Children going back to school and a cold wind starting to blow are signifiers of the impending cold and flu season. This year’s may seem particularly daunting due to exotic diseases appearing in the news and the spread of enterovirus D68 (EV-D68) affecting hundreds of families throughout the United States. With all of this in mind, NeedyMeds wanted to give our readers some helpful tips to keep themselves and their children healthy, along with resources available for those in need.

1. Cover your mouth and nose with a tissue when you cough and sneeze. If you don’t have a tissue, cough or sneeze into your elbow. This will reduce the spread of germs through touching objects or one’s face.
2. Wash hands often, especially after blowing your nose or coughing. The Center of Disease Control (CDC) suggests washing using warm water and soap, and scrubbing for at least 20 seconds and drying with a single-use towel. Tell your children to sing “Happy Birthday” twice while washing—that takes about 20 seconds.
3. Regularly disinfect common surfaces in your home that your family touches every day, including countertops, telephones, computers, faucets, and doorknobs.
4. Ensure your family eats a balanced diet with plenty of fruits and vegetables, gets plenty of rest, and exercises regularly. These steps will keep your immune system in prime shape to help fight off illness.
5. Know the difference between a cold and the flu. The flu generally comes on strong with severe symptoms, including fever, sore throat, chills, body aches, cough, runny/stuffy nose, diarrhea, vomiting, headache and fatigue. Although colds can exhibit some of the same symptoms, they usually are not as severe and often do not last as long.
6. It’s also important to know the difference between a cold and autumnal allergies. With the similarities in symptoms, it can be easy to self-medicate for the wrong condition.
   1. With a cold, you’re likely to wake up with a sore, painful throat. With allergies, the throat has more of an itch or tickle rather than soreness.
   2. Colds follow a relatively slow progression and last for a few days, whereas allergies can come on almost instantly, with symptoms of coughing, sneezing, and congestion striking all at once and can last as long as allergens are in the environment—sometimes a matter of hours, other times for weeks.
   3. Sneezing with itchy eyes or mouth are associated with allergies rather than colds.
   4. Fevers can appear with colds, but do not affect those suffering from allergies.
   5. It’s important to know you don’t have both a cold and allergies, as this can lead to chronic sinus problems if left untreated.
   The CDC recommends everyone over the age of 6 months to get a flu vaccine every season. Children younger than 2 years old, or children with health problems such as asthma, diabetes, or other chronic conditions are at the highest risk of severe complications of the flu and should get the flu shot. The best way to protect infants under 6 months old is to surround them with people who have been vaccinated. Stay home from school or work if you or your child are sick.

   Enterovirus D68

   EV-D68 presents similarly to a cold, with runny nose, sneezing and coughing, body and muscle aches, and occasional fever. Severe symptoms can include difficulty breathing, wheezing, and worsening of asthma. State and county Departments of Health say children diagnosed with EV-D68 or any other enterovirus should be excluded from school or daycare until symptom free, or until fever-free for 24 hours without fever-reducing medication if a fever is present. Though there is risk of children catching the illness at

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