If you’re like most parents, you might have your fair share of concerns about the bath toys your little one shoves into their mouth during bathtime. Maybe you have even seen the telltale signs of dirt and grime—and possibly even mold—when they squirt the toys at the wall of the tub.
Fortunately, there are safe and effective ways to not only clean your child’s toys, but extend their life and prevent mold. Below, cleaning experts and pediatricians explain the best ways to clean bath toys as well as offer tips for keeping them fresh for as long as possible.
Make a Bleach Solution
If you suspect your child’s bath toys have mold inside them, and you want to try to salvage them, the most effective cleaning option is using a diluted bleach solution. Just keep in mind that bleach is harsh and can damage toys.
“Bleach solution is effective because it kills bacteria and mold,” says Jonathan Jassey, DO, FAAP, a board-certified pediatrician and founder of Concierge Pediatrics.
For basic cleaning of toys, Kristin DiNicolantonio, MA, senior director of stakeholder communications at American Cleaning Institute, suggests making a solution of ¾ cup of chlorine bleach to one gallon of water.
“Scrub the toys using this solution and be sure to wear protective gloves and old clothes to prevent bleach damage on your garments,” says DiNicolantonio. “Make sure your space is well-ventilated.2 For hollow toys or toys designed to fill with water, be sure to squeeze out all liquid. Once the toys have been cleaned, leave them wet for five minutes, then rinse the toys in a clean sink and let them air dry.”
Handwash With Soap and Water
For daily cleaning, you can still sterilize your bath toys with soap and water, says Dr. Jassey. Simply fill a disinfected sink, basin, or container with hot water and a few squirts of dish soap.
Karissa Whitman, a mom of two and motherhood blogger at MomAfterBaby.com says she often uses this method and recommends scrubbing each toy, rinsing it, and letting it air dry. If you submerge the toys in water, you should squeeze out any excess water as well. Also, if you are using extremely hot water, consider wearing gloves to protect your hands from the heat.
Create a Baking Soda Paste
Some people like to make a gritty paste with baking soda and use it like a scrubbing tool, says Dr. Jassey. One way to do that is to mix ½ cup of baking soda with a few tablespoons of water. You may need to adjust the ratio until you have paste that can be spread onto the toys.
Baking soda makes a nice cleaning compound because it is non-toxic. Research also has shown that it is unlikely to trigger asthma or other respiratory issues.4 That said, it can be abrasive, so you should exercise caution when putting it on bath toys. You don’t want to damage the toys or scrub away any protective coating when cleaning them.
Risks of Mold Growing on Bath Toys
Generally, mold and mildew can make kids sick, says Dr. Jassey. “If a toy is moldy and your child is touching it, breathing it in, or getting water squirted into their mouth, it can lead to respiratory problems, rash, allergy issues, gastrointestinal infection, or eye infections.”
However, he says he has never seen a case of this in nearly 20 years of pediatric practice. Still, you may want to exercise caution. Dr. Jassey suggests looking for nonporous toys or machine washable toys because they are easy to clean and less likely to get mold.
“Parents often assume that if a toy looks clean, it is clean,” says Tkachenko. “But mold can easily grow inside squeeze toys where you can’t see it. When in doubt, it’s better to replace the toy than expose your little ones to mold.”
As we wave goodbye to a gray, chilly Winter and enter into the warmer, brighter months in the Northeast, families all around are sure to be basking in the sunshine every chance we can get. The sun can do many wonderful things, but we cannot ignore the harm it can also cause.
While skin cancer in children is rare, it is the healthy habits we instill today that will set them up for a healthy future so they can reduce their likelihood of skin cancer. According to a survey conducted by the American Association of Dermatology Association, 71% of Gen Z young adults are unfamiliar with the risks associated with sunburn. Did you know that you can even get a sunburn on a cloudy day? This is why daily sun protection is essential!
At Concierge Pediatrics, we believe in being more proactive than reactive. Sunscreen and sun protection is a great way to proactively protect your family’s skin health to avoid sunburns, suspicious moles, and the risk of skin cancer. We understand there is much chatter online about sunscreen and safe use. We’re here to answer commonly asked questions about sunscreen and sun protection to help your family make a well-informed, healthy decision rooted in facts and science.
What Are The Benefits Of Using Sunscreen?
Sunscreen helps protect all different skin types from the harmful effects of the sun. When you use a broad-spectrum sunscreen with SPF 30 or higher and water resistance, you can:
Reduce the risk of skin cancer
Avoid sunburn
Decrease signs of aging, like wrinkles
Reduce the appearance of dark spots
What Does Broad-Spectrum And SPF Mean?
Broad spectrum sunscreen means that it provides protection against both UVA and UVB sun rays – two types of ultraviolet (UV) radiation. UVA rays are more deeply absorbed into your skin (dermis) and are responsible for wrinkles and the appearance of aging, whereas UVB rays are absorbed into the epidermis layer of skin and are the cause of sunburns and skin cancer.
SPF stands for sun protection factor. SPF is associated with how much solar energy it would take to burn protected skin. Contrary to popular belief, the SPF number on your sunscreen bottle does NOT mean the amount of time you are protected in the sun. The intensity of the sun changes throughout the day, so, for instance, 1 hour in the sun at 9am could equate to the same amount of solar energy as 15 minutes in the sun at 1pm. There are other factors to consider like where in the world you are, the type of skin you have, and how often you reapply sunscreen. SPF should be used for protection, not a reason to remain in the sun longer. A higher SPF means higher UV protection, so reach for a bottle of broad spectrum sunscreen with at least SPF 30 or higher.
What Are The Ingredients In Sunscreen?
