Important Information During the Coronavirus Outbreak
Remember you are the front line in the protection from this pandemic. Remember to use basic infection control strategies such as social distancing, masks, and frequent hand washing. As always, we will remain available to address your concerns and worries during this difficult time. Thank you for your understanding and patience with us as we do our very best to provide the care your children need and deserve.
In order to protect our patients, families, staff, and our community from the spread of the coronavirus (COVID-19) we will continue to follow safe public health measures.
1) All staff, parents, and children over age two need to wear a mask before entering the office. If you do not have a mask, we will provide you with one.
2) With some exceptions, we request that visits are limited to the child who is being seen and one parent or caregiver. We want all children and families to feel comfortable during their visit and will accommodate other family members, as needed. For established patients 12 years or older, we ask that the parent participate in the visit by phone and stay in their car in an effort to practice social distancing.
3) We are still not using our waiting room and request that all patients (except walk-in the first hour) wait in their car until they are met at the door by a nurse. Patients will be escorted to the exam room. Air purifiers with MERV 13 filters have been installed in all exam rooms, and other areas in the building. Glass dividers have been installed to separate the reception area, the nurses area, and the hallways.
4) All sick visits (including most walk-in visits) will be seen in our well ventilated outdoor or indoor isolation rooms. Dr Evans, Dr. Heath, or Eric Bornemann will meet you in these rooms wearing PPE.
5) Our Telehealth platform is Sewaneepeds.doxy.me. Telehealth may be appropriate for many visits such as ADD/ADHD management, asthma management, and some sick visits. If you are interested in a Telehealth encounter, please request this when you call for an appointment.
6) We have several options for SARS-CoV2 testing. We have a sensitive in-office PCR test with results in 20 minutes. We also can send samples to Genetic Assays and Path Group. These are also PCR tests and results are back in 24-48 hours. Here is a link from Vanderbilt Children's Hospital video to help your child prepare for the test: COVID-19 test
Sewanee Pediatrics is recognized by the CDC!
Sewanee Pediatrics is featured on the CDC website as one of 25 practices in the US for our work with improving HPV vaccination rates. We are an HPV Vaccine is Cancer Prevention Champion Winner in 2019!
Measles Outbreak: How Do I Protect My Family?
Measles cases are spreading across the country, including Tennessee, and many families are contacting us to learn how to best protect their children and themselves. We hope that the information in this article will be helpful.
Measles is a highly contagious, airborne viral illness. So contagious, in fact, that if an unprotected person enters a room where a person with active measles was 2 hours earlier, they have a 90% chance of getting measles. The virus can be transmitted from 4 days before the rash becomes visible to 4 days after the rash appears. In areas of the country where there are numerous active cases and the virus is spreading, it is very important to make sure your family is protected.
The good news is that there is a safe and effective measles vaccine. Measles vaccine is currently part of two licensed combination vaccines: the MMR (measles-mumps-rubella) and the MMRV (measles-mumps-rubella-varicella). There is no currently available single component measles vaccine.
MMR is routinely first given to children at 12-15 months of age per the standard schedule. The second dose of MMR is routinely given between 4-6 years of age. The second dose is not a booster, but rather is intended to produce immunity in the small number of people who fail to respond to the first dose. Between 2% and 5% of people do not develop measles immunity after the first dose of vaccine. This occurs for a variety of reasons. The second dose is to provide another chance to develop measles immunity for people who did not respond to the first dose. The second dose can be given as early as 4 weeks (28 days) after the first dose and be counted as a valid dose if both doses were given after the child's first birthday.
If you live in, or are traveling to, a region where there is a current measles outbreak and your child has only had their first vaccine, you should discuss getting the second vaccine early with your doctor. It takes 10-14 days for the body to build up protection from the vaccine. Why don't we give the second dose early for everyone? Unlike measles which gives lifetime immunity after two shots, protection from mumps starts to diminish after 7-10 years. By waiting to give the second MMR, we provide longer protection from mumps. (Mumps has already been a problem at some college campuses and other places.)
How can I protect my infant who hasn't yet received the 12 month MMR? If your child is at least 6 months old, they can receive a shot early. However, this will only give them temporary protection and they will still need the two routine doses at 12-15 months and 4-6 years of age.
Children under 6 months of age are not eligible to receive MMR vaccine. Antibodies circulating from their mothers prevent them from having an appropriate response to the vaccine. The best advice for parents planning to travel with infants less than 6 months of age to an outbreak area (either in the US or abroad): don't go.
What about parents, grandparents, aunts and uncles? People born prior to 1957 are considered immune because measles was widespread before the vaccine. Anyone who has had two doses of vaccine or has proven measles immunity by antibody titers (bloodwork) is considered protected. There is no indication for a third measles vaccine. If you are not sure, or had only one vaccine, the CDC has great information here.
Vaccination does not just protect our families, but also protects those vulnerable members of our community who cannot get the vaccine either because they are infants and too young, are undergoing treatment for cancer, have immune deficiencies, or are immunosuppressed because they have had an organ transplant. By vaccinating your family you are helping to keep our community as safe as possible and contributing to herd immunity. #VaccinesSaveLives