When brothers and sisters pick on, harass, hit, punch, kick, insult and generally harass other siblings they're not typically identified as bullies. The response is more often kids will be kids.
The human papillomavirus (HPV) vaccine is producing remarkable results in teenage girls by cutting infections in half. A new study measures the vaccines impact since it came on the market in 2006.
Only about half of teen girls in the U.S. have gotten at least one dose of the expensive vaccine, and just a third of teen girls have had all three shots, according to the latest government figures.
"These are striking results and I think they should be a wake-up call that we need to increase vaccination rates," said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.
The CDC study compared infection rates in girls 14 to 19 before and after the vaccine became available. The proportion infected with the targeted HPV strains dropped 56 percent, from about 12 percent before the vaccine was sold to 5 percent. That result was for all teens after it was on the market, whether or not they were vaccinated.
Among girls who had gotten the vaccine, the drop in HPV infections was higher " 88 percent.
For the vaccine to be effective, 3 shots have to be given over a period of 6 months. There are two vaccines against HPV, but the study only looked at Gardasil. Both vaccines are approved for use in males and females " ages 9 to 26 for females and ages 9 to 21 in males.
The study involved interviews and physical examinations of nearly 1,400 teen girls in 2003 through 2006 and of 740 girls in 2007 through 2010.
The vaccine's impact was seen even though only 34 percent of the teens in the second group had received any vaccine. That could be due to "herd immunity" " when a population is protected from an infection because a large or important smaller group is immune.
Some parents have balked at having their children and teens vaccinated for a sexually transmitted disease out of concern that it could encourage sexual activity. Frieden said the vaccination is meant to protect them when they become adul
Did you know that the first day of summer, June 21, not only kicks off sun, fun and relaxation, but it is also National ASK Day.
The summer months are typically the time of year when children play more often in homes of their friends, or even other family members. While we parents ASK all sorts of questions to ensure our childs safety, parents need to ASK if there are guns where their kids are playing?
National ASK Day, is a collaboration between The American Academy of Pediatrics (AAP), and the Center to Prevent Youth Violence (CPYV). Statistics show that about 1/3 of homes with kids also have guns, many of which are left unlocked and may even be loaded!
An average of 8 kids and teens are killed by firearms everyday and 42 additional children/teens are seriously injured (according to CDC data). 88% of the children who are injured or killed in unintentional shootings are shot in their own homes or in the homes of relatives or friends.
Other studies show that 42% of parents who own guns keep at least one unlocked, and 25% keep at least one loaded, and UNBELIEVABLY 14% keep one unlocked AND loaded! I cannot believe this myself. Scary!
Children are curious and clever. They may see their parent with a gun and it is left out and suddenly a tragedy has occurred. Accidental? Hard to use that word when this accident may be prevented. Talking to a child about gun safety and the danger of firearms is great, but not enough. Curiosity and availability may win when a child wants to play with the gun. Kids are clever and may f
The rotavirus vaccine is definitely one vaccine you want to make sure your child gets.
Rotavirus is a gastrointestinal disease that causes an inflammation of the stomach and intestines. It can produce severe diarrhea along with vomiting, fever and abdominal pain. Dehydration is often a side effect and globally, its responsible for more than half a million deaths each year in children under the age of five.
This disease is bad news for youngsters, but since the Rotarix and RotaTeq vaccines were introduced - U.S. children have benefited greatly from the protection.
Most parents are good about making sure their kids receive all the recommended vaccines, but many wonder how effective these vaccines really are. A new study says that the rotavirus vaccines are 91-92 percent effective for children 8 months and older. Thats an excellent result.
The study, led by Margaret M. Cortese, MD, of the National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, aimed to find out the effectiveness of the rotavirus vaccine.
There are several types of rotavirus vaccines. Researchers looked at the effectiveness of the monovalent vaccine called RV1- that came out in 2008. They also reviewed data on the pentavalent vaccine RV5.
The researchers gathered files on all children who went to one of five hospitals in Georgia and Connecticut with severe diarrhea lasting no more than 10 days.
The children were all born after the RV1 vaccine had been introduced (2008).
The researchers tested their stools for rotavirus and looked at their immunization records.
The researcher then compared the vaccination history of the children who had rotavirus to those who did not have rotavirus.
There were 165 children who had rotavirus in their stool and 428 who tested negative for it.
