Author: Anderson Hills Pediatrics

Is your infant currently being fed in part or fully with a Similac ready-to-feed liquid formula product? If so, you may be impacted by a recent formula recall from the manufacturer, Abbott Nutrition.

The recall was issued after a small percentage of bottles had caps that were not sealed completely, which could result in spoilage. A spoiled product could lead to gastrointestinal symptoms such as diarrhea and vomiting in your child.

Depending upon the lot number, the following products may be included in the voluntary recall:

• Similac 360 Total Care
• Similac 360 Total Care Sensitive
• Similac Special Care 24
• Similac Pro-Total Comfort
• Similac NeoSure
• Pedialyte Electrolyte Solution

The code is printed on the product packaging near the expiration date (see product image below). Additional information, such as affected lot numbers in the recall by Abbott Nutrition, is available on their website: Similac Recall.

Please do not hesitate to contact our office at  if you are concerned that your infant may have symptoms related to a spoiled product or need a suggested formula replacement.

Thank you for trusting us with your child’s care!

Our goal at Anderson Hills Pediatrics is to provide the best care to your child, so they can achieve the best possible health and quality of life. Behavioral health concerns (such as anxiety, depression, behavior problems, and adjustment concerns) often arise in childhood and can impact a child/teen’s functioning. To continue our support with these common concerns, we are hiring an additional behavioral health specialist, Vanessa Sinclair, LPCC-S, to join our team at the Amelia location!

Caitlin Geiser, LPCC-S our current behavioral health specialist will move to the Anderson location full-time starting in November.

Both Caitlin and Vanessa are highly qualified, fantastic counselors. For the best treatment, your child will be treated by the same counselor for the entirety of their treatment plan.

Our behavioral health specialists will submit a separate bill to your insurance company for the service. Depending on your specific coverage, you will either be charged a second copay or be billed for any balance not paid by your insurance (deductible and/or co-insurance).  If you have Ohio Medicaid, the services will be covered.

Because specific benefits differ among insurance plans, please call your insurance company and ask for coverage information for the billing codes (CPT codes) listed below.

CPT code            Mental Health Services   

90791                  Psychiatric Diagnostic Evaluation

90832                 Psychotherapy 30 minutes, with patient and/or family member

90834                 Psychotherapy 45 minutes, with patient and/or family member

90846                 Family Psychotherapy (without patient present)

90847                  Family Psychotherapy (with patient present)

The coverage level that applies to the therapy services may differ from the coverage level that applies to the medical doctor’s charge.

If you have any questions about our therapy services after talking to your insurance company or would like to schedule an appointment, please call 513-232-8100. Please note that your child’s primary pediatrician may need to see your child for a visit before scheduling an appointment with our behavioral health therapists.

The FDA approved an Emergency Use Authorization (EUA) for Moderna and Pfizer’s updated COVID booster vaccine for children twelve years and older. This updated booster dose will now include the Omicron BA.4/5 spike protein to help reduce the spread of the more recent COVID variants.   We are waiting for the CDC vaccine advisory committee to confirm its approval and cannot provide the vaccine until both the FDA and CDC have approved its use.

Once fully approved, booster doses will be available for any patient who is 12 years of age and older and has completed their initial series of the COVID-19 vaccine or received a booster dose at least 2 (two) months prior to the current (updated) booster.

We plan for the updated booster to arrive shortly after full approval.  We can provide COVID vaccines, including the updated booster, when your child receives their flu vaccine at upcoming flu clinics.  Please contact our office to schedule an appointment for flu and/or the updated COVID booster vaccine.

Thank you for trusting us with your child’s care!

Why does my child need to get a flu shot?

Flu shots reduce the risk of getting the flu. Some children vaccinated against the flu may still get sick but are significantly less ill. This is important because the flu can have severe complications, such as pneumonia or hospitalization.

If your child is younger than 5 years or has certain chronic conditions, they are at an even higher risk of severe complications from the flu.

My child got a flu shot last year. Do they really need one this year?

Flu viruses change, so the vaccine gets updated to keep up with the viruses that may be most common during the upcoming flu season. Even if your child got a flu vaccine last year, their immune protection from it decreases over time. Getting a flu shot every year is their best protection.

Isn’t the flu the same thing as a cold?

Colds are usually milder than flu. People with colds are more likely to have a runny or stuffy nose. Colds generally do not result in serious health problems.

The flu, however, can cause serious health problems like pneumonia or hospitalizations. The flu can cause serious health problems like difficulty breathing or dehydration, sometimes requiring a stay in the hospital or even the intensive care unit. In rare cases, the flu can lead to death.

