Autism Acceptance Month

April is observed as Autism Acceptance Month. It encourages communities worldwide to move beyond simple awareness of autism and toward genuine acceptance, inclusion, and support for autistic individuals and their families.

Beginning in the 1970s, Autism Acceptance Month made a national effort to increase public understanding of autism. Over time, the conversation has expanded from simple awareness to genuine acceptance, emphasizing that autistic individuals deserve not just recognition but inclusion, respect, and equitable access to support. In 2026, that shift is more visible than ever, with advocacy organizations and clinical communities adopting acceptance-first language.

Recent data from the Centers for Disease Control and Prevention (CDC) shows that autism now affects about 1 in 31 or 3.2% of children eight years old in the U.S. These numbers emphasize the importance of early screening, accessible diagnostic services, and community-wide understanding.

An annual report from Autism Speaks revealed that roughly 11% of children with autism are not receiving the healthcare they need. This month acts as a crucial reminder that gaps in service access still exist, and that informed, empowered parents play a vital role in closing them.

One of the most impactful things a parent can do is learn to recognize the early signs of autism. Early identification allows for timely interventions, which research consistently links to stronger developmental outcomes.

The signs of autism vary by age, but the general red flags in the first two years include:

  • Limited eye contact
  • Delayed babbling or speech
  • Repetitive movements
  • Minimal response to their name

Children between the ages of two and four may present difficulties with pretend play, strong insistence on routines, or challenges interacting with peers. Because autism presents differently across children, including girls and non-binary children whose traits may be subtler, staying informed about the full spectrum of presentations is vital.

There are several steps you can take if you have any concerns:

  • If you believe something is abnormal when monitoring your child, document any specific behaviors you observe, noting frequency and context. Discuss the notes from your observations with your pediatrician and ask them direct questions about developmental screening.
  • Understanding the levels of autism can also help you articulate what you’re seeing and have productive conversations with healthcare providers.

A formal autism diagnostic evaluation usually involves assessments by a licensed psychologist using the Autism Diagnostic Observation Schedule-2 (ADOS-2). A clear diagnosis gives families a roadmap for services, school accommodations, and long-term planning.

Participating in Autism Acceptance Month doesn’t need grand gestures. Some meaningful ways to engage in everyday moments with your child and family include:

  • Evaluating your home for sensory triggers and creating predictable daily schedules with sensory-friendly routines
  • Using resources to learn about behavior strategies, sleep support, and transition planning
  • Approaching every interaction with the belief that your child understands more than they may be able to express
  • Having age-appropriate conversations about neurodiversity with siblings and extended family.
  • Joining parent support groups

Autism Acceptance Month brings families, educators, and communities together around the shared goal of better understanding autism spectrum disorder and the people it affects.

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.

National Children’s Dental Health Month

February is observed as National Children’s Dental Health Month, a month focusing on the importance of promoting good oral health habits among children and raising awareness about the significance of dental care.  

Good oral hygiene is an essential habit for a child to learn at a young age. Teaching children good oral health habits such as regularly brushing their teeth, flossing, rinsing, and attending dentist appointments can help them grow up with healthy mouths.  

These habits can help prevent them from developing cavities. Cavities are the most common chronic disease of children in the United States. According to the Centers for Disease Control and Prevention (CDC), more than half of children six to eight years old have had a cavity in at least one of their baby teeth. Additionally, more than half of adolescents aged 12 to 19 years old have had a cavity in at least one of their permanent teeth.  

If cavities go untreated, they can cause pain and infections that may lead to problems with eating, speaking, playing, and learning.  

Fortunately, cavities are preventable. According to the CDC, fluoride varnish can prevent 33% of cavities in baby teeth. Children living in communities with fluoridated tap water have fewer cavities than children whose water is not fluoridated. Additionally, children who brush daily with fluoride toothpaste will have fewer cavities.  

The CDC also notes that dental sealants can prevent cavities for many years as well. Applying dental sealants to the back teeth prevents 80% of cavities.  

