 60 and older, quickly followed by a recommendation by the U.S. Food and Drug Administration (FDA) for pregnant women. The goal of vaccinating pregnant women would be to pass on RSV antibodies from mom to baby.

"(Pregnant women should get the vaccine) somewhere between 32-36 weeks of pregnancy. As long as they receive the vaccine and give birth two weeks after or more after getting the vaccine, the baby should be having good protection for their first year of life,” says Kinnera Are, DO, a pediatrician with OSF HealthCare.

When is RSV season?

Dr. Are says RSV season normally starts in October, goes through the winter, and wraps up in March or April.

"We are expecting to see it this year, but hopefully not as bad as it has been the last couple of years,” Dr. Are adds.

What babies are eligible?

Infants eight months and younger are eligible for the RSV vaccine, along with older infants who have serious medical conditions like chronic lung disease and heart conditions.

"Some infants at higher risk are eligible to get the vaccine for their second RSV season. So, the second year October through March. Some things that would put them at higher risk if infants have chronic lung disease and prematurity and needed oxygen or medications within the last six months. Otherwise, we can offer it during that second season to infants from American Indian heritage or Alaskan Native heritage,” Dr. Area says. “Severely immunocompromised infants are eligible for that second season, and infants with cystic fibrosis who have issues with their lungs. Or if they're very small and are having issues with growth, they may also be eligible." 

How to protect infants and others from RSV

Ways to protect infants from RSV are on par with other respiratory illnesses.

-          Stay away from sick individuals

-          Keep kids home if sick (fever, runny nose)

-          Prioritize good sleep

-          Focus on good eating habits, hydration

-          Wash your hands

"RSV will show symptoms like most other respiratory illnesses. So, you may start off with congestion and runny nose, maybe a fever or a cough," Dr. Are says. “RSV, especially in the infant age group, tends to affect the lungs a little bit more than older kids. So, you may see more of that cough or congestion that's not coming out.”

Days 3-5 are usually the worst

"Any respiratory illness, but especially RSV, is worse between days three and five. Based on where the infant is when they come in, we'll guide them to see if they're getting better or do we expect it to get worse before it gets better,” Dr. Are says.

When it’s time to go to the emergency department

“Two things that would make me tell someone they need to go to the emergency room; One, if the infant is having respiratory distress like breathing really fast, having trouble breathing or having a lot of wheezing that is not getting better and it's very persistent," Dr. Are says. “You can give us a call (at the pediatrics office) but we'll probably recommend you go to the emergency room. The other thing is dehydration. Severe hydration can be shown in no wet diapers for eight hours and no urine output for eight hours. That's a sign they probably need some IV fluids and need to go to the emergency room for care.”

If a pregnant mother didn’t get the RSV vaccine, your child’s pediatrician will ask if they want the baby to get the vaccine in the first few visits.

Normally, symptoms can be managed at home. Antibiotics aren’t prescribed, since RSV is a virus, but sometimes the virus can cause a secondary bacterial infection like pneumonia, which could call for antibiotics. You can use a nasal suction tool to keep the baby’s nose and airways clean, which is especially important when they’re eating or sleeping.

Video Interview Clips

Is my child too tall? What weight should they be? What’s the safer option? 

These questions run through parents’ minds when it comes to their child’s car seats. There’s no one-size-fits-all answer, but Cindy Hamilton, the Child Passenger Safety program coordinator at OSF HealthCare Children’s Hospital of Illinois, has some consistent guidelines parents can follow.

Pay attention to the car seat manufacturer’s guidelines

"The child wants to max out the height and weight for the seat they are using, which is going to be different for every seat based on the manufacturer. So, if this seat goes 40 pounds rear-facing; when they're 40 pounds, we want to turn them around then,” Hamilton says.

How do height and weight play a role?

"A lot of parents might say 'well my child is uncomfortable, their legs are long, but they're still not two,' or they're low in the weight range. Our best advice is that you can heal from a leg injury. A spinal cord, neck or brain injury, maybe not. So that's a key determiner of keeping them rear facing,” Hamilton says.

Illinois state law requires infants to remain rear facing until at least two years old. But Hamilton says, “rear facing longer is always best,” which is also advised by the National Highway Traffic Safety Administration, which recommends keeping kids rear facing until they’re three.

"When you're in a crash, the shell of the body of a rear-facing seat will absorb the shock. It protects the head, neck and spine more than when you are forward facing," Hamilton points out. 

When it comes to forward facing, Hamilton says you want to make sure your kids have full control of their head and neck. This is another “milestone” you can add to your list when you consider making the switch.

Steps to safely secure car seat

When you install the car seat rear facing, install with the seat belt or the seat’s anchors, but not both. Always check both the manufacturer guidelines and the vehicle owner’s manual which lists the locations of the car’s anchors and tethers for car seats.          

Make sure the harness is fitted to the child securely.

Clip the chest clip at armpit level. The lower clip should be snug across the area where the diaper is.

You don’t want to be able to pinch any fabric around the child’s neck and shoulders, Hamilton says.

The rear-facing seat should have a recline angle indicator. You want to make sure that whatever the indicator is, it’s aligned and level with the seat.

If your child has made the switch to forward facing, make sure they can hold their head up and they’re sitting more upright. Connect the top tether to hold the seatback to the seat and install with either lower anchors or seat belt. If you do choose the seat belt, Hamilton says make sure the seat belt is properly locked, which can be done by pulling all the webbing out from the retractor. You can find these locations in the owner’s manual as well.

“We don't put coats or blankets under (the straps) for safety. With a child that's rear facing, we want the straps at or below (the child's shoulders) because that's how they're crash tested,” Hamilton says. “With forward facing, all the same with the harness, but we want the strap at or above (the child's shoulders).”

OSF HealthCare offers a low-cost car seat program. Families who need a car seat can call 1-877-277-6543. There are also community car seat checks and free car seat installation checks held throughout central Illinois.

Video Interview Clips

B-ROLL

Research shows 75% of adults participate in some form of reading. However, another study shows the number of kids between the ages of 9 and 13 reading for fun has dropped in the last decade. 

According to Ashley Pratt, a psychotherapist with OSF HealthCare, most people need just six minutes of reading time a day to see some help benefits. Especially for children.

“It's one of the best things we can do for our mental health and our physical health," Pratt says. "It's been shown to greatly reduce our stress levels, lower our blood pressure, improve our memory and cognition, and it improves our sleep quality.”

Pratt says reading fiction tends to be the most helpful when it comes to increasing skills such as empathy and our ability to learn and understand people. 

She adds that reading has been shown to increase resiliency and an ability to handle difficult emotions, as readers learn about characters and challenges they face. 

Video Version With Chyrons

Video Version Without Chyrons

The updated COVID-19 vaccine is expected to be available at pharmacies around the country in the coming weeks.

The mRNA vaccine is not a booster, says Doug Kasper, MD, an infectious disease specialist with OSF HealthCare. He says it’s recommended for a much broader portion of the population.

"The vaccine is now recommended for everybody 6 months and older as a one-time, once-a-year vaccine," Dr. Kasper says. “The vaccine has been updated. For people who are at really high risk, those 65 and older or with respiratory conditions, they may get a second shot. This would be in a six-month interval in the springtime.” 

Does the vaccine prevent me from getting COVID-19?

The quick answer? No, much like you find with the annual influenza vaccine.

"The vaccine seeks to protect severe outcomes associated with COVID-19. It doesn't protect you from getting COVID, it tries to decrease the severity of how sick you would get," Dr. Kasper says. 

While there has been an uptick in COVID-19 cases recently, Dr. Kasper says there has not been an increase in COVID hospitalizations. He attributes this to robust natural immunity in the population and adding this COVID-19 vaccine is just another way to protect yourself from severe illness.