Can’t you get the flu from the flu shot?

No, the flu vaccine can’t give your child the flu. A flu vaccine may cause side effects that feel like the flu, but they are mild and short-lasting. These are signs that their immune system is working and building protection against the flu.

Does my child need a flu vaccine if they already got a COVID-19 vaccine?

Yes, they do! A COVID-19 vaccine does NOT protect your child from the viruses that cause the flu. Many children at higher risk from COVID-19 are also at higher risk of flu. It is safe for your child to receive the flu vaccine and COVID-19 vaccine at the same time.

Flu vaccination decreases your child’s risk of getting flu and its potentially serious complications, which can result in hospitalization and even death.

Anderson Hills Pediatrics recommends that all children 6 months and older get this year’s flu vaccine.

Ready to schedule for one of our flu clinics? Click below to get started or call our office at 513-232-8100 or visit the patient portal .

Current Clinic Dates are as follows: From September 10th through October 22nd

• Saturdays from 9:00 AM to 12:00 PM at our Anderson location
• Wednesdays from 10:00 AM until 4:00 PM at our Anderson location
• Fridays from 10:00 AM until 4:00 PM at our Amelia location

Flu Clinic Additional Information: In our continued efforts to ensure your safety, we aim to keep your family in the vehicle throughout the visit.

• Where to go: We will have Flu Clinic signage in our parking lot to notify and guide you through the visit. We will have designated areas for check in and vaccine administration. Again, weather permitting, this year’s clinics will be conducted from the comfort of your vehicle.
• How to Dress: As you arrive, please ensure all children over the age of one (1) dress so that one arm is easily freed of clothing in order for us to give the vaccine. The best option is a sleeveless or loose short-sleeved shirt. For children under the age of 1 or for those that do not have adequate muscle mass in the arm, the flu vaccine will be administered in your child’s thigh. In this case, we ask that shorts or diapers are worn so that we can give the vaccine easily.
• Observation: While rare, fainting or feeling lightheaded can occur after vaccination. This is more common among adolescents and young adults. For this reason, children over the age of 11 will be observed for 15 min. If you choose to forgo the observation period, we will ask you to complete a waiver.   The waiver will be available during your Phreesia check-in.
• COVID Vaccine: Your child can receive their COVID vaccine at their Flu Clinic appointment. Please notify us by phone or in the Notes section if scheduling through the portal.

*Please note that inclement weather may necessitate bringing your child inside our facilities for their vaccine.

Thank you for trusting us with your care!

COVID-19 Vaccine for Kids Under 5: What You Should Know

When it comes to fighting COVID-19, we know there are many sources of information. We are grateful you trust Anderson Hills Pediatrics to give you the answers you need and the care your family deserves.

You can find the latest information about a vaccine for children under five here.

Our Approach to COVID-19 Vaccine

When you come to Anderson Hills Pediatrics, we want you to feel comfortable throughout the vaccine process. Here are a few things to get you started:

• Schedule through our Patient Portal or call our office at (513) 232-8100 for your child’s COVID-19 Vaccine. We currently provide the COVID-19 for patients 6 months of age and older at both our Anderson Township and Amelia locations.
• Prior to your appointment, you will check in on Phreesia as you do for a normal appointment. This is important to ensure we have all of the necessary paperwork completed and that vaccination is appropriate for your child.
• We may ask for your ID or health insurance card, although there are no out-of-pocket charges for the COVID-19 vaccine.
• We may ask you to review the CDC’s fact sheet and to sign a waiver or consent form.
• Vaccinations may be completed from the comfort of your vehicle or within our facilities depending upon weather conditions.

COVID-19 Vaccine for Children Under 5 

Young people are vulnerable to the virus, just like everyone else. Getting them vaccinated is the best way to protect them, prevent the spread of COVID-19, and protect others.

On June 18, CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the Advisory Committee on Immunization Practices’ (ACIP) recommendation that all children 6 months through 5 years of age should receive a COVID-19 vaccine. This expands eligibility for vaccination to nearly 20 million additional children and means that all Americans ages 6 months and older are now eligible for vaccination.

The COVID-19 vaccine for babies and children is not the same as those administered to older teenagers and adults. They are sent to us, specifically marked and indicated for children. Children are not just little adults. Special concern has been taken for their approved vaccines.

What to Expect

Before your appointment, please give us a call if you have any questions about the COVID-19 vaccine for children under age 5. We can help inform you of the risks and the benefits of vaccination.

Before your child gets the COVID-19 vaccine, you will fill out the CDC’s pre-vaccination screening form for your child. This is to make sure they are a good candidate for the vaccine.

