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Parenting

COVID-19 Parents Supporting Children

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Children and teens react, in part, on what they see from the adults around them. When parents and caregivers deal with the COVID-19 calmly and confidently, they can provide the best support for their children. Parents can be more reassuring to others around them, especially children, if they are better prepared.

Watch for behavior changes in your child

Not all children and teens respond to stress in the same way. Some common changes to watch for include:

  • Excessive crying or irritation in younger children.
  • Returning to behaviors they have outgrown (for example, toileting accidents or bedwetting).
  • Excessive worry or sadness.
  • Unhealthy eating or sleeping habits.
  • Irritability and “acting out” behaviors in teens.
  • Poor school performance or avoiding school.
  • Difficulty with attention and concentration.
  • Avoidance of activities enjoyed in the past.
  • Unexplained headaches or body pain.
  • Use of alcohol, tobacco, or other drugs.

Ways to support your child

  • Talk with your child about the COVID-19 outbreak.
  • Answer questions and share facts about COVID-19 in a way that your child can understand.
  • Reassure your child that they are safe. Let them know it is ok if they feel upset. Share with them how you deal with your own stress so that they can learn how to cope from you.
  • Limit your family’s exposure to news coverage of the event, including social media. Children may misinterpret what they hear and can be frightened about something they do not understand.
  • Try to keep up with regular routines. If schools are closed, create a schedule for learning activities and relaxing or fun activities.
  • Be a role model. Take breaks, get plenty of sleep, exercise, and eat well. Connect with your friends and family members.
  • Spending time with your child in meaningful activities, reading together, exercising, playing board games.

Caring for Children

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Help stop the spread of COVID-19

Take steps to protect children and others from getting sick

Help stop the spread of COVID-19 by doing the same things everyone should do to stay healthy. Teach your children to do the same.

  • Clean hands often using soap and water or alcohol-based hand sanitizer.
  • Avoid people who are sick (coughing and sneezing).
  • Clean and disinfect high-touch surfaces daily in household common areas (like tables, hard-backed chairs, doorknobs, light switches, remotes, handles, desks, toilets, and sinks).
  • Launder items including washable plush toys as needed. Follow the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting  and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.

You can find additional information on preventing COVID-19 at How to Protect Yourself and at Preventing COVID-19 Spread in Communities. Additional information on how COVID-19 is spread is available at How COVID-19 Spreads.

Limit time with other children

Practice social distancing

The key to slowing the spread of COVID-19 is to limit contact as much as possible. While school is out, children should not have in-person playdates with children from other households. If children are playing outside their own homes, it is essential that they remain 6 feet from anyone who is not in their own household.

To help children maintain social connections while social distancing, help your children have supervised phone calls or video chats with their friends.

Clean hands often

Make sure children practice everyday preventive behaviors, such as washing their hands often with soap and water for at least 20 seconds. This is especially important if you have been in a public place.

Change spring break & travel plans

Revise spring break and travel plans if they included non-essential travel.

If children meet in groups, it can put everyone at risk. Children with COVID-19 may only have mild symptoms, but they can still pass this virus onto others who may be at higher risk, including older adults and people who have serious underlying medical conditions.

Limit time with older adults and people with serious underlying medical conditions

Older adults and people who have serious underlying medical conditions are at highest risk of severe illness from COVID-19.

  • If others in your home are at particularly high risk for severe illness from COVID-19, consider extra precautions to separate your child from those people.
  • If you are unable to stay home with your child while school is out, carefully consider who might be best positioned to provide child care. If someone at higher risk for COVID-19 will be providing care (older adult, such as a grandparent or someone with a chronic medical condition), limit your children’s contact with other people.
  • Consider postponing visits or trip to see older family members and grandparents. Connect virtually or by writing letters and sending via mail.

Children 2 years and older should wear a cloth face covering

Children 2 years and older should wear a cloth face covering over their nose and mouth when in public settings where it’s difficult to practice social distancing. This is an additional public health measure people should take to reduce the spread of COVID-19 in addition to (not instead of) social distancing, frequent handwashing, and other everyday preventive actions. A cloth face covering is not intended to protect the wearer, but may prevent the spread of the virus from the wearer to others. This would be especially important in the event that someone is infected but does not have symptoms. Medical masks and N95 respirators are still reserved for healthcare workers and other first responders, as recommended by current CDC guidance.