Below is a list of commonly used active ingredients in products that are labeled as sunscreen:
Aminobenzoic acid
Avobenzone
Cinoxate
Dioxybenzone
Homosalate
Meradimate
Octocrylene
Octinoxate
Octisalate
Oxybenzone
Padimate O
Ensulizole
Sulisobenzone
Titanium dioxide
Zinc oxide
These ingredients are classified as “generally recognized as safe and effective” (GRASE) by the American government. The Food and Drug Administration (FDA) is responsible for ensuring the safety of the products we use in the United States. The 2020 CARES Act, passed by congress, reformed and modernized the way FDA regulates drugs like sunscreen. Although the FDA proposed that only zinc oxide and titanium dioxide qualify for GRASE, the CARES Act final report remained consistent with the original 1999 recommendation of the 16 listed ingredients as GRASE.
What Ingredients Should I Look For?
When selecting a sunscreen, look for these 3 things – Broad Spectrum – SPF 30 or higher, as recommended by the American Academy of Dermatologists – Water-resistant
When possible, consider avoiding sunscreens containing the ingredient oxybenzone. While this ingredient qualifies as GRASE and is effective at protecting against the sun’s rays, it has been shown to be an endocrine disruptor, affecting hormone development in children. Any sunscreen is safer than no sunscreen, so it is still OK to use when your preferred sunscreen isn’t available.
EWG Sunscreen Report 2025
Every year, the Environmental Working Group (EWG) releases a publication reporting on the safety and effectiveness of sunscreen. The EWG is an influential American advocacy group who lobbies lawmakers on Capitol Hill to support or enact legislation that aligns with their mission and reform public health and agricultural laws. This year’s report included a recommendation of 500 sunscreens of the ~2,200 examined products, citing concern on the health and environmental effects of some chemical sunscreens. While their advocacy is rooted in scientific research and can be incredibly useful to consumers in making informed decisions, their methodologies and conclusions are sometimes considered controversial among the scientific community. Critics have previously claimed that the EWG has overstated risks and could needlessly cause consumers to avoid using sunscreens. The EWG report does not always align with the standards for effectiveness as set by the FDA, which emphasizes the importance of sunscreen use. However, both groups agree that ingredients like zinc oxide and titanium oxide provide effective use for consumers and are more environmentally friendly for the planet.
With this in mind, it is important to consume all studies with a critical eye and consider multiple expert sources when making a decision for your family. If you are ever unsure, your pediatrician is a great expert to partner with in making the most informed decision for your circumstances. Most importantly, the EWG agrees that “the best sunscreen is the one you wear and apply often” so no matter which brand you choose, you can use it with confidence of sun protection. The most recent sunscreen report from the EWG can be found here.
2026 EWG Bemotrizinol Update
For the first time in 25 years, the Food and Drug Administration (FDA) approved a new chemical sunscreen ingredient called Bemotrizinol (also called BEMT), that does not break down in the sun. Many consider this approval to be a win, as chemical sunscreens are often considered to be a more comfortable and visually inconspicuous option on the skin. For more information on the EWG’s stance on bemotrizinol, click here.
When To Reapply Sunscreen
Every 2 hours
When sweating, like during sports
After being in the water (water-resistant does not mean water-proof!)
After drying yourself with a towel (which may remove sunscreen)
Mineral Vs. Chemical Sunscreen
Mineral sunscreens sit on top of the skin, acting as a physical skin barrier. They contain ingredients like zinc oxide and/or titanium oxide, which reflect the UV rays from the sun. They are generally preferred for children and babies, as they are not absorbed into the bloodstream and are less irritating on sensitive skin. They are also the preferred choice for ocean lovers, as mineral sunscreen is safer for marine life. Some people complain that mineral sunscreens feel sticky on their skin.
Chemical sunscreens absorb into the skin and filter out UV rays. They contain ingredients like oxybenzone and octinoxate. Being absorbed into the skin and bloodstream does not necessarily mean it is unsafe, but some people prefer the barrier method of mineral sunscreens for this reason. The FDA still recommends use of chemical sunscreens for their effectiveness against the sun’s harmful rays.
Despite circulating online misinformation, there are no studies that conclude that sunscreen causes cancer. High amounts of sun exposure, like sun bathing, do have evidence of cancer risk.
Balancing Healthy Vitamin D Levels And Sun Safety
It’s true that vitamin D deficiency is common in the Northeastern United States, and sunscreen does reduce the absorption of vitamin D into the skin. Vitamin D helps promote good bone health, so it’s important to find balance in sun safety and vitamin D intake.
In warmer months, about April through October, children can get their daily dose of vitamin D by spending 15 – 30 minutes in the sunshine. Vitamin D is also found naturally in some foods, both naturally and in fortified store-bought foods.
Vitamin D supplements are also available – speak to your pediatrician before beginning any new vitamin supplements.
What About Getting A Base Burn/Tan?
Lots of people believe that getting a “base tan” will protect the skin in the future. Not true! A study conducted by the American Association of Dermatology found that 40% of surveyed young adults age 18-25 were unaware of tanning risks and 59% believing tanning myths, such as tanning is healthy, and a base tan will prevent sunburn. A base tan will not provide protection from future burns, and the best way to get gorgeous skin is by protecting it.
What To Do If Your Child Gets A Sunburn
Getting a sunburn can be a bummer for any age and cause discomfort. If your child has a first degree sunburn and feels uncomfortable, you can offer these home remedies:
Apply aloe to the skin for a cooling effect and reduce skin peeling.
Use cool compresses to help release heat from the skin.
Take acetaminophen (Tylenol, etc.) for any discomfort – follow instructions on the packaging.
Signs of a more serious sunburn include blistering and/or signs of heat stress, like fever, chills, nausea, and vomiting. If any of these symptoms develop, call your pediatrician for direct guidance.
If your child’s mole meets any of the above criteria, it’s worth having a professional take a look. If you’re unsure, call your pediatrician or dermatologist to take a look and advise if a removal should be considered.
Who Should Wear Sunscreen?