If you answer yes to any question, you may need to talk to your child’s provider to determine if timing is right for your child to receive the vaccine.  For example, if your child is feeling moderately sick or severely ill, it is recommended to wait until they feel better before they receive the vaccine.

The questionnaire will help us determine if there is any reason your child should not get the COVID-19 vaccine today. If you answer “yes” to any question, it does not necessarily mean your child should not be vaccinated. It just means additional questions may be asked. If a question is not clear, please ask your healthcare provider to explain it.

It does not take long to administer the COVID-19 vaccine. The process is like many of the regular immunizations and vaccines common for children. The vaccine can also be given at a well-visit or other routine check-up.

After the vaccine, you will likely schedule another appointment for the next doses, if appropriate. Your child should be able to return to normal activities immediately after leaving the office.

Types of Covid-19 Vaccines

COVID-19 vaccines are authorized for different age groups and are given in the arm as a two-dose or three-dose series. At Anderson Hills Pediatrics, we are offering the Pfizer-BioNTech COVID-19 Vaccine.

Patients 6 months of age through 4 years: Two doses, 21 days apart; Third dose 8 weeks after the second dose

Patients 5 years of age and older:  Two doses, 21 days apart

Frequently Asked Questions

How does the COVID-19 vaccine work?
The COVID-19 vaccine works similarly to other vaccines. Germs such as SARS-CoV-2, the virus that causes COVID-19, invade and multiply inside the body. The vaccine helps stop this by teaching the immune system to recognize and make antibodies that fight the virus.

Is the vaccine safe for children?
The Centers for Disease Control and Prevention recommends children who are 6 months of age and older get vaccinated to help protect against COVID-19. According to the CDC, the benefits of COVID-19 vaccination outweigh the known and potential risks. Before recommending COVID-19 vaccination for children, scientists conducted clinical trials. The FDA gave the Pfizer-BioNTech COVID-19 vaccine emergency authorization to use in children ages 6 months-15 years old and full approval to use in people ages 16 years and older.

Who recommends the vaccine for children?
On June 18, 2022 CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the Advisory Committee on Immunization Practices’ (ACIP) recommendation that all children 6 months through 5 years of age should receive a COVID-19 vaccine. This expands eligibility for vaccination to nearly 20 million additional children and means that all Americans ages 6 months and older are now eligible for vaccination.

The CDC expands vaccine recommendations to about 28 million children in the United States in this age group and allows providers to begin vaccinating them as soon as possible.

Will my child still get COVID-19 if he or she is fully vaccinated?
After your child is fully vaccinated, there is less of a chance he/she will get COVID-19. If your child does get infected with the virus, the child likely will not be as sick. Your child is also much less likely to be hospitalized if you get the virus.

The vaccine is approved for emergencies. What is Emergency Use Authorization (EUA)?
The Emergency Use Authorization (EUA) authority allows the FDA to help strengthen the nation’s public health protections when there is a public health crisis. The FDA requires you to have special information so you can make an informed decision about vaccination.

For more information about EUA, please visit the FDA website.

My child has been allergic to a vaccine in the past. Is the COVID-19 vaccine safe for my child?
According to the CDC, if your child has a history of allergy in past vaccines, you should talk to your provider to see if your child should move forward with the COVID-19 vaccine. In the screening form from the CDC on page four, there are ingredients listed and special considerations if your child might be at risk.

How does an mRNA vaccine help children?
The vaccine currently approved for those under 18 is considered an mRNA vaccine. According to healthychildren.org, COVID-19 mRNA vaccines contain messenger RNA (mRNA). mRNA is made up of nucleic acids, which are the building blocks of all our cells. The mRNA carries instructions inside a lipid (fat) coating that tells cells to produce harmless pieces of “spike” protein. These look like spikes on the actual COVID virus.

When the cells make these pieces of spike protein, the immune system recognizes that they should not be there. Your child’s body then makes antibodies that get rid of the spike pieces. These antibodies remember how to protect your child from the virus in the future. A second dose three weeks after the first dose provides the instructions again, so the immune system can remember and practice how to get rid of the spike pieces.

Do mRNA vaccines change your child’s DNA?
No, the COVID-19 vaccines made with messenger RNA do not interact with your child’s DNA at all. DNA is your genetic material and it is stored in the nucleus of a cell. The mRNA in the vaccines never gets into the nucleus. And once your immune cells have used the instructions, they break down the mRNA and it exits the body.

Does the COVID-19 vaccine contain live parts of the Virus?
No, mRNA vaccines do not contain any live or dead parts of the virus.

How were the vaccines developed? Were they rushed?
Vaccines were first tested in cells to determine if they are safe for people. The research is shared with the FDA, and then if approved, the researchers start clinical trials. There are several stages of clinical trials, building from hundreds to thousands of people. They undergo rigorous testing processes and close communication with participants throughout clinical trials. There are specific clinical trials for children underway.

More information about research protocols can be found on the CDC website.

Schedule Your Vaccine Appointment
We thank you for trusting us to administer the COVID-19 vaccine to your child. We know you have many options, and we are grateful you trust us with your child’s healthcare.

National Camping Month & National Great Outdoors Month is here!

With summer finally here, it is a great time to get out and enjoy the great outdoors! If you are heading out for a short hike or camping for a few days, below are some safety tips to help you and your family.

• Location: Choose a site that is safe for your family. If you are going to an unfamiliar place, research the weather, terrain, and creatures native to the area. Ensure you pack the proper gear and clothing, including sunscreen, water, rain gear, repellant, equipment, etc.
• First Aid: Bring along a First Aid Kit! Healthychildren.org outlines a helpful list of what you might need as you prepare for your adventure.
• Sun Protection: Plan sun protection by packing and wearing sunscreen, sunglasses, and sun repellant clothing. Do your best to avoid the high solar radiation from 10:00 A.M. until 4:00 P.M. Put sunscreen on 15-30 minutes before going outdoors and reapply every 2 hours. Use a sunscreen that says “broad-spectrum” on the label with an SPF of at least 15.
• Insect Safety: Dress children in clothes that prevent insect bites. This can include long-sleeve shirts, pants, and socks to prevent bites. Repellants containing DEET are vital to insect-related disease prevention. The current AAP and CDC recommendation for children older than two months is to “use 10% to 30% DEET. DEET should not be used on children younger than two months of age.” Also, check your child’s hair and skin for ticks at the end of the day.
• Fire Safety: If building a campfire, keep flammable items away, never leave a fire unattended, have a water bucket near the fire, and not leave children unsupervised.
• Safety Rules: Set expectations for your children ahead of time on safety precautions they should take. Set boundaries regarding how far they are allowed to wander away from you and what hazardous conditions they should be aware of or avoid (fast-moving water, cliffs, etc.).
• Have fun! Let your kids get involved with the process, from packing and planning to setting up a tent, cooking, etc. After all, camping and being outdoors are great ways to improve health, detox from the digital world, strengthen family relationships, explore nature, and develop life skills!

Resources for Safe Camping, Hiking, Activities, and More: 

National Park Service: Staying Safe

Camping with Kids

Summer Safety Tips: Staying Safe Outdoors

Safe RV Travel with Children

Tips for Camping with Kids

Hiking with Infants, Toddlers and Kids

Teens and Sun: Keeping Them Safe Without Ruining Their Fun

How to Build an Essential Summer First Aid Kit

Get the Kids Outside

P.S. Don’t forget your s’mores!

June is National Safety Month and aims to offer safety tips for everyday life, including child safety. Below are a few essential areas of focus to keep your child safe.

Childproofing for Poisons: It is important to keep cleaning products, personal and hygiene products, medicines, nicotine products, alcohol, certain house plants, and other potentially poisonous objects out of reach from children. If you are concerned your child may have a case of poisoning, call Poison Help at 1-800-222-1222. If you find that your child is unconscious, not breathing, or having convulsions or seizures, contact 911.

Lithium Batteries: Coin batteries are in many common household devices and, if swallowed, can cause serious harm to children. Keeping these batteries secure, tightening the screws on battery covers, and taping the compartments are important ways to keep your child from ingesting the batteries.

Furniture Safety: The tipping of furniture causes more injuries than many realize. To prevent this:

1. Use anti-tip devices or anchors to secure furniture.
2. Visit www.anchorit.govto learn more about anchoring furniture and TVs.
3. Avoid putting items such as toys or electronics in areas that tempt children to climb.

Water Safety: To ensure safe swimming this summer, parents should designate a water watcher to oversee children while swimming. Also, we encourage weak swimmers to take swim lessons and wear life jackets. Pools should have proper barriers and drain covers in place. For more information on this topic, visit our Water Safety Month blog.

Safe Sleep for Babies: When babies sleep with pillows, blankets, on soft surfaces, and on their tummies, they are at a greater risk for sudden infant death syndrome (SIDS). Babies should sleep on their backs, in a clutter-free area, on a firm, flat mattress, and in their own space (not with caregivers in bed).