When the researchers compared these groups, they found the RV1 rotavirus vaccine was 91 perce
I just read an article published in the journal Pediatrics which once again validated the importance of family routines. In this study researchers from Ohio State University looked at household routines as they related to childhood obesity, an ever escalating problem.
The research, conducted in 2005, but published this year, analyzed over 8,500 four year old children. 18% of the children were identified as obese. Families were then asked if they regularly ate evening meals together, did their children have a bedtime and receive adequate sleep, and was television time limited within the home? When looked at more closely a little more than half of the children reported having family dinners 6 or 7 evenings a week.
There were 57% of the children who were reported to have 10.5 hours of sleep per weeknight. Only about 40% of the studied children were reported to watch less than 2 hours of television or movie viewing per weekday. When looked at in terms of those children who were exposed to all 3 routines, the prevalence of obesity was 14%, while those children not exposed to any of the 3 routines had a prevalence rate for obesity of 24.5%. The research also found that the number of household routines was a predicator of obesity and that by adding a routine, there was a 17% reduction in odds for obesity as a new routine was added.
These household routines seem to be fairly easy to initiate in that they may be accomplished without any cost etc. Establishing good routines for family meals has repeatedly been shown to improve a childs academic success, attention, risk of using alcohol and drugs and overall well being. If it could also reduce the incidence of obesity what a win!! Just one more reason to plan for a family to eat dinner together. This study did not even discuss healthy food choices, which might make the statistics even more compelling, and what about adding eating breakfast togeth
Baby Matters LLC is voluntarily recalling its foam rubber Nap Nanny and Nap Nanny Chill infant recliners and their covers, in exchange for the U.S. Consumer Product Safety Commission (CPSC) dropping an administrative complaint that it filed in December 2012.
From 2009 to the present, the Commission staff has received at least 92 incident reports involving the Nap Nanny and Nap Nanny Chill products, including five infant deaths. CPSC is aware of four infants who died in Nap Nanny Generation Two recliners and a fifth death involved in the Chill model. In the incident reports received by CPSC, there were 92 reports of infants hanging or falling over the side of the products, including some infants who were restrained in the products harness.
In December 2012, four major retailers"Amazon.com, Buy Buy Baby, Diapers.com, and Toys R Us/Babies R Us"announced a voluntary recall of Nap Nanny and Chill models sold in their stores. Consumers who purchased a Nap Nanny from one of these retailers should contact the retailer for instructions on how to obtain a refund for the product.
About 165,000 of the Nap Nanny and Chill products were sold between 2009 and 2012 for about $130. The recalled products were sold at toy and children's retail stores nationwide and online, including at www.napnanny.com.
Baby Matters LLC is no longer in business and is not accepting returns. CPSC urges consumers to immediately dispose of the products to ensure that they are not used again.
- Buy Buy Baby: Toll-free at (877) 328-9222,http://www.buybuybaby.com/productRecalls.asp
Summertime in the pediatrician's office means lots of check ups, and often this includes those tweens/teens/and college students who were too busy to schedule their doctor's appointments during the school year. The next three months will be busy indeed.
With HPV back in the news after Michael Douglas revealed that his throat cancer was due to HPV, what better time to remind parents and young adults of the need for the HPV vaccine. The HPV vaccine has been available in the U.S. for over seven years, but statistics from the CDC continue to show that the HPV vaccine is still not being given at the same rate as other recommended vaccines. In other words, we doctors need to ensure that every person between the ages of 11-26 who we see is offered the vaccine, this also means we need to educate.
HPV causes CANCER! This is truly the first anti-cancer vaccine, and I am hopeful that I will see more vaccines to prevent cancer while I continue to practice. I am sure that there will be more anti-cancer vaccines in our children's lifetime. This is exciting news as research continues on ways to combat cancer.
But.....for some reason (that is difficult for me to understand both as a parent and a physician), some parents are refusing to have their children vaccinated despite ongoing evidence that HPV is widely prevalent and causes numerous cancers. The fact that this virus is transmitted sexually seems to be the root cause of parental concern. Do parents not assume that their own children will become parents one day as well? Dont they want to be grandparents one day? Well, that means having sex with a partner. At some point in time, our children do become sexually active and shouldn't they all be protected as much as possible?
Giving adolescents the HPV vaccine does not promote sexual activity. In fact, I think that by having a discussion abou
The esteemed Pew Research Center, a non-partisan think tank that conducts public opinion polls and demographic research and analysis, came up with five facts about fathers that are interesting.