FDA’s “What to Know” sheet

The 2024-2025 formula has been updated to protect against the Omicron variant KP.2.

• Unvaccinated individuals 6 months through 4 years of age are eligible to receive three doses of the updated, authorized Pfizer-BioNTech COVID-19 vaccine or two doses of the updated, authorized Moderna COVID-19 vaccine.
• Individuals 6 months through 4 years of age who have previously been vaccinated against COVID-19 are eligible to receive one or two doses of the updated, authorized Moderna or Pfizer-BioNTech COVID-19 vaccines (timing and number of doses to administer depends on the previous COVID-19 vaccine received).
• Individuals 5 years through 11 years of age regardless of previous vaccination are eligible to receive a single dose of the updated, authorized Moderna or Pfizer-BioNTech COVID-19 vaccines; if previously vaccinated, the dose is administered at least two months after the last dose of any COVID-19 vaccine.
• Individuals 12 years of age and older are eligible to receive a single dose of the updated, approved Comirnaty (manufactured by Pfizer BioNTech) or the updated, approved Spikevax (manufactured by Moderna); if previously vaccinated, the dose is administered at least two months since the last dose of any COVID-19 vaccine.
• Additional doses are authorized for certain immunocompromised individuals ages 6 months through 11 years of age as described in the Moderna COVID-19 vaccine and Pfizer-BioNTech COVID-19 vaccine fact sheets.

Commercial retailers are the way to go

As the vaccines from Pfizer and Moderna become available, the Centers for Disease Control & Prevention (CDC) will publish a pharmacy lookup website at https://www.vaccines.gov/en/vaccines.gov to help people find the nearest vaccine locations.

Dr. Kasper says the best bet at getting a vaccine appointment for COVID-19 or influenza, is through pharmacies at local commercial retailers like Target, Walgreens, CVS or Walmart.

Free COVID-19 home tests are coming back

“The U.S. government will make the at-home COVID testing available for free again this year. You can request up to four home tests that will be delivered to your address for free,” Dr. Kasper says. That gives people another option for testing if they think they're developing signs of COVID even after receiving a vaccine, which can be another way to avoid wait lines at urgent cares, ERs or primary care clinics, and to keep themselves isolated until symptoms have resolved.”

The U.S. Department of Health & Human Services reports that COVIDTests.gov will be the website to order from once the website is active.

Status of the Novavax vaccine

A third manufacturer, Novavax, makes a protein-based vaccine similar to influenza vaccines. While it hasn’t been approved by the FDA, Dr. Kasper suspects it will be soon.

"It likely will be approved, and Novavax has been a prior manufacturer of COVID-19 vaccines. That is a third option that will be coming that isn't mRNA based for people to consider if they had an adverse reaction with Pfizer or Moderna in the past,” Dr. Kasper says.

Can I get the COVID-19 and flu vaccine at the same time?

"There's no issue with timing on getting the COVID and influenza vaccines. The RSV vaccine is recommended to be given separate," Dr. Kasper says. “Most of that has to do with the fact they weren't studied together, there's not an adverse issue with it. For the population, COVID and influenza are recommended across almost all age groups. RSV is for our older population, so we recommend spacing that out by a week or two.”

For all vaccine questions, Dr. Kasper recommends speaking with your primary care team to go over options.

Video Interview Clips

High school athletes across the country will soon feel the heat when teams begin practices for several sports including football, cross country and soccer. 

Health experts say it's important to stay safe, especially when it comes to practicing during the grueling August temperatures. 

According to the National Center for Catastrophic Sport Injury Research, heat stroke is the third-most common cause of sudden death among high school athletes behind cardiac arrest and traumatic brain injuries.

Dr. Faheem Ahmad, a family practice physician with OSF HealthCare, says athletes can experience anything from feeling tired because of heat exhaustion, to symptoms of heat stroke, which can include fainting, loss of consciousness and a body temperature above 103 degrees.

