Staying Safe from the Quad-emic of the flu, RSV, COVID-19, and the Norovirus

Posted on January 10, 2025 by Patrick Hercules

Winter is usually a prime season for flu and RSV cases to rise. However, in recent years, COVID-19 and norovirus infections have been added to the list of winter illnesses creating a “quad-emic”. A quad-emic means these four viral illnesses are spreading simultaneously.

It is important to know when you, a loved one, or a child are showing signs and symptoms of any of the four illnesses to seek immediate care. These contagious viruses can cause health complications and hospitalization, especially for those in high-risk populations if they are left untreated. High-risk people include:

Children
Elderly people
Pregnant women
Those with preexisting health conditions such as asthma and heart conditions

Influenza is a highly contagious viral respiratory tract infection that can cause severe illness and life-threatening complications (including pneumonia). Flu cases typically rise in the winter. A flu vaccine reduces the risk of infection, but it is still possible to get the flu if stronger strains form or if you are considered high-risk.

COVID-19 is a respiratory tract infection caused by the SARS-CoV-2 virus. It is highly contagious and symptoms vary from person to person. Even if you are vaccinated or have immunity from a past infection, you may still be at risk as new variants form.

Respiratory syncytial virus or RSV, is a common respiratory virus that infects the nose, throat, and lungs. RSV symptoms are similar to COVID-19 and the flu and are very dangerous for infants, young children, and older adults.

Norovirus, also known as the stomach flu causes vomiting and diarrhea and is extremely contagious.

Symptoms of the quad-emic illnesses include:

Fever
Coughing
Shortness of breath
Diarrhea
Vomiting
Runny nose
Body aches
Sore throat
Headache
Loss of taste or smell
Fatigue

Treatment will vary by severity of the symptoms and by diagnosis. Some cases can be treated at home with over-the-counter medications, but others may need prescription medication. Your healthcare provider will advise you on the best treatment plan. If you are considered high-risk, they will monitor your symptoms to ensure they aren’t getting worse.

Ways to help to reduce the risk of infection include:

Practicing good hygiene such as washing your hands
Covering your mouth when coughing or sneezing
Staying isolated if you are feeling sick to avoid spreading it to others
Getting vaccinated for the flu and COVID-19

If you are experiencing any of these quad-emic illness symptoms, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. If there is an emergency, please call 911.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Norovirus

Posted on January 8, 2025 by Patrick Hercules

Norovirus is a group of viruses that cause severe vomiting and diarrhea. It is very common and highly contagious. About 685 million cases are reported globally each year. Of those cases, over 200 million affect children.

Norovirus outbreaks occur most often between November and April in countries above the equator and between April and September in countries below the equator.

There are several symptoms of norovirus, including:

Nausea
Stomach pain
Headache
Fever
Body aches

Symptoms usually appear 12 to 48 hours after exposure and last one to three days. Norovirus symptoms are generally the same in adults and children, but adults may experience more diarrhea than children and children may vomit more than adults.

A virus in the Caliciviridae family causes norovirus. When the virus enters your body, it causes your stomach and intestines to swell or become inflamed. This is called gastroenteritis, which leads to norovirus symptoms.

There are many ways to contract norovirus, including:

Through close contact with someone who has the virus
Touching contaminated surfaces and then touching your mouth or nose
Eating or drinking contaminated foods or beverages

Norovirus is the biggest cause of illness from contaminated food in the U.S. The virus typically spreads when someone who has the virus touches food before serving it to someone else. Sometimes, certain foods such as oysters and other seafood are naturally contaminated with norovirus.

Anyone can get infected by norovirus. Factors that put you at risk for norovirus include:

Coming in contact with someone who has the virus
Having genes that make you more likely to develop symptoms

A healthcare provider will diagnose norovirus after learning about your symptoms. Testing isn’t usually necessary, but a healthcare provider may ask for a stool sample to confirm your diagnosis. Testing will be done if you have an underlying medical condition that affects the performance of your immune system and your ability to fight infections.

There isn’t a cure for norovirus. Treatment for the infection focuses on relieving symptoms, which will go away in one to three days. You can manage the symptoms of norovirus by:

Drinking plenty of fluids, especially those rich in electrolytes
Getting a lot of rest
Eating soft, bland foods

There are many precautions you can take to reduce the risk of getting norovirus, including:

Washing your hands often with soap and water
Washing fruits and vegetables before eating them
Cooking your food thoroughly (especially seafood or shellfish) or to an appropriate temperature
Avoiding contact with people who are infected with norovirus
Cleaning and sanitizing frequently touched objects and surfaces
Washing your clothes thoroughly, especially if they are soiled

Please note that using hand sanitizer doesn’t kill norovirus particles as effectively as washing your hands with soap and water. If you are infected with norovirus, you shouldn’t prepare food or care for others, as you can spread the infection.