Almost everyone! All genders, all skin types, and nearly all ages. Although sunburn is not as likely for people with darker complexion, skin cancer is still a risk. The only exception to be made is for babies under age 6 months, whose skin is sensitive and fragile, making them at high risk for sunburn. Babies under age 6 months should always be kept out of direct sunlight and their sensitive skin covered.
Where To Apply Sunscreen
About fifteen minutes before heading out into the sun, apply sunscreen to all exposed skin, and remember to apply under straps and on edges of clothing and swimsuits to avoid burn lines at the edge of the clothing. About 1 ounce should be enough to cover your body with sunscreen, but more can be used as needed to ensure full coverage.
Pay attention to application on sensitive skin areas, like eyelids and lips. Sunscreen can be applied directly to the lips or you can buy lip balms containing SPF. Don’t forget to apply sunscreen to commonly missed areas including the scalp, behind the knees, and tops of feet!
How Else To Stay Safe In The Sun
While sunscreen is an excellent protectant against the sun, there are more things your family can do to keep your skin safe, including:
Avoiding the sun when possible during peak times, 10am – 3pm.
Remaining in the shade whenever possible.
Wearing wide brimmed hats.
Covering your skin with cool, tight weave clothing – many swimsuits even come with long sleeves now, which is a great way to stay protected in the water.
Keep babies under 6 months old out of direct sunlight at all times!
Remember to reapply sunscreen every 2 hours.
Drink lots of water – this is good for skin cell production and for keeping cool.
5 Things To Look Out For In A Mole
A changing or strange looking mole can be an indicator of skin cancer. Although skin cancer is rare in children, it is a good idea to regularly monitor new or changing moles on the body. When identifying suspicious moles, remember the ABCDE check
Asymmetry
The mole doesn’t look the same on both sides.
Borders
The mole isn’t round and has jagged edges.
Color
The mole has multiple colors, has uneven color, or is changing in color.
Diameter
The mole is larger than about the size of a pencil eraser (6mm).
Evolving
The mole is changing.
As pediatricians, we know that sun safety isn’t about limiting fun – it’s about empowering your family with evidence-based knowledge and healthy habits that carry you through life. Small choices today can make a big difference tomorrow, so as you head outdoors this season, make sun protection part of your family’s daily routine. If you ever have questions about sunscreen safety, sunburn management, or your child’s skin health, our team is here to help you make the right choice for your family. Enjoy the sunshine!
Located in New Jersey or on Long Island? Concierge Pediatrics provides year-round guidance to protect your child’s health, from sun safety to skin screenings. Learn more about our pediatric practice and enroll your child here.
Concierge Pediatrics Opens New Short Hills NJ Office with Ribbon Cutting and Community Celebration
SHORT HILLS, NJ – April 28, 2025 – Concierge Pediatrics, a leading provider of concierge pediatric care in Short Hills, New Jersey, hosted a ribbon cutting ceremony and grand opening celebration at its new practice located at 730 Morris Turnpike in Short Hills, New Jersey. The event marked the official opening of the pediatric office and brought together local healthcare professionals, business leaders, and community partners.
The evening featured opening remarks from founding pediatrician Dr. Jonathan Jassey, Millburn Mayor Annette Romano, Explore Millburn-Short Hills Executive Director Steve Grillo, and Dr. Debbie Goldenring, the lead pediatrician at Concierge Pediatrics of Short Hills. After the ceremonial ribbon was cut, guests were invited to a networking reception inside the newly designed pediatric office space.
Concierge Pediatrics of Short Hills is led by Dr. Debbie Goldenring, a board-certified pediatrician, and Dr. Nikhil Shah, board-certified pediatrician and pediatric emergency specialist, committed to delivering high-quality, accessible, and relationship-based care for children from birth through young adulthood.
Concierge Pediatrics offers a membership-based pediatric care model designed for modern families seeking personalized, on-demand healthcare for children. Key features include:
24/7 direct access to your pediatrician
Same-day sick visits and extended appointment times
First time visits at home for newborns
Comprehensive care from infancy through young adulthood
Take-home telehealth device for convenience and around-the-clock access to care
By eliminating traditional barriers to care, Concierge Pediatrics provides a more personalized and convenient healthcare experience for modern families in the Millburn-Short Hills area and surrounding New Jersey communities.
To learn more about Concierge Pediatrics and the benefits of concierge pediatric care, visit myconciergepediatrics.com.
Strep throat is a common childhood illness – if you’re reading this, chances are you’ve had strep throat at least once in your life. Not all sore throats mean a strep throat diagnosis, so let’s unpack the basics of what parents need to know about strep, including the different types of strep bacteria, symptoms, contagiousness, treatment, affiliated illnesses, and even some controversy.
Streptococcus – The Bacteria Behind Strep Throat Strep throat is a bacterial infection of the throat and the tonsils. “Strep” is short for streptococcus, which, to children, may sound like the name of a dinosaur, but is actually the name of the round bacteria that infects the throat. Directly translating to “twisted chain of berries”, streptococcus bacteria is identifiable under a microscope by its round, chain-like structure. There are many types of streptococcus, some harmless and others serious. Strep throat is most commonly caused by Group A Streptococcus which will be the focus of the information in this blog.
Not all sore throats are bacterial infections, like strep throat. In fact, viruses are the common culprit for most sore throats, with only about 30% of sore throats in children being diagnosed as strep and even less in adults (about 10%). Strep throat is most commonly found in children between the ages of 5 and 15 years and is extremely rare in babies under 2-3 years old (more on this later in the blog).
Some children with strep throat will develop a reaction called Scarlet Fever. In Scarlet Fever, children will have the typical strep throat symptoms of fever and sore throat, but they also develop a bumpy red tongue (called “strawberry tongue”) and bright red rash that covers much of the body. Scarlet Fever may sound alarming to some people, as it was once considered a dangerous childhood disease. Parents may remember it as the cause of severe illness in older popular media and literature like Little Women, The Velveteen Rabbit, Frankenstein, and Little House on the Prairie. However, a diagnosis of Scarlet Fever is no longer nearly as worrisome due to the development of effective antibiotics as treatment.
