Our COVID-19 disaster response must consider children

This article was originally published by the Cap Times on March 23, 2020.

Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin
Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin

One of the small, initial reliefs of being a pediatrician amid this pandemic was the news early on from China that children seemed to be spared the worst of the effects of COVID-19. I’ve witnessed firsthand how deeply children are affected by viruses such as seasonal influenza — 149 U.S. children (and counting) have died this season alone. While we certainly never wish harm upon anyone, knowing that children appear to not bear the brunt of this illness was good.

Or is it? The fundamental interconnectedness of our society has been placed in stark contrast by the coming of this pandemic. While children are far less touched by direct infection, they are deeply affected by the unprecedented disruption to our everyday life. Efforts to reduce the exposure to those at risk have rapidly ramped up. (And for those who think that is a small number: one analysis showed 41% of all U.S. adults fall into a higher-risk category.)

So how can we best keep children and families in mind as we adjust as a society to this new reality? There are numerous parent-aimed resources appearing daily on ideas for activities, learning, staying healthy and remaining socially-connected. But there’s plenty of work we can do with institutions, programs and policy. My thoughts:

1. Children are going to continue to need checkups, evaluation of illness and injury, hospitalizations and care for chronic conditions — these all will continue to be needs. Certainly, some can be delayed, but there will be limits to how long that is advisable.

2. Child care is a vast challenge, particularly as many parents will need to continue to work. There’s active work going on to solve this, but it will take a team effort. And while flexibility in child care standards is needed, we should ensure children are not being given poor (or even dangerous) care in the name of expediency. Children still deserve experienced care from those who understand their needs.

3. Many families rely on school and early education-based nutrition programs to avoid chronic hunger. The USDA is offering broad leeway to allow those programs to continue, even with schools being closed. If that’s not happening in your area, ask why.

4. Essential personnel are not just front-line health care workers. Within hospitals and clinics alone, there are so many people needed to provide care even for direct pandemic response. And many others are also arguably “essential” — the early education teachers who care for the children of health care workers? Those who keep our supermarket shelves stocked? Public safety personnel? All essential. And that means we should pay them living wages, and offer them health insurance and paid sick leave. Treat them as truly essential, not just in name.

5. Speak up for our marginalized and least resourced neighbors. Many of us have the privilege of easily finding backup child care, or paid sick leave, or ample financial security. Countless families have none of this, and many are losing employment or taking deep pay cuts. When the economic stability of homes is threatened, the lives of children are disrupted. Speedy, stabilizing solutions are needed, that reach all.

Online resources for families during COVID-19

As families across the state practice #SaferAtHome and cope with the unexpected epidemic of COVID-19, Reach Out and Read Wisconsin wants to add our voice to the mix and provide a list of online activities for children and families. We recognize how stressful this time can be for parents and kids, and we hope this list of resources encourages exploration, learning, creativity, social connection and a little bit of fun.

We believe that the Reach Out and Read mission is as powerful and as important as ever during these challenging times. One of the best ways parents can engage with their children and foster their child’s development is through daily interactions like reading aloud, talking, singing and playing. Many parents are now juggling working from home in addition to family responsibilities, caring for relatives and balancing self-care. We want to help you make the most of your time together as a family and provide reputable, educational options for kids who may not be in school.

Parents reading a book to toddler

Educational videos and resources for children
Brain Pop educational videos for kids
National Geographic for Kids
Lunch Doodles with children’s author Mo Willems
Reach Out and Read combined resources from National Center
Virtual children book readings – separated by ages

Live streams of animals from around the world
Monterrey Bay Aquarium
Houston Zoo
Tembe Elephant Park KwaZulu-Natal, South Africa

Resources for parents and adults (some may be appropriate for families to share together)

Video chat with family and friends
• FaceTime: allows multiple iPhone users to video chat (everyone must have iPhone)
Skype: allows up to 50 people for video calls
Zoom: set up a free zoom account to video chat
Note: Please allow for a little extra time before the first call to download the software on to your computer.

