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Holiday Shopping Tips for Busy, Budget-Minded Parents

Posted by: Lauren Young on November 13

We know you’re busy, and we know you want to save money. With holiday shopping around the corner, here's a list of tips from Michelle Madhok, founder of SheFinds.com and MomFinds.com, to help you get your gifts quickly and at a savings. Because much as the kids may love them, Madhok's ideas about holiday cheer don’t always include big-box toy stores around December.

Shop Online. Only.
Avoid the holiday mayhem entirely. Schedule time with each child to cybershop – most stores will save the contents of your shopping cart for a few days, so you can revise according to your budget when all the kids are done. Kids will love the special time and the fact that they get to control the clicks, but you’ll have control over what ends up in the cart.

Pare Down Your Search
If you have some idea of what you want to buy but aren’t totally sure, Pronto is a great place to start. The shopping search engine is accurate and user-friendly, and with photos and price ranges for all the results. Start in their toys and games or baby sections, and keep refining till you have a few choices in your preferred criteria.

Subscribe, Don’t Buy
If your little ones tend to have fickle toy tastes, try giving a toy rental subscription to RentAToy or BabyPlays. They’re like Netflix for toys, and the same logic applies: They reduce the clutter that comes with an enormous toy collection, and keep things interesting with new toys when your tot tires of the current one.

Get Cash Back
A no-brainer for saving during a big shopping season: shop through a cash-back service like Bank of America’s Add It Up program, which gives Bank of America customers up to 20% cash back on purchases from participating retailers. The Bank of America program has over 300 retailers, like Land of Nod, so it might make sense to check the list before deciding where you’ll buy a given toy. You can even take advantage of double cash back offers from retailers like Apple Online Store and BestBuy.com.

Set Yourself Up For Deals
Know where you’ll do some of your shopping already? Sign up for that retailer’s e-mail newsletter list, and you’ll be the first to know about sales, spend-and-save offers, and free shipping – sometimes they’ll even throw in a coupon code. Toys R Us, Babies R Us and Target are particularly good for big brands like Fisher Price and Mattel; Giggle and FAO Schwarz have great selections of European and Eco toys.

What To Worry About When You Worry About Swine Flu

Posted by: Cathy Arnst on November 11

It is the season of swine flu, and what parent out there isn't scared, even as we keep telling ourselves our concerns are overblown? At least I kept telling myself my concerns were overblown, until I met a mother last week whose 24-year-old son had just spent three weeks in hospital, receiving antibiotics intravenously, because of swine flu. This was a healthy young man with no underlying risk factors. Now I'm scared.

Should I be? According to a new study in the Journal of the American Medical Association (JAMA), probably not, but it's not a bad idea to get my 11-year-old daughter vaccinated anyway. And if you do get the flu, be concerned if the symptoms seem to improve, and then worsen again--it could be a sign that the flu has set off pneumonia or another bacterial disease.

There have been almost 4,000 deaths from H1N1 (the virus that causes swine flu) nationwide since the epidemic started last April. That's nowhere close to the 36,000 people who die each year from standard issue seasonal flu, but the difference is that 90% of those flu victims are elderly. Swine flu appears to be far less deadly for the aged, possibly because a similar strain of virus was circulating when they were young and they built up immunity. That means that deaths in young people are disproportionately higher, but overall deaths are much, much lower.

To figure out just who gets sickest, researchers sponsored by the Calif. Department of Public Health studied statewide data on California residents who were hospitalized with H1N1 flu between April 23 and August 11, 2009. They found 1088 cases of hospitalization, and 11% of those died. Just like with standard flu, the most fatalities, 18%, were in persons aged 50 years or older. Eight children, 7% of the total, died.

Overall, 32% of the hospitalized were children younger than 18, with infants having the highest rate of hospitalization. The median age (midpoint) of the victims was 27 years, slightly younger than typically found during a flu epidemic. Here's a key point: two-thirds of those hospitalized had underlying medical conditions that put them at greater risk from the flu, such as asthma or cerebral palsy. If you are healthy, you have less to worry about.

