Hello Muddah, hello Faddah, here's a checklist you might follow, before
camp starts up this summer, so the season won't turn out to be a bummer.
The
checklist for parents -- as well as summer camp staff -- comes from the
American Academy of Pediatrics (AAP) in the form of a policy statement
called "Creating Healthy Camp Experiences."
"Parents should feel
confident that their children are ready for camp and that their chosen
camp is well prepared to care for their children," wrote authors Edward
Walton, MD, director of pediatric emergency medicine at Beaumont
Hospital in Royal Oak, Mich., and Alison Tothy, MD, director of
pediatric emergency at the University of Chicago Medical Center.
Well
before parents go over their kids' lists of things to pack -- ticking
off items like sunblock and toothpaste -- they should go over the AAP's
checklist, according to the guidelines, published Monday in the journal Pediatrics.
For
starters, parents should assess their child's interest, skill, and
physical, mental, and emotional well-being before even choosing a camp.
If
a kid has special needs, parents should inquire on the scope of the
health services offered at a particular camp, the guidelines said.
Parents
should provide their child's camp with a complete annual health review
including the child's significant previous illnesses, surgeries,
injuries, and allergies, and present state of physical and psychological
health, according to the AAP.
For kids with special needs that
require special management, such as anaphylactic allergies, seizures,
diabetes, and attention-deficit/hyperactivity disorder, specific medical
clearance should be given before the kid ships off to camp.
All kids should be up-to-date on their vaccinations before leaving for camp, the guidelines said.
The
guidelines also touch on the most common ailment to afflict campers:
homesickness, and provide tips about how to prepare inexperienced
campers to deal with the potential psychological distress of being
separated from home and family.
Parents should involve the child
in the process of choosing and preparing for camp; discuss homesickness
openly and avoid projecting their own doubts; arrange "practice time"
away from home with friends or relatives before camp; and equate the
time spent at camp to the child's previous positive experiences of a
similar duration of time.
Camps also have a major responsibility
for making the summer experience a positive and healthy one. Camps must
first accurately characterize what the camping experience will be like
so families can make a decision if their child is in proper health to
participate.
Camps should also have written policies and
protocols that have been reviewed and approved by a physician with
specialized training in children's health, the AAP said.
The policies should deal with common camp illnesses:
- Fever
- Conjunctivitis
- Upper respiratory tract infections.
- Ear infections
- Sore throat
- Vomiting and diarrhea
- Asthma
- Anaphylaxis and allergy management
- Skin infections
- Lice and scabies
- Poison ivy and poison oak
- Insect bites and stings
- Tick exposure
- Concussion
- Behavioral or psychiatric episodes
Before
parents leave their kids at camp and head home, the AAP advises that
camps should obtain written authorization to transport kids in camp
vehicles for nonemergency care, and to share medical information.
Once
campers and staff arrive at camp, they should all undergo a screening
to assess for communicable disease and to establish a health baseline.
Camps
should also keep a health record of the camper during the entire
camping experience, and the AAP recommends that camps consider using a
federally approved electronic health record system.
Camp healthcare providers should be responsible for storing and administering medications, the AAP recommended.
It is important for all camps to have personnel who can administer onsite first aid and CPR.
Aside from preparing for medical emergencies, camps should make the day-to-day routine a healthy one.
"Obesity
and related cardiovascular risk factors are important public health
priorities, and camp communities should adhere to principles of healthy
living," the guidelines read.
Food provided in camps should
follow federal guidelines for school nutrition, and camp staff should
"model healthful food choices for their campers."
Food should
also not be used as reward, the guideline authors said, nor should
withholding food be used as punishment, the guidelines said.
Perhaps
in a nod to the ubiquitous vats of Kool-Aid-like sweetened beverages
that are common at summer camps (often referred to as Bug Juice), the
AAP recommends strictly limiting the availability of sugary drinks, or
else not having them available at all. Plain old drinking water should
be plentiful, however.
As far as physical activity goes -- at
least 30 minutes of daily physical activity should be included as a
component of any summer camp program.
The guidelines apply to
all camps, the authors note, but the inclusion of kids with disabilities
or other special health care needs might require the establishment of
additional assessments and services.