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Eastern Equine Encephalitis (EEE)
While numbers of mosquitos are down so far this year, the proportion of them infected with EEE is very high. Please take precautions to protect your children and yourselves. There is no cure or treatment and this can be a devastating, often fatal disease.
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West Nile Virus

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California reports epidemic levels of Whooping Cough, states the LA Times.
"Five babies have died since January and the number of confirmed cases is four times higher than the same period last year. Health officials urge anyone in contact with infants to be inoculated. "
WhoopingCough.pdf
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Swimmer's Ear
What to do for it
Swimmers ear.pdf
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Answers to all your burning questions from the Mayo Clinic Staff. Plus sunscreening ratings from the Environmental Working Group
All about sunscreens and burns.
Sunscreen from Mayo clinic.pdf
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Summer Poison Safety Tips

Summer Poison Safety_1107.pdf
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Fun in the Sun
Find out how your sunscreen rates...
Fun Sun.pdf
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Mumps Requirements for Summer Camps
Mumps Outbreaks: The Northeast has been experiencing a large outbreak of mumps that began in the summer of 2009 at a summer camp in New York. In 2008, seven confirmed cases of mumps were reported in Massachusetts; six cases were among individuals from outside the US. Many of these cases had no documentation of MMR vaccination or only had one dose. In 2009, there were 14 confirmed cases; nine cases were associated with a college campus outbreak. So far this year, there have been four confirmed cases of mumps in the state; three are associated with the NY/NJ outbreak. In addition, mumps remains common in many parts of the world, including in Western Europe. Therefore, spread within the US from the domestic outbreak, as well as from international travel, is still possible, especially for camps.
Camps Mumps Advisory.pdf
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Lyme Disease

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Bug Safety
Protect yourselves and your children from mosquito-borne and tick-borne diseases such as West Nile Virus infection, Eastern Equine Encephalitis (EEE), and Lyme disease.
Bug Safety.pdf
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How to Remove a Tick

TickRemoval.pdf
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Preventing Disease Spread by Ticks

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Tick Identification Card

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McNeil Recalls Certain Children's Liquid Products
McNeil Consumer Healthcare announced yesterday it is voluntarily recalling a number of OTC children's and infants' liquid formulations including certain Tylenol, Motrin, Zyrtec and Benadryl products.
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Sound Advice on Autism
AAP offers a collection of interviews with pediatricians, researchers and parents.
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More than 1 million Infantino baby slings recalled reports USA today
WASHINGTON (AP) — More than 1 million baby slings made by Infantino were recalled Wednesday after claims linking them to three infant deaths.
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Health Alert
Button Batteries: Medical Emergency if swallowed or inserted into nose or ear.
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FDA advisory against Over the Counter Chelation Therapy
"Home Chelation Therapy" can potentially cause liver and/or kidney damage, and death
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H1N1 flu vaccine now available for all children 6 months and older for first or second vaccines.
We have received additional H1N1 multidose vaccines (flu shot) and H1N1 mist. As a reminder, children must be accompanied by a parent or legal guardian for all vaccines to be given. Please read the H1N1 information sheets following to answer any questions you may have. Call now to schedule your appointment.
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H1N1 Flu Shot Vaccine Information Sheet
Please read both H1N1 flumist and flu shot vaccine information sheets to answer any questions you may have about the vaccines.
vis-inact-h1n1[1].pdf
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Johnson & Johnson has issued a massive recall on certain Tylenol and Motrin products
70 people have been sickened by a moldy smell
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Seasonal Flu Shots Now Available for Patients less than 3 years old

We have a limited supply of Seasonal Flu vaccines for children less than 3 years old. Please call to schedule an appointment for a Seasonal Flu shot if your child has not yet received one or if he/she is under age 3 needs a second shot.

As a reminder, a parent or legal guardian must accompany your child for all vaccine administrations.

If your child has an egg allergy, he/she is not able to receive the flu vaccine from our office.


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H1N1 Flumist Vaccine Information Sheet
Please read both H1N1 flumist and flu shot vaccine information sheets to answer any questions you may have about the vaccines.
vis-laiv-h1n1[1].pdf
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Channel 7 News reports recall of some Swine Flu Vaccine

There is no danger, NO ACTION REQUIRED.
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H1N1 Flu (Swine Flu) Information
The Mass Department of Public Health H1N1 Flu facts.
H1N1 flu facts 9-09.pdf
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When to Seek Medical Attention if your Child has the Flu
Fortunately, most people who have been sick with the H1N1 flu virus in the U.S. have recovered at home without treatment. If your child has flu-like symptoms, please keep him/her at home for at least 24 hours after fevers resolve. Like seasonal flu, complications can occur with H1N1 flu. Click on the following link for guidelines on when to seek medical attention.
H1N1 When to Seek Care.pdf
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Guidelines for School Attendance when your Child has a Flu-like Illness
The most important thing that you can do to keep the flu from spreading in the community is to keep your child at home when he/she is sick. Use the following checklist questions to determine when you should keep your sick child home and when you can allow him/her to return to school.
Attendance Checklist Flu.pdf
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Examine The Evidence:Vaccine Studies
Examine The Evidence:Vaccine Studies
VaccineEvidence Studies[1].pdf
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Complications during pregnancy and giving birth later in life may increase the risk of having a child with autism, a review of dozens of studies suggests.