Stream movies and shows with friends/family:
Netflix Party: Only for Google Chrome on laptops and desktop computers
Hulu with Me: Works with Google Chrome and Firefox

Online games for older kids and adults
Telestrations game
GamePigeon games
o Play games like Uno, Battleship and more with the free Game Pigeon app. Only available for Apple iPhone and iPad
Zoom: Use the “whiteboard” feature in screen sharing mode to play games like Hangman
Jigsaw puzzles: Invite friends/family to work on a jigsaw puzzle together
Crossword puzzles

Duolingo, learn a new language. Available for Apple, Android and online

Online concerts
• Instagram live concerts – check out this article for upcoming artist performances on Instagram
NPR’s Tiny Desk Concert Series
YouTube’s #TogetherAtHome series

Self-care
Information about handling stress and anxiety from the CDC
Live, guided meditations every day at 3 p.m. EST from Ten Percent Happier
• Check out this article from Good Housekeeping for 25+ free, live stream workouts from gyms like Orangetheory and Barry’s

Please remember this is an unprecedented event and it is okay to feel a mix of emotions each day. Be kind to yourself and remember, we are all in this together!

Reach Out and Read Wisconsin receives 25,000 book donation

Friday, January 24, 2020, was a big day for the Vel R. Phillips Youth and Family Justice Center and Reach Out and Read Wisconsin. In partnership with City of Milwaukee’s Office of Early Childhood Initiatives, Too Small to Fail, an initiative of the Clinton Foundation, unveiled a Family Read, Play and Learn space at the Justice Center in Milwaukee.

The child literacy space in the family court waiting area at the Justice Center is the first of its kind in the nation created by Too Small to Fail. The literacy space is part of their larger program to raise awareness about the importance of early literacy, brain development and early learning. After the ribbon-cutting ceremony, Ms. Clinton chatted with parents, read to several children and then participated in a community forum. Additional panel participants sharing their messages of the importance of early literacy promotion and power of collaboration were Dea Wright, Director of the City of Milwaukee Office of Early Childhood; Tom Barrett, Milwaukee Mayor; Maxine White, Chief Judge of Milwaukee County; Ramona Gonzales, President of the National Council of Juvenile and Family Court Judges; Chelsea Clinton, Vice Chair of the Clinton Foundation and Dipesh Navsaria, MPH, MSLIS, MD, Medical Director of Reach Out and Read Wisconsin.

Spaces like the one at the Justice Center are designed to meet parents where they are and help them make the most of everyday moments that can have a big impact on their child’s development. Too Small to Fail has worked to create similar spaces at laundry mats, including one in Milwaukee and playgrounds across the country. The spaces provide a much-needed early learning environment, according to Ms. Clinton.

“A fundamental test for our country is whether or not we can make early learning available and real to all kids and families,” she said.

After the event at the Justice Center, Ms. Clinton and other representatives from Too Small to Fail visited Sixteenth Street Community Health Centers, Chavez Clinic. Chavez Clinic was one of the first clinics to launch a Reach Out and Read program in Wisconsin. In their more than 20 years of participation in the evidence-based, clinical intervention, more than 100,000 books have been given to children in Milwaukee and Waukesha counties. The now four participating Sixteenth Street Clinics serve more than 10,000 young children each year. Emilia Aranda, MD Director of Pediatrics for Sixteenth Street Community Health Centers and Reach Out and Read Wisconsin advisory council member, provided a tour of the pediatrics clinic for Ms. Clinton. Afterward, Ms. Clinton read to a group of children and took pictures with Chavez Clinic staff.

In celebration of their five years of collaboration with Reach Out and Read National Center to advance early literacy and promote early brain development, Too Small to Fail has donated 25,000 copies of the bilingual book DJ’s Busy Day to Reach Out and Read Wisconsin.

These books will be delivered to Reach Out and Read participating clinics throughout the state in the upcoming months. In the meantime, a special thank you goes out to Books4School for storing the books until they are delivered.

Reach Out and Read Wisconsin staff with Chelsea Clinton of Too Small to Fail
Reach Out and Read Wisconsin team with Chelsea Clinton at the Chavez Clinic
Clinic coordinators from Sixteenth Street Community Health Centers and Chelsea Clinton
Clinic coordinators from Sixteenth Street Community Health Centers and Chelsea Clinton
Ms. Clinton reads aloud at the Chavez Clinic to young children
Ms. Clinton reads aloud at the Chavez Clinic

Reach Out and Read Wisconsin welcomes national medical director Perri Klass, MD

Reach Out and Read national medical director Perri Klass, MD, recently visited Madison, Wisconsin to give a presentation to Reach Out and Read Wisconsin supporters and stakeholders. During this talk at the Madison Central Library, Dr. Klass emphasized the importance of using books to promote healthy brain development in young children. One of the ways reading aloud supports brain development is through the parent-child relationship. “If we want to promote healthy child development in the early years, then we have to promote that parent-child relationship,” said Dr. Klass.

