Rutger University Meningitis B outbreak

posted Mar 19, 2019, 11:40 AM by Wyckoff Peds

Rutgers University – New Brunswick Status

Two undergraduate students at Rutgers University – New Brunswick were recently diagnosed with serogroup B meningococcal disease. The Centers for Disease Control and Prevention (CDC) performed special tests on the specimens from the two cases; the tests showed that the typing genes tested were identical between the two organisms. While we cannot predict whether there will be additional cases of meningococcal disease on campus, having two cases occurring over a short time with genetically related organisms suggests that there is an outbreak associated with Rutgers University – New Brunswick.

Since immunization is the most effective way to protect against meningococcal disease, the New Jersey Department of Health (NJDOH) and Rutgers University, with support from the CDC, strongly recommend serogroup B meningococcal vaccine (MenB) for the following at-risk populations at Rutgers University – New Brunswick:

·         All current and incoming undergraduate students including transfer students, regardless of whether they live in campus housing

·         Graduate students who live in undergraduate residence halls

·         All members of the Rutgers University – New Brunswick community with medical conditions that put them at increased risk for meningococcal disease. These conditions include all functional and anatomic asplenia (including sickle cell disease), persistent complement component deficiencies (C3, C5-C9, properdin, factor H, factor D), and taking Soliris® (eculizumab).

·         Microbiologists who are routinely exposed to meningococcal bacteria.

Please note that the meningococcal conjugate vaccine (MenA,C,W and Y) required for residential students does not protect against serogroup B, so most at-risk students will require a separate vaccination.

At this time, there are no recommendations to cancel any activities or scheduled events at Rutgers University-New Brunswick. There is no reason for the general community to avoid Rutgers or Rutgers students.

About Meningitis

Meningococcal disease is a rare but potentially fatal infection with early symptoms that resemble the flu, making diagnosis difficult. When it causes inflammation of the membranes surrounding the brain and spinal cord, it is called meningococcal meningitis. Meningococcal disease can also cause bloodstream infections. There are several bacterial serogroups, or types, that cause meningococcal disease, most commonly serogroups A, C, W, Y, and B.

Signs and Symptoms Signs and symptoms include:

·         High fever                                    •  Nausea        

·         Severe headache                        •  Vomiting

·         Stiff neck                                     •  Exhaustion

·         Confusion                                      Rash

Symptoms often resemble those of the flu. If you have any doubts about your symptoms, see a doctor. Early diagnosis and treatment is important because meningococcal disease can be deadly within hours or days of getting sick. It can also lead to severe disabilities, such as loss of limbs.

Routes of Transmission
The bacteria that cause meningococcal disease require prolonged (lengthy) or very close, person to person contact in order to spread. You must be in close contact (e.g., by living in close quarters, kissing) with the person’s saliva (spit) or other respiratory secretions in order for the bacteria to spread.   Fortunately, the bacteria that cause meningococcal disease are much harder to spread than the virus that causes the flu. The bacteria are not spread by casual contact, such as being in the same classroom as someone who is sick, sharing a bus with an infected person, or by simply breathing the air where a person with meningococcal disease has been.  The bacteria also cannot live outside of the body for very long. There is no evidence that says you are at risk of catching the infection by touching surfaces like doorknobs, keyboards, or exercise equipment that someone who is sick touched. Sharing facilities like a cafeteria, gym, bus, or classroom also does not put someone at increased risk of infection.

Vaccination is the best protection against meningococcal disease.

Make sure you always:

·         Cough or sneeze into a tissue or your sleeve.

·         Wash your hands frequently.

·         Use hand sanitizer often if soap and water are not available.

·         Avoid drinking from common sources such as a punch bowl.


Don’t share the following:

·         Drinking glasses or water bottles

·         Eating utensils

·         Smoking materials

·         Cosmetics or lip balm

Adult Child Healthcare Directive

posted Jul 31, 2018, 9:31 AM by Wyckoff Peds   [ updated Jul 31, 2018, 9:33 AM ]

As our children grow up so quickly and are away at college or going through the college process there is a subject we as parents should consider.

When a person reaches his or her 18th birthday they become adults, in the eyes of the law. Most of you are well aware of the Right to Privacy Laws, but may not be aware of the fact that, should an accident occur and your 18-year-old child ends up in the Emergency Room unconscious, you, the parents, have absolutely no rights or say in their care unless you have a Medical Power of Attorney (Health Care Representative).

 Wyckoff Pediatrics is providing a simple forms for your review and consideration.  Copy the link below and paste it into your browser.

As with any questions of law, consulting with an attorney is always best, but at the very least it is strongly recommended that you download the forms listed below and review them with your children. A few steps of preventative legal action now could very well save your family many hours of days of angst, not to mention legal fees, at a time that would be better spent caring for your child.

Please be advised that we are providing this form for you as a courtesy.  We are not in any way providing legal services.