How Do I Know if My Child Has Strep Throat?
Common symptoms of strep throat include:
The telltale red and swollen tonsils
Discomfort and some difficulty when swallowing
Fever
Swollen lymph nodes in the throat
White patches in the mouth and on the tonsils
Abdominal pain
Unexplained bad breath (halitosis)
Lack of cold symptoms or coughing
Strep throat is a bacterial infection and as discussed, most sore throats are caused by viruses (which are not treated with antibiotics). Strep throat is definitively diagnosed by a throat culture, which is conducted by taking a long cotton swab and gently swiping the back of the throat by the tonsils. Afterwards, the swab is then placed in a culture container which allows the bacteria to grow if it is present. Clinicians will commonly also perform a quick-test called a “rapid antigen test” at the same time as they would perform a culture. These tests are very sensitive and if positive, the child will be treated with antibiotics and no further testing is needed. If it is negative, there is still a small chance that there might be strep throat so the culture is sent to a laboratory to see if the bacteria grows in a petri dish. Most clinicians will not treat with antibiotics, though, unless the culture comes back positive (usually within a day). At Concierge Pediatrics, all strep tests are done at our in-house laboratory, where we have a throat culture incubator.
In addition, most clinicians will not test children less than 2-3 years old. This is because strep throat is extremely rare in this age group. In the rare case that it is strep, the risk of complications is extremely low. There are occasions where a child this age may be tested, including:
If the child has had close contact with someone who tested positive for strep
If the child has unusual or worsening symptoms, like a rash, high fever, or significant difficulty swallowing
If the pediatrician has other clinical concerns based on their exam
Strep is contagious and spreads through respiratory droplets, so it is best to teach children practice good hygiene including good hand washing practices, covering their mouth with their elbow when coughing or sneezing, and avoiding the sharing of straws, utensils, cups, etc. Once exposed to strep, it can take 2-5 days before symptoms appear.
The Importance of Antibiotics for Strep Throat
If your child is over age 2 (sometimes age 3 in other practices) and tests positive for strep, they will be prescribed an antibiotic. It is important to take antibiotics to treat strep throat. When left untreated for long periods of time, strep throat can cause complications like kidney issues or rheumatic fever, an inflammatory disease that can affect a child’s joints and heart. These complications are rare in developed countries like the United States, but highlight the importance of treatment.
Amoxicillin is the most common antibiotic used to treat Strep throat because it is most effective at fighting off the group A streptococcus bacteria and shortening the duration of symptoms. This antibiotic also has few and generally mild side effects and there has been no reported drug resistance. A doctor may sometimes choose a different antibiotic due to risk of allergic reactions or other specific situations related to the child. It is important to make sure your child finishes the complete course of antibiotics as directed by your prescriber, unless they tell you to stop. It can be tempting to discontinue antibiotics once your child is feeling better, but stopping too soon creates risk for antibiotic resistance in the future, meaning the bacteria could become stronger than the medicines we use to fight off the bacteria.
Sometimes, antibiotics can cause mild side effects such as upset stomach or a secondary yeast infection. Eating greek yogurt can help to reduce these side effects, as greek yogurt is full of probiotics. Probiotics will not interfere with your antibiotic treatment and will help to restore gut balance, easing stomach discomfort and reducing the possibility of yeast infection. If your child is experiencing any other mild side effects, do not stop the antibiotics, but be sure to give your pediatrician a call to talk through solutions. If your child is experiencing life-threatening anaphylactic reactions like difficulty breathing, hives, or facial swelling after taking antibiotics, seek medical care immediately.
Once your child receives a strep throat diagnosis, they should rest at home and begin their antibiotic treatment. After 24 hours on the antibiotics, if they are starting to feel better and have also been fever-free for at least 24 hours, they can return to school and most activities.
In addition to antibiotics, home remedies and comfort measures (also called supportive care) can be taken at home to help relieve symptoms of strep or any sore throat, including:
Gargling with warm saltwater
Acetaminophen (Tylenol etc.) and Ibuprofen (Motrin, Advil, etc.) for pain and fever management
Drinking plenty of fluids, especially warm liquids like tea and soup
Plenty of rest, which will allow your body to heal
Eating soft, bland foods to avoid irritation
It is important to stress again that most sore throats are viruses and antibiotics will not treat a virus. Taking antibiotics unnecessarily is indeed problematic because, as discussed, they can cause side effects or other reactions as well as contribute to antibiotic resistance.
Strep Can Come Back
It is possible to get strep throat more than once a year. Sometimes kids will test positive for strep and be considered “strep carriers” meaning they aren’t showing symptoms of strep throat but pose a risk of infecting others because they are carrying the bacteria in their throat. If your child has 7+ strep throat diagnoses in one year or 5+ infections per year 2 years in a row, you may want to speak with your pediatrician or an ear, nose, throat (ENT) specialist about treating as a carrier or, if these are true repeated infections, the possibility of a tonsillectomy. A tonsillectomy is the removal of tonsils and while it is possible to get strep throat without tonsils, the likelihood is reduced. A tonsillectomy may also have other benefits like improved sleep and improved ease of swallowing.
What is PANDAS?
Many parents have been discussing a syndrome called PANDAS so we will briefly discuss it here. Recurrent strep infections can sometimes be associated with a rare condition called PANDAS, which stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections. This is often a controversial diagnosis, with more research needed to fully understand the potential link with strep infection.