If you experience vomiting, diarrhea, or other symptoms of norovirus, schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center as soon as possible by calling (718) 670-5486.

National Safe Toys and Gifts Month

Posted on December 5, 2024 by Patrick Hercules

December is National Safe Toys and Gifts Month. It is an annual observance dedicated to promoting the safety of toys and gifts for children, particularly during the holiday season. It serves as a reminder to parents, caregivers, and gift-givers to choose age-appropriate and safe toys to ensure the well-being of the children who receive them.

Started by the nonprofit organization, Prevent Blindness, National Safe Toys and Gifts Month focuses on raising awareness about the importance of selecting toys and gifts that meet safety standards and align with a child’s age and developmental stage. The month aims to prevent accidents and injuries caused by inappropriate or hazardous toys, especially when gift-giving is most common.

Too often, accidents involving children and toys occur and may result in eye injuries. Each year, thousands of children ages 14 and younger suffer serious eye injuries, including blindness, from toys, according to the American Academy of Ophthalmology. Approximately one in ten children’s eye injuries caused by toys end up in the ER.

Promoting safe toys and gifts during this month is essential for children’s well-being. Ways to participate and ensure safe gift-giving include:

Check labels: always look for age-appropriate labels on toys and gifts, and follow the manufacturer’s recommendations.
Avoid small parts: steer clear of toys with small parts or choking hazards for young children.
Inspect for hazards: examine toys for sharp edges, loose parts, or any potential dangers that could harm children.
Read reviews: research toys and gifts online, read reviews, and ask for recommendations from other parents and caregivers.
Consider the child’s age: consider a child’s age, interests, and abilities when selecting gifts for them.
Support educational toys: choose toys and gifts that encourage learning, creativity, and development.
Spread awareness: share safety tips and information about safe toys and gifts month with your community and on social media.

Taking the proper precautions can avoid many accidents and injuries involving children’s toys. Let’s all do our part to encourage their safety.

To schedule an eye exam for your child at Flushing Hospital Medical Center’s Ambulatory Care Center, call (718) 670-5486. If there is an emergency, please call 911.

What To Do If Your Toddler Has A Fever

Posted on November 15, 2024 by Patrick Hercules

A fever is an above-normal increase in the body’s temperature. A normal body temperature is about 98.6^°F. A temperature of 100.4˚ Fahrenheit (38˚ Celsius) or higher is considered a fever for a child. Fevers show the body is fighting off infection from a virus or bacteria. Your child’s body is raising its temperature to kill the germs.

In most cases, fevers are harmless and go away in three days. Signs and symptoms that your child may have a fever include:

Feels warmer than usual
Shivering
Sweating
General body aches
Loss of appetite
Fussiness or irritability

The best way to check your child’s temperature depends on their age. The type of thermometer used to take a temperature may make a difference. Use a digital thermometer. Never use a mercury thermometer. Additionally:

Rectal thermometers are the most accurate.
Forehead thermometers are the next best choice if used the right way.
Oral and ear thermometers can be used if done properly. For oral temperatures, wait 30 minutes after drinking something hot or cold. Wait 15 minutes after coming in from the cold for an ear temperature.
An axillary or armpit temperature can be used as a quick check but it isn’t very accurate.

A fever may not need to be treated unless your child is uncomfortable. Even higher temperatures are not usually dangerous unless they have a long-term illness. Here are some ways to provide relief and help reduce your child’s fever:

Dress your child in light clothing. Overdressing them can trap the body’s heat, causing the temperature to rise.
Make sure they drink lots of fluids. Prolonged fever can lead to dehydration.
- For babies under a year old, continue to give breast milk and formula. They should not be given water. If they are older than six months, give them rehydration liquids that are rich in electrolytes.
- For children over a year old, give them extra liquids, like water, diluted 100% juice, popsicles, or rehydration liquids that are rich in electrolytes.
Your child may not want to eat much. Give them small amounts of soft foods, but do not force them to eat.
Give them sponge baths or let them soak in a tub. Water should be lukewarm, not too hot or cold. Use a washcloth to pour the water over them.
- Do NOT add alcohol to the water as it can be dangerous.
- Recheck their temperature 15 minutes after the bath. Repeat the sponge bath if the temperature is 103˚F (39.4˚C) or higher.
Over-the-counter medicines can help lower a fever. Read the label on the bottle to know the right dose for your child.
- Acetaminophen may be used for all children over two months.
- Ibuprofen may be used for children over six months.
- Do not give aspirin to children.