There are several ways that parents and caregivers can help reduce the risk of or prevent babies and children from developing cavities, including: 

  • Babies 
  • Wipe their gums twice a day with a soft, clean cloth in the morning after their first feeding and right before they go to bed. This wipes away any bacteria or sugars that can cause cavities 
  • When teeth come in, start brushing them twice a day with a soft, small-bristle toothbrush and plain water 
  • Visit the dentist by your baby’s first birthday to spot any signs of problems early 
  • Talk to your dentist or healthcare provider about putting fluoride varnish on your child’s teeth as soon as the first tooth appears 

For children two years or younger, consult with your healthcare provider or dentist about the use of fluoride toothpaste. 

  • Children 
  • Brush their teeth twice a day with fluoride toothpaste 
  • Help your child brush their teeth until they develop good brushing skills. If your child is younger than six years old, watch them while they brush, and make sure they use a pea-sized amount of toothpaste and always spit it out instead of swallowing it 
  • Ask your child’s dentist to apply dental sealants when appropriate 
  • Drink tap water that contains fluoride 

It is important that your child regularly visits a dentist to ensure they receive the most effective treatment possible.  

If you would like to learn more about cavity prevention for your child, you can schedule an appointment at Flushing Hospital Medical Center’s Department of Dental Medicine. Please call (718) 670-5521. 

 

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.

National Birth Defects Prevention Month

January is recognized as National Birth Defects Prevention Month. The observance was created to help raise awareness while working towards better care and highlight the efforts that help with prevention.  

Hundreds of thousands of babies are born around the world each day. Some are born healthy. However, some are born with birth defects. Birth defects are structural changes that affect one or more parts of the body, such as the heart, brain, feet, and hands. Some of the common birth defects include congenital heart defects, cleft lip, spina bifida, anotia, and microtia. These defects are formed during the first three months of pregnancy when the baby’s organs are developing.  

An estimated 8 million newborn babies are born with some kind of birth defect. These birth defects can range from minor to life-threatening.  

Although birth defects can’t always be prevented, many of them are reliant on the lifestyle of the parents, as exposure to certain substances during pregnancy can cause issues in the development of the baby.  

There are many ways to observe National Birth Defects Prevention Month, including: 

  • Taking prenatal vitamins and supplements such as folic acid (400mcg) every day 
  • Avoiding substances such as alcohol, drugs, both cigarette and secondhand smoke, marijuana, certain prescription medications, and any other substances that may be harmful to an unborn baby 
  • Seeing a healthcare provider regularly during every stage of your pregnancy 

Flushing Hospital Medical Center for Obstetrics and Gynecology offers comprehensive, multi-disciplinary, and culturally sensitive care. Our services are provided by a highly skilled team of the best OBGYNs in Queens. For more information, please call (718) 670-5562. 

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.

National Safe Toys and Gifts Month

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 the labels of the toys before purchasing them. Always look for age-appropriate labels on toys and gifts and follow the manufacturer’s recommendations. 
  • Avoid toys with small parts, which can be choking hazards for young children. 
  • Inspect the toys for any hazards by examining them for sharp edges, loose parts, or any potential dangers that could harm children. 
  • Research the toys and gifts online by reading reviews and asking for recommendations from other parents and caregivers.  
  • Consider the child’s age before buying any gifts or toys. Also consider their interests and abilities when selecting gifts for them. 
  • Support educational toys by choosing toys and gifts that encourage learning, creativity, and development. 
  • Spread awareness by sharing safety tips and information about safe toys and gifts month with your community and on social media. 

Taking 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’s Medical Center Ambulatory Care Center, 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.

Back to School Sleep Tips

As summer winds down, parents are preparing their children to go back to school. One important thing to achieve is to start getting them back to a sleep routine before the new school year starts.

Getting children back into a healthy sleep pattern is necessary for them to have the right amount of energy and focus while in the classroom.

Children need more sleep than adults do. The National Sleep Foundation and American Academy of Sleep Medicine suggest the following:

  • Preschoolers (ages 3-5) require 10-13 hours of sleep
  • School-age children (ages 6-12) require 9-12 hours of sleep
  • Teenagers (ages 13-18) require 8-10 hours of sleep

A Centers for Disease Control (CDC) study found that most American children and teenagers don’t get enough sleep. Nearly six in 10 middle schoolers and at least seven in 10 high schoolers don’t get enough sleep on school nights. Of the high school students that were surveyed, almost two-thirds of them sleep less than eight hours a night.