Most researchers believe that PANDAS is an autoimmune reaction (i.e., the child’s immune system overreacting to the strep infection) that can appear during childhood, usually between 3 years old and the age of puberty. Symptoms typically appear very suddenly following a strep infection, and can be significant. There is also thought that people with a family history of autoimmune diseases or rheumatic fever are at higher risk. Symptoms include obsessive-compulsive behavior or motor or vocal tics similar to someone with Tourette’s syndrome, sometimes paired with increased irritability or anxiety, difficulty sleeping, or bed wetting. There is no test to diagnose PANDAS – it is a diagnosis based on experience and the clinical examination of the healthcare provider. It can be treated with cognitive behavioral therapy and sometimes medication. Importantly, a full course of antibiotics must be taken to eliminate the streptococcus infection that may have been the cause.
While the idea of PANDAS can understandably cause concern, it is considered a very rare condition. There are many impassioned conversations among parents regarding PANDAS but it is important to speak directly with your pediatrician about any concerns you may have, to ensure you receive accurate and evidence-based information and an appropriate path forward for your child based on their personal history and circumstances.
It can be frustrating to navigate childhood illnesses, but with the right information, parents and caregivers can be empowered to take action towards the path to recovery. Remember, if you ever have questions about your child’s symptoms or care plan, don’t hesitate to reach out to your pediatrician — we’re here to guide you with expert, compassionate support every step of the way and help your child feel better, faster.
As of March 13, 301 Measles cases have been reported this year in the United States across 15 jurisdictions. Though the majority of cases have been in the state of Texas, a new case of Measles in an unvaccinated child under age 5 was reported on March 11 in nearby Suffolk County on Long Island. This has prompted many questions and concerns from parents and caregivers across our communities – we’re here to break it down for you and help you proceed confidently as an well-informed decision-maker.
What is measles?
Measles, also called Rubeola, is an airborne, extremely infectious, and potentially severe illness most commonly recognized by its signature red blotchy rash. The virus lives in the nose and throat of an infected person and is spread through the microscopic droplets, so if an infected person coughs, sneezes, or even breathes close to someone else, the infection can be easily spread. Infectious droplets can remain airborne and on some surfaces for up to 2 hours even after the infected person has left the area. Although the virus can affect anyone, it is most commonly seen in children.
Because of its high infectiousness, Measles spreads rapidly during times of high travel, like school breaks. People who contract the Measles virus usually begin to develop respiratory symptoms, like cough and runny nose, as well as a fever and watery eyes 8-12 days after being exposed. The hallmark symptom of Measles – a red blotchy rash across the body – tends to appear 3-5 days after the initial symptoms appear.
While Measles can be a minor illness for many, others will develop serious complications which can lead to death, and it can be difficult, even impossible, to determine who will be affected with serious complications. This is why vaccination is the #1 recommended action to take for Measles prevention.
A Brief History Of The Measles Virus & Vaccine
The first known documentation of Measles came from a Persian physician in the 9th century. By 1912, healthcare providers and labs in the United States were required to report all cases to the health department. In the first 10 years of this reporting, approximately 3-4 million Measles cases were reported annually, with about 48,000 people hospitalized. About 400-500 people died from complications of the virus each year, including children who were previously considered to be healthy.
In 1954, physicians began efforts to seek a cure for Measles and by 1963, a vaccine for Measles was developed and licensed for use in the United States. In an effort to provide convenience and thereby increase vaccination rates, the Measles vaccine was then developed into a combined single vaccine to target 3 diseases – Measles, Mumps, and Rubella. This is what we now know as the “MMR” vaccine. A Measles outbreak among vaccinated children in 1989 prompted a recommendation of a second dose of the MMR vaccine for all children, which further reduced the number of Measles infections. By the year 2000, Measles was declared eliminated in the United States due to high vaccination participation.
Why Do We Have Measles Outbreaks Now?
Despite the good news of Measles elimination in 2000, the virus has been making a comeback in recent years due to global travel (it has not been eliminated worldwide) and reduced immunization participation. One of the most severe contributing factors to reduced vaccination can be attributed to a paper published in 1998 from a British gastroenterologist, Andrew Wakefield, which suggested that children who were diagnosed with autism developed their symptoms within a month of receiving their MMR vaccine. Wakefield theorized that autism could be caused by a breakdown of the intestinal lining from the vaccine, allowing encephalopathic proteins to be absorbed. This study induced widespread panic among parents who began to feel hesitant about the safety of providing the MMR vaccine to their children.
Scientifically, this study was flawed and data did not support any true association between the MMR vaccine and an autism diagnosis. Subsequently, several epidemiologic studies were conducted in an effort to address parental fears raised by the Wakefield study. These studies, paired with the observations of large-scale vaccination programs, disproved the claims of the 1998 study. However, the fears among parents were still difficult to quell, especially as other anecdotal theories emerged suggesting the combination of vaccines or the preservative (thimerosal) used in the vaccine may cause autism.1
Twenty studies have since disproven those claims, but disinformation campaigns, especially across the internet and social media, continue to instill fear among parents and those who have yet to be vaccinated. The resulting lower vaccination rates create more opportunity for outbreaks of preventable diseases like Measles.2
The good news is that people who have received 2 doses of the MMR vaccine are unlikely to contract Measles. However, Measles vaccines are not typically recommended until 12 months of age, leaving infants especially vulnerable to contracting the disease and putting them at risk for complications.
Who Is At Risk For Contracting Measles?
For persons who are not vaccinated and have never been exposed to the virus, the likelihood of contracting measles is 90% in close-contact settings. Close contact is considered being in the same enclosed space as someone infected with Measles. It is also possible that an unvaccinated person can contract Measles after being in a room within 2 hours of an infected person. If you are unvaccinated and had any exposure to someone with Measles, it is a health risk.
For parents with babies who are too young to receive the Measles, Mumps, and Rubella (MMR) vaccine, precautions can and should be taken during times of outbreak:
Avoid exposure to Measles by limiting contact with crowded places and public transport
Stay away from sick individuals, especially those who have symptoms of Measles like fever, rash, cough, and/or red eyes.