But here's another key point--over half of those hospitalized were obese. The researchers warned that "obesity may be a newly identified risk factor for fatal pandemic 2009 influenza A(H1N1) infection and merits further study." Given that one-third of the population is obese, including 10% of children, that's a worry.

In another study by the Centers for Disease Control and Prevention(CDC) of 36 children who died from H1N1 from April to August, researchers found that six had no chronic health conditions. But all of the children had a bacterial infection, the most common being staphylococcus aureus, the most frequent cause of staph infections. A third of the population carries this staph bacteria, usually in their nose or on their skin. There is a particularly worrisome strain of staph called MRSA that is resistant to the most common antibiotics, and can be deadly. Because the flu causes upper respiratory damage, it can allow the staph bug to make its way into the lungs. So again, if you or your child improves, but then gets sicker, it could be a sign that a bacterial infection has taken hold and you should seek medical attention immediately.

From the latest CDC briefing, where it was announced that the virus is active throughout the nation:

We wouldn't expect this many states to have this widespread of a disease. Flu can last until May. We don't know what we will see with this virus in general. Most of the illness is in younger people. More than half the hospitalizations are in people under 25. 90% of the deaths are in people under 65. A flip-flop from what we see with seasonal flu. The pediatric deaths are high...Two-thirds of the children who died from the H1N1 virus have underlying condition that is increase their risk of this problem. The leading underlying conditions in children who have died are severe neurologic problems like cerebral palsy and muscular dystrophy and asthma in terms of contributing to the severe outcomes.

Nationwide, the CDC reports that there were almost 5,000 H1N1-related hospitalizations between Aug 30 and Oct 10. Of those, 19% were children 4 and under; 25% were 5 years to 18 years; 9% were people 19 years to 24 years; 24% were 25 to 49 years; 15% were 50 to 64 years; and 7% were people 65 years and older.

There were 292 H1N1 deaths reported to the CDC over the 40 day period. The breakdown: children 4 and under, 3%; 5 to 18 years, 14%; people 19 to 24 years, 7%; people 25 to 49 years, 33%; 50-64 years, 32%; and people 65 years and older, 12%.

If you want to stay on top of H1N1 developments, the CDC maintains the most comprehensive and up-to-date web site, found here.

To learn how one family dealt with swine flu, read Working Parents co-writer Anne Newman's account here. And I wrote about the safety of flu vaccines here.

Fort Hood: Talking to Your Kids About Bad News

Posted by: Lauren Young on November 09

The horrific killings at Fort Hood last week have dominated the headlines, and it's been hard to shield my five-year-old son from the news. Even so, I wonder is it a good idea to protect your children from what's happening in the world around us? I asked Suri Roth, a former teacher and young mom to two daughters, for her thoughts. Roth is the founder of the country’s only national newspaper for kids, The Current Events.

As a parent, how do you determine if an event is age-appropriate to discuss, such as the death of a major figure?
It really depends on the child. Is the child aware of this event? In some instances these events pass right over children and they have no interest in knowing. It's important to determine if the child really wants or needs this information. It is certainly less complicated to deal as a parent on a one-to-one basis with children about a tragic event such as death. Children are most affected by these events if they had a relationship with the deceased. Some children find it comforting to know that the person or people involved not in pain anymore. I have found that with my own kids the primary concern is the "pain factor," and "can it happen to us?"

I like to draw on what Kathie Scobee Fulgham, daughter of an astronaut who died on the Space Shuttle Challenger, shared with other children whose parents had died in terrorist attacks or space disasters. Kathie describes seeing the shuttle explode over and over again on the TV screen and virtually seeing her dad dying over and over again. She said that each time brought more confusion and pain.

Today Katie shares with children of disaster victims that "the same way your brain doesn't register immediately when you break your arm," the victims don't feel the pain and don't know what is happening. I talk to my children about this concept and find it very helpful.

