SmithCoSpring2008

Smith County Spring 2008

BeSafe Child Since 1994

Day Care Guide Compiled by:

TM

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Inside BeSafe Child Delaying Vaccinations -Children At Risk... 4 Rules of the Road.......................................... 5 Alcohol And Energy Drinks: Know the Facts............................................................... 6 Protecting Your Kids From The Sun........... 7

ON THE COVER: Ryleigh, Daughter of Our Graphics Designer, Claudette Wooddell and Anthony Wooddell.

FREE BOOKLETS AVAILABLE CALL 581-5704 OR 1-800-443-0131

Routine Doctor Visits Are Good.................. 8 Kids & Pets: Introducing A New Resource For Parents.................................... 9 Controlling Childhood Asthma.................. 10 Family Fun....................................................11 Poison & What To Do About It.................. 12 Reduce Play Set Injuries............................ 13 Child Care Centers Guide . ................ 14 - 17 Pushing Stroller Safety............................... 16 Allergies & Emergencies............................ 18 Making The Right Entertainment Choices ........................................................ 19 Perinatal Program...................................... 20 Childrens Health Insurance....................... 21 Preventing Obesity In Kids........................ 22

BeSafe Publications

566 C.R. 4103, Jacksonville, TX 75766

903-586-3767 1-800-233-8568 Fax 903-586-0333 www.besafechild.com email: info@besafechild.com Publisher/Editor: Royce Ewing Graphic Design/Layout: Joe Wooddell Jr. Office: Patricia Goar ŠCopyright 2007 BeSafe Publications We make every effort to ensure the accuracy of the information within these pages. We cannot, however, assume any liability of any kind of its validity or completeness or for additional or changed information subsequent to the date the information contained herein was submitted for publication.

BeSafe Publications welcomes your suggestions and inquiries.

Articles from professionals in child safety and health are also encouraged.

While we retain our copyright position, we do grant permission to responsible parties to duplicate our articles in the interest of child safety, health and good character.

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Delaying Vaccinations - Children At Risk

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ventable diseases. But because ecent outbreaks in the U.S. of measles, immunization programs of the whooping cough and the flu among 20th century were so successyoung children have refocused Americans’ ful, many of today’s young ideas about the importance of vaccinations. parents have never seen these This is especially true because diseases such diseases as mumps, measles, polio and and do not understand rubella-virtually eradicated in that the risk for them this country-are just a plane ride away. In fact, the spread is still real.

Children should be of measles went from 0 cases protected from 14 prein 2000, in the United States, ventable diseases by to 64 cases in 2007. age 2. Yet 2.1 million For a young child, regular children in the United vaccinations are an important States are not vaccipart of ensuring overall health. nated on time, putting Vaccines have been shown them at risk for serious to protect and save lives. Yet Protecting your child’s health illness. It is critical for despite the overwhelming means getting him or her vaccinated parents to realize that scientific evidence proving on time, every time. today’s vaccines are the benefits of immunizations, safe for children. In there are still parents who fact, when it comes to vaccines, the biggest question the value of vaccines. risk is being misinformed.

Why Vaccinate?

For more information, including the immuBefore the development of vaccines, thounization schedule, visit the Web site at www. sands of babies died or were seriously disecbt.org. abled every year from a variety of now-pre-

Do You Need Assistance In Paying For Your Child Care?

If you are working, training and/or going to school you may be eligible.

. . .. .

Must be working or have a combination of school and employment that equals 25 hours per week.

Must pay a portion of the cost of care based on family gross monthly income.

Must meet income guidelines.

Must meet other program criteria.

May be placed on a waiting list.

CCS Income Guidelines

Gross Monthly Family Size Income (Up To) 2 $2770 3 $3422 4 $4074 5 $4725 6 $5377 7 $5499

Counties served: Anderson, Camp, Cherokee, Gregg, Harrison, Henderson, Marion, Panola, Rains, Rusk, Smith, Upshur, Van Zandt, and Wood.

For more information please call Workforce Solutions at 800.676.8283 Equal Opportunity Employer/Program 4

Auxillary Aids and Services are available upon request.

TDD 800.735.2989

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Rules Of The Road

ccording to Safe Kids Worldwide, studies have shown that four out of five car seats are used incorrectly. Parents need to educate themselves on all aspects of car seat safety to learn how to keep little ones safe and happy while on the road.

“Car seats are only effective if they are installed and used correctly,” said Dr. Laura Jana, child passenger safety technician and pediatrician. “Fortunately, there are many new products and resources now available to parents that help make car seat safety as easy as possible.”

When looking to purchase a car seat, Dr. Jana recommends keeping safety, comfort and convenience in mind. Choose the appropriate car seat for

your child based on his age, height, weight and fit with your vehicle.

Here are some tips to help you decide among the wide range of car seats available: ·For your baby’s safety and comfort, consider an infant car seat that has a five-point harness system and padding throughout the seat. ·Consider a convertible car seat with a 50-pound weight rating, designed to allow extended use of the seat’s five-point harness system. ·Consider picking a car seat that includes “kid-friendly features,” such as retractable cup and snack holders.

Keeping children safe in the car is unquestionably one of a parent’s most important daily responsibilities. Parents should remember to keep an eye out for the latest car seat innovations and improved features designed with ease of use in mind. Evenflo is an innovative, simple and safe feature that makes proper harness placement significantly easier as your child grows. For more information go to www.evenflo.com

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Alcohol & Energy Drinks: Know the Facts Source: The Coalition, Lufkin, Tx. www.angelinacoalition.org

arents: Do you know what P your kids are really drinking? Some of the ever popu-

lar energy drinks that kids are purchasing at record levels are now being laced with alcohol. Which ones? Well, it’s difficult to tell because they look identical to the energy drinks with flashy can designs. Alcoholic energy drink producers have built on the popularity of nonalcoholic energy drinks. The beer industry is banking on brand confusion by marketing to youth who already are drinking energy drinks that contain record levels of caffeine. Chris Lilly, Kentucky Alcoholic Beverage Control said, “This new line of alcoholic beverage product is extremely similar in look and feel to the popular energy drinks that contain no alcohol. Our youth are at risk when clerks and retailers cannot differentiate between

nonalcoholic and alcoholic beverages being sold.”

Some energy drink brands are even owned by beer companies like the energy drink MONSTER and 180 are owned by Anheuser-Busch.

