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Parents Need to Know is a newsletter written by Craig Collison, MD, pediatrician with Mount Nittany Physician Group.
Children with egg allergy now cleared to get flu shot

Flu shots are now recommended for all children aged 6 months to 18 years – even if they have an egg allergy. In the past, children with an egg allergy were cautioned against receiving the flu vaccine because it could contain a small amount of egg protein; however, new research shows that it’s now safe for children with egg allergies to receive the flu shot without special precautions.

Depending on the severity of the egg allergy, the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices currently recommends observing children allergic to eggs for 30 minutes after a flu shot. Having the shot under the care of a primary care provider (if the child’s typical reaction to eating eggs is only hives) or an allergist (if their usual reaction to eating eggs is more serious) is also advised.

A recent study published in the October issue of the Annals of Allergy, Asthma & Immunology, the official journal of the American College of Allergy, Asthma & Immunology (ACAAI), supports the suggestion that flu vaccinations are safe for children with an egg allergy. The study observed 143 participants who had a history of a severe allergic reaction (anaphylaxis) to egg ingestion and they all received the flu vaccine without complication.

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Is your child too sick to go to school?

How can you determine if your child is too sick to go to school? Parents have always had this dilemma: Do you send your child to school knowing he may infect everyone around him or keep him home and set him back in his schoolwork? If your child stays home, there may also be the issue of supervision for him if both parents work.

Below are some symptoms that exclude children from attending school:

  1. Fever - Children with fever greater than 100.4 should not go to school. Once there is a fever, children should be fever-free for at least 24 hours before they return to school.
  2. Vomiting - Children who are vomiting should not go to school and should be vomit-free for 24 hours prior to going back to school.
  3. Diarrhea - Any child with loose stool that occurs more than four times in a 24-hour period should stay home until the frequency slows down.
  4. Pink eye - Children with redness of the eyes plus drainage from one or both should not go to school, and should not return until they have been treated with antibiotic drops for 24 hours.
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Potty training advice
  Potty training  

Potty training is one of the biggest milestones in a young child’s life, and possibly even bigger for his or her parents. Unlike the moment a child first walks or says their first word, potty training is a process that spans a period of time that can last from a few weeks to many months (for the tough cases).

It may be the most stressful time for parents as they put their parenting skills to the test. Perhaps the most challenging aspect of potty training a child is the fact that you can’t do it for them. Potty training involves a series of skills that must be mastered by the child, which requires both a willingness on the child’s part and the developmental ability to accomplish those skills.

The following is a list of skills that all need to be accomplished to complete toilet training for children:

  1. Feel the urge
  2. Hold it in
  3. Communicate the need
  4. Get to the toilet
  5. Pull down pants and underwear
  6. Sit on the toilet
  7. Relax
  8. Urinate/Defecate
  9. Wipe
  10. Get off the toilet
  11. Pull up pants
  12. Flush
  13. Wash hands
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Recent product recall

Here is a recent product recall announced by the U.S. Consumer Product Safety Commission. For the most up-to-date recall information, please visit and click on the Recalls tab from the home page.

Name of product: Journey Girl Travel Trunk

Hazard: The blue metal handle on the trunk can be sharp, presenting a laceration hazard to the user.

Incidents/Injuries: Toys R Us has received six reports of incidents involving the handle on the trunk, including one report of a consumer who received stitches as a result of a laceration.

Description: This recall involves the Journey Girl Travel Trunks used to carry 18-inch-tall toy dolls. The 21-inch-tall, curved-top trunks are purple with a blue pattern and have a blue, metal handle. The trunks were sold with three clothes hangers and two pull out drawers for storage. Travel trunks included in the recall have a UPC code of 4897027965070 and model number of 5F5F79E. The model number is printed on the bottom of the travel trunk next to the UPC code.

Sold exclusively at: Toys R Us stores nationwide and online at from October 2012 through February 2013 for about $30.

Manufactured in: China

Remedy: Consumers should immediately stop using the travel trunk, put it out of reach of children and return it to a Toys R Us store for a full refund or store credit.

Consumer contact: Contact Toys R Us at 1.800.869.7787 from 9:00 am - 11:00 pm ET Monday through Saturday, and from 10:00 am - 7:00 pm ET on Sunday. Consumers can also visit Click on “About Us,” then select “Safety” at the top of the page, and then “Click Here” under the Product Recalls section.



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