Over the last thirty years, the roles fathers play in the lives of their children have changed. Some might say for the better.
While there are still way too many children growing up without a father, many dads are making a dedicated and heartfelt effort to be more involved in their child's life.
So, in keeping with dad appreciation week as we build up to Father's Day next Sunday, here are five facts you may not know about dear old dad.
1. The Census Bureau estimates that last year there were about 189,000 stay-at-home dads, defined as married fathers with children younger than 15 who stayed out of the labor force for at least one year primarily to care for the family while their wife works outside the home. Those dads cared for an estimated 369,000 children.
2. In 2009 there were about 2.4 million custodial fathers (that is, raising their children while the mother was living elsewhere), versus 11.2 million custodial mothers, according to a Census Bureau report. About 619,000 custodial fathers were due child support; collectively, they received about $1.9 billion.
3. Fathers have nearly tripled the amount of time they spend with their children, from 2.5 hours in 1965 to 7.3 hours per week in 2011, according to a Pew Research report that analyzed years of time-use data. Despite that increase, 46% of fathers said they spent too little time with their children, compared with 23% of mothers who said the same; half of dads said they spent the right amount of time.
4. More than three-quarters of new fathers took one week or less off from work after the birth or adoption of their most recent child, according to a 2011 Boston College study of fath
I love talking to parents about behavior modification and that includes beginning to discipline their children. I really think this is one of the most important jobs for parents and it is hard to believe that your most precious, perfect child will at times misbehave. It happens to all of us!
I would recommend to start using time out as a means of behavior modification when a child is somewhere between 15-18 months of age. For those of you who watch Super Nanny, she coined the word the naughty step which is her version of time-out chair.
When you begin time out, pick a small chair in the house which you can use consistently for time-out. Never use a child's crib or bed, as you do not want them to think that bed is for misbehaving. After a child gets used to doing time out you can use all sorts of chairs and do time out anywhere. Like many things it just takes practice.
When putting your child in time out get down to their eye level, explain why they must sit in the chair, and hold them from behind (with your arms wrapped around them like you are a rope). I use a timer even at this young age so your child begins to understand how long they will be sitting in time out. Time out is typically one minute per year of age.
After time out is finished, get back to eye level and explain that the next time you ask them to mind you, they may choose to listen and they will not have to go to time out. These are such important words for a child's entire life, as they need to understand that they are making choices for their behavior. In other words, taking ownership of making a bad choice and knowing that there will be consequences. You will use these words over and over, you made a bad choice therefore....the consequence is....for a young child it is time out, for older children it may be no TV, or no going to a party, or even no driving. All versions of
Kids and water: They may not want to drink a lot of it, but they sure love to play in it. Now that the magical season of summer is almost here, there will be a lot of children doing just that. While you may think you already know everything there is to know on water safety, its still a good idea for parents, guardians and babysitters to freshen-up on ways to help keep kids safe when around or in water.
The good news, according to a study published by the Bloomberg School of Public Health at John Hopkins University in 2012, is that more parents ARE paying attention to water safety. Children dying from drowning"related incidents have declined dramatically since the early 1990s.
Unfortunately, more than 1,000 U.S. children still die from drowning and another 5,000 are injured every year. Dying from drowning isnt the only serious outcome that can occur. Nonfatal drowning can also result in brain damage and long-term disability.
Children less than 4 years old are most likely to die in drowning incidents, usually in bathtubs or after falling into water. Older children are more likely to drown while swimming, according to research cited in the study, with the risk rising in warmer regions of the South and West that have longer swimming seasons.
Lets review a few water safety tips, provided by kidshealth.org, and USA Today News that may help your little one from becoming one of the heart-breaking statistics listed above.
Supervision: The number one rule for water safety and children is that an adult, preferably one who knows CPR, is overseeing any child or group of children in water - whether the water is in a bathtub, a wading pool, an ornamental fish pond, a swimming pool, a spa, the beach, or a lake. If you dont know how to swim, learn. A parent or guardian who can actually enter the water and retrieve a child is able to respond faster, when a child is in trouble, than someone who has t
Time and time again headlines declare that vegetables are absolutely necessary to a healthy lifestyle. As parents, we get it. But what if your little one doesn't like broccoli, green beans, squash, cucumbers, carrots, beets -ok, I'll pass on that one too- corn, cauliflower, spinach or tomatoes? What if every time you attempt to smuggle a vegetable into your child's meal world war three breaks out?