What’s even scarier is that parents are not aware that you can buy alcohol in the energy drinks and don’t question their kids when they see them drinking them. They look so much like typical energy drinks that it would make it very difficult for parents to know that what their kids are actually drinking has alcohol in it. Plus, the type of marketing for these drinks includes the internet, text messaging, MySpace and Facebook. How many parents have a MySpace page or use text messaging as much as teens? This is how the beer industry is reaching out to youth to inform them of their products. And guess what?

It’s even cheaper to buy than their nonalcoholic counterparts – 25% cheaper in most cases.

So what’s exactly inside one of those alcoholic energy drinks? How about enough alcohol to equal two beers and enough caffeine to equal six Cokes. They are also concocted with a sugary sweet taste to mask the taste of beer.

What can parents do? Be aware of what your kids are drinking – always check the labels. Energy drinks have nutritional values on them.

Alcoholic ones don’t. Be aware of the health risks.

Caffeine and alcohol are not a good mix. The two combined together results in being drunk wide awake.

Never assume it’s just an energy drink – looks can be extremely deceiving.

Can you tell which can of energy drink has alcohol in it?

The beer industry is hoping that you can’t.

If you guessed Rock Star 21 and Sparks, you guessed right. But how are parents to be able to tell the difference when they are marketed to look just like a typical energy drink?

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Protect Your Kids From The Sun

nyone who has ever taken kids to the A beach knows that it’s fun for the kids, but can sometimes be a hassle for whoever is in charge. For parents it can mean the constant chore of sunscreen application and reapplication. To curb the sun care battle and make sun protection a routine part of outdoor play, parents can take a few simple steps now to help ensure sun safety all summer long.

Sun protection is an essential part of any outdoor activity because the sun produces invisible rays known as ultraviolet-A (UVA) and ultraviolet-B (UVB), which cause sunburn and sun damage.

Harmful UV rays are more intense in the summer, which makes right now the perfect time for parents to develop their summer sun care strategy.

“The more sun exposure children get, the greater their chances of long-term skin damage,” said Dr. David Leffell, Professor of Dermatology & Surgery at Yale School of Medicine. “When children are playing in the sun and surf, they have specific sun care needs.”

Here are some sun care tips to help create your family’s sun care strategy: • Cover all the bases-It’s easy to overlook spots like your ears, neck, shoulders and the back of your neck, but they need sunscreen, too. So does your scalp, if your child has thin or short hair.

• Reapply, reapply, reapply -Slap on another coat of sunscreen as needed-and be sure to reapply after swimming, perspiring, vigorous activity or toweling off.

• Select sunscreens that can keep up with kids-When children are playing in the sun and surf, they have specific sun care needs. Use waterproof sunscreens with SPF 30 or higher, and look for products that are quick and easy to apply to squirmy kids. (Keep babies under 6 months of age out of the sun and consult a doctor before applying sunscreen.)

Families can enjoy the outdoors while staying safe by having a solid action plan in place that includes cover-up clothing, timely activities and the right sunscreen.

Additional sun care tips and information for better summers can be found at coppertone.com/sum mers.aspx.

Tyler Water Utilities 511 W. Locust

Tyler, Texas 75710

Office: 903-531-1230 Fax: 903-531-1259

email Water Utilities: WaterUtilities@tylertexas.com 7

Routine Doctor Visits Are Good Source: Brenda Elrod, R.S., Deputy Director NETPHD

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outine doctor visits have proven to be a great benefit to children, teenagers and adults. The idea is to have a family physician and have routine “well visits”. A routine well visit is designed to evaluate your child’s current health status and verify he or she is growing into a healthy adult. These “well visits” should not end when the child becomes a teenager and certainly needs to continue when the teenager becomes an adult.

A “well visit” with your doctor is a great time to ask questions about your well being or your child’s well being. You can find out what to expect as the child grows into a teenager. Young mothers use the “well child” visit as a time to be reassured their child is healthy. The doctor visit is also the perfect time for the child to receive routine disease preventing immunizations. Immunizations have proven to protect children from childhood diseases that historically caused premature death. Chicken pox, whooping cough, tetanus, and Hepatitis B are diseases that can be prevented with proper immunizations administered in the prescribed time frames.

A “well visit” with you doctor is also the perfect time to spot problems with you child’s health. Allergies, seeing, hearing or growth development issues can be diagnosed and interventions can be started that will make the child healthier. Prevention is always the best policy. By taking your child to routine doctor visits and establishing a medical history you may prevent unnecessary illness and suffering for your child.

“Well child” is usually for children from birth to about 7 years old. The next phase would be well-preteen for the child 8 years old to 12 years old. Preteen is the time when the child begins to transition form a baby to a teenager. The next phase is the “well-teen” for 13 year olds to 18 year olds.

The “well teen” visits are crucial to evalu8

ate the individual’s development into an adult. This is a time of change for each child as they grow older, become more independent, experience new emotions and are exposed to the temptation of risky behaviors. Risky behaviors include the use of tobacco, alcohol, drugs and even sexual activity.

As your child travels through life, it is very important to establish this routine of well visits and personal awareness of his or her health. Each individual has a tremendous amount of control over his or her health.

As parents, we must establish this control by being responsible for the “well child”, “well pre-teen”, “well teenager” visits so our children will establish this as young adults and continue the process for their children.

Healthier children can make healthier adults who in turn may have healthier children.

The Northeast Texas Public Health District strives to make our community the healthiest community in Texas. We can join together to make this happen. If you do not have a family doctor, please contact the District and every effort will be made to connect you to a medical home. You may qualify for access to our Community Health Clinics of Northeast Texas providing well care services for our community.

Please call our Community Outreach Department at 903535-0028 or visit our website at www.healthyeasttx.org for more information.

Kids And Pets: Introducing A New Resource For Parents

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here are some facts parents should bone up on before welcoming four-footed friends into the family.

“Pets have always been very special to children and are important for childhood development, but parents need to play an active role in ensuring a healthy environment and interaction between children and pets,” said Dr. Lynn Buzhardt, a nationally recognized veterinarian on family/pet concerns and consultant to a new resource, GrowingUpWithPets.com, presented

by Novartis Animal Health US, Inc. For example, did you know that dogs and cats are susceptible to parasites? These five parasites pose a threat to a dog’s health: heart worms, roundworms, hookworms, whip worms and fleas. Intestinal parasites can also be life-threatening to dogs and some can transfer diseases to humans, which is known as zoonosis.

Children are especially susceptible to zoonotic diseases because they often touch things and stick their hands in their mouths without washing them first. As many as 20 percent of American children contract roundworms from their pets each year. Fortunately, there are

PASTRIES * CAKES * “Leaves are falling, Our cookies are calling”

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easy ways to protect your children and pets from parasites: • Have your pet’s stool examined by you veterinarian every six to 12 months.