“The summer heat is very dangerous for so many different reasons, and it is important to know and identify those risk factors associated with heat related illnesses, particularly the athletes, their coaches and the staff who work with them," Dr. Ahmad says. 

Other signs of heat stress include headaches, nausea, body pain, muscle cramps and dry mouth. Dr. Ahmad says hydration is key, so take frequent water breaks and drink sports drinks with electrolytes.

Health Highlights Video With Chyrons

Health Highlights Video Without Chyrons

A return to school comes with a return to activities.

But no matter if it’s fall sports, extracurricular activities, or just hanging out with friends, there comes the increase spread of viruses, according to Doug Kasper, MD, an infectious disease specialist with OSF HealthCare.

“Not only are children, but the family unit as a whole is starting to do much more. They’re going to be exposed to each other much more than they have been over the next few months,” Dr. Kasper says.

The three main viruses remain the same as the past few years: Influenza (flu), COVID-19 and respiratory syncytial virus (RSV). But others will arise as well, including adenovirus, rhinovirus/enterovirus (common cold) and more.

When viruses tend to peak

“Influenza in Central Illinois starts to appear around November, and peaks in January,” Dr. Kasper says. “RSV, particularly in young children, starts to show up in September or October. COVID-19 has been a bit more seasonal each year, but we start to predict peaks in October. What you’ll notice is that all of those will start to overlap.”

How vaccinations play a role

As millions of kids are returning to school, Dr. Kasper says it’s time to start scheduling checkups with their pediatrician and discussing back-to-school vaccinations.

“Vaccination now has more of an effect of protecting the individual so they can remain in their activities, school or job as long as possible,” Dr. Kasper says. “We know in most situations there is more than one person in the household and more than one child at home. It's also helping decrease spread within the family unit when these things are brought home."

The flu vaccine, Dr. Kasper says, is recommended for anyone 6 months or older. Whereas the RSV vaccine is only available to certain people.

"RSV is most severe in our younger populations, ages 2 or younger, or in those 60 and older. While vaccination is only offered in select age groups, including pregnant women, there is still benefit to the family unit for the family to make sure those who can be vaccinated against RSV do get those at the appropriate time,” Dr. Kasper says.

The COVID-19 pandemic may have come and gone, but the recommendation for yearly vaccination is starting to resemble the same strategy as the flu vaccine.

"COVID-19 guidance will be a little different,” Dr. Kasper adds. “We're expecting an updated vaccine that will come out in the fall, probably October. We'll have unique recommendations for different age groups or those with medical conditions. But I'd expect the recommendation of one additional COVID-19 vaccine or booster for the fall into winter season.”

Respiratory virus symptoms

The Centers for Disease Control and Prevention (CDC) lists a dozen symptoms you may potentially experience if you become sick with one of the abovementioned viruses.

-          Fever

-          Chills

-          Fatigue (tiredness)

-          Cough

-          Runny or stuffy nose

-          Decrease in appetite

-          Sore throat

-          Vomiting

-          New loss of taste or smell

-          Headache, muscle or body aches

-          Diarrhea

-          Weakness

If you have trouble breathing or chest pain, seek emergency medical care immediately.

The CDC’s current recommendation is to stay home and away from others until at least 24 hours after you are fever-free, and your symptoms are improving. Remember to wash your hands and improve airflow by opening windows and bringing in fresh outside air, purifying indoor air or spending time outdoors. Make sure to routinely change your central heating, ventilation and air conditioning system filters every few months.

Video Interview Clips

Now that kids are off school for a few months, there's sure to be plenty of changes in their routines, including their eating habits. 

Fast food, candy and fair food can all contribute to tummy aches. 

Stomachaches are quite common in young children. It can be something simple that comes and goes quickly, or it could be something more severe.

According to a national poll, one in six parents say their child complains of a belly ache at least once a month. 