However, covering bad news, such as fire or terrorist attack, tends to dominate the headlines. Should we shield our children from those discussions?
We can't - in most instances, that is. I would certainly not draw attention or describe the details of events that can be frightening to children. Children pick up on what's happening around them and sense tense situations. It is best to talk to them about the situation so that they feel secure that they are getting the information from a safe, age-appropriate resource and that they don't have to look for answers on their own, or try to make sense of events on their own, which often leads to misunderstanding and unnecessary fears and anxiety.

The point is to give them the information that they need and not extraneous information that can be harmful. I often focus on what is being done to prevent a given situation from happening in the future, and what steps we are taking as a family and a nation to prevent this from reoccurring. For example, pointing out the volunteerism that took place after 9/11 gives children a sense of "we're not alone" and helps them shift their focus to positive, and in some instances courageous, actions taken by fellow Americans.

What kinds of news events spark the best conversations with your own family? Sports? Local? National?
I think it is my passion for imparting knowledge that drives these discussions in our home. It's my tone, my attitude such as: "I came across an amazing news item today...it was about such-and such," and my children are all ears! Then come the follow-up questions which lead us to explore the topic on a deeper level.

How can schools do a better job of incorporating current events into the curriculum?
In the Information Age, where we are today, current events are a crucial part of education. Textbooks are typically a few years behind and in many instances the information is outdated. If educators make an effort to tie in the news across the curriculum, learning comes alive and becomes relevant.

I can't think of a better way to spark students' interest in government than to present the headlines of what's happening in our government now. The same applies to all content areas. For example: "What is currently happening in the region being discussed in your history class?" "Are there any scientific studies being conducted in the field your science class is exploring now?" By incorporating current events in classrooms we provide our students with a foundation for lifelong learning that they can apply to their everyday lives.

What's the best way to get kids engaged in the world around them?
Tune into their natural curiosity. What are their interests? Build on them!

For more tips on talking to children about bad news, check out this article from the Portland Examiner.

The Internationalization of Halloween

Posted by: Karyn McCormack on October 30

This item was written by Savita Iyer-Ahrestani. She is a freelance financial journalist who guest blogs for Working Parents.

This is my family's first Halloween in suburban USA (we moved here after four years living in Europe and Asia, prior to which we were in New York) and the one question everyone has for us is: "Did you celebrate Halloween in the other countries you lived in?"

"Yes," I say, "we did," because Halloween has been a big deal every place we have lived in or been to, including the small Spanish town of Salobrena, where we happened to be at this time last year, and where during the sacred siesta hour, the only store open was the one selling Halloween costumes.

I first celebrated Halloween 35 years ago as a second grader at the International School of Geneva, Switzerland. I remember quite clearly a class party organized by an enterprising American mother, and a rather itchy black skirt and turtleneck top my mother put on me for a witch’s costume. We bobbed for apples and I tasted candy corn for the very first time.

Continue reading "The Internationalization of Halloween"

Thimerosal In H1N1 Vaccine: No Need To Worry

Posted by: Cathy Arnst on October 30

Parents and pregnant women around the country are rightfully disturbed about the shortage of vaccine for H1N1. The nightly news is filled with stories about people lining up to get the few supplies they can find, and panicky parents are scouring their regions for the vaccine, fearful that their child might end up hooked up to a ventilator otherwise.

Nevertheless, these fears about swine flu, or even garden-variety seasonal flu, have not kept many parents from refusing to subject themselves or their child to any vaccine containing the preservative thimerosal. This despite zero evidence that there is any danger at all from the additive. Instead, there is extensive safety data that shows that the vaccine is far safer than the flu itself, and thimerosal makes it even safer:

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, says the only danger is "a myth that has been propagated." Fauci says the real danger is not using the preservative. Thimerosal actually protects the vial that is stuck several times with a needle.