Keep children healthy

Watch your child for any signs of illness
  • If you see any sign of illness consistent with symptoms of COVID-19, particularly fever, cough, or shortness of breath, call your healthcare provider and keep your child at home and away from others as much as possible. Follow CDC’s guidance on what to do if you are sick.
Watch for signs of stress in your child
Teach and reinforce everyday preventive actions
  • Parents and caretakers play an important role in teaching children to wash their hands. Explain that hand washing can keep them healthy and stop the virus from spreading to others.
  • Be a good role model—if you wash your hands often, they’re more likely to do the same.
  • Make handwashing a family activity.
  • Learn more about handwashing and other everyday preventive actions.
Help your child stay active
  • Encourage your child to play outdoors—it’s great for physical and mental health. Take a walk with your child or go on a bike ride.
  • Use indoor activity breaks (like stretch breaks or dance breaks) throughout the day to help your child stay healthy and focused.
Help your child stay socially connected

Ask about school meal services

Check with your school on plans to continue meal services during the school dismissal. Many schools are keeping school facilities open to allow families to pick up meals or are providing grab-and-go meals at a central location.

Help children continue learning

Stay in touch with your child’s school
  • Many schools are offering lessons online (virtual learning). Review assignments from the school, and help your child establish a reasonable pace for completing the work. You may need to assist your child with turning on devices, reading instructions, and typing answers.
  • Communicate challenges to your school. If you face technology or connectivity issues, or if your child is having a hard time completing assignments, let the school know.
Create a flexible schedule and routine for learning at home
  • Have consistent bedtimes and get up at the same time, Monday through Friday.
  • Structure the day for learning, free time, healthy meals and snacks, and physical activity.
  • Allow flexibility in the schedule—it’s okay to adapt based on your day.
Consider the needs and adjustment required for your child’s age group
  • The transition to being at home will be different for preschoolers, K-5, middle school students, and high school students. Talk to your child about expectations and how they are adjusting to being at home versus at school.
  • Consider ways your child can stay connected with their friends without spending time in person.
Look for ways to make learning fun
  • Have hands-on activities, like puzzles, painting, drawing, and making things.
  • Independent play can also be used in place of structured learning. Encourage children to build a fort from sheets or practice counting by stacking blocks.
  • Practice handwriting and grammar by writing letters to family members. This is a great way to connect and limit face-to-face contact.
  • Start a journal with your child to document this time and discuss the shared experience.
  • Use audiobooks or see if your local library is hosting virtual or live-streamed reading events.

Children may have mild symptoms

Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date.

The symptoms of COVID-19 are similar in children and adults. However, children with confirmed COVID-19 have generally shown mild symptoms. Reported symptoms in children include cold-like symptoms, such as fever, runny nose, and cough. Vomiting and diarrhea have also been reported.

Severe illness and multisystem inflammatory syndrome in children

It’s not known yet whether some children may be at higher risk for severe illness, for example, children with special healthcare needs. There is more to learn about how the disease affects children. You can learn more about who is most at risk for health problems if they get COVID-19 on Are You at Higher Risk for Severe Illness.

If you are concerned your child may have COVID-19, stay at home and contact your healthcare provider. Pediatricians are open during the COVID-19 pandemic and can follow CDC recommendations to keep children and their parents or caregivers safe when in-person visits are needed.

Multisystem inflammatory syndrome in children (MIS-C)

CDC and partners are investigating cases of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19. MIS-C has been described as inflammation (swelling) across multiple body systems, potentially including the

  • Heart, lungs, and kidneys
  • Brain
  • Skin
  • Eyes
  • Gastrointestinal organs

Signs and symptoms of MIS-C include fever and various symptoms such as

  • Abdominal and neck pain
  • Vomiting and diarrhea
  • Rash
  • Feeling tired

Not all children will have the same symptoms.

If your child has any of these symptoms or other concerning signs, contact your pediatrician. If your child is showing any emergency warning signs including trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, bluish lips or face, severe abdominal pain, or other concerning signs, seek emergency care right away.

CDC is working with state and local health departments to learn more about this syndrome, including how common it is and who is at risk. As new data become available, we will continue to provide information for parents and caregivers as well as healthcare and public health professionals. Current information and guidance on MIS-C for clinicians can be found at Information for Pediatric Healthcare Providers.

More Information

Talking with children about Coronavirus Disease

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Messages for parents, school staff, and others working with children

As public conversations around coronavirus disease 2019 (COVID-19) increase, children may worry about themselves, their family, and friends getting ill with COVID-19. Parents, family members, school staff, and other trusted adults can play an important role in helping children make sense of what they hear in a way that is honest, accurate, and minimizes anxiety or fear. CDC has created guidance to help adults have conversations with children about COVID-19 and ways they can avoid getting and spreading the disease.

General principles for talking to children

Remain calm and reassuring.

  • Remember that children will react to both what you say and how you say it. They will pick up cues from the conversations you have with them and with others.

Make yourself available to listen and to talk.

  • Make time to talk. Be sure children know they can come to you when they have questions.

Avoid language that might blame others and lead to stigma.

  • Remember that viruses can make anyone sick, regardless of a person’s race or ethnicity. Avoid making assumptions about who might have COVID-19.

Pay attention to what children see or hear on television, radio, or online.

