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“Do I have to wear a mask all day?”
My 12-year-old daughter recently asked me this question as we discussed returning to school. This inquiry, along with many others, is circulating among children as pandemic guidelines shift frequently.
To ensure my daughter stays healthy and prepared for school, I consulted several medical experts about masks, vaccinations, and check-ups prior to the upcoming school year.
Scheduling a Check-Up or Well Visit
If your child hasn’t had their annual check-up, it is crucial to arrange one to maintain good health throughout the school year. This visit also provides an opportunity to address any mental health issues.
Dr. Damon Korb, a developmental-behavioral pediatrician based in Los Gatos, CA, and the author of Raising an Organized Child, advises, “Approach the return to school like any other year; however, perhaps now it’s even more vital. We want to ensure that potential problems are not overlooked. Children should receive their regular well visits and vaccinations.”
Vaccinations and Flu Shots
Dr. Korb suggests referencing the immunization schedule recommended by the CDC to ensure your child’s vaccinations are current.
Dr. Sumana Reddy, M.D. at Acacia Family Medical Group in Salinas, CA, emphasizes the importance of everyone getting an annual flu shot, which typically becomes available in September.
“Last year, 500 children died from the flu. It’s crucial to get your flu shot,” Dr. Reddy states.
Dr. Korb concurs, noting, “This year, obtaining a flu shot is even more critical. We aim to reduce common colds; when our noses run, we tend to rub our faces, which is a recipe for COVID-19 spread. Getting vaccinated against the flu may also lower the chances of contracting and transmitting COVID.”
Dr. Reddy points out that many doctors are uneasy about the possibility of people being co-infected with both the Coronavirus and flu viruses this fall. “The more families who receive the flu vaccine, the better it will be for everyone,” she adds.
Unlike most vaccines, the flu shot must be administered annually to remain effective, as the flu strain frequently changes.
If you lack insurance, vaccines are available at no cost from providers participating in the federally funded Vaccines For Children program, which assists children who may not receive vaccinations due to financial constraints. These vaccines can be accessed at private physician offices and registered public health clinics.
For those with insurance, there should be no copay for receiving the vaccine.
“The Affordable Care Act mandates that private insurance companies fully cover CDC-recommended vaccines,” explains Dr. Reddy.
Dr. Reddy adds that some insurance companies may be exempt from this rule, so it’s wise to verify coverage before getting vaccinated.
Eye Health
Children may not realize when their vision is subpar, potentially resulting in frustration when they struggle to read text in books or see clearly in the classroom, which can lead to behavioral issues.
The CDC recommends that children have regular eye exams conducted by either an eye doctor or a pediatrician. Amblyopia, commonly known as lazy eye, is the leading cause of vision impairment in children, which can be effectively treated if diagnosed early, typically between 3 and 5 years of age.
The American Optometric Association estimates that 80% of a child’s learning is achieved through observation. Most instruction in the classroom is delivered visually.
Oral Health
The American Academy of Pediatrics advocates for children to visit a dentist for their first check-up by their first birthday. According to the CDC, tooth decay (cavities) remains one of the most prevalent chronic diseases among children aged 6 to 19. Research indicates that children with poor oral health often attend school less and achieve lower academic performance compared to those with good oral health.
Fluoride can prevent about one-third of cavities in children’s primary teeth. If your local water supply lacks fluoride, consult your pediatrician or dentist about a fluoride supplement, usually administered in pill form once daily.
Telehealth Check-In
Children returning to school, whether remotely or in-person, may face anxiety regarding this transition.
“I recommend that all children have a telehealth check-in with their pediatrician before school starts to discuss this change. Often, parents assume their child is fine, but it’s important to have a space to discuss stress and anxiety,” advises Dr. Reddy.
During this call, you can also confirm that vaccinations are current or address any other mental health concerns.
Be a Role Model
Dr. Korb emphasizes, “Prepare your child by demonstrating and teaching safe practices, such as regular handwashing.”
holds a Master of Counseling Psychology degree. She is married and the mother of twins and a daughter. Her writing has appeared in publications such as The New York Times, Parents Magazine, Healthline, Your Teen Magazine, Good Life Family, and many others.
