5. School

Back to School: Tips to Help Kids Have a Healthy Year

Children are more likely to learn, thrive and develop appropriately and thrive when attending school in-person, alongside their peers. As classrooms reopen this fall, families can take steps to help keep their students healthy and in school.

The basics: sleep, exercise & nutrition

Begin with the basics, ensuring that students get nutritious meals, sufficient sleep and physical activity. All of these are key to academic and social success. Studies show that children who eat a nutritious breakfast function better at school, for example. Many children qualify for free or reduced-price food at school, including breakfast. The forms for these services can be completed at the school office.

Getting enough sleep is also critical to staying healthy and thriving at school. Not getting enough sleep can affect memory, concentration, creativity and learning. In fact, lack of sleep is linked with lower academic performance, school attendance and tardiness.

Stay up to date on immunizations & checkups

Make sure your child is up-to-date on their vaccines and gets a yearly check-up. If your child will be playing a sport, be sure to get a pre-participation (sports) exam. This type of exam also includes screening for mental health conditions. Your pediatrician can help you update any forms your child’s school may need in case of a medical emergency.

If you have health insurance coverage through Medicaid or the Children’s Health Insurance Program (CHIP), check that your contact information is up to date with your state Medicaid agency. This will ensure you get timely updates about your health coverage so you can avoid any gaps in coverage.The single most effective way to protect our children before they return to school is to make sure they are up to date on all of their immunizations.

We’ve seen a decline in vaccination rates nationally and are concerned about potential outbreaks of life-threatening diseases. A recent case of polio reported in New York reminds us that we cannot let down our guard. We also know that people vaccinated against viruses such as COVID and influenza (flu) are much less likely to have a severe illness or be hospitalized if they do get sick, compared with those who are unvaccinated.

Keeping COVID under control

The AAP recommends COVID vaccination for everyone 6 months and older. Children should get fully immunized as soon as they are eligible. Keep children and teens home from school if they are sick or show new symptoms, and continue to emphasize handwashing. Although not required in many school districts, indoor masking is still a good idea. Use well-fitting masks if your child is currently ineligible for the COVID-19 vaccine; is unvaccinated; immunocompromised; if a family member is at high risk; or you live in a community with “high” COVID-19 transmission.

Stay tuned in to your child’s mental health

Many children and teens have experienced mental health struggles over the past few years. It’s important to let them know it’s ok to talk about how they’re feeling. Stay on the lookout for any changes in behavior that worry you or any signs of anxiety or distress. Try to prioritize family meals and exercise breaks, like taking walks together. These can be great opportunities to talk.

Ask your pediatrician if you are unsure if your child needs help or how to start a discussion. Schools may also offer sources of mental health support.

If you have a firearm in your home, make sure to lock it up and store the ammunition separately. The increased risk of suicide is higher for children and teens who live in a home where guns are stored loaded or unlocked.

Talk about racism, bullying & kindness

Talk with your child about racism and hate. Encourage children to seek help from a trusted adult if they are discriminated against or witness an act of bullying or discrimination against others. Emphasize the value of treating others with respect and how simple acts of kindness can make a big difference.

Plan for mindful media use

The change in routine is a good time to create or update your family media plan so you can help your child balance screen time with sleep, exercise and other healthy activities. Help your children choose high-quality programs or games and help them recognize sites that that promote false information.


Children are resilient and can overcome many challenges with the help of trusted adults around them. Talk with your pediatrician if you have any questions or concerns about your child’s health as the school year starts.

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