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The Honolulu Advertiser
Posted on: Tuesday, December 29, 2009

When kids get sick, parents often do too


By Carolyn Butler
Washington Post

I recently had one of those moments that only other parents or full-time caregivers of young children are likely to understand: I was holding my miserably sick baby, who was sneezing, coughing and drooling all over me, when my 3-year-old stumbled in and said, "My belly hurts," just before throwing up all over the lot of us. As I cleaned up and tried to comfort both kids, I couldn't help but wonder which I'd start doing first: hacking or vomiting.

One of the many things I took for granted before I had kids — besides the bliss of a good night's sleep and keeping my clothes clean for a full day — was relative good health, particularly during cold and flu season. Since having my boys I have suffered through a dazzling array of ailments right along with them, from multiple bouts of bronchitis to pinkeye and every 24-hour stomach virus imaginable. Among the four of us in the house, I don't think there's been a moment without a runny nose since the end of summer.

While there has been little research on the topic, experts agree that the caregivers of young children are far more likely to fall ill than adults without kids.

"We see it in practice all the time, pretty consistently: Parents get sick more often," said Thomas Campbell, chairman of the Department of Family Medicine at the University of Rochester School of Medicine and Dentistry and co-author of "Families and Health."

"Young kids are a reservoir of germs, and if they're at day care, preschool or any place else where they're around other children, they're in a super-virus environment and the perfect vectors for illness and for passing viruses around. Kids hug and touch and share toys and saliva and cough all over each other, and then parents hug and kiss their kids. Nothing else compares, contact-wise — we don't go to work and hug and kiss our colleagues."

Lack of sleep and increased stress can also hamper immune response, Campbell said.

Sociology professor Debra Umberson, co-author of a forthcoming review on parenthood's effect on well-being in the Journal of Marriage and Family, agreed that children are "disease vectors," but said they also can be helpful to adult health in the long term.

"Once you have children," she said, "you tend to take better care of your health, in terms of behavior like drinking, smoking and other risk-taking, which offers benefits and protects you from mortality. But on the other hand, (parents) also exercise less and gain more weight than folks who do not have children, which is not good."

VARYING REACTIONS

Another byproduct of raising these smiling, sneezing little petri dishes is that a stomach bug that affects a child for all of an afternoon can fell an adult for days.

"You would think that you've had 30 or 40 years of exposure to these types of viruses and so you'd be protected, but very often it doesn't turn out that way," said Campbell, citing hepatitis A and chicken pox as classic examples of illnesses that are typically mild for children and much more serious for adults.

And, Umberson added: "Once you get sick when you have little kids, you can't take care of yourself — you have to take care of everyone else — and so it's harder to recover. It takes longer and is more unpleasant."

I've wondered if it's futile even to try to stop the spread of infection in our house. But Benard Dreyer, a pediatrics professor at the New York University School of Medicine, says it can be done. He suggests proper (read: almost obsessive) hand washing and the liberal use of hand sanitizers. He also recommends staying out of waiting rooms in doctors' offices and the emergency room — "major reservoirs for disease" — if possible.

The Centers for Disease Control and Prevention recently released recommendations for preventing the spread of H1N1 at home (but, presumably, for any other virus) that include such impractical tips as constantly wearing a mask, isolating sick people in their rooms and staying at least six feet away from them.

USE JUDGEMENT

The CDC is "adapting what is recommended to health care facilities for the home, but nobody runs their home like a hospital — it's not doable," Dreyer said. "What you really need to do is use your judgment about your own situation — like if you're pregnant or have a newborn, you may actually want to use masks — and then take the basic principles and apply them to your home in a realistic way."

Still, don't despair if you catch that cold. All this shared illness has an upside.

"Once a child starts to develop a functioning immune system, at about six months, then the exposure to general viruses and germs that you find at day care, school, the supermarkets, the playground or parties, which is hard to avoid, isn't particularly a bad thing, because it helps build and stimulate the immune system," said pediatrician Robert Shearin of Bethesda, Md., said. "If you're getting that kind of exposure year after year, we hope it will be able to help kids fight infections and stay healthier later on."

So if you're a parent or caregiver, stock up on tissues, wash your hands as often as possible, pray for some luck and know that someday this, too, shall pass.