Well...there may be hope. Try a little dip (and tenderness). According to a small but optimistic study, kids that don't normally like veggies messing up their perfectly good meal, will reevaluate that outlook and give vegetables a taste if they are presented with a bit of flavored dip.
The fact that the dip used during the study was low in fat, calories and sodium didn't seem to matter.
The study was conducted at the Center for Childhood Obesity Research at Pennsylvania State University.
Thirty-four preschoolers were asked to do a taste test of vegetables with and without the low-fat dip.
Not surprisingly, the kids liked the veggies better when they were served with dip. When the dip was flavored, kids liked the vegetables even more compared to plain dip or no dip at all.
What I find amazing is that thirty one percent of the little tykes liked the vegetables as is nothing added. When the researchers added the dip though, a whopping sixty-four percent were thumbs up on the vegetables. There were of course, those children who wouldn't budge even while others were smiling, dipping and exclaiming how tasty cauliflower can actually be. Six percent said no thanks to the dip and the vegetables while eighteen percent said absolutely no to the vegetables with no dip.
To see just how far kids were willing to go with the veggie and dip combo researchers did another study. This time they offered 27 preschoolers celery or squash both notorious for being leaders in a preschooler's yuck category. The kids basically picked at the
I saw a young boy (this week) who was bitten by a dog. Very sad as I began to think this is the time of the year that I will start seeing more bites. Why? Warmer weather brings families outdoors and I've noticed more dog parks popping up. I have experience with dog bites as a pediatrician and mom.
We are a dog family and my husband and I had our first dog, Mrs. Brown, before our oldest son was born. She was the perfect dog, a mutt that my brother (who is a vet) had found and gave yo us.
When the boys came along she was wonderful and would follow them around the yard and to the closest neighbors, I would always know where the kids were as Mrs. Brown would be waiting on the porch for them.
Our next dog was a golden retriever, Maddie, that our middle son wanted, and she too was a member of our family for 12 years. Sweet (but a bit lazy), she was so sad as each of our sons left for college. She was suddenly the only child left at home. It broke our hearts when she died and the boys had not gotten a chance to get home to see her.
Thinking we didn't need a dog in a empty house was a mistake. The youngest son felt like he should have a dog (even though he was away at college) and I thought a little dog might be nice. No way, according to the youngest son, we are a big dog family, and so we now have 4 year old Maggie, a yellow lab. Sweet, smart and spoiled is all I can say.
Now, back to dog bites. I think it is important for children to be around dogs (and other pets as well) but to have a respect for them. Just like we teach children, stranger danger, the same goes for dogs. Teach your children not to approach strange dogs, or reach through a fence to pat a dog. Always ask the owner before trying to pet a dog.
I would not recommend buying your child a dog until they are around 4 years of age. But, if you
I have been receiving a lot of calls, emails and questions on twitter regarding Michael Douglas' admission that his oral cancer was caused by HPV.
Coxsackie virus is rampant once again! I have seen too many kids to count (TMKTC) with symptoms of coxsackie virus and the classic skin rash associated with hand, foot and mouth disease. Many parents are telling me that their day care centers are having outbreaks which is what typically happens at this time of year.
Like many viruses, coxsackie can make some children quite miserable, while others have very few symptoms but never the less are contagious and shed the virus to others. Viruses are just plain ole contagious, even with the best precautions to help prevent spreading the illness. Best prevention continues to be hand washing!
The classic symptoms of hand, foot and mouth disease are a fever, sore throat, and a rash which looks like small red spots or even a bit of a blister, occurring on a childs palms, soles and often in their throats causing pain. We are also seeing many children who have a rash on their buttocks, and legs as well. The rash is often confused for a diaper rash if there are no other associated symptoms.
Coxsackie virus typically lasts from 3 -7 days. While some children are terribly cranky and uncomfortable and will even drool rather than swallow their own spit, other seem to not even notice the rash on their hands or feet. The treatment is totally symptomatic, which means acetaminophen or ibuprofen for fever and discomfort and keeping your child hydrated.
Most kids don't have a great appetite when they have a sore throat (do you?), so I am a big believer in popsicles, Slurpees, ice cream, fozen yogurt, shaved ice.....the list is long. You just want to make sure your child is h
Many obese men and women are turning to surgery to help them lose the extra weight. But for women who are planning a pregnancy, is it a good idea?
A new study suggests that for obese women who choose weight-loss surgery to bring their weight under control, having the procedure may also benefit their future children.
A Canadian study found that children born after their mother had lost considerable weight from gastric bypass surgery were slimmer than their pre-surgery siblings and had fewer risk factors for diabetes or heart disease later in life.
The findings showed that numerous genes linked to obesity-related health problems worked differently in the younger siblings than in their older brothers and sisters.
The researchers looked at the genes of 50 children who were born to 20 mothers before or after they had gastric bypass surgery. The children were on average about 15 years old.
The moms were between the ages of 35 to 51 and were all classified as obese before they had the procedures. They all lost almost 100 pounds after the surgery.
The type of gastric bypass surgery performed on the mothers who participated in the study is called a biliopancreatic diversion with duodenal switch procedure. It is not used as often as the more common Roux-en-Y gastric bypass procedure. In the biliopancreatic diversion with duodenal switch procedure, a larger part of the stomach is left intact while bypassing most of the intestine.
In the children born after their mothers surgery and weight loss, researchers found 5,698 genes were expressed differently than their older siblings. What that means is that the mothers didnt pass on different genes to their children, but how those genes operated in the childrens bodies were different in the pre and post surgery children. The reason may be that factors inside the womb seem to affect the dimmer switches that develop on a fetus' genes " chemical changes that make genes sp
OK, I am back to the subject of squeeze pouch foods or as another cute 2 1/2 year old called it squeegy fruit. I have written about this before as I was fascinated by these when they first hit the market. On the one hand, I get that they are convenient and are easy to use for those first months of pureed baby foods, but beyond that, I think they are given to older children.
It seems that more and more kids are enjoying squeegy fruit and also slurping pureed vegetables. The issue is these pouches foods are being masqueraded as healthy foods. Yes, they are fruits and vegetables often mixed together, but if you read the labels it gets a bit more complicated.
I see so many toddlers in my office who are happily sucking down a packet of apples and blueberries. These parents are adamant that their kids don't drink juice boxes or eat junk food but at the same time they are letting their children suck down several of these pouches a day. This is also often in place of meals, as many of these children are described as picky eaters. I saw a little boy today who had been vomiting, but was on the exam table with pouch to mouth as he drank/at a combo of apples, peas and something else. (note: not recommended when vomiting).
So....I decided to look up the nutritional value of these pouches....many of them although all organic or described as healthy do contain a lot of carbohydrate and sugars. Actually, as much as two fruit roll ups! Yes, I did a little comparison and 2 of the dreaded fruit rolls ups contain 23 grams of carbs and almost 11 grams of sugar.....while a 3.2 ounce pouch has somewhere between 19-24 grams of carbs and between 14-23 grams of sugar.
The point of this is not to say that squeeze pouches are bad, or that a child should never have a fruit roll up. Rather, it is to point out that even healthy snacks can be fu
If you're planning on adding another child to your family-or thinking about starting a family-you might want to consider getting the whooping cough vaccine before you get pregnant.
Why would you do that? According to a new study from Australia, babies who are born to women that are vaccinated with the whooping cough (also known as Pertussis) vaccine before they become pregnant have a 50% lower risk of developing the disease.
Whooping cough is an infection of the respiratory system. It mainly affects infants younger than 6 months old before they are immunized, and kids 11 to 18 years old whose immunity has started to decrease. Pertussis is characterized by severe coughing spells that may produce a whooping sound when the child breathes in.
It is highly contagious and before the Pertussis vaccine was available it killed 5,000 to 10,000 people in the U.S. each year. Now that there is a vaccine, the annual number of deaths is less than 30. But in recent years, the number of cases has started to rise. By 2004, the number of whooping cough cases spiked past 25,000, the highest level it's been since the 1950s.
The researchers looked at 217 babies ages 4 months and younger who had whooping cough. They compared them with 585 healthy infants born at the same time in the same area.
They discovered that a similar percentage of mothers - in both groups - received the whooping cough vaccine. However, 41 percent of the moms of healthy babies had been vaccinated at least four weeks before their infant became sick. However, of the mothers whose babies had whooping cough, only 27 percent of mothers had been vaccinated at least four weeks earlier.
Also in the healthy baby group, 26 percent of the mothers said they had been vaccinated before their baby was born, while only 14 percent of mothers whose babies had whooping cough said they had been vaccinated before delivery.