Have your veterinarian place your dog on a yearround heart worm, intestinal parasite and flea preventive, as recommended by the US Centers for Disease Control and Prevention (CDC) and the Companion Animal Parasite Council. Ask your veterinarian about a convenient oral 5-in-1 product that prevents heart worms, intestinal parasites and fleas.

·Use a pooper-scooper. As

parasites.

feces breaks down, parasite eggs are deposited into the soil. This is one of most common ways of contracting

·Always wash your children’s hands after playing outside and before eating.

GrowingUpWithPets.com provides helpful information on topics such as pet health, behavioral issues, training tips, how to choose the right pet for your child and integrating pets into a home with children. The site was created with the help of veterinarians, OB/ GYNs, pediatricians and parents.

WAL MART Caring About Our Children’s Health

5930 OLD BULLARD RD., TYLER 903-561-9644 www.chezbazan.com

3900 Troup Hwy Tyler - 903-534-1333 9

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Controlling Childhood Asthma

healthy dose of knowledge may go a long way toward treating childhood asthma.

In fact, fully understanding the meaning of asthma control can empower parents to better manage their child’s disease. That includes knowing what key information to track so that parents can come prepared to the pediatrician’s office and help the pediatrician better assess all the dimensions of their child’s disease.

However, survey results released by the Asthma and Allergy Foundation of America (AAFA) showed that mothers of children with asthma and their pediatricians may not speak the same language when it comes to discussing asthma control. This communication gap could potentially lead to less than complete understanding of asthma control.

“Helping parents to provide the right information to their child’s pediatrician can truly make a difference in their child’s health. If parents know what to watch for and share with us, it can help their doctor in determining the best treatment options for their child’s asthma,” said Dr. Allan Luskin, Clinical Associate Professor of Medicine at the University of Wisconsin, and Director of the Center for Respiratory Health, at the Dean Medical Center, Madison, Wisconsin.

Not Speaking the Same Language The survey found that 63 percent of pediatricians felt that their definition of asthma control differed from that of their patients, while only 25 percent of mothers said that it differed.

“Doctors tend to review quantitative, clinical factors during a typical visit, which may not be perceived by mothers as dimensions of asthma control,” said Mike Tringale, director of external affairs for AAFA. “Mothers, instead, tend to place a heavier emphasis on the ‘qualitative’ dimension of the disease and 10

how it impacts their quality of life. “Is my child breathing freely? Can my child go to school today or play with friends?” Perhaps that explains the disconnect revealed in our survey between mothers and pediatricians when discussing disease control.”

Helping Bridge the Communication Gap In response to this communication gap, an educational campaign called “Get A.H.E.A.D. of Asthma” was launched by AAFA to provide asthma patients and caregivers with the tools to better communicate with their physicians about asthma control. As part of the initiative, a Web site, www.getahead ofasthma.com, was created to provide a downloadable brochure, including a “road map” for an effective conversation between patients and physicians.

A Childhood Problem: Nearly 5 million asthma patients are under the age of 18, making asthma the most common chronic childhood disease. It affects more than one child in 20, and asthma is the most common cause of school absenteeism due to chronic disease. It accounted for an estimated 14 million lost school days one year alone.

Getting Ahead of Asthma: Asthma is a disease that can be very different for each patient, and it may require both lifestyle adjustments and medication to be controlled. Tringale says that parents should discuss both the qualitative and quantitative impact that their child’s asthma has on their everyday lives. Symptoms, fast-acting inhaler use, quality of life and response to treatment are all dimensions of asthma control that he says should be addressed during a conversation between parents and pediatricians.

For more information, visit www.getaheadofasthma.com or call 1-800-7-ASTHMA. (Also see page 18 in this magazine on “Allergies and emergencies.”)

Family Fun

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A Fun Time Starts By Following Safety Rules

isiting an amusement park, attraction or waterpark can be a great way to spend your vacation. The International Association of Amusement Parks and Attractions (IAAPA) offers these useful tips to consider before your next trip: Parks and Attractions: • Obey listed age, height, weight and health restrictions.

• Observe all posted ride safety rules. Follow all verbal instructions given by ride operators or provided by recorded announcements.

Always use safety equipment provided and never attempt to wriggle free of restraints or other safety devices.

• Parents with young children should make sure their children can understand safe and appropriate ride behavior. Never force children to ride attractions they don’t want to ride.

Parents and children should watch the ride together, so children know what to expect.

• If you see any unsafe behavior or condition on a ride, report it to a supervisor or manager immediately.

Waterparks: • Dress appropriately, including water shoes, a hat and a loose shirt for when you’ve had enough sun.

• Apply waterproof sunscreen before leaving home (reapply throughout the day) and drink plenty of fluids (avoiding those heavily sweetened or caffeinated).

• Make sure nonswimmers and weak swimmers have life vests. Bring your own if

you are unsure of availability and fit.

• Children in diapers should wear waterproof swim diapers. Change diapers only in designated changing areas.

• Read the signs at every waterpark ride and obey all rules and experience-level guidelines.

• Follow the lifeguards’ instructions and signal them if you see someone in trouble.

No matter what sort of adventure you and your family enjoy, designating a meeting place is always smart in the instance someone is separated from your party.

The buddy system is an excellent way to ensure children are not left alone.

“When it comes to safety, parents and parks make a great team,” stated Charlie Bray, CEO and president of IAAPA. “Parents need to be sure their children know the rules and why it’s important to follow them.”

To learn more about amusement and waterpark safety, and for information to help you plan your next trip, visit the IAAPA web site at www.ticketforfun.com.

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heerfulness is full of significance: it suggests good health, a clear conscience, and a soul at peace with all human nature. -Charles Kingsley 11

Poison And What To Do

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By: Dr. Kathleen Butler, Pediatrician ETMC First Physician in Lindale

here are approximately 2 million poisoning exposures reported in the United States per year. Most poisonings occur in the home and most are unintentional. Often these accidents occur when parents are busy and children are unsupervised or are visiting older relatives. In the majority of these cases the poison is ingested. Half of these incidents occur in children six years and under with only 2% of these resulting in deaths. In 2006, 89% of the teenage deaths from poisoning were intentional, and this same group accounted for 170,000 poisoning exposures.

Adults aged 20-59 account for over 70% of poisoning fatalities and adults over 60 years of age account for 16% of fatalities.

A poisoning is defined as any substance that enters the body through ingestion, inhalation or absorption through the skin and that cause or has the potential to cause harmful effects.