  • Consider reducing the amount of screen time focused on COVID-19. Too much information on one topic can lead to anxiety.

Provide information that is honest and accurate.

  • Give children information that is truthful and appropriate for the age and developmental level of the child.
  • Talk to children about how some stories on COVID-19 on the Internet and social media may be based on rumors and inaccurate information.

Teach children everyday actions to reduce the spread of germs.

  • Remind children to stay away from people who are coughing or sneezing or sick.
  • Remind them to cough or sneeze into a tissue or their elbow, then throw the tissue into the trash.
  • Discuss any new actions that may be taken at school to help protect children and school staff.
    (e.g., increased handwashing, cancellation of events or activities)
  • Get children into a handwashing habit.
    • Teach them to wash their hands with soap and water for at least 20 seconds, especially after blowing their nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food.
    • If soap and water are not available, teach them to use hand sanitizer. Hand sanitizer should contain at least 60% alcohol. Supervise young children when they use hand sanitizer to prevent swallowing alcohol, especially in schools and childcare facilities.
Facts about COVID-19 for discussions with children

Try to keep information simple and remind them that health and school officials are working hard to keep everyone safe and healthy.

What is COVID-19?

  • COVID-19 is the short name for “coronavirus disease 2019.” It is a new virus. Doctors and scientists are still learning about it.
  • Recently, this virus has made a lot of people sick. Scientists and doctors think that most people will be ok, especially kids, but some people might get pretty sick.
  • Doctors and health experts are working hard to help people stay healthy.

What can I do so that I don’t get COVID-19?

  • You can practice healthy habits at home, school, and play to help protect against the spread of COVID-19:
    • Cough or sneeze into a tissue or your elbow. If you sneeze or cough into a tissue, throw it in the trash right away.
    • Keep your hands out of your mouth, nose, and eyes. This will help keep germs out of your body.
    • Wash your hands with soap and water for at least 20 seconds. Follow these five steps—wet, lather (make bubbles), scrub (rub together), rinse and dry. You can sing the “Happy Birthday” song twice.
    • If you don’t have soap and water, have an adult help you use a special hand cleaner.
    • Keep things clean. Older children can help adults at home and school clean the things we touch the most, like desks, doorknobs, light switches, and remote controls. (Note for adults: you can find more information about cleaning and disinfecting on CDC’s website.)
    • If you feel sick, stay home. Just like you don’t want to get other people’s germs in your body, other people don’t want to get your germs either.

What happens if you get sick with COVID-19?

  • COVID-19 can look different in different people. For many people, being sick with COVID-19 would be a little bit like having the flu. People can get a fever, cough, or have a hard time taking deep breaths. Most people who have gotten COVID-19 have not gotten very sick. Only a small group of people who get it have had more serious problems. From what doctors have seen so far, most children don’t seem to get very sick. While a lot of adults get sick, most adults get better.
  • If you do get sick, it doesn’t mean you have COVID-19. People can get sick from all kinds of germs. What’s important to remember is that if you do get sick, the adults at home and school will help get you any help that you need.
  • If you suspect your child may have COVID-19, call the healthcare facility to let them know before you bring your child in to see them.

Talking to Children about COVID-19pdf  – Click to Download

Actively Listening to Your Child

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Communicating with our children can be a difficult task at times.  We feel like they’re not listening to us; they feel like we’re not listening to them.  Good listening and communication skills are essential to successful parenting.  Your child’s feelings, views, and opinions have worth, and you should make sure you take the time to sit down and listen openly and discuss them honestly.

It seems to be a natural tendency to react rather than to respond.  We pass judgment based on our feelings and experiences.  However, responding means being receptive to our child’s feelings and emotions and allowing them to express themselves openly and honestly without fear of repercussion from us.  By reacting, we send our child the message that their feelings and opinions are invalid.  But by responding and asking questions about why the child feels that way, it opens a dialog that allows them to discuss their feelings further and allows you a better understanding of where they’re coming from.  Responding also allows you to work out a solution or a plan of action with your child that perhaps they would not have come up with on their own.  Your child will also appreciate the fact that maybe you do indeed understand how they feel.

It’s crucial in these situations to give your child your full and undivided attention.  Put down your newspaper, stop doing dishes, or turn off the television so you can hear the full situation and make eye contact with your child.   Keep calm, be inquisitive, and afterward offer potential solutions to the problem.

Don’t discourage your child from feeling upset, angry, or frustrated.  Our initial instinct may be to say or do something to steer our child away from it, but this can be a detrimental tactic.  Again, listen to your child, ask questions to find out why they are feeling that way, and then offer potential solutions to alleviate the bad feeling.

Just as we do, our children have feelings and experience difficult situations.  By actively listening and participating with our child as they talk about it, it demonstrates to them that we do care, we want to help, and we have similar experiences of our own that they can draw on.  Remember, respond – don’t react.

 

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