Most children rarely get the chance to change an adult's mind using their own logic. However, developing logical thoughts is important to their decision-making and communication abilities. For example, dinner is taking longer than expected to prepare. A half-hour before it, your child asks for a snack. Usually, he hears, "Not so close to dinner." However, appetizers or sampling the dinner fare is not uncommon as an adult's hunger builds. Similarly, your child is hungry. You do have a legitimate concern that sweet snacks will ruin his appetite. Try stating it in a way that will elicit a logical response: "My only worry is that fruit snacks will keep you from eating your dinner." Listen to your child's response. Then, come to a compromise that allows a small nutritional snack, and keeps you both in good spirits when dinner is served.
Since February 21, 2026, no new cases of measles have been reported in NC. The NC DHHS no longer recommends early MMR vaccination for infants 6 to 11 months old since there is no sustained transmission currently. While this is welcome news, vaccination rates have dropped in NC and the US. There will likely be further outbreaks in the future. We can give the MMR dose early to families who want it. This applies to infants 6-11 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!