Poisons come in many forms, such as plants, medications, vitamins or herbal substances, pesticides, household cleaners, cosmetics, etc. Symptoms to look for in poisoning are: nausea, vomiting, drowsiness, abdominal pain, seizures. If you suspect this has happened, stay calm and do not give the child anything by mouth. If the child is alert, call Poison Control at 1-800-222-1222; if the child is unconscious or not breathing call 911.

If your child is poisoned through swallowing something do not give them anything by mouth unless instructed by the Poison Control Center. If they have inhaled a substance get them out into the fresh air and away from fumes. If it is through skin contact, then remove contaminated clothing and place the affected area under running water for at least 10 minutes. If poison gets into the eyes rinse the eyes with lukewarm water for 15-20 minutes and call poison control for specific instructions.

(Continued on next page)

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Do not give Syrup of Ipecac unless explicitly instructed to do so by the Poison Control Center. When you call the Poison Control Center they will want to know your name and phone number, the child’s age and weight, the name of the poison, the amount taken and the time taken, as well as any symptoms the child is having.

Keep your child and others safe by following these guidelines: keep products in original containers; use products as directed; store potential poisons out of the reach of children – locked up; install child safety locks; store foods and dangerous substances in separate places; dispose of old medications or hazardous products properly.

Keeping children safe from poisonings is not difficult, it just takes some simple guidelines: Don’t give medications to a child in the dark; Do not tell a child that medicine is candy; Do not assume that child safety caps will prevent a child from getting into a medication; Do not place hazardous substances in food containers; Do not underestimate your child’s curiosity or ingenuity – just because they never have gotten into anything doesn’t mean they never will.

More information is available through the Texas Poison Center Network at www.poisoncontrol.org or the American Academy of Pediatrics at www.aap.org/family/poistipp.htm

Reduce Play Set Injuries

ccording to the U.S. Consumer Products A Safety Commission (CPSC), there were nearly 47,000 injuries to children under age

15 on home playgrounds in the last year studied. The chance of these injuries occurring— ranging from bumps and bruises to head trauma— can be reduced by following some simple guidelines.

“Nothing is more important than active adult supervision to enforce the rules that will help prevent a serious injury on backyard playgrounds,” says Meri-K Appy, president of the nonprofit Home Safety Council. “In addition, parents and caregivers should make sure their children’s play set is age-appropriate and in good condition— and that the surface underneath and around the equipment provides a soft landing if and when their kids do take a tumble.” Backyard Play Set Safety Tips: 1. Ensure your play set has proper surfacing.

Proper surfacing is an important component in reducing injuries due to a play set fall; however, it is often an overlooked backyard playground safety feature. Dirt and grass do not provide the appropriate level of cushion-

ing. Instead, loose fill materials such as wood mulch, wood chips, fine sand or fine gravel is recommended. The material should extend at least six feet in all directions and depth should vary from nine to 12 inches, depending on the surfacing type.

2. Make sure that your backyard play set is sturdy. Lumber sturdiness is also an important element to play set safety. Using fourby- four corner posts will minimize the side-to-side sway motion that less substantial lumber may sometimes cause. Also, make sure that you use A-frame legs to provide a firm footing for the swing beam.

3. Select a backyard play set that meets maximum safety guidelines. Parents also want to choose play sets that meet ASTM (American Society for Testing and Materials) standards.

Although these standards are voluntary, they can help assure parents that the play sets were designed with safety in mind. For more tips, download the Play Set Safety Checklist from www.swing-n-slide.com. For information on preventing injuries, visit www.homesafetycouncil.org.

Helping Young Minds Soar!

One Of The Largest Selections Of Educational Material For Parents And Teachers In East Texas

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4538 S. Broadway Tyler, TX 903-509-9205 Monday - Thursday 9:30-8:00 Friday & Saturday 9:30-6:00

Toys That Teach Thomas The Tank Cash Register Teaching Telephone Phonics Readers & Flashcards Floor Puzzles & Games Butterfly Gardens Grow-A-Frog And Much, Much More

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Guide to Licensed Child Care Centers

This Directory was produced by the Better Business Bureau Foundation as a public service to assist parents in their search for a licensed child care facility. The Better Business Bureau does not endorse or recommend any product, service or company; therefore, parents should not consider this Directory a recommendation of any child care center. Any portion of the listing is subject to change at any time.

The Better Business Bureau suggests you visit and tour the facility before making a decision. Check the current status of the facility’s license with the Department of Protective & Regulatory Services at 533-4173. This license should be posted in a conspicuous place and reflect the correct address of the facility.

Here are some things to look for when choosing a child care service: Is the facility clean? Are the children clean? Is there a safe place to play both indoors and outdoors? Does caregiver share your views on discipline and religion? Can they provide special care such as diet and medication? Is this facility open to you and welcome visits anytime? If you have questions or would like a brochure from the Better Business Bureau on choosing child care, call us at (903) 581-5704 or 1-800-443-0131.

Better Business Bureau Member

. ..

. .

Name, Address (Listed by Zip Code)

Acute Children’s Montessori1709 1709 East 5th St., Tyler 75701 Bell Elementary Prime Time 1409 Hankerson, Tyler 75701 Boys & Girls Club at Bell Elem. School 1409 Hankerson, Tyler 75701 Birdwell Elementary Prime Time 1919 S. Kennedy, Tyler 75701 Clarkston Elementary Prime Time 2819 Shenandoah, Tyler 75701 Faithful Care Child Dev. & Learning 1910 Bellwood Rd., Tyler 75701 First Beginning Nursery & LearningCntr.

1000 Augusta St., Tyler 75701 First Christian Ch. Mothers Day Out 4202 S Broadway, Tyler 75701 Good Shepard Church Preschool 2525 Old Jacksonville Rd., Tyler 75701 Grace Community Early Education Cntr.