Be vigilant about visitors – ask anyone with recent travel history or symptoms of illness to postpone visits with your baby.
Ensure that everyone in your household, including caregivers and frequent visitors, is fully immunized against Measles with 2 vaccine doses.
If exposed, speak with your baby’s primary care physician right away. Immune globulin (IG) may be an option for babies as a temporary protection measure. This is most effective if given within 6 days of Measles exposure without vaccine protection.
Avoid travel to areas of outbreak. If you cannot avoid travel, speak with your primary care doctor or local health department to determine if an early MMR vaccine is appropriate.
If breastfeeding, consider continuing this to provide some passive immunity to your baby.
Ensure good hygiene practices such as handwashing with soap and water, disinfect frequently touched surfaces, and cough or sneeze into your elbow.
Symptoms And Complications Of Measles
Common initial symptoms of Measles appear 7-14 days after exposure, including:
Fever
Cough
Red, watery eyes
Runny nose
Tiny white spots inside the mouth
These telltale symptoms of Measles are likely to appear 3-5 days after initial symptoms:
Flat, red, spotty rash on face, spreading to neck, trunk, arms, legs, feet. Click here to see an image of Measles rash.
After rash appears, the fever may spike to >104° F
1 in 5 unvaccinated people in the US who get measles is hospitalized. Complications from Measles infection include:
Pneumonia (fluid in lungs)
Encephalitis (brain swelling)
Premature birth or low birth weight
Rarely, death
Will Vitamin A Or Cod Liver Oil Help Lower My Risk?
There are some claims circulating among communities that vitamin A or cod liver oil (which contains higher levels of vitamin A) will help to prevent and treat Measles. This claim has some misinformation that can put people at risk for dangerous health outcomes.
During a Measles infection, the virus greatly depletes vitamin A in the body, which can cause complications like blindness. The World Health Organization (WHO) recommends that people already infected with Measles receive 2 doses of vitamin A from their physician to boost those levels in the body. However, too much vitamin A can be harmful! Large doses of vitamin A should only be recommended and administered by a licensed healthcare professional such as a physician. Self-administration of large doses can cause negative side effects such as vomiting, liver damage, or blurry vision. Vitamin A doses are provided to people infected with Measles, but vitamin A cannot prevent nor cure Measles.
So while it should generally be OK to take a vitamin A or cod liver oil supplement as part of your regular routine, too much can be harmful and it should not replace other proven Measles prevention methods.
If I Had My Vaccine, Am I Safe?
The great news is that 1 dose of the MMR vaccine provides 90-93% protection against contracting Measles, and 2 doses of the MMR vaccine increases the protection rate up to 97+%. Fully vaccinated people are unlikely to need any additional vaccinations against Measles.
People born before 1957 likely already had natural exposure to the virus. If you were born after 1963, it is likely that you received a vaccine, but you should check your health records and speak with your primary care physician or local health department if you’re unsure. Families following the CDC & AAP-recommended vaccine schedule most likely received their first MMR vaccine between 12-15 months old and their second between 4-6 years old (or within 3 months of their first dose)3. One exception to this is children who travelled internationally or were in an area of outbreak may have received their first dose as early as 6 months old.
If you were exposed to Measles and have not been vaccinated, it is generally recommended to receive a Measles vaccine within 72 hours of exposure. However, it is imperative to first contact your primary care provider and/or local health department for guidance to protect yourself and others.
Vaccination is the most important way to avoid contracting Measles. If you are a Concierge Pediatrics member and have any questions about your child’s Measles risk or vaccination status, give us a call for guidance. We’re here to help you make the best decision for your family’s well-being.
What Else Can I Do to Protect Against Measles?
Stay vigilant! If you are unvaccinated or immunocompromised and were exposed to Measles or think you may have been exposed, isolate yourself and limit contact with other people, and call your healthcare provider. People who have received 2 doses of the MMR vaccine and are healthy should call their healthcare provider, but are unlikely to need to take additional action.
Find a trusted, evidence-based source of scientific information. At Concierge Pediatrics, our board-certified pediatricians and pediatric teams are here to help you navigate all of your concerns and questions. Other great resources for evidence-based information include the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the World Health Organization (WHO), and your local health department.
The team at Concierge Pediatrics understands that navigating health concerns like outbreaks of Measles can be worrisome. We are here to provide clear, evidence-based guidance so you can be prepared to make confident decisions. Whether you have questions about your child’s risk, vaccination status, or how to best protect your family, we’re just a phone call away. Your child’s health and safety are our top priorities, and we’re committed to being your trusted partner in expert pediatric care, trustworthy information, and compassionate support.
A healthy heart is essential for a child’s overall well-being. In this article, we share children’s heart health tips to help parents promote lifelong cardiovascular wellness. A healthy heart is the foundation of lifelong wellness, and building good habits in childhood sets the stage for a strong future. At Concierge Pediatrics, we’re dedicated to helping families make heart-healthy choices that are simple, effective, and fun! Here are three key ways to support your child’s heart health:
1. Encourage an Active Lifestyle
Physical activity is one of the best ways to keep the heart strong. The American Heart Association recommends at least 60 minutes of moderate to vigorous activity per day for kids. One of the best children’s heart health tips is encouraging regular physical activity to keep kids active and healthy Encourage your child to:
Play outside—running, biking, or jumping rope are all great for cardiovascular health.
Join a sport or participate in structured activities like dance or martial arts.
Limit screen time and replace it with movement-based activities.
Making exercise a fun and regular part of their day helps instill lifelong healthy habits!
2. Fuel with Heart-Healthy Foods
Nutrition plays a vital role in heart health. A balanced diet rich in essential nutrients helps keep cholesterol and blood pressure levels in check. Try these heart-smart food choices:
Fruits and Vegetables – Provide fiber, vitamins, and antioxidants to support a healthy cardiovascular system.