“There are so many different reasons that a child could complain of a stomachache. It could be something easy, like constipation or something they ate, food allergies or indigestion. They could have come across a virus at school or on a play date or even in their own home," says Alissa Bartel, a nurse practitioner with OSF HealthCare.

Stomach pain, however, could also mean more serious problems such as appendicitis, bowel obstructions, urinary tract infrections or even hernias. 

But the issue may not be physical. Bartel says it can also be related to stress or anxiety. She says to trust your own gut, and if you think something is wrong, take your child to be evaluated immediately.

Health Highlights Video Version

Health Highlights Video Version Without Chyrons

Your toddler spent the day in the pool and now has a weird rash that’s kept her up all night. You’re feeling a familiar pain, and you just know it’s a urinary tract infection but you’re leaving for vacation in the morning.

These are typical summertime scenarios, and instead of having to wait until a walk-in clinic opens, OSF OnCall Urgent Care offers virtual care options that are available 24/7 year-round, including holidays and weekends. 

Kate Barth, vice president/chief nursing officer for On-Demand Services, OSF OnCall, says consumers want health care options that are convenient, like what they’re used to experiencing with online shopping and banking, so OSF offers lower-cost, easy virtual urgent care options, especially when a minor illness or injury happens after hours.

“It’s the mom with multiple children who are sleeping and (she thinks) ‘I have a sick kiddo who I cannot console and what do I do?’ Seeking out virtual urgent care in those options is such a great opportunity to connect with a provider who typically would serve you in that urgent care setting.”

 AAA projects Independence Day travelers will set new records both nationwide and in Illinois. More than 70.9 million people around the U.S. are expected to travel 50 miles or more away from home with 4.1 million being Illinoisans. Barth says if you’re away from home, no problem.

If there’s Wi-Fi, internet or a hotspot near a campsite or at a hotel, a video visit with an OSF OnCall provider could be more convenient than finding the nearest walk-in clinic.

Individuals who want to virtually access OSF OnCall Urgent Care can select an online interview (taking between 5-15 minutes) where they’re asked a series of questions about symptoms and how they’re feeling. Their information will be reviewed within an hour. Using a chat feature, additional information could be requested before an OSF HealthCare provider offers a treatment plan. 

“Maybe the provider would need to visualize the bug bite or something that looks like a rash, so we do have that video option also available to be able to assess that situation and be able to give a diagnosis in that case as well.”

If treatment requires medication, a prescription can be sent to the pharmacy of the individual’s choice.

What happens if the online consult or video visit reveals someone needs to be seen in-person?

“We all know there are things that sometimes can’t be virtually treated. Sometimes a lab test may be needed, or a hands-on assessment might be needed to confirm a diagnosis. In that case, we simply refund that virtual visit knowing that it is best-case scenario for you to be seen in an actual urgent care setting.”

For example, sprains and strains can usually be assessed virtually, but broken bones can only be confirmed through an X-ray, which is available at an OSF OnCall Urgent Care walk-in location.

Barth points out, those walk-in clinics also offer more than simple urgent care.

“Employee physicals or drug testing as well as those school and sports physicals that we always catch ourselves running behind on where at the last minute a child says, ‘I need this for tomorrow!’”

The cost of virtual care is less than an in-person visit. An online interview is $30 and a video visit, typically lasting between 15 to 25 minutes, is $60. OSF OnCall Urgent Care accepts a wide variety of insurance plans. Medicare patients are welcome to use an OSF OnCall Urgent Care option, however a virtual visit is not currently reimbursed.

Anyone experiencing a medical emergency or symptoms such as chest pain, breathing difficulty or severe abdominal pain should go directly to the nearest emergency department or call 9-1-1.

Video Clips of Kate Barth

B-roll of Virtual Urgent Care

Según un estudio publicado en Journal Pediatrics, la obesidad precoz puede provocar problemas de salud física y mental a lo largo de toda la vida.