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Head Lice
It's that time of year again!
head_lice.pdf
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Tylenol and Motrin Dosing

tylenol motrin doses_0607.pdf
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H1N1 (Swine Flu) Is it safe for my child to go to school?

swine factsheet parents.pdf
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Facts about Thimerosal
What Parents Should Know about Thimerosal
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Why Immunize?
Find out why immunizing your child against vaccine-preventable diseases is so important.
Why immunize chart.pdf
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Vaccine Safety: The Facts

Vaccine safety 2008.pdf
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Photos of Vaccine-Preventable Diseases
Many parents of young children have never seen or even heard of some of the diseases against which we immunize; that is because vaccines have done such a good job of minimizing these diseases. This has led some people to believe that these vaccine-preventable diseases no longer exist or are not harmful. Unfortunately, some parents are, therefore, chosing not to immunize their children which could leave them vulnerable to harmful or even deadly diseases.

Before chosing not to immunize your child, please click on the "read more" button for photos of vaccine-preventable diseases.
Warning: some images may be considered graphic or disturbing.
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Fever Information

fever info_0607.pdf
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Fever Phobia: Understanding the Myths

fever phobia_0607.pdf
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Colds (Upper Respiratory Infections)

URI_0208.pdf
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Cough

Cough_0208.pdf
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FDA Warns Against Use of OTC Cough/Cold Products in Young Children
Over-the-counter (OTC) cough and cold products should not be used to treat children younger than 2 years, the US Food and Drug Administration (FDA) warned parents and caregivers in a public health advisory issued on January 17, 2008.
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Halloween Safety Tips

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Fall Poison Safety Tips

Fall Poison Safety_1107.pdf
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Vaccine Court Rejects Autism Claims
The federal "vaccine court" has rejected claims that either the measles/mumps/rubella (MMR) vaccine or thimerosal in vaccines caused children's autism.
Vaccine court 0209.pdf
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Increase in Haemophilus influenza type B (Hib) Cases - Parents are Urged to have their Children under 5 years of age Immunized against Hib

Minnesota has seen an increase in Hib cases in children under 3 years of age. In 2008, there were 5 confirmed cases of Hib, including 1 death.

Increased Hib Cases 2008.pdf
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Introduction to Solid Foods for Infants and Toddlers
Use this chart starting at 4-6 months for children at low risk for food allergies.
Intro to Solid Foods.pdf
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Introduction to Solid Foods for a Child at Risk for Food Allergies
Use this food chart if you have a family history of food allergies.
Food Chart, Allergy Prone.pdf
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Information Regarding the Safety of Gardasil (HPV) Vaccine

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Child Safety Seat Guidelines
Massachusetts state law now requires children to use a booster seat until 8 years old or 4'9" tall. The link below will help you determine what child safety seat is best for your child.
Car Seat Guidelines 2008.pdf
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Baby Bottles, Sippy Cups, and Bis-Phenol A (BPA)

Plastics.pdf
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Autism in the News

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Facts for Parents about Autism and Vaccine Safety

autismfactsforparents.pdf
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Community Acquired MRSA
What is MRSA and how can I prevent it?
CDC-CAMRSA.pdf
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Vaccine Schedule: Questions and Answers
Discover the rationale behind the recommended vaccine schedule.
Vaccine schedule QA.pdf
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Vaccine Ingredients

Vaccine ingredients.pdf
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Hib Vaccine (Haemophilus Influenza type B)

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DTaP Vaccine (Diphtheria, Tetanus, Pertussis)

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Hep A Vaccine (Hepatitis A)

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Hep B Vaccine (Hepatitis B)

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HPV Vaccine (Human Papilloma Virus)

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Inactivated Influenza Vaccine (Inactivated Flu)

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FluMist Vaccine (Live Flu)

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MMR Vaccine (Measles, Mumps, Rubella)

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Menactra Vaccine (Meningococcal Meningitis)

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Prevnar Vaccine (Pneumococcus)

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IPV Vaccine (Polio)

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RotaTeq Vaccine (Rotavirus)

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Tdap Vaccine (Tetanus, Diphtheria, and Pertussis)

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Varicella Vaccine (Chicken Pox)

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Development - Birth to 3 Months

0-3Handout.pdf
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Developmental Milestones at 3 Months Old

Dev Milestones 3 mos.pdf
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Development - 3 to 6 Months

3-6Handout.pdf
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Developmental Milestones at 7 Months Old

Dev Milestones 7 mos.pdf
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Development - 6 to 9 Months

6-9Handout.pdf
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Development - 9 to 12 Months

9-12Handout.pdf
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Developmental Milestones at 12 Months Old

Dev Milestones 12 mos.pdf
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Development - 12 to 15 Months

12-15Handout.pdf
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Development - 15 to 18 Months

15-18Handout.pdf
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Devlopment - 18 to 24 Months

18-24Handout.pdf
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Developmental Milestones at 2 Years Old

Dev Milestones 2 yrs.pdf
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Development - 24 to 30 Months

24-30Handout.pdf
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Development - 30 to 36 Months

30-36Handout.pdf
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Developmental Milestones at 3 Years Old

Dev Milestones 3 yrs.pdf
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Developmental Milestones at 4 Years Old

Dev Milestones 4 yrs.pdf
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Developmental Milestones at 5 Years Old

Dev Milestones 5 yrs.pdf
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Fiber

Fiber_0108.pdf
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Information for Parents of Internationally Adopted Children

International Adoption.pdf
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ADHD (Attention Deficit Hyperactivity Disorder) Information

ADHD Fact Sheet.pdf
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Autism Information

Autism Fact Sheet.pdf
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MMR / Autism Fact Sheet
MMR Vaccine Does Not Cause Autism: Examine the Evidence
MMR Autism Fact Sheet.pdf
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Vaccines and Autism
Important Conclusions from a Recent Report from the Institute of Medicine
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Autism in the News (as seen in the Boston Globe on 4/10/06)
The rise in autism may reflect better diagnosis, not epidemic.
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Cerebral Palsy Information

Cerebral Palsy Fact Sheet.pdf
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Vision Loss

Vision Loss Fact Sheet.pdf
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Hearing Loss Information

Hearing Loss Fact Sheet.pdf
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Small Turtles Pose a Salmonella Risk
Small turtles are a dangerous pet choice for children
Turtles Salmonella_0707.pdf
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Measles Alert
Six laboratory-confirmed cases of measles have recently been identified in Massachusetts.
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Mumps Epidemic - Iowa 2006
In the worst outbreak in nearly 20 years, the number of mumps cases has jumped over 600 and is expected to grow.
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Avian Influenza News
How to prepare your family for bird flu
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Holiday Toy and Safety Tips

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Links

American Academy of Pediatrics    AAP.org
Centers for Disease Control and Prevention    cdc.gov
Medem Physician-Patients Communications Network    medem.com
National Alliance for Autism Research    NAAR.org
Safe Kids Worldwide    safekids.org
South Shore Hospital, Weymouth MA    sshosp.org
South Shore Physician Hospital Organization    sspho.org
Children's Health Information    medem.com/medlb/sub_detaillb.cfm?parent_id=10&act=disp
Vaccine Information    vaccineinformation.org
Massachusetts State Resources     autism-pdd.net/links/massachus.html
Children's Hospital Boston Travel Clinic    childrenshospital.org/clinicalservices/Site1913/mainpageS1913P0.html
Poison Control Center    maripoisoncenter.org
Young Women's Health    youngwomenshealth.org
Young Men's Health    youngmenshealthsite.org
Zero to Three - National Center for Infants, Toddlers, and Families    zerotothree.org
REACH Educational Services    reachedu.com
Healthy Children    healthychildren.org
Sound Advice on Autism: AAP offers a collection of interviews with pediatricians, researchers and parents.    http://www.aap.org/audio/autism/
Immunization Info from the AAP    aap.org/immunization/index.html


Our Immunization Schedule

This immunization schedule is subject to change based on current guidelines recommended by the American Academy of Pediatrics and the Advisory Committee on Immunization Practices.  Additional immunizations or variations to this schedule may be recommended on a case-by-case basis.

For additional information on these or any other immunizations, please speak with your pediatrician. You may also check the following websites: www.AAP.org and www.CDC.gov.

Age
Immunization
Newborn Hep B

2 months Pentacel (DTaP, IPV, Hib), Hep B, Prevnar, RotaTeq (orally)

4 months Pentacel (DTaP, IPV, Hib), Prevnar, RotaTeq (orally), Hep B if not given in newborn period

6 months Pentacel (DTaP, IPV, Hib), Hep B, Prevnar, RotaTeq (orally)

12 months Varivax, Hep A, Prevnar

15 months Pentacel (DTaP, IPV, Hib), MMR

18 months Hep A, catch-up Prevnar

2 years Catch-up Hep A, Prevnar

3 years Catch-up Prevnar

4 years MMR, Varivax, catch-up Prevnar

5 years DTaP, IPV

6 years Varivax (if needed)

11 years Tdap, Menactra, Varivax (if needed)

12 years HPV (females only)

12-18 years Catch-up Tdap, Menactra, Varivax, HPV (females only)