Mindfulness Thursdays at Wyckoff Pediatrics

posted Jun 29, 2018, 12:20 PM by Wyckoff Peds

Paying attention in a particular way; on purpose, in the present moment, and non-judgmentally." Jon Kabat-Zinn

Join us on Thursday evenings from 7-8pm for our Mindful Thursdays at Wyckoff Pediatrics' office.  All patients (that can sit for one hour) and their parents are welcome.  

Bereavement Resources

posted Jun 26, 2018, 10:20 AM by Wyckoff Peds

Sometimes we may find ourselves trying to comfort our young ones after a loss.  Listed here is a website and several books to help you cope and help the kids better understand the loss.  
Hearts and Crafts Counseling Center
Children's Books: 1.) Wherever You Are 2.) The Fall of Freddy the Leaf 3.) When Someone Very Special Dies 
Parent Books: 1.) Imperishable - Roger Davis 2.) Heartbreak, Forgiveness ad Growth - Eva LaRue

We hope these help you through any difficult loss your family might experience.

Summer Check Ups!!

posted May 14, 2018, 11:39 AM by Wyckoff Peds

Book your summer check up now.  Summer is our busiest season for check up appointments.  Don't wait until the last minute, book yours now!

Nor'Easter March 7, 2018

posted Mar 7, 2018, 9:45 AM by Wyckoff Peds

We have closed for the day.  If you have need for a doctor, call our office and service will take a message.  If you have a true emergency, go to the Valley Hospital ER or call 911.  Please stay safe and warm today.

Nor'Easter #2

posted Mar 6, 2018, 3:38 PM by Wyckoff Peds


We plan to brave the weather and open early to see our sick and emergent patients on Wednesday morning!   Please call the office as soon as possible if you need to come in! 

If conditions are seriously dangerous we will update this post in the morning!!

Stay safe, warm and dry!!!

Pertussis at Local High School

posted Jan 16, 2018, 7:09 AM by Wyckoff Peds   [ updated Jan 16, 2018, 7:17 AM ]

We have been made aware that there is a diagnosed case of pertussis (whooping cough) at Indian Hills High School. At this point the individual who was diagnosed will be out of the school building until she/he is cleared by a physician. 

Pertussis is a highly contagious disease that is spread through the air by a cough or a sneeze. Pertussis begins with cold symptoms and a cough, which become much worse over 1-2 weeks. Symptoms usually include a long series of coughing fits followed by a whooping noise. However, older children, adults, and very young infants may not develop the whooping noise. There is generally only a slight fever. People with pertussis may have a series of severe coughing fits followed immediately by vomiting, turning blue, or difficulty catching breath. The cough is often worse at night, and cough medicines usually do not help alleviate the cough.

If your child has been around someone with pertussis, she/he might become sick with the disease. This is especially true if your child is not up-to-date with his/her pertussis vaccine shots. Even if your child’s shots are up-to-date, she/he might still get pertussis.

If your child has been in contact with someone with pertussis, antibiotics prescribed by your doctor may prevent him/her from becoming ill. If your child is already sick, giving antibiotics early can help your child get well faster, and lower the chance of spreading the disease to others.

Please consider the following New Jersey Department of Health and Senior Services recommendations:

1.    Infants under one year old, especially those under six months, are more likely to have severe symptoms if they develop pertussis. When possible, young infants should be kept away from people with a cough. Infants with any coughing illness should be seen promptly by their doctor.

2.    Pertussis vaccine has until recently been given only to children under 7 years old. However, a new adolescent and adult pertussis booster vaccine is now available for persons ages 10-64 years. If you have children who have not been completely immunized against pertussis (particularly infants under one year) we recommend that you talk to your child’s doctor about the benefits of vaccination.

3.    If your child comes down with cold symptoms that include a cough, talk to your child’s doctor immediately. Tell the doctor that pertussis has been identified at your child’s school.

4.    It is generally recommended that those persons having close contact with a pertussis case receive antibiotics from their doctor to help prevent them from getting pertussis.

5.    Do not send your child to school if she/he has any signs or symptoms of pertussis.

We will continue to monitor the situation at Ramapo Indian Hills, and if additional actions to control the spread of pertussis becomes necessary, we will be sure to notify you.

If you have general concerns or questions about pertussis, please contact the Bergen County Department of Health Services at 201-634-2600 or  

If you have specific concerns or questions about your child’s health, contact your healthcare provider.

Flu Season 2017-2018

posted Nov 17, 2017, 9:57 AM by Wyckoff Peds

If you haven't gotten your flu shot for this season, please call the office as soon as possible so that we can schedule the appointment.  Flu season peaks in January and February but it is best to be protected now!

Heat Wave July 2017

posted Jul 20, 2017, 11:44 AM by Wyckoff Peds

When the temperature rises, unfortunately, so too does the risk for developing dehydration. As the weather gets hotter it causes your body temperature to rise, and to cool yourself, you sweat more. This loss of fluid through sweat, which happens faster if you haven’t had a chance to acclimate, can cause dehydration. Dehydration is dangerous; please click here for some helpful tips on how to avoid it.

1-10 of 27