Call your child’s healthcare provider right away if your child:

Has a temperature of 104 ˚F (40 ˚C) or above.

Has a temperature above 102˚F (38.9˚C) for more than 2 days or keeps returning.
That has been treated to bring it down, but it has not worked.

To speak with a pediatrician at Flushing Hospital Medical Center about your child’s fever, please call 718-670-5440 to schedule an appointment. Please call 911 if there is an emergency.

Halloween Safety Tips

Posted on October 30, 2024 by Patrick Hercules

Halloween is a time for dressing up, eating candy, and having fun. Unfortunately, there can be several risks when trick or treating. Here are some tips to keep you and your children safe this Halloween:

Wear costumes that say “flame resistant” on the label. If you make your costume, use flame-resistant fabrics like polyester or nylon.
Wear bright, reflective costumes, or add strips of reflective tape so you’ll be more visible.
Wear makeup and hats rather than costume masks that can obscure your vision.
Always accompany young children when trick or treating.
Cross the street at corners, using traffic signals and crosswalks. Look left, right, and left again when crossing.
Stay on well-lit streets and always use the sidewalk.
Always walk on sidewalks or paths. If there are no sidewalks, walk facing traffic as far to the left.
Put electronic devices down, and keep your head up while you walk.
Caution kids never enter a home or a car for a treat.
Wait until children are home to sort and check treats before eating them.
Don’t eat candy until it has been inspected at home.
If a child has a food allergy, check the label to ensure the allergen isn’t present. Tell children not to accept or eat anything that isn’t wrapped correctly.
Parents of young children should remove any choking hazards such as gum, peanuts, hard candies, or small toys from their Halloween bags.

Follow these important tips to ensure you and your loved ones stay safe this Halloween. If you experience any problems, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. If there is an emergency, please call 911.

Enterovirus D68

Posted on October 23, 2024 by Patrick Hercules

Enterovirus D68 is a virus that causes respiratory illness similar to the common cold. It can sometimes lead to severe breathing issues and outbreaks of neurological disease that cause paralysis. Enterovirus D68 mostly affects children and teens, but it also affects adults.

Symptoms of enterovirus D68 include:

Stuffy or runny nose
Cough
Fever
Muscle pain or body aches
Sore throat
Wheezing
Shortness of breath
Diarrhea

Enterovirus D68 is contagious and spreads when a person sick with the virus sneezes, coughs, or touches a surface without washing their hands.

If you have mild, cold-like symptoms, your healthcare provider likely won’t test you for enterovirus D68. However, if you have more severe symptoms, they might use a nasal swab to test for common viruses like the flu or COVID-19. If those results are negative, your provider may suspect the enterovirus if it is spreading in your area.

There isn’t a specific antiviral treatment to fight enterovirus D68. Mild symptoms usually improve in a week or two with minimal at-home care. Severe cases need to be treated in a hospital. If you have severe symptoms your healthcare provider may treat you with:

Corticosteroids to reduce inflammation
Bronchodilators for severe respiratory symptoms
Intravenous immunoglobulin which is an antibody treatment that can help fight off infections

You can reduce your risk of getting sick and prevent infection of enterovirus D68 and spreading it to others by practicing good hygienic habits including:

Sneezing or coughing into the crook of your elbow
Disinfecting high-touch surfaces like toys, phones, countertops, and doorknobs
Don’t share eating utensils, cups, towels, or clothing
Keeping your kids home from school and away from gatherings when they’re sick
Washing your hands often with soap and water for at least 20 seconds especially after going to the bathroom or changing diapers and before preparing or eating food

If your child is experiencing symptoms associated with enterovirus D68, it’s important to visit a pediatrician as soon as possible. You can schedule an appointment at Forest Hills Pediatric Specialists by calling (718) 704-5020.

National Childhood Obesity Awareness Month

Posted on September 6, 2024 by Patrick Hercules

The Centers for Disease Control and Prevention (CDC) recognizes September as National Childhood Obesity Awareness Month, a time to raise awareness about preventing childhood obesity.

Childhood obesity is a critical public health challenge that affects one in three children in the United States. Children with obesity face an increased risk of chronic health conditions, such as type 2 diabetes, high blood pressure, asthma, sleep apnea, and bone and joint problems. Obesity can also impact children beyond physical issues. It affects their emotional and social well-being as well, which leads to challenges like bullying and lower self-esteem.