Según la Organización Mundial de la Salud (OMS), la obesidad infantil se ha más que triplicado desde los años setenta debido a una alimentación poco saludable y a la escasa actividad física. Este aumento debe servir también como recordatorio a los padres de realizar controles de colesterol a sus hijos. Los CDC recomiendan que los niños y los adolescentes se realicen un control del colesterol al menos una vez entre los 9 y los 11 años, y de nuevo entre los 17 y los 21 años.

¿Qué es el colesterol?

"El colesterol es una de las moléculas que, en cantidades limitadas, es esencial para que el cuerpo humano produzca células", explica el Dr. Frank Han, pediatra cardiólogo de OSF HealthCare. "En cantidades mayores a las necesarias, podría aumentar el riesgo futuro de enfermedad de las arterias coronarias o cardiopatía isquémica en niños y futuros adultos".

Comparación entre colesterol bueno y colesterol malo

"Existe cierta influencia de lo que comemos en nuestras cifras de colesterol", afirma el Dr. Han. "La idea general de lo que es colesterol bueno y colesterol malo es la siguiente: HDL se considera el colesterol bueno y LDL, el malo o no saludable. La idea general a la que podemos llegar es que hay que seguir una dieta sana para el corazón".

Una dieta sana para el corazón consiste en comer frutas y verduras variadas todos los días. Elija alimentos que contengan principalmente cereales integrales en lugar de refinados. Reduzca el consumo de alimentos ricos en grasas y procesados, y consuma más alimentos preparados por usted mismo y que contengan grasas más saludables.  Puede leer más sobre cómo mantener una dieta sana para el corazón aquí. 

El Grupo de Trabajo de Servicios Preventivos de Estados Unidos (USPSTF) publica directrices sobre el colesterol para la atención preventiva. Los resultados más recientes se publicaron en julio de 2023, y los anteriores, en 2016.

"Comentaron que necesitaban más investigaciones para determinar si los controles rutinarios del colesterol en niños aportan beneficios a largo plazo", afirma el Dr. Han.

Según las orientaciones del USPSTF, los controles de colesterol son beneficiosos para los niños que tienen otras afecciones médicas, como colesterol alto hereditario, señala el Dr. Han.

¿Cuándo es el momento de consultar a un cardiólogo acerca de su colesterol?

El Dr. Han comenta que el médico de cabecera deriva a los niños al cardiólogo.

"Cuando esos pacientes están en nuestro consultorio, nos aseguramos de que estén bien informados sobre lo que implica una dieta saludable y ejercicio", indica el Dr. Han. "Luego, si el niño lo necesita, con o sin la ayuda de nuestros colegas de la oficina de Healthy Kids University, o de un nutricionista, podemos trabajar para mejorar sus hábitos de estilo de vida".

Además de mantener una dieta sana para el corazón, el Dr. Han recomienda que los niños adopten el ejercicio físico como hábito diario con una actividad que les guste.

Vídeos de entrevistas

Obesity early in life can lead to life-long physical and mental health challenges, according to a study in Journal Pediatrics.

This comes as childhood obesity has more than tripled since the 1970s, due to unhealthy eating and low amounts of physical activity, says the World Health Organization (WHO). This increase should also serve as a reminder for parents to get their children’s cholesterol checked. The CDC recommends children and adolescents should have their cholesterol checked at least once between ages nine and 11 and again between ages 17 and 21.

What is Cholesterol?

“Cholesterol is one of the molecules that, in limited quantities, is essential for the human body to make cells,” says Frank Han, MD, a pediatric cardiologist with OSF HealthCare. “In larger quantities it has the potential to increase the future risk of heart artery disease or coronary artery disease in kids and future adults.”

Healthy cholesterol vs. unhealthy cholesterol

“There is some influence on your cholesterol numbers from what you eat,” Dr. Han says. “The general idea of what’s healthy cholesterol and what’s bad cholesterol is: HDL is considered the healthy cholesterol and LDL is considered the unhealthy or bad cholesterol. The general idea that people can take home is to have a heart-healthy diet.”

