Back-to-school Health Tips: D.C., Md., Va. Immunizations; Preventing Bedbugs

Kids need to be up to date on their immunizations before they can attend school. But do you know which shots your child needs? The U.

S. Centers for Disease Control and Prevention maintains a master schedule suggesting which immunizations a child should receive when. But according to Jane Seward, medical officer for the CDCs Office of Infectious Disease, its up to each state to decide which shots to require.

Because states, through Medicaid, have to cover the cost of immunizations for kids who lack insurance, Seward says, choosing which shots to require means weighing the value of various vaccinations. States tend to focus on diseases where you get outbreaks in schools, Seward says. Your childs physician is your best resource for making sure all necessary immunizations are in place; the doctor can also discuss the pros and cons of optional shots.

You can keep track yourself, though, by using the CDCs tools.Here are the immunizations for which proof is required in the District, Maryland and Virginia: The District: -Kids 5 or older entering kindergarten: Diphtheria/tetanus/pertussis; polio; chickenpox; measles/mumps/rubella; hepatitis B; hepatitis A (if born on or after Jan. 1, 2005).

-Kids entering sixth grade: meningococcal and human papillomavirus (HPV) vaccines. Maryland: -Kids 5 or older: Diphtheria/tetanus/pertussis; polio; measles/mumps/rubella; chickenpox; hepatitis B. Virginia: -Kids 5 or older: Diphtheria/tetanus/pertussis; hepatitis B; measles/mumps/rubella; polio; chickenpox.

-Girls entering sixth grade: HPV.Parents helping their college-bound kids shop for dorm furnishings this summer might feel pressured to buy sprays, mattress covers and other items promoted as protection against bedbugs, whose presence in the United States has been on the rise in recent years.As Chris Brundige, regional manager for Terminix, knows firsthand, bedbugs have increasingly popped up on college campuses.

My daughter had a big issue with bedbugs last year, he says. They battled them for three or four months.Bedbugs are tiny hitchhikers that can stick to anything they come in contact with.

(Their eggs are even stickier.) So if you were to, say, sit on the couch in a house thats infested, youll probably bring some home on your clothing. Bedbugs arent known to transmit disease, but their bites (they feast on your blood while you sleep at night) are irksome, unattractive and so itchy they can keep you up at night.

If Brundiges kid wasnt safe from bedbugs, yours might not be, either. Here, for your son or daughters summer reading, is a crash course in battling bedbugs.Be careful what you bring in the room.

That sofa sitting on the curb might seem like a bargain, but it could have been put there because its teeming with bedbugs. Bedbugs love cracks, crevices and other secret hiding places; they can even hang out in picture frames and bedside stands. They stay close to the mattress because they know thats where their next meal comes from, Brundige says.

Keep your floor and furniture clear of clothes and clutter. Hang your backpack, purse and jacket on racks, hooks or hangers. Dont pile clothing or coats on the back of a couch or on your bed.

Though they can travel along any surface, bedbugs especially love cloth.Buy a zippered mattress encasement. If the mattress is infested, they cant get out and will die, Brundige says.

Skip the sprays. Ive never used an over-the-counter spray. But a lot of customers use them before turning to professional pest removal.

The U.S. Centers for Disease Control and Prevention point out that the resurgence in bedbugs is due in large part to the insects developing resistance to chemicals used to treat for them.

People using over-the-counter sprays probably contribute to that problem. (Pest-control companies generally use non-chemical approaches such as heating or freezing the insects.)Learn to spot them.

Bedbugs are tiny, apple-seed-shaped, reddish-brown bugs that are flat like ticks, only smaller. You might not notice them until you get bitten; their bites cause minor swelling and itching, much like mosquito bites. You might notice small red spots on your mattress (your blood, from when you get bitten).

Closer examination may reveal red or brown, sticky pepper (the bugs waste) around the edges of the mattress or in the rounded corners where mattress surfaces meet.If you see signs of infestation, report the problem to whoevers in charge of dorm living. And keep reporting it until you get the response you need,Brundige says.

A bedbug outbreak in student apartments at the University of Maryland last school year was brought under control with the help of exterminators. This year students in those apartments will have to sign a lease that includes an agreement to aid such cleanup efforts, which can mean bagging clothes and other items and removing everything from the walls. Jennifer LaRue Huget