Many factors impact childhood obesity, including eating and physical activity behaviors, genetics, metabolism, family and home environment, and community and social factors. For some children and families, obesity can be influenced by the following:

Too much time spent being inactive
Lack of sleep
Lack of places to go in the community to be physically active
Easy access to inexpensive, high-calorie foods and sugary beverages
Lack of access to affordable healthier foods

Here are some tips on how parents can help prevent their child from experiencing obesity:

Monitor growth
Provide nutritious foods
Promote drinking water
Encourage physical activity
Model healthy behaviors
Create a healthy sleep environment

Childhood obesity can be prevented by working together to help children achieve and maintain a healthy weight, improve their overall well-being, and build a foundation for a healthier future.

If you would like to speak with a pediatrician about childhood obesity at Flushing Hospital Medical Center, please call 718-670-5440 to schedule an appointment.

Back to School Anxiety

Posted on August 23, 2024 by Patrick Hercules

A new school year is fast approaching. And with it comes lots of excitement, but it can also cause anxiety for children.

Starting a new school or being away from parents can cause much anxiety in children. That anxiety fades for most children as the year progresses. But for others, it doesn’t. Here are some examples of behaviors that may indicate your child is continuing to struggle with anxiety:

Continually seeking reassurance or asking repeated, worried questions despite receiving an answer

Tantrums when separating from parents or caregivers before going to school
Increased complaints of experiencing headaches, stomachaches, and fatigue in the absence of an illness
A significant change in their sleep pattern, such as taking an hour to fall asleep, or waking you up with worries during the night when they might typically sleep well
Difficulty getting along with family members or friends
Avoidance of normal activities in and outside of school

Here are some tips to help ease back-to-school anxiety:

Approach anxiety instead of avoiding it
Practice school routines
Model behavior you’d like to see
Ensure they are getting enough sleep
Check-in with stress levels
Talk to school mental health professionals
Blend back to school with fun activities so the transition is less sudden

To learn more about our outpatient mental health services or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

Children’s Eye Health and Safety Month

Posted on August 7, 2024 by Patrick Hercules

August is Children’s Eye Health and Safety Month. With children going back to school, it is important to get their eyes checked.

Vision is a vital part of a child’s development. It is how they learn, play, and interact with the world around them.

Unfortunately, many eye problems in children go undetected, which can lead to long-term issues. Regular eye exams are critical in identifying problems early which ensures your child has the best chance for healthy vision. Good vision is essential for their performance in school, in sports, and their overall well-being.

Children are vulnerable to many eye problems, including:

Injuries
Infections
Nearsightedness

There are many things to be aware of that may indicate a problem with your child’s eyes. They include:

Their eyes do not line up or appear crossed
Their eyelids are red-rimmed, crusted, or swollen
Their eyes are watery or inflamed
They rub their eyes a lot
They close or cover one eye
They tilt their head forward
They have trouble reading or doing other close-up work
They hold objects close to their eyes to see
They blink more than usual or seem cranky when doing close-up work
Things are blurry or hard to see for them

There are many ways to protect your child’s eye health, including:

Getting regular eye exams
Wearing protective eyewear during sports and other activities
Limiting screen time
Practicing healthy nutrition

If you would like to schedule an eye exam for your child, you can visit an ophthalmologist at Flushing Hospital Medical Center. To schedule an appointment, please call (718) 670-5486.

National Immunization Awareness Month

Posted on August 1, 2024 by Patrick Hercules

August is National Immunization Awareness Month or NIAM. It is an annual observance highlighting the importance of getting routine vaccinations for people of all ages.

Vaccines work by stimulating the immune system to protect our bodies against viruses or bacteria that cause infection. After vaccination, the immune system is better prepared to respond quickly when the body encounters disease-causing organisms.

Vaccinations are important at every stage of life. They are one of the safest preventative care measures available and help play a vital role in keeping you healthy. When you skip vaccines, you leave yourself vulnerable to illnesses such as shingles, influenza (flu), and both HPV and hepatitis B which are leading causes of cancer.

Getting vaccinated also helps keep your family and community healthy, as vaccinations can help lessen the severity of illness and keep diseases from spreading. Additionally, vaccinations help protect those most vulnerable to illness, such as infants, elders, and people with weakened immune systems.

If you or a loved one would like to get vaccinated, schedule an appointment with a physician at Flushing Hospital’s Department of Internal Medicine or your primary care physician as soon as possible.

To schedule an appointment for you or a loved one to get up to date on vaccinations, you can call Flushing Hospital Medical Center’s Ambulatory Care Center at (718) 670-5486.