Pediatric Associates Of Durango Alex Pullen 4774

Fall Is Flu Shot Season

October 2017
Dear Parents,
As the weather begins to turn cooler, flu season is right around the corner. Below is a list of our flu clinic dates. Once again this year the CDC is NOT recommending the flu mist at any age and therefore we will not be carrying the flu mist.
Please visit the CDC website for more information in regards to the flu shot:https://www.cdc.gov/flu/professionals/acip/index.htm
We always encourage activities that will prevent illnesses in the sick season. Please see the information below for cold/flu prevention and elderberry syrup recommendations.
Before getting the flu shot, ensure your infant/child is 6 months and older, up-to-date on well visits and healthy!  If your child is going to need other immunizations please schedule a separate visit with the nurse.  The times listed below are for the ‘flu shot’ only.

Feel free to give us a call at (970) 259-7337 to schedule your child’s/children’s flu shots today!

Be Well,
Dr. Pakhi, Jessica CPNP, Amanda, Becky, Lauren, Melony, and Moni
 
 Flu Clinic Dates:
  • Monday October 9th from 10:00-12:00pm and 1:30pm-5:30pm
  • Friday October 13th 1:30pm-5:00pm
  • Monday October 16th from 1:30pm-5:00pm
  • Friday October 20th from 1:30-5:00pm
  • Monday October 23rd 1:30-5:00pm

Please call us at (970) 259-7337 to schedule!

 

Flu viruses are constantly changing, and different flu viruses circulate and cause illness each season. Flu vaccines are made each year to protect against the flu viruses that research indicates will be most common. This is why everyone needs a flu vaccine every season.While everyone 6 months and older should get a flu vaccine this season with rare exception, it’s especially important for some people to get vaccinated.

Those people include the following:

  • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu.
  • People who have certain medical conditions including asthma, diabetes, and chronic lung disease.
  • Pregnant women.
  • People younger than 5 years (and especially those younger than 2), and people 65 years and older.
  • People who live with or care for others who are at high risk of developing serious complications (see list above).
  • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease.
  • Household contacts and caregivers of infants younger than 6 months old.
  • Health care personnel.

For a complete list of all people recommended for flu vaccination, as well as those who are not recommended for flu vaccination, visit http://www.cdc.gov/flu/protect/whoshouldvax.htm

Recommendations for the Sick Season

Cold/Flu Prevention and Treatment, A Naturopathic
Prespective By Nasha Winters, ND, L.Ac., Dipl.OM

Here’s what I suggest:

• Limit sugar in the diet.
• Increase hydration.
• Get outside in the fresh air at least once a day and breathe deeply.
• Exercise.
• Get adequate amounts of sleep.
• Keep kids home at the FIRST SIGNS of a cold/flu so they can rest to prevent it from becoming more problematic and to prevent spreading to their peers.
• Wash hands diligently. Plain soap and water is all you need.
• Have effective tools to address stress.
• Most importantly, optimize your Vitamin D levels as it naturally drops because of less sunshine in the winter. Just because we live in the SW does not mean we are all optimal in our vitamin D levels. Those with darker skin are at higher risk for having low Vitamin D.

Vitamin D3 Recommendations:

Age
American Academy of Pediatrics: Recommended Daily Dose Immune Boosting Doses: Every Few Days In Sick Season or Daily Dose when Sick*
0-6 Months 400 IU
7-12 Months 400 IU-800 IU
1-8 Years 600 IU-1,200 IU
9-18 Years 600 IU-2,000 IU

• based on a recent literature review, these recommendations are
lower than what Nasha Winters recommends.

• Homeopathic Oscillococcinum has been a safe and effective remedy for years for influenza. Dose once a month during flu season, once a week if the flu is active in your area. It is best dosed right at the onset of the flu. This is best for influenza and influenza symptoms i.e. body aches, significant coughing, runny nose, fever…. This IS NOT a good treatment for the common cold.

• Sambucas Nigra (Elderberry) is also one of my favorite and tastiest methods of preventing and treating the flu, as it is an excellent antiviral. Deb Swanson at Dancing Willow Herbs processes tincture, syrup and chews for you and your family. It can be taken preventatively as well as when you are ill. See next page.

Elderberry Recommendations:

Dr. Chaudhuri is very comfortable with Elderberry being dosed every few days in the sick season, daily if it appears that ‘everyone is sick’ or your child’s body is stressed out. If your child has chronic medical issues please consult us. (Children with asthma and allergies are fine to take this with all of their medications.)

Nasha Winters Recommendations:

Prevention Dosing:
6 months to 1 year: Elderberry glycerate 5 drops twice a day
Please note that it would be appropriate to treat this as a new food for the youngest infants i.e. try one dose and wait 3-5 days to ensure no reaction before starting another new food and/or starting a daily regimen.
** Please make sure you obtain the glycerate version WITHOUT honey from Dancing Willow for children under 1 year of age.

One year and older:
• 20 lbs to 30 lbs: Elderberry syrup 1/2 tsp twice a day
• 30 lbs to 90 lbs: Elderberry syrup 1 tsp twice a day

Adults including pregnant and breastfeeding mothers:
Elderberry syrup 1 to 2 tsp twice a day
Treatment Dosing: (as soon as a child appears to be starting a cold):
6 months to 1 year: Elderberry glycerate 10 drops every 4 hours
As above, please note that it would be appropriate to treat this as a new food for the youngest infants i.e. try one dose and wait 3-5 days to ensure no reaction before starting another new food and/or starting a daily regimen.
**Please make sure to obtain the glycerate version WITHOUT honey from Dancing Willow for children under 1 year of age.

One year and older:
• 20 lbs to 30 lbs: Elderberry syrup 1/2 tsp every 4 hours
• 30 lbs to 90 lbs: Elderberry syrup 1 tsp every 4 hours
Adults including pregnant and breastfeeding mothers:
Elderberry syrup 1 to 2 tsp every 4 hours