3215 Old Jacksonville Rd., Tyler 75701 Green Acres Early Education Center 1607 Troup St., Tyler 75701 Kid’s Kaleidoscope 3030 Copeland Rd., Tyler 75701 Kinder-Care Learning Center #266 2524 McDonald Rd., Tyler 75701 Kisha’s Learning Academy #2 3108 Bellwood Rd,. Tyler 75701 Tyler Christian Pre School 714-A Shelley Dr., Tyler 75701 Stepping Stone School 3105 University Blvd., Tyler 75701 Tiny Town 111 West 6th St., Tyler 75701 Trinity Lutheran Child Development 2001 Hunter, Tyler 75701

Phone

Capacity

Hours & Days Open

Zip Code 75701 526-7084

17

592-5529

40

593-9211

70

597-5466

30

566-8246

40

596-8220

61

526-0876

64

581-7936

167

592-5152

35

593-3859

150

525-1104

265

597-3063

125

597-9805

118

526-5949

31

534-9992

102

566-1851

420

526-7505

270

593-7465

136

Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 6:00 - 6:00 Mon.-Fri. 8:30 - 2:30 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 9:30 - 1:00 Mon.-Fri. 6:15 - 6:00 Mon.-Fri. 5:45am - 6:30pm Mon.-Fri. 6:00 - 6:00 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 6:30am - 6:15pm Mon.-Fri. 7:00 - 6:00

Drop After School Ins Care

Ages Accepted

No

No

18 Mos. - 6 years

Yes

Yes

Head Start - 5th Gr.

No

Yes

Head Start - 5th Gr.

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

6 wks. - 12 years

Yes

Yes

Birth - School

Yes

No

Birth - 6 years

No

No

3 1/2 years. - 5 years.

No

No

2 mos. - 5th Grade

No

No

6 wks. - 5th Grade

No

No

18 mos. - Grade K

Yes

Yes

14 mos. - 12 years

Yes

Yes

Toddler - School Age

Yes

Yes

18 mos. - 13 years

No

No

Birth - 12 years

No

Yes

6 wks. - 12 years

Yes

Yes

6 wks. - 12 years

First Christian Church

Licensed Drop-In Child Care Ages 0-6 years Mon. - Fri. 8:30 am - 2:30 pm Now Registering For Pre-School Fall Session Summer Schedule 3,4, & 5 Year Olds Tues.

- Wed. - Thurs.

Carolyn Wallace, Director Beginning June 10, 2008

MOTHER’S DAY OUT & Pre School

4202 S. Broadway  Tyler

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903-581-7936

Name, Address (Listed by Zip Code) Andy Woods Elementary Prime Time 809 Clyde Dr., Tyler 75701 Boys & Girls Club at Andy Woods Elem.

809 Clyde Dr., Tyler 75701 Angela’s Little Angels 1011 N. Englewood, Tyler 75702 Bridging the Gap Acceleratory 625 N. Glenwood, Tyler 75702 Bright & Early Learning Center 2916 Old Chandler Hwy., Tyler 75702 Brighter Day Christian Academy 3409 Chandler Hwy., Tyler 75702 Building Blocks Child Care 902 N. Border, Tyler 75702 Child Development & Treatment Ctr. 1722 W. Front, Tyler 75702 Ebenezer’s Day Care Center 1101 W. Queen St., Tyler 75702 Boys & Girls Club at Caldwell 331 South College, Tyler 75702 Boys & Girls Club at Douglas Elementary 1508 N. Haynie Ave., Tyler 75702 Family Learning Center of Tyler 1508 N. Haynie, Tyler 75702 Fun & Learn Child Care 522 E. Nutbush, Tyler 75702 Jones Elementary Prime Time 2521 W. Front, Tyler 75702 Kidz Depot Learning Academy 2420 N. Border, Tyler 75702 New Life Learning Center 1201 N.N.W. Loop 323, Tyler 75702 Ninos de Promesa Preschool 301 Ferguson W., Tyler 75702 North Moore Creative Learning 1809 N. Moore Ave., Tyler 75702 North Tyler Child Day Nursery 2624 B. Carter Blvd., Tyler 75702

Phone

Capacity

592-7729

60

593-9211

70

Hours & Days Open Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00

Drop After School Ins Care

Ages Accepted

Yes

Yes

Head Start - 5th Gr.

No

Yes

Head Start - 5th Gr.

Yes

Yes

Newborn - 12 years

Yes

Yes

6 mos. - 13 yrs.

Yes

Yes

18 mos. - 13 yrs.

No

Yes

Infant - School Age

Yes

Yes

18 mos. - 13 yrs.

Yes

Yes

18 mos. - 13 yrs.

No

Yes

Birth - 5th Gr.

No

Yes

Head Start - 5th Grade

No

Yes

Head Start - 5th Grade

No

No

Birth - School

No

Yes

18 mos. - 12 years

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

6 wks - 13 years

Yes

Yes

6 wks. -5 years

No

No

Pre-Kindergarten

Yes

Yes

Birth - 13 years

Yes

Yes

18 mos. - 13 years

Zip Code 75702 597-7735

21

592-6981

72

595-6646

29

595-4155

28

597-9394

63

597-5067

107

592-4180

140

593-9211

106

593-9211

40

595-0012

44

596-0060

29

531-3848

20

593-5437

33

526-7676

78

595-1021

55

597-6441 592-3671

112

Mon.-Fri. 6:30 - 10:30 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 8:00am - 12:00 Mon.-Fri. 6:00 - 6:00 Mon.-Fri. 24 Hours Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 6:00 - 5:30 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 6:00am - 6:00pm Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 6:30 - 5:30 Mon.-Fri. 6:30 - 6:00

15

Name, Address (Listed by Zip Code) Paula’s Outreach Center 1700 N. Moore, Tyler 75702 Ramey Elementary Prime Time 2105 Garden Valley Rd., Tyler 75702 Texas College Child Development Cntr.

2404 N. Grand Ave., Tyler 75702 Tyler Day Nursery 2901 W. Gentry Pkwy., Tyler 75702 Tyler 1st UMC Kidz Place 2107 Woodlawn, Tyler 75702 T.I.S.D. Child Care 1818 North Confederate, Tyler 75702 Visions of Learning Child Care Centers 513 S. Fleishel, Tyler 75702 YMCA - The Learning Center 225 S. Vine, Tyler 75702

Phone

Capacity

592-2471

33

597-5347

20

526-4577

85

592-4861

136

593-1169

93

590-4020

34

533-0812

31

593-7327

85

Hours & Days Open Mon.-Fri. 6:00 - 5:30 Mon.-Fri. 6:00 - 5:30 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 7:30 - 5:30 Mon.-Fri. 6:00 - 5:30 Mon.-Fri. 6:00 - 5:30 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 7:00 - 6:00

Drop After School Ins Care

Ages Accepted

No

Yes

18 mos. - 11 years

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

18 mos. - 13 years

No

No

6 wks. - 5 years

No

Yes

Birth - 4 years

No

No

6 wks. - 4 years

Yes

No

Infant - Pre K

Yes

Yes

2 years - 12 years

Zip Code 75703, 75704, 75705, 75706, 75707, 75708

Creative Kids Learning Center 420 W. Rieck., Tyler 75703 East Texas Christian Academy 1797 Shiloh Rd., Tyler 75703 Boys & Girls Club at Cumberland Acad.