In this program, "there was no vaccination durin
Parents, you know you can say all sorts of funny things and now here come cute, clever kids comments. This has been a week of kids say the darndest things.
A verbal little 3 year old came in this week and while I was getting his chart opened on the computer, I asked him what's the matter? He is the third child in the family and is quite comfortable coming to the doctor and is always chatty. His response was,I have the God bless you's. Now I admit that I was not quite sure what he meant? Then it hit me! He was sneezing a lot and that was what the God bless you''s meant. How smart is that!
He then proceeded to tell me that he had been sneezing and coughing. He also happens to have asthma, so I asked him if he had been wheezing as well. His response to all of these questions was equally bright. He said , I haven't had to use my puffer, my breaving is okay.
I examined him (by this time he is watching a cartoon on his iPad) and he was spot on. His lungs were clear as a bell, he had a clear watery runny nose and his nasal mucosa was swollen. He also had allergic eyes. He was using an antihistamine but not his steroid nose spray.
So I tweaked his allergy medicines a bit and reminded his mom to have him bathe or shower after he had been playing outside. I also suggested that they use a nasal saline rinse on him as well, as this would help to get the pollens out of his nose after he had been outside, and may be one of the best cures for the God bless you's.
Who says children can't give a good history? I often find that the young patient is a great communicator and may open a doctor's eyes to different ways of relaying a new symptom. Whether is from a 3 year old, a tween or a teen, having a patient that you know and that is comfortable talking to the doctor is the key to a good history. This is was a great remind
Here is another one of the can't believe what I hear at the office! I was on call the other night and it was around bedtime when I walked in the exam room to see 2 little girls (actually they are part of a triplet set but their brother was home). Their dad had brought them in because they had rashes and bug bites. Nothing too serious. They are adorable 2 years old and very well behaved.
So, after examining the rashes and bites and determining that they could be dealt with a bit of cortisone cream, the dad and I were discussing a few more things. Of course the girls got bored, and as you know a bored 2 year old typically doesn't sit still, especially when it is time for bed. So as the girls jumped up and down off the table and picked out more stickers their Dad was getting tired as well. By the way, he is a great father and he and has wife have handled having triplets with such ease. They were meant to have multiples.
Well, before we could finish up the appointment the girls had gotten into the diaper bag, pulled out snacks and were enjoying themselves. As much as he was ready to go, they were not ready to pack up and leave and he was having a hard time getting them to listen.
Here comes the line of the night! He turns to the girls in a moment of what to do next and says,if you don't behave and listen to me, Dr. Sue is going to make you sick! LOL! I have heard a lot of Dr. Sue will give you a shot if you don't behave, but I have never heard this one. While I don't believe in threatening kids with shots at the doctors, this was a new one.
After I stopped laughing I told the girls that this was not true, doctors would and could not make them sick, but they did need to listen to their dad!!
I know that we all say things out of desperation, but please don't use the lines the doctor will give you a sh
The surge in allergies this year has been due to a very wet winter and the weather this spring has brought erratic temperatures and lots of wind. The perfect storm for the "allergic cascade" to inflict itself on everyone's nasal mucosa. The best preventative for nasal allergy symptoms (allergic rhinitis) has been the use of intranasal steroids. These steroid sprays have been used for the past 15 years and clinical studies have shown that intranasal steroids are superior to oral antihistamines. Intranasal steroids function by inhibiting the production of chemical mediators such as histamine and prostaglandin that cause inflammation and mucous production. In other words they are more of a preventative medication, while an antihistamine is treating the histamine that was released once you inhaled the offending tree or grass pollen. Intranasal steroids may also help eye allergy symptoms too. The problem is getting young kids to let you use a nose spray on them. The same holds true for the older tween and teen crowd who complain that they "just don't have the time to use it everyday" (it must take all of 15 seconds to use on yourself!) They have been shown to be effective within 3-12 hours, although will reach their maximum effectiveness after several days to weeks of use, so using it daily and throughout the allergy season is going to give you the maximum therapeutic effect. There are many different brands available and everyone seems to have their favorite. If one spray seems to bother your child due to scent, or intensity of the spray ask your doctor to try another brand. Many times they will have a sample and give you several to try and then prescribe the one that is easiest to get your child to use. It may be trial and error, but finding the right nasal steroid may just change your allergy season. That's your daily dose, we'll chat again tomorrow. Oh, God Bless You! Send your question to Dr. Sue!