A few things a heart-healthy diet consists of eating a variety of fruits and vegetables every day. Choose foods with mostly whole grains rather than refined grains. Cut back on high fat and processed foods and eat more foods you prepared yourself, and foods containing healthier fats.  You can read more about maintaining a heart-healthy diet here. 

The United States Preventive Services Task Force (USPSTF) releases cholesterol guidelines for preventive care. The most recent results were released in July 2023, and 2016 before that.

“They commented on how they need more research to determine if routine cholesterol screenings for kids derive benefits in the long-term,” Dr. Han says.

Guidance from the USPSTF has suggested cholesterol screenings are beneficial for kids who have other medical conditions like family-inherited high cholesterol, Dr. Han says.

When is it time to see a cardiologist about your cholesterol?

Dr. Han says kids are referred to cardiologists by their primary care provider.

“When we have those patients in our office, we’ll make sure they’re well-informed about what a healthy diet and exercise looks like,” Dr. Han says. “Then, should the child need it, with or without the assistance of our colleagues in the Healthy Kids University office, or a dietitian, we can work on improving their lifestyle habits.”

Along with maintaining a heart-healthy diet, Dr. Han recommends kids make physical activity a daily habit with an activity they enjoy.

Video Interview Clips

The statistics are alarming. According to the Centers for Disease Control and Prevention (CDC), the percentage of children and teenagers in the United States classified as obese has more than tripled since the 1970s, with nearly 15 million children and adolescents in the U.S. considered obese.

What’s driving the trend? For many, it’s a simple matter of eating too much and moving too little. During the school year gym class, recess and other classroom activities provide time for movement and active play. Now that school is out for the summer, however, the responsibility often rests at home.

“When kids are out of school, it's critical to make sure that they're outside playing every day. We want kids to get a minimum of an hour every day of physical activity, but it would be great to see more,” says Dr. Rebecca Sierra, an OSF HealthCare pediatrician in Bloomington, Illinois.

An hour a day may sound like a lot, but children may already be meeting the recommended physical activity levels with every day play. Activity doesn’t need to be organized, nor does it require time in a gym. For kids, it’s a matter of moving. 

“Any kind of play is physical activity. If they're out on the swing set, walking the dog, playing at the park, any of that. It doesn't take organized sports, they don't have to be on a soccer field. Just getting kids outside or creating activities at home for them to just be active.”

One thing parents can do to help get their kids more active – hit the off switch on electronics. The time kids spend watching TV, playing video games or surfing the web is time they could be physically active. 

According to the Kaiser Family Foundation, on average, kids ages 8-18 now spend an alarming seven and a half hours in front of a screen for entertainment each day. That adds up to 114 full days of screen time over the course of a year. Dr. Sierra points to recommendations from the American Academy of Pediatrics (AAP) to say that number needs to be much, much lower.

“If they're not outside being active, are they inside spending time on screens? And we really want to try to limit that,” she warns. “The AAP recommends no more than two hours a day of screen time for most kids. So that's a lot of hours left in the day for kids to get outside and have physical activity.”

Compared to those who are inactive, physically active kids have higher levels of cardiorespiratory fitness and stronger muscles. They also typically have lower body fat and stronger bones. Physical activity also has brain health benefits for school-aged children, including improved cognition and reduced symptoms of depression.

Despite its importance, keeping kids on the right activity track might sound daunting. Dr. Sierra reminds busy parents they can set the pace for the whole family. She recommends making health and fitness a family affair. Have your children join you on walks or working around the yard; even the youngest ones can pick up sticks.

“So much of getting kids active is doing things as a family. Personally, I know my kids love to join me when I'm going for a walk with the dog or if I'm outside doing anything in the yard, they're on the swing set. They follow me and they want to do what we're doing as adults, so I think if parents are getting outside and being active, the kids are going to follow.”

Learn more about making family fitness fun here.

Interview Clips - Dr. Rebecca Sierra

Active Kids B-Roll