8225 S. Broadway, Tyler 75703 Boys & Girls Club at Jack Elementary 1900 Balsam Gap Ln., Tyler 75703 Boys & Girls Club at Owens Elementary Saline Creek Rd., Tyler 75703 Gresham Heights Learning Center 15945 FM 2493, Tyler 75703 Kidz R Life Childcare Center 18535 Hwy. 69S., Tyler 75703 Little Peoples School 5210 Hollytree, Tyler 75703 Tyler Little Red School House 6611 S. Broadway, Tyler 75703 Rice Elementary Prime Time 409 Carriage Drive, Tyler 75703 Oak Tree Academy LLC 6321 New Copeland Rd., Tyler 75703 Boys & Girls Club at Rice Elementary 409 Carriage Drive, Tyler 75703 Shiloh Road Learning Center 2101 Shiloh Rd., Tyler 75703 The Taylor-Carden School 5330 New Copeland Rd., Tyler 75703 Dixie Prime Time 213 Patton Ln., Tyler 75704 Orr Elementary Prime Time 3101 Orr Drive, Tyler 75704 Kissam Prime Time 12800 St. Hwy. 64 E., Tyler 75705 Faith Academy 10645 St. Hwy. 64 E., Tyler 75707

561-3120

136

561-8642

60

593-9211

77

593-9211

136

593-9211

150

581-5141

75

839-2202

154

509-8904

130

561-0746

175

561-6713

65

581-4075

119

593-9211

116

561-1559

186

561-3551

200

593-6979

356

593-3954

25

521-1229

65

565-0404

50

Pushing Stroller Safety

A

s more parents use jogging strollers, baby carriers and bike trailers to enjoy the outdoors with their toddlers, experts stress the importance of protecting children from spinal cord injuries.

“About 11,000 people suffer from spinal cord injuries annually, and developing children are particularly vulnerable,” says Dr. Gerard W. Clum, president of Life Chiropractic College West and spokesperson for the Foundation for Chiropractic Progress.

Dr. Clum says parents should always be aware of

16

Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 7:30 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 9:30 - 1:30 Mon.-Fri. 6:30 - 6:10 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 9:00 - 2:30 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 6:00 - 6:30 Mon.-Fri. 6:45 - 5:45 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 8:00 - 3:00

Yes

Yes

12 mos. - 12 yrs.

Yes

Yes

2 years - 12th Grade

No

Yes

Head Start - 5th Gr.

Yes

Yes

School Age

No

Yes

Head Start - 5th Gr.

Yes

Yes

6 wks. - 13 years

Yes

Yes

Infant - School Age

No

No

Preschool - 2-5 years

Yes

Yes

6 wks. - 5th Grade

Yes

Yes

Head Start - 5th Gr.

No

No

12 mos. - 6 years

No

Yes

Head Start - 5th Gr.

No

Yes

12 mos. - 12 years

No

Yes, Selected

2 years - 12 years

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

Head Start - 5th Gr.

Yes

Yes

Call for Information

Yes

Yes

Pre K - School

how a device positions a child’s neck or spine, and of course follow manufacturer safety instructions when using a stroller or similar equipment. The Foundation offers these additional tips: • Make sure the child is always properly secured in the device.

• Avoid carrying or pushing a load that may be too heavy.

• Practice with the device before attempting to use it with your child.

For more information, visit www.f4cp.com.

Name, Address (Listed by Zip Code) The Growing Stick Learning Center 2700 Willard St., Tyler 75707 Fairwood UMC Child Care Center 1712 Old Omen Rd., Tyler 75707 Future Leaders Day Care 11901 FM 3270, Tyler 75708

Phone

Capacity

534-0601

86

566-8359

102

636-5440

47

Hours & Days Open Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 6:00 - 6:00

Drop After School Ins Care

Ages Accepted

No

Yes

18 mos. - 12 years

No

Yes

6 wks. - 13 years

Yes

Yes

Birth - School

Zip Code 75709, 75750, 75755, 75757, 75762

ABC Preschool Inc. 13931 State Hwy. 31, Tyler 75709 All About Love 12831 State Hwy. 31, Tyler 75709 The Playschool 300 E. Longview, Arp 75750 Taylor’s Christian Day School, Inc. 111 N. Rather St., Bullard, 75757 Carpenter’s Kids Early Education 110 FM 344, Flint 75762 First Baptist Church Hand-in-Hand Pres.

1001 FM 2813, Flint 75762

593-9410

222

593-9788

27

859-2315

17

894-7222

100

825-6045

101

839-4886

96

Mon.-Fri. 6:00am - 6:30pm Mon.-Fri. 6:00 - 6:30 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 7:00 - 6:00 Mon, Tues, Thurs 9:00 - 2:30

Yes

Yes

Birth - 12 years

Yes

Yes

18 mos. - 13 years

Yes

Yes

18 mos. - School

Yes

Yes

6 wks. - 12 years

Yes

No

6 wks. - 13 years 6 wks. - 13 years

No

Zip Code 75771, 75789, 75791, 75792

Apple Tree Learning Center 1420 S. Main St., Lindale 75771 Little Eagles Day School 110 Bell St., Lindale 75771 St. Lukes Episcopal School 16292 FM 849, Lindale 75771 Toy Town Pre-School 610 S. Boyd St., Lindale 75771 Cain Elementary Prime Time Hwy. 110 South, Whitehouse 75791 First Baptist Children’s Learning 801 E. Main St., Whitehouse 75791 Mama’s House, Inc. 802 W. Main, Whitehouse 75791 New Generation Learning Center 14172 Hwy. 110 S., Whitehouse Tyler Metro Childrens Center 14186 Hwy. 110 S., Whitehouse 75791 YMCA - Whitehouse Community Branch 301 Terry St., Whitehouse 75791

881-9921

94

882-5200

95

881-8733

65

881-9404

71

839-7666

30

839-4840

144

839-6789

119

561-5833

204

561-0253

88

758-3535

30

Mon.-Fri. 6:00 - 6:00 Mon.-Fri. 6:30 - 6:00 Mon.-Fri. 8:30 - 12:30 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 3:00 - 6:00 Mon.-Fri. 7:00 - 5:45 Mon.-Fri. 6:00 - 6:00 Mon.-Fri. 6:30 - 5:45 Mon.-Fri. 7:00 - 6:00 Mon.-Fri. 3:00 - 6:00

Yes

Yes

Birth - School

No

Yes

6 wks. - 12 years

No

No

18 mos. - 4 years

Yes

Yes

18 mos. - School

Yes

Yes

Head Start - 5th Gr.