Thimerosal fear is clearly widespread. A recent CBS News poll found that 51% of Americans say they are not very likely to get the swine flu vaccine, and more than a third of parents are not likely to vaccinate their children--even though three out of four respondents viewed the H1N1 virus as a serious problem. New York State recently dropped a requirement that all health workers get the H1N1 vaccine after outcries from some who feared it might be unsafe--and these are supposedly educated health care consumers.

These unfounded fears could make a bad situation much worse. The U.S. is already suffering from a refusal to use adjuvants that could double the potency of the H1N1 vaccine, thus stretching available supplies. Adjuvants are chemical compounds, usually oil and water emulsions, that boost the human body's immune response to the vaccine's active ingredient so more doses can be made. There is 12 years of safety data behind them, and they are widely used in Europe, where there is no vaccine shortage as a result. But the fear in the U.S. of vaccine additives, and even vaccines themselves, has kept the FDA from approving any adjuvant-laced flu vaccine, because it might make the populace even more reluctant to get the shots.

Before refusing a vaccine containing thimerosal, parents should keep in mind that 36,000 people die in the U.S. every year from seasonal flu. Since April, about 1,000 people have died from swine flu, including 96 children. Deaths from the swine flu vaccine: 0. If you're worried about the vaccine, or H1N1, take the time to educate yourself about the flu, the vaccine, and the risk factors for both.
Here's some links, and excerpts:

From the surgeon general's official www.flu.gov site, dispelling myths about thimerosal:

Thimerosal is a very effective preservative that has been used since the 1930s to prevent contamination in some multi-dose vials of vaccines. There is no convincing evidence of harm caused by the low doses of thimerosal in vaccines, except for minor reactions like redness and swelling at the injection site. The 2009-H1N1 influenza vaccines that FDA has licensed will be manufactured in several formulations, including pre-filled, single-dose syringes and nasal sprayers along with multi-dose vials. Only multi-dose vials of seasonal influenza vaccine will contain thimerosal to prevent potential contamination after the vial is opened.

From the CDC's H1N1 information site:

Thimerosal is an important preservative that protects vaccines against potential microbial contamination, which may occur in opened multi-dose vials of vaccine. Such contamination could cause serious illness or death. Since seasonal influenza vaccine is produced in large quantities for annual immunization campaigns, some of the vaccine is produced in multi-dose vials, and contains thimerosal to safeguard against possible contamination of the vial once it is opened. Three leading federal agencies (CDC, FDA, and NIH) have reviewed the published research on thimerosal and found it to be a safe product to use in vaccines. Three independent organizations [The National Academy of Sciences’ Institute of Medicine, Advisory Committee on Immunization Practices (ACIP), and the American Academy of Pediatrics (AAP)] reviewed the published research and also found thimerosal to be a safe product to use in vaccines. The scientific community supports the use of thimerosal in influenza vaccines.

I admit to being on a bit of a crusade against the anti-vaccine forces. Here's a link to an earlier post (some might say rant) of mine on the issue.For a well-researched article dissecting the anti-vaccine hysteria, read Wired's lastest cover story, "An Epidemic of Fear: How Panicked Parents Skipping Shots Endangers Us All" (better, yet, buy the magazine, the whole package is very good).If you want some really detailed insight into the safety and effectiveness of flu vaccines from someone with the credentials to know, head over to the excellent blog Science-Based Medicine and read Flu Vaccine Efficacy by Dr. Mark Crislip, an infectious disease specialist in Portland, Oregon.

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In this blog, BusinessWeek’s Lauren Young, Cathy Arnst, Diane Brady, Karyn McCormack, Anne Newman, Mauro Vaisman, Lourdes L. Valeriano, and Joy Katz, Mark Hyman, along with freelance writer Savita Iyer-Ahrestani, lead a broad discussion of the issues and day-to-day concerns of working parents, offering up interviews with work/life experts, examinations of relevant research, and their personal accounts of bouncing between separate, sometimes conflicting worlds.

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