First Aid Guide: Healthy Children has put together a great guide outlining how to care for stings, bites, allergies, fever, skin wounds, eye injuries, fractures and sprains, burns and scalds, nose bleeds, head injuries, and more! Check out this resource at healthychildren.org.

Fire Safety: It is vital to have smoke alarms installed in all sleeping areas of your home. Establish escape routes and conduct fire drills, so your children know how to escape safely and where to meet in the event of a fire. Make sure your children know they should escape immediately and not try to dress or put out the fire. Most fire-related deaths occur due to suffocation from the fumes and smoke, not the fire itself.

Disaster Planning: Disasters such as floods, fires, tornadoes, etc., can happen in this area. Preparing in advance for natural disasters can help us feel less frightened and overwhelmed if they occur. Suppose you need to evacuate your home immediately. In that case, it is vital to have personal identification, special items for babies or young children, a 3-day supply of water, toiletries, a change of clothing and sturdy shoes, and canned foods for family members.

Thank you for trusting us with your child’s care.

For much more details and resources, visit: 

• Home Safety: Here’s How
• Fire Safety: Planning Saves Lives
• Childproofing Your Home for Poisons
• Keeping kids safe: Reminders for National Safety Month
• Choking Hazards Parents of Young Children Should Know About
• First Aid Guide for Parents & Caregivers
• Disaster Supplies List for Families
• Disasters and Your Family: Be Prepared
• Keeping kids safe: Reminders for National Safety Month
• Help Your Baby Sleep Safely So You Can Sleep Soundly

On June 14th, the FDA will meet to discuss Emergency Use Authorization (EUA) for Moderna and Pfizer’s COVID vaccine for children ages six months up through 4 years of age. If the FDA determines that the vaccine is safe and appropriate for use in this age group, the CDC’s vaccine advisory committee is scheduled to meet for final approval on June 22-23.   We cannot provide vaccines to our patients until the FDA and CDC have approved its use. Therefore, our first vaccination clinic is planned for June 24, 2022.

At this time, you can contact our office to schedule or book an appointment on the patient portal

for vaccine clinic dates on or after June 24th. We will only be offering the Pfizer vaccine.

Thank you for trusting us with your child’s care!

Important Note: We will cancel any prescheduled appointments if the FDA and CDC do not approve the EUA.

75% of babies are fed formula by six months of age, and we know many of you are unfortunately being impacted by the formula shortage that is currently occurring. Sadly, the out of stock rate is over 40% for the 20 major retailers.

In February, Abbott voluntarily recalled products such as Similac, Alimentum, EleCare, and Similar PM 60/40) and shut down one of their manufacturing plants due to reports of four infants falling ill from Cronobacter sakazakii infection, two of which later died due to formula consumed from said plant. Abbott is hoping to reopen their facilities in a few weeks after they gain approval to do so. However, products from this facility will probably not be available on shelves for another 8 weeks.

If you have an urgent need for formula, please contact our office! Our supplies of Similac are very low at this time, but we do have Enfamil available. We will continue to provide your infant with formula while our supplies last.

Again, we hope these tips will also help your family during this difficult time:

• While it might not be ideal, you may need to switch your infant’s formula during this time to a generic or alternative brand. If you can keep the formula within the same type (ex. cow’s milk-base or iron-fortified infant formulas). Your baby may experience changes in stool patterns, gas, or spitting up over a couple of days as they become adjusted. However, being fed is best!
• Smaller stores and drug stores may have formula supplies when it is sold out at major retail chains.
• Some major retail chains sell formula on-line. Refresh their pages often to see what is in-stock and available for purchase. Note that some major retailers are putting a limit on the amount you can buy.

As a reminder, we DO NOT recommend the following as alternatives to formula feeding:

• NEVER add more than the recommended amount of water to powdered or concentrated formula and never add any water to liquid ready-to-feed formula. This can dilute the nutrients which can cause imbalances and may lead to serious health problems.
• It is not recommended to make homemade formula. The balance of nutrients may be difficult for your baby to digest, may cause kidney or liver damage, and otherwise may not support healthy growth or development.
• It is also not recommended that you purchase formula from other countries that have not been reviewed / recommended by the FDA.
• You should also not feed an infant under 1 year of age cow milk or other milk substitutes.

If you have any additional questions regarding infant formula, please do not hesitate to contact our team at (513) 232-8100.

Thank you for trusting us with your care.

Resources:

Considerations When Changing Formulas

Why Do Infants Need Baby Formula Instead of Cow’s Milk?

Choosing an Infant Formula

Is Homemade Baby Formula Safe?

Fact Sheet: Helping Families Find Formula During the Infant Formula Shortage