No

Yes

6 wks. - 11 years

No

Yes

Birth - 13 years

Yes

Whitehouse

18 mos. - 6th Grade

Yes

Yes

Birth - School

Yes

Yes

Head Start - 5th Gr.

Visit us on the Web besafechild.com hosted by spyderinternet.com

phone 903-581-6111 Future Leaders Day Care 11901 FM 3270, Tyler Ages 6 wks up to 12 yrs.

After-School Program Pre-School Program

Anyone · Anytime · Anything

Dial 2·1·1 For HELP

6:00am to 6:00pm, Monday - Friday

903-636-5440

17

I

Allergies And Emergencies

n a medical emergency, every second counts-and this is especially true for children who live with food allergies. According to AllergicChild.com, food allergies affect 6 to 7 million Americans. Eight foods in particular account for 90 percent of all allergic reactions: peanuts, tree nuts, fish, shellfish, eggs, milk, soy and wheat.

Food allergies are the leading cause of anaphylaxis, the immediate and severe reaction to certain foods that accounts for approximately 30,000 emergency room visits annually. An allergic reaction from food proves fatal for 100 to 200 people each year.

Most school-age children eat two meals a day unsupervised by their parents. Without knowing it, children may consume ingredients that cause allergic reactions, and in some cases it only takes a tiny amount for a person to have a severe reaction.

Without proper supervision, children can experience symptoms ranging from hives, swelling, nausea and loss of consciousness to even death.

In case of just such an emergency, the child’s personal health information should be available to his or her caretaker and emergency

personnel.

One simple solution is the MedicAlert’s Kid Smart(r) program, a successful child-specific program that safeguards and identifies children during an emergency. By wearing a personalized MedicAlert bracelet, children are provided with 24-hour child emergency ID and family emergency notification services. If a child experiences a life-threatening allergic reaction, it’s important to dial 911 and notify them about the situation.

There are other efforts to consider: • Inform your circle of friends, family, teachers, nurses and other school or day care officials about the seriousness of your child’s allergy.

• Define a clear action plan with your pediatrician or the simple plan outlined by the program.

• Take control of your children’s diet and help them take control of their own diet.

Try to pack children’s lunches every day to help regulate their diet and continue to teach them which foods to avoid, especially those with hidden ingredients.

For more information, visit www.medicalert. org/kidsmart.

Kick Back.

Enjoy.

What’cha waitin’ for?

STEAKHOUSE

Open: M-TH 4P - 10P Frinday 4P - 11P / Sat. 3p - 11P Sun. Noon - 9P 5704 S. Broadway 509-8193 18

OPEN 24 HOURS ACROSS FROM BROADWAY SQUARE MALL 137 WSW LOOP 323, TYLER GRESHAM Location Coming Soon!

561-7334

Making The Right Entertainment Choices

A

merica’s children are avid consumers of movies, music and video games. But sometimes their entertainment choices may not be appropriate for them. How is a parent to make sure that the latest hit movie, hot video game or chart-busting album is right for their child?

The Coalition of Entertainment Retail Trade Associations (CERTA), an umbrella group for movie theatres, video and video game stores and music retailers, encourages parents to take a few simple steps to ensure that entertainment is appropriate for their family: * Look for the advisory. Video games and motion pictures carry a rating. Complementing the rating is a “content descriptor” that explains why the game or movie got the rating that it did. Music that contains explicit content displays a “parental advisory” sticker on the album cover or an “explicit” warning in the online download catalogue. Use these advisories to make sure the video game, movie or music is appropriate for your child. * Watch movies, listen to music, and play

FREE Kids Meal with every adult purchase Wednesday Night & All Day Saturday 1815 Roseland Blvd.

(903) 597-2901 Ken Rollins / General Manager

200 Rice Road

(903) 581-2498 Joaquin B. Garcia / General Manager

video games with your children. (Sure, it may not always be easy or even welcomed, but it is important.) Talk to your children. Make sure they understand what the ratings and labeling are about, and what they can learn from them. * Set appropriate limits. Like any form of entertainment, music, movies and video games should not be permitted to interfere with schoolwork, exercise and other important activities. * For those lucky enough to have an Xbox 360 video game console, check out the parental controls.

You can set the console so that Mature- and Adult Only-rated video games will not play on the system. (PlayStation 3 and Nintendo Revolution will also contain parental-control mechanisms.)

Entertainment can educate, amuse, inspire and challenge. There are movies, video games and music for every age group and interest, but not every choice is right for every audience.

Using these guidelines, parents can make sure that their choices are the right ones for their family.

For more information, go to www.erlam.org.

Home of Hand Cut Steaks & Fall Off The Bone Ribs Tuesdays - Kids Eat Free 2101 E.S.E. Loop 323 509-0053 19

Children’s Health Insurance Keeps Growing CHIP “Perinatal Program”

Texas residents who are pregnant, uninsured and not eligible for Medicaid may qualify for CHIP “Perinatal Program” benefits.

Coverage starts before the child is born and continues after the child is enrolled.

Benefits include: Up to 20 prenatal visits.

Prescription drug coverage based on current CHIP formulary.

Hospital facility charges and professional services charges related to labor with delivery only.

Preterm labor that does not result in a birth and false labor are not covered benefits.

Two postpartum visits for the mother.

Regular check-ups, immunizations and prescriptions for the baby.

A full list of covered benefits is available at http://www.hhsc.state.tx.us/chip/perinatal/indes.htm.

If you would like to apply for any State Programs CHIP/Medicaid, CHIP “Perinatal Program,” Women’s Health Program, Food Stamps, TANF or long term care please contact any of the Outreach Assistance Contact Numbers below in your county. Or you can call 1-800-647-6558.

You can also visit our website @ www.chipmedicaid.org.

. . . . . . .

New Ways To Apply for Any of the State Of Texas Programs

CHIP (Children’s Health Program)

CHIP “Perinatal Program” Women’s Health Program (Medicaid)

Medicaid Food Stamps Long Term Care TANF

Please Contact Us For More Information Cynthia (Abby) Farias Outreach Assistant (Covering Smith, Camp, Rains, Van Zandt, Wood Counties) (903) 535-0028 1-866-903-0028

Arnetta Garner Outreach Assistant (Covering Cherokee, Rusk, Anderson, Henderson, and Panola Counties) (903) 541-2454 1-866-903-0028

Or go to our website: www.healthyeasttx.org 20

Children’s Health Insurance Program (CHIP)

$50 or less covers all your children for one year. Most families pay little or nothing at all. .Extend the enrollment from 6 months to 12 months. .Eliminate the 90-day waiting period for most children. .Increase the asset limit from $5,000 to $10,000 per household. .Increase the amount cars can be worth when determining eligibility. .Allow childcare expenses to be deducted from household income when determining whether children are eligible for the program.

