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3 Ellul 5761 - August 22, 2001 | Mordecai Plaut, director Published Weekly
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Home and Family
Your Medical Questions Answered!
by Joseph B. Leibman, MD

Diplomate, Board Certification of Emergency Medicine

Chairman, Department of Emergency Medicine Ma'ayenei Hayeshua Hospital

I love children. I could spend hours watching them play, and I love hearing their outlook on life. Just as children have different perspectives and priorities, so do they have different patterns of physical growth and diseases than adults. Pediatricians often say that children are not just little adults. They really aren't. We will take a look at these differences by looking into each pediatric subspecialty and see these special needs.

Before we start this series, let me tackle the four horrible things that Israelis do to their children, and two lesser evils that are rampant in this country.

1) Children love bicycles and scooters (korkinets), yet in Israel few wear helmets. Helmets lower the chance of head injury by 85 percent. Helmets at this point are not terribly expensive and can be life saving. [Editor's Note: A helmet costs about NIS 75. We heard a report of a rov in Shuafat who required all his congregants to wear helmets when riding bicycles.]

2) I wouldn't think of not wearing a safety belt in a car, but in Israel, it is acceptable to have children play in the car unbuckled, or in the case of infants, to be held on the lap instead of being strapped into an approved safety seat. I have seen many traumas where people were fatally injured when a safety belt would have stopped them from being ejected from the vehicle and would have saved their life. Israeli drivers aren't the safest and even if you are a safe driver, there is no guarantee that other drivers are.

3) Medicines in Israel rarely come in childproof dispensers and toxic cleaning substances (such as St. Moritz) are also accessible to children and are extremely dangerous. All such substances must be put out of reach of children!

4) Israelis pushing baby carriages and strollers often do so in the street and not on the sidewalk. Israelis love traveling at high speeds, and may not see the mother and child until it is too late.

The two lesser evils have to do with the mouth.

1) Israelis use pacifiers heavily. Pacifiers have been linked with dental infections and ear infections.

2) Putting children to bed with bottles that have liquids other than water in them is asking for trouble. This rots away teeth.

And two last concerns which are very serious as well:

1) Smoking around your child is dangerous for his developing lungs. Quit smoking now, or choose an out of the way place to smoke, like perhaps Antarctica!

2) Your child will miss a lot by not being nursed. Formula can be an occasional substitute, but the use of formula is a poor substitute for mother's milk. Adjustment problems, less protection from disease, and lower IQ can all come from not being nursed.

Write me in care of the Yated.

A message from Glaxo, sponsor of this column. A responsible parent gives his child the best protection against disease. Antibiotics are not the answer -- vaccines are. Havrix is the only approved vaccine against Hepatitis A, a disease that doesn't kill but causes people to be incapacitated for long periods of time. Be nice to your child - - and yourselves. Give them -- and you -- Havrix.

 

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