Whole Grains – Swap white bread and refined grains for whole grains like oatmeal, brown rice, and whole-wheat bread.
Lean Proteins – Opt for lean meats, fish, beans, and nuts for protein without excessive saturated fats.
Healthy Fats – Avocados, nuts, and olive oil are great sources of good fats that support heart health.
Limit Sugar and Processed Foods – Reducing added sugars and processed foods helps maintain healthy weight and prevent heart-related issues.
3. Prioritize Restful Sleep and Stress Management
Sleep and stress levels directly impact heart health. A well-rested child is better equipped to maintain a healthy weight, regulate blood pressure, and handle daily stress. To ensure proper rest:
Establish a consistent bedtime routine to support quality sleep.
Keep screens and electronic devices out of the bedroom before bedtime.
Encourage open communication about stress and teach simple relaxation techniques like deep breathing or mindfulness.
By focusing on these three simple strategies—staying active, eating well, and prioritizing sleep and stress management—you’re setting your child up for a lifetime of heart health.
At Concierge Pediatrics, we’re here to support your family in achieving optimal wellness. Unlike other pediatric offices, we do annual EKGs on checkups, read by a pediatric cardiologist, starting at age 6. Schedule a check-up today to ensure your child’s heart is as healthy as can be!
The start of a new year is the perfect time to focus on your family’s health and well-being. As parents, setting family health goals for 2025 not only benefits your children’s physical and emotional development but also lays the foundation for lifelong healthy habits. Whether it’s healthier kids, better nutrition, or more active routines, small changes can lead to lasting benefits. Here are some actionable steps to ensure 2025 is your family’s healthiest year yet.
Prioritize Balanced Nutrition
Good nutrition is key to your child’s growth and overall well-being. Start the year by:
Planning meals together: Involve your kids in healthy meal planning and grocery shopping to teach them about balanced diets.
Incorporating more whole foods: Focus on nutrient-rich fruits, vegetables, whole grains, and lean proteins while limiting processed snacks and sugary drinks.
Setting family meal times: Regular meals together encourage better eating habits and strengthen family bonds.
Encourage Regular Physical Activity
Staying active is essential for maintaining a healthy weight, improving mood, and building strong bones and muscles. Aim for:
Daily movement: Encourage at least 60 minutes of physical activity each day. This could include outdoor play, bike rides, or joining a sports team.
Family fitness activities: Take walks, go hiking, or have family-friendly workout sessions at home.
Limiting screen time: Balance technology use with active play to keep your child engaged and moving.
Foster Good Sleep Habits
Quality sleep is essential for children’s physical and mental health. Improve your child’s sleep hygiene by:
Establishing a bedtime routine: Consistent sleep schedules help regulate their internal clock.
Creating a sleep-friendly environment: Keep bedrooms cool, dark, and quiet, and minimize screen time before bed.
Prioritizing rest and relaxation: Encourage mindful activities like reading or taking a warm bath before bed.
Emphasize Emotional Wellness
Mental health is just as important as physical health. Support your child’s emotional well-being by:
Encouraging open communication: Create a safe space for your child to express their feelings.
Practicing mindfulness: Teach breathing exercises or introduce kid-friendly yoga to reduce stress.
Modeling self-care: Show your children that taking care of mental well-being is a priority for the whole family.
Schedule Regular Checkups
Preventive care is crucial for catching potential health issues early. Stay on top of:
Annual wellness visits: Routine pediatric checkups ensure your child’s health and development are on track.
Vaccinations: Keep up with recommended immunizations to protect against serious illnesses.
Dental checkups: Routine visits to the dentist help maintain strong teeth and oral health.
Set Family Goals Together
Making health a family affair keeps everyone motivated and accountable. Consider:
Creating a family health challenge: Track steps, eat more vegetables, or cut back on sugary treats together.
Celebrating milestones: Reward progress with fun activities like a family outing or movie night.
Involving everyone: Let each family member set a personal health goal to stay engaged.
Starting the year with clear health goals can transform your family’s lifestyle and set your children up for long-term success. Remember, small changes lead to big results—whether it’s healthier eating habits, more exercise, or better sleep, every step counts toward a healthier 2025.
If you’d like personalized guidance on your child’s health journey, our Concierge Pediatrics team is here to help. Schedule an appointment today to start the year strong!
Hello. I am Dr. Debra Goldenring, and I am excited to join the team at Concierge Pediatrics as the lead doctor in our Short Hills location. Born and raised in northern New Jersey, medicine has been my life as long as I can remember. Growing up as the daughter of a well-known pediatrician, Dr. William Semel, I was fortunate to begin my pediatric career working side by side with him in our Livingston practice. While my formal training at Williams College and my medical degree from New Jersey Medical School taught me the technical side of pediatrics, learning from my father allowed me to see firsthand the importance of being compassionate, empathic, and a great communicator. These skills, along with my overall desire to build relationships, have led to an incredibly rewarding career in Essex County for nearly 30 years. I love what I do, and it has been my pleasure and honor to care for so many patients over the years—and now many of these patients’ own children as well. My success has been built on my belief that my job is not only to care for the child but also to support the parents as they navigate the numerous challenges their child may face from birth to well beyond their college years. I seek to help minimize the worries that come with parenthood and take great pride in helping a mom or dad with whatever support they need along the way.
On a personal note, I have a wonderful and supportive family. I have been married for 35 years to my husband, Steve, and we have two sons, Sam and Jake, and recently added my daughter-in-law (Jake’s wife), Rachel, to our family. In my free time, I enjoy being with friends and family, exercising, baking, walks with my fur baby, Palmer, and spending time on Long Beach Island.
I look forward to meeting you soon and encourage you to reach out with any questions that you may have about Concierge Pediatrics, which I strongly believe is the future of pediatric care.
A great way to learn more is to visit the FAQs section of our site!