Books aid in the development of the parent-child relationship because they spark back-and-forth conversations. These conversational turns are what form connections in babies’ brains. Even young babies who are not themselves talking yet, show signs of engagement when these back-and-forth interactions are happening. Examples of this include, smiling at a book or the parent, looking at the pictures, reaching out to grab the book, trying to turn pages, cooing or babbling along with the story, or even trying to put the book in their mouth.

When parents read aloud they are not only helping foster brain development but development in all kinds of areas, like math, language, vocabulary, socio-emotional, school readiness and attachment.

Dr. Perri Klass presents at Madison Public Library about the importance of books and reading aloud for healthy child development
Dr. Perri Klass shares the importance of books and reading aloud to an audience of Reach Out and Read Wisconsin supporters and stakeholders.

Screen time

Dr. Klass also shared her thoughts about screen time and e-readers. She recommended physical books for newborns and children younger than age 2. Physical books allow babies to touch, feel, learn how to turn pages and put books in their mouths – all of which are appropriate developmental milestones for young children. Screens and enhanced e-books (stories that make sounds when tapped or have animations) can be distracting for young babies. New research shows that when e-readers are used, the number of conversational turns and back-and-forth interactions between parents and children decrease. Dr. Klass recently wrote about this new research in her weekly New York Times column.

When kids are older, using electronic reading devices can help them gain access to a wide range of information. However, it is still important for parents to provide supervision and make time for reading physical books aloud together.  

Reach Out and Read Wisconsin would like to thank Dr. Perri Klass for sharing her time and expertise. Also, thank you to the Wisconsin Academy of Sciences, Arts & Letters and the Madison Public Library for co-presenting this event. To learn more about Reach Out and Read Wisconsin and how to support us our work, please visit our website.

Every parent is their child’s first and best teacher

As an early literacy librarian, I see 50-100 parents and young children at my birth to 2-year-old storytime every Monday morning. Some parents come to get out of the house, socialize with other grown-ups, or give their child a chance to socialize with other babies their age. Some parents might know that storytime is a great place for their child to learn early literacy skills while others come simply because their child enjoys the books, songs and rhymes.

Many parents look to me as one of their child’s first teachers, but a child’s first and most important teacher is their parent.

parents reading to their child

Some parents don’t realize this or don’t feel confident in their ability to be a teacher. Teaching your child early literacy skills isn’t as daunting as it may sound. Storytimes are the perfect opportunity for librarians to model simple strategies that parents can use to help their child develop early literacy skills. We use strategies based on the American Library Association’s Every Child Ready to Read initiative, which includes:

1. Talking: Talking is important because language is the foundational skill that leads to academic and life success. Children with larger vocabularies do better in school. The best way for kids to learn new words is by including them in every day conversations. This is one of the easiest strategies. You simply talk to your child. Encouraging babies to babble, practicing nursery rhymes and asking your child open-ended questions are great ways to focus on this strategy.

2. Writing: Writing is important because it is directly related to reading skills and helps improve fine motor skills. Don’t worry, I’m not suggesting that your baby sit down and write the next great American novel. Strong fine motor skills support the development of future writing skills. Grabbing toys, stacking blocks and playing with Play-Doh are all great ways to work on writing skills.

3. Reading: Reading is important because so many of our daily activities require the ability to read. Some parents think that their baby is too young to be read to, but this is not the case. You can start reading to your child starting at birth. At first babies will seem to play with books more than look at them, but that is perfectly fine. This will allow them to get comfortable with books and learn skills such as turning pages. It’s important for parents to make reading part of their daily routine so their child can continue to improve their literacy skills and develop a love of reading.

4. Playing: Playing is important because it helps children develop fine and gross motor skills, imagination, and creativity. Children can discover so much about the world around themselves simply by playing and exploring. Babies can start playing during tummy time by placing toys in front of them to look at and reach for. As children get older they learn to play with others and to use their imagination by playing pretend.

5. Singing: Singing is important because it helps break words down into syllables that are easier for babies to understand and remember. Many parents are intimidated by singing because they feel silly or think they have a bad voice. Luckily babies don’t care what your voice sounds like; they just like hearing singing. You can sing lullabies, kid’s songs (If You’re Happy and You Know It, The Itsy Bitsy Spider, ABC’s etc.), your favorite songs from the radio, or even make up songs. Listening to music in the car or around the house is another way for children to learn new words and sounds.  

It is important that parents feel empowered in this role as their child’s first and best teacher. Early literacy librarians and Reach Out and Read medical providers want parents to know they already have the power to make a difference in their child’s life. We are here to provide extra support and guidance to assist parents as they help their children achieve their full potential.