The best way for parents to get their children back on a sleep schedule is to do it one day at a time. The process of adjusting a sleep schedule should be incremental. In the weeks leading up to going back to school, have your child wake up 15 minutes earlier and go to sleep 15 minutes earlier than they did during summer break. Continue to adjust their bed and wake times in 15-minute increments every few days until your child is sleeping and waking up at the desired times for school. By the first day back to school, they should be adjusted to the new sleep schedule.

Winding down at the end of the day can help children sleep well and prepare them for the next school day. A good bedtime routine includes relaxing activities, such as:

  • Taking a warm bath or shower
  • Brushing teeth and washing up
  • Cuddling with a parent
  • Singing lullabies
  • Reading with a parent or individually
  • Journaling
  • Meditating

Children look to their parents for guidance on healthy habits. Getting adequate sleep is an important healthy habit, as it helps prevent fatigue, exhaustion, and daytime drowsiness.

 

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.

Parenting: Helping Children Adjust to a New Baby

When it comes to welcoming a new sibling, children can have a variety of reactions depending on their age. They can be happy and excited, sad, angry, and upset. Knowing what to expect from each age group can make handling the changes in your family easier.

Here is some information from the American Academy of Pediatrics to help parents prepare older siblings for a new sibling:

For children aged one to two years

  • They may not understand what it means to have a new sibling. However, you can bring up the topic with your child so they can get used to it. It is also important to reassure them that they are loved.
  • You can read children’s books about newborns and siblings with your older child before the new baby arrives so they can become familiar with words such as sister, brother, and new baby.
  • Once the new baby arrives, be mindful of spending time with your older child. You can make them feel special by giving them a special gift and spending one-on-one time with them.

For children aged two to four years

  • They are learning to share with others and may feel the need to compete for your attention. Therefore, it is important to explain to your older child that there will be times when you will need to take care of the new baby first. They may also have difficulty adjusting to changes in your family’s routine.
  • Find chances to talk about the new baby before the new baby arrives. You can mention that a new baby will be in the family when you start buying nursery furniture or baby clothes or when your child asks about Mom’s growing belly. Continue to read children’s books about newborns and siblings with your older child.
  • Remind your older child about when they were a baby, by showing them their baby pictures. If you use some of their old things for their new sibling, let them play with them for a bit before they get ready for the new baby.
  • Be honest with your older child. Explain that the baby will be cute, but will also cry and take a lot of your time and attention. It is important to let your older child know that it may be a while before they can play with the new baby and that they will need to be gentle when they play or help care for the baby.
  • Involving your older child in planning for the baby will make them less jealous.
  • Time the major changes in your older child’s routine. Finish toilet training or switching from a crib to a bed before the baby arrives if possible. If it isn’t possible, wait until after the baby is settled at home.
  • Expect your older child to regress a little after the new baby arrives. Older children may return to an earlier stage in their development when a new baby arrives.
  • Set aside some special time for your older child. You can read to them, play games with them, listen to music with them, or talk with them. Show them that you love them, and want to do things with them.
  • To make your older child feel included, find ways to invite them to help with the new baby.
  • When family and friends visit the new baby, ask them to spend time with your older child to help them feel special and not left out.

For children who are older than five years

  • They are usually not as threatened by a new baby as younger children are. However, they may resent the attention the new baby gets.
  • Tell your older child what is happening in words they can understand before the new baby arrives. Explain what having a new baby means and what changes may affect them.
  • Have your child help prepare for the new baby by having them help fix up the baby’s room, pick out clothes, or buy diapers.
  • After the new baby arrives, have someone bring your older child to the hospital to meet their new sibling, if they are not already there. This will help them feel that they are part of the growing family.
  • Help your older child feel that they have a role to play in caring for the baby when the new baby is brought home.
  • Don’t overlook your older child’s needs and activities.

Please be mindful that children have different personalities that may affect how they respond to the new baby.

Preparing your older child for the arrival of a new baby can be challenging, but following these recommendations can make the transition much easier.

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.

National Safe Toys and Gifts Month

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.

 

 

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.

What To Do If Your Toddler Has A Fever

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.

 

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.

Halloween Safety Tips

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.

 

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.

National Childhood Obesity Awareness Month

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.

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.