Children’s Medicaid Children’s Medicaid provides free coverage for a wide range of health care services for children who qualify. It helps nearly 2 million Texas children stay healthy and get the care they need.

CHIP If your children get CHIP coverage, Your family will pay no more than $50 every year, and many families pay nothing. Depending on your income, you may have copayments for some services, such as prescriptions and visits to a doctor’s office or emergency room. Most copays range from $3 to $10.

Benefits Include: .Choice of doctors .Regular check-ups and office visits .X-rays and lab tests .Prescription drugs and medical supplies .Mental health care .Dentist visits, cleaning and fillings .Coverage for special health needs .Access to medical specialists .Coverage for pre-existing conditions .Shots and immunizations .Eye exams and glasses CHIP now offers prenatal care for unborn children of low-income women who do not qualify for Medicaid. One application covers both programs. We will look at your application and let you know if your children qualify for Children’s Medicaid or CHIP. Go to www.CHIPmedicaid.org and print an application, or call us at 903-535-0028 or 1-866-903-0028 NETPHD Website: www.healthyeasttx.org

Income Guidelines for CHIP/Children’s Medicaid Family Members (Adults plus children)

May Qualify For Children’s Medicaid Annual Family Income

May Qualify For CHIP Annual Family Income

1

$10,210

$20,420

2

$13,690

$27,380

3

$17,170

$34,340

4

$20,650

$41,300

21

Preventing Obesity in Kids

A

Source: Nacogdoches Medical Center

s a parent you never like to see your child experience illness or hurt from harsh words spoken by their peers. But if you aren’t providing an environment where healthy eating habits, physical activity and positive reinforcement are a part of daily routines, then you just might be contributing to the very things you don’t want for your child - disease and low self-esteem.

Since the 1960s, the number of overweight kids and adolescents in the United States has nearly doubled. It’s estimated that 10 percent of twoto-five year olds and more than 15 percent of children between the ages of six and 19 are overweight.

Whether a child is overweight or obese is determined by a physician who measures your child’s weight against his or her height and age. If a child is found to be overweight, the assistance of a physician-directed weight-loss program may be recommended. In children, dieting should never be done without the guidance of a doctor because their nutritional and developmental health could be compromised.

There are three main reasons why children become obese: family history of obesity, poor diet and not enough physical activity. Much of what we eat is full of fat and now more than ever children are spending their time playing video games, on the computer or watching television. This sedentary time means they’re spending less time in physical activities. Specific lifestyle changes may help prevent obesity. Those children with a family history of obesity can also control their weight, but they may have to work a little harder at their diet and exercise to do so.

The following tips may help in creating a healthy family lifestyle: • Set a good example by preparing and eating healthy meals and don’t maintain a cleanplate policy. Follow your children’s hunger cues. If kids are satisfied, don’t make them continue eating, which helps reinforce the idea that they should only eat when they are hungry.

• Don’t buy junk food. It’s better to not have temptations in the house than to tell your child they can’t have any of it. Also, don’t use sweets or treats as a reward for good behavior or as a way to stop bad behavior.

22

• Place nutritious snacks in a place where your child can reach for them first.

• Use exercise as an opportunity to spend time with your child. Spend time everyday doing aerobic activity (bicycling, ice skating, jogging, hiking, karate, roller blading, soccer, swimming, tennis, etc.).

• Limit TV and the computer and don’t allow eating while doing them. Time spent doing these activities is time spent away from physical activity.

• Discourage talk about weight unless your child brings it up. And don’t talk about your own weight or dieting in front of your child.

• Avoid fast food.

The result of not eating healthy and not getting regular exercise may be detrimental to your child.

Overweight and obese children are at higher risk for sleeping disorders, asthma and diabetes.

And since overweight children have up to an 80 percent chance of becoming overweight adults, their risk for heart disease, high blood pressure, arthritis and certain cancers may also increase.

In addition, being obese places your child in a position to be isolated by certain peers at school or to be the brunt of many “fat jokes.” This can lead to low self-esteem. (See Help Build Up Your Child’s Self-Esteem page 5) And low self-esteem may lead to poor eating habits and a sedentary lifestyle, which is exactly what you don’t want.

Controlling and preventing obesity is possible.

Yet it requires action and positive role modeling. Talk to your doctor for more information on obesity or for suggestions on preparing nutritious meals, exercise choices or ways to build your child’s self-esteem.

To learn more about Nacogdoches Medical Center, visit www. nacmedicalcenter.com.

Protect, Promote, & Provide For The Health Of Our Community

.. .

Did you know........?

17.5% of children ages 6-11 are overweight Parents should start cleaning their child’s teeth as soon as the first tooth appears In the U.S., vaccination programs have eliminated or significantly reduced many vaccine- preventable diseases. However, these diseases still exist and can once again become common - and deadly - if vaccination coverage does not continue at high levels.

Your Northeast Texas Public Health District is here to help.

Northeast Texas Public Health District offers the following services and much more to the children of our Community: Immunizations - 535-0060 Birth Certificates - 535-0030 St. Paul Pediatric Dental Clinic - 526-4900

WIC Nutrition Education & Assistance - 592-7635 St. Paul Children’s Clinic - 531-9441 Community Outreach & Assistance - 535-0028

City of Tyler Animal/Mosquito Control - 535-0045

Medicaid, CHIP, Food Stamps, TANF

WE ARE HERE TO MEET YOU CHILD’S HEALTHY LIVING NEEDS. 23

Michael Austin, MD

Kathleen Butler, MD

Andrew Hoover, MD

Ellen Melton, MD

We Know Kids

ETMC First Physicians for Kids When it comes to knowing kids, you can depend on the expert pediatricians at the ETMC First Physicians Clinic on Fifth Street in Tyler and the Lindale Clinic.

They’re specially trained in the care of newborns, infants, toddlers and adolescents, with emphasis on physical, mental and social development.

See the ETMC First Physicians for Kids for: • Immunizations • Physicals and developmental assessments • Treatment of childhood viruses and illnesses For an appointment, call 903-596-ETMC.

Marinel Munda, MD

24

Blue Cross Blue Shield and other major insurance providers accepted.

A not-for-profit organization committed to improving the quality of life in East Texas communities

www.etmc.org