The holiday season is a time for family gatherings, festive celebrations, and often, long-distance travel. While these moments create cherished memories, they also bring unique health challenges, especially for children. Crowded airports, changing time zones, and exposure to new germs can put your little ones at risk of illness. At Concierge Pediatrics, we’re here to help you navigate the season with confidence. In this blog, we’ll share practical tips to keep your kids healthy and happy while traveling this holiday season.
1. Prepare for Travel with a Pre-Trip Checkup
Before embarking on your holiday journey, consider scheduling a wellness checkup for your child. A quick visit to Concierge Pediatrics can help ensure your little one is in good health and up to date on necessary vaccinations, such as the flu shot. If your child has a chronic condition, we can provide personalized recommendations for managing their health while on the go.
2. Pack a Health Essentials Kit
A well-stocked travel health kit is a must for holiday trips. Be sure to include:
Hand sanitizer and disinfectant wipes
Over-the-counter fever reducers (e.g., acetaminophen or ibuprofen)
Any prescription medications your child may need
Band-aids and basic first-aid supplies
A thermometer
Extra masks, especially when traveling in crowded spaces
Having these essentials on hand ensures you’re prepared for minor health concerns that may arise while away from home.
3. Keep Germs at Bay
Travel often means exposure to new environments, and with that comes the risk of encountering germs. Here’s how to minimize exposure:
Encourage Handwashing: Teach your child to wash their hands frequently, especially before meals and after touching surfaces in public places.
Sanitize Surfaces: Wipe down airplane tray tables, armrests, and hotel room surfaces with disinfectant wipes.
Wear Masks When Needed: Masks can provide extra protection in crowded places like airports or on public transportation.
By practicing good hygiene, you can significantly reduce the risk of illnesses like colds, flu, and stomach bugs.
4. Maintain Healthy Routines
Travel often disrupts regular routines, but maintaining consistency can help your child stay healthy:
Stick to Sleep Schedules: Try to align your child’s sleep schedule with your destination’s time zone a few days before traveling to prevent jet lag.
Stay Hydrated: Dehydration can weaken the immune system, so encourage your child to drink plenty of water, especially during flights.
Prioritize Nutrition: Pack healthy snacks like fruits, nuts, and granola bars to avoid the temptation of unhealthy travel food.
By keeping routines as stable as possible, your child will feel more comfortable and less stressed during the journey.
5. Keep Kids Entertained and Stress-Free
Travel can be stressful for children, especially during long trips. Pack entertainment options like books, puzzles, and games to keep them occupied. Stress can lower immunity, so creating a calm and enjoyable travel experience is just as important as taking physical health precautions.
6. Take us with you
While no one wants to think about illness while traveling, it’s important to be prepared. We recognize the importance of having high quality care and access to your pediatrician at all times. When you are on vacation, we will be there for you through our state-of-the art Nonagon telehealth device. Using this convenient device, paired with your smartphone, our pediatricians will be able to conduct multiple, clinically-accurate physical exams that will provide them with the information they need to accurately diagnose your child’s illness and swiftly provide the support you need.
Traveling during the holiday season doesn’t have to compromise your child’s health. With a little planning and preparation, you can keep your family safe, happy, and ready to make the most of your holiday adventures. If you have any health concerns before your trip, the team at Concierge Pediatrics is here to help. Schedule a pre-travel checkup today and set off on your holiday journey with peace of mind.
Here’s to a happy, healthy, and memorable holiday season!
The time change (whether it’s moving forward in spring or back in fall) can be challenging for parents and kids. Here are some tips to help ease the transition:
1. Gradual Adjustment
Start adjusting bedtime gradually: In the days leading up to the time change, shift bedtime and wake-up time by 10-15 minutes earlier (for “spring forward”) or later (for “fall back”) each day. This eases the impact on sleep.
Adjust naps: If your child still naps, shift their nap time in the same gradual manner.
2. Consistency in Routines
Maintain bedtime routines: Stick to familiar bedtime routines (bath, stories, quiet time) so kids know it’s time to wind down, even if the clock has shifted.
Keep mealtimes steady: Align meal times with the new schedule to help their internal clocks adjust faster.
3. Natural Light Exposure
Morning light for earlier wake-ups: After the time change, open blinds and let in natural light as soon as your child wakes. This helps reset their internal clock.
Limit evening light: As bedtime approaches, dim lights to encourage the production of melatonin, the sleep hormone.
4. Physical Activity
Encourage daytime activity: Physical activity during the day can help children feel tired and ready for bed at the appropriate time.
Avoid late-day overstimulation: Keep stimulating activities earlier in the day to prevent difficulty winding down in the evening.
5. Be Patient and Flexible
Understand sleep disruptions might occur: It can take a few days or even a week for kids to fully adjust, so be patient with extra fussiness or sleep resistance.
Be flexible: While you work towards the new schedule, be understanding if they take a little longer to adjust.
6. Extra Comfort
Comfort items: If your child is struggling to fall asleep or wakes up early, offer extra comfort like their favorite blanket or stuffed animal to help soothe them back to sleep.
7. Limit Screens Before Bedtime
Screen-free wind-down: Avoid screens (phones, tablets, TVs) at least an hour before bedtime, as the blue light can interfere with melatonin production.
These tips can make the time change easier for both parents and children!
$300 of Every New Concierge Pediatric Member Goes to Support Sunrise
Sunrise Day Camp–Long Island is excited to announce our newest sponsor Concierge Pediatrics — a membership-based practice, giving patients unprecedented access to their pediatrician, greater convenience with same-day appointments and zero wait times, and the personalized care that its members are looking for from their pediatrician. Concierge Pediatrics is conveniently located at 1520 Northern Blvd in Roslyn, NY.
For every new member that joins Concierge Pediatrics through the end of the year, Sunrise Day Camp Long Island will receive $300 to help bring the joys of childhood back to children battling cancer.
