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.

There’s still time to support Reach Out and Read Wisconsin’s Advisory Council learning and fundraising event

Last weekend, Reach Out and Read (ROR) Wisconsin’s Advisory Council hosted a learning and fundraising event at 702WI, a creative space in Madison, Wisconsin. ROR Wisconsin donors and guests gathered to learn about the program’s impact on early literacy, clinical care and parent support. Together, they raised hundreds of dollars to keep ROR Wisconsin programming strong throughout the state.

ROR Wisconsin learning and fundraising event
ROR Wisconsin supporters gather to learn more about our work and how they can help

During the event, Dipesh Navsaria, MPH, MSLIS, MD, ROR Wisconsin medical director and Dennis Winters, MS, chief economist for the State of Wisconsin, gave a presentation about the link between high-quality, early interventions like ROR and future economic benefits to the community. For example, every dollar invested in early interventions yields a $7 return on investment to society (Heckman, 2012). Investing in early interventions have shared benefits across sectors. Not only is personal success impacted with better employment opportunities and improved health outcomes but communities as a whole see lower crime rates, less social intervention and higher civil contributions. The business community also sees long-term benefits with a more skilled workforce, higher worker productivity and less employee turnover. To learn more about ROR Wisconsin and our impact please visit our website.

Dipesh Navsaria presents at learning and fundraising event
Dipesh Navsaria, MPH, MSLIS, MD, ROR Wisconsin Medical Director presents to ROR Wisconsin supporters and donors

If you were unable to attend this event, you can still support ROR Wisconsin. Please click here to make a donation today. A gift of just $5 will help provide a local child with a new book and parental support.

Thank you to the in-kind donors who made this event possible: Mary Morgan for the event space, Johnson Public House for coffee and Madison Chocolate Company for chocolates and other treats. 

If you would like to receive an invitation to the next ROR Wisconsin event, please email Alex Rogers.

Heckman, J. J. (December 2012). Invest in early childhood development: Reduce deficits, strengthen the economy. Retrieved from: https://heckmanequation.org/assets/2013/07/F_HeckmanDeficitPieceCUSTOM-Generic_052714-3-1.pdf

Reach Out and Read Wisconsin Learning and Fundraising event

event invite for Reach Out and Read Wisconsin learning and fundraising event

Come learn about how early literacy builds a baby’s brain infrastructure, as well as economic implications for the well-being of our families, communities, and state.

On Sunday, Oct. 14, Reach Out and Read Wisconsin (ROR) advisory council members are hosting a friendraising and fundraising event. We want to increase awareness about how crucial early language exposure is to a child’s development and the link between high-quality, early intervention and future community economic health.

Join us and bring a friend or neighbor.

Dipesh Navsaria, MPH, MSLIS, MD founding ROR medical director and Dennis Winters, MS, chief economist for the Wisconsin Department of Workforce Development will give a short presentation and a Q&A session.

The event space is generously being donated by Mary Morgan at 702 Writer Incubator.

Please RSVP to Michele Erikson by Oct. 12.

Can’t make it to the event but want to learn more about our work and impact? Please contact Alex Rogers. To donate to ROR Wisconsin, please click here.

Help Reach Out and Read Wisconsin finish 2017 strong

2017 is coming to an end and with that we want to take some time to reflect on the great accomplishments of the past year. Accomplishments which include hiring our third staff member, Amber Bloom, MSW, CAPSW, to provide assistance to clinics in the eastern part of the state. For our outstanding contributions to children in Wisconsin, we were awarded a Friends of Education award by State Superintendent Tony Evers. Additionally, we are the seventh largest Reach Out and Read affiliate in the country with more than 210 programs. Our other metrics keep growing as well:

  • We are serving 8,000 more kids than last year
  • 30 new clinics started a ROR program in 2017
  • 1,500 medical providers participate
  • More than 150,000 books distributed this year alone
  • Serving 1 in 5 children younger than age 6 in the state

quote from medical director Dipesh Navsaria, MPH, MSLIS, MD about accomplishments and helping Reach Out and Read Wisconsin

Our growth and expansion continues but we cannot do it without your support. ROR is not just valuable to the kids who receive a new book; it supports parents as their child’s first teacher and helps medical providers do their job more effectively.

Hear why founding ROR Wisconsin medical director, Dipesh Navsaria, MPH, MSLIS, MD thinks you should support our state office:

As an affiliate, we are doing well but your support can help us reach even more Wisconsin children in 2018.

Donate to Reach Out and Read Wisconsin

Papers, pixels and pediatrics

This article was originally published by the Cap Times on Nov. 6, 2017

Recently, a colleague asked me about whether there was a difference between reading a book on a screen versus a paper page. People do worry about all sorts of concerns — light from screens, fine motor skill development, reading comprehension, and more. Many of these stem from an underlying technophobia — or technophilia, as it may be. What does the research tell us?

There are published studies which formally examine the difference, and the results seem to be all over the place. Some suffer from small sample sizes, or look only at very specific domains — comprehension, or interactional parent/child “warmth”, or mastery of a specific skill. There’s also a big difference looking at toddlers versus preschoolers versus elementary schoolchildren; they are at very different places in the world of reading. Additionally, many are adult studies, and may not apply to children. The reality is that, based on the available research, we just don’t yet know if there are significant meaningful differences.

I’m asked this question frequently when I give talks about early literacy, and I try to give at least some amount of guidance. My answer is as follows: To a certain extent, I think that text is text, whether it’s being viewed as ink on the dried wood pulp that we call pages or glowing pixels on a screen. There are a few key caveats, though:

First, the research is mixed on whether use of backlit screens can impact sleep. Melatonin is a hormone involved in initiation of sleep, and it is affected by light exposure, particularly certain wavelengths. While television has been in our collective lives for decades, those screens are a few feet away, rather than the several inches of most portable devices. However, while studies of close-in light use may affect melatonin, does typical real-world use do so? It’s hard to know as of yet. Until there’s better clarity on this, avoiding glowing screens at least an hour before bedtime is reasonable.

Second, most books for young children involve skillfully created images. Ensuring a screen is high-quality enough to allow the beauty of the images to be displayed is important and shouldn’t be compromised. Illustrations are as much part of the story as the text.

Third, there is a danger of a slippery slope when it comes to electronic devices — even young children often know devices can not only provide a Caldecott-award-winning picture book, but also offer up games. It’s hard for parents to resist a young child’s demands for the attention-grabbing nature of games — after all, marketing cereals to children is predicated on them throwing tantrums in the supermarket for a particular kind — with a high risk of displacing the intention to share books together…night after night.

Finally, there’s the danger of thinking the enhancements offered by e-books are necessarily an improvement over physical books. A parent might assume having a cow moo when tapped on a screen is inherently better than the silent paper equivalent. But is it? If that moo is not essential to the narrative or structure of the book, it may simply be a distractor. Children who become attuned to the “tap-and-make-something-happen” dynamic may ignore much of what is on displayed pages in favor of tapping everything on the screen in an attempt to “make it go”.

Ultimately, it all comes down to how the book is used. Assuming due care is exercised with the above points, for young children the most important factor is the presence of a caring, nurturing, responsive adult who understands how to interactively explore a book with a young child. This may be a skill unconsciously picked up by the adult through environmental role models, but for some they may require modeling, coaching, and the encouragement to do so. Rather than become lost in the electronic versus paper book wars, we would do well to ensure that each and every child has an adult in their lives who knows how to read well with them and can do so routinely.

Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin. He shares research regarding kids reading physical books and on electronic device.
Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin