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Talking to children about COVID-19 helps them feel safe and secure

mage of a mom and two kids sitting on house steps Kellie Artis at her home near Fort Bragg, North Carolina, with Rhys and Hannah. (Photo courtesy Avery Lynn Photography)

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Coronavirus

Military spouse Kellie Artis talked with her children about COVID-19 and how to stop the highly contagious respiratory illness from spreading. Afterward, they seemed untroubled. Ten-year-old Hannah and 8-year-old Rhys stopped asking to have friends over, and to visit the playground across the street from their home near Fort Bragg, North Carolina. They didn't complain about the restrictions during video chats with their dad, a Special Forces officer who's deployed overseas.

But then one night, Artis heard Rhys crying in his bedroom. When she asked him what was wrong, he sobbed, "I don't like the coronavirus!" He'd overheard his mom talking on the phone with another military spouse. They were discussing further measures that might be enacted. Artis had used the word "lockdown," and the term had scared Rhys.

"They're owed an explanation" about why their lives have changed so unexpectedly, Artis said. "But I'm trying to balance shielding them from too much information while also making sure they're safe."

Now more than ever, open communication is critical to helping children of all ages feel safe and secure, said Dr. Stephen Cozza. The retired Army colonel is also senior scientist at Uniformed Services University's Center for the Study of Traumatic Stress, or CSTS.

But it can be difficult talking with children about COVID-19, Cozza said. The situation changes from day to day, and parents themselves are trying to keep up.

"We want to share," said Cozza, who's also a psychiatry professor at USU. "But at the same time, we want to protect our kids and not worry them. When we can stay calm and clear with our children, it helps them to remain calm and better understand what's happening."

In uncertain times, children in military families may have advantages, Cozza said. They include a strong sense of community – "we're all in this together" – and pride that their family members are counted as helpers who sustain the well-being of the country.

But military kids also may feel a responsibility greater than their years, Cozza said, particularly if their parent is deployed. Dealing with a pandemic can be an "added challenge for families as well as children."

Cozza said parents should offer age-appropriate messages to explain what's happening. So for younger kids, he said, it can be something as simple as, “Coronavirus is a new germ. Germs can spread from one person to another and make them sick. That's why we wash our hands.”

Artis said she described maintaining 6-foot physical distance to her kids as "keeping llama space." They'd recently seen the animals up close at a birthday party, and could easily picture the length of one.

She also told her kids about people planting victory gardens during World War II as a way to support the soldiers fighting overseas.

"I explained that they did their part, and now it's time to do our part," she said. "We can't see what we're fighting, but it still matters. And I told them we're doing it here for other kids' grandmas and grandpas, just like the people in Grandma and Grandpa's neighborhood are doing it for them."

Cozza said that with older kids, who may be getting inaccurate information on social media, "We need to help them understand what they see and hear. So maybe you start the conversation with, 'What have you heard about COVID-19, and what questions do you have?'"

He added that children of all ages should be assured that while COVID-19 is serious, there's no need to panic. Also, most people who do get sick will get better. And it's OK to express fears and ask questions.

Still, doing everything right doesn't mean there won't be a hiccup or two, as Artis learned.

"I certainly go through waves of anxiety," she said.  "But I think we've adapted pretty easily – especially with the idea of not having an end date because that's how a lot of military families live our lives. There seems to never be an end date."

Cozza advises parents to be empathetic while still enforcing expectations. "You can say something like, 'I know this is a really tough time, and you miss our friends. But I really do need your help. And we're going to work together to get through this.'"

The CSTS has produced two fact sheets for parents: "Discussing Coronavirus with Your Children" and "Finding the Right Words to Talk with Children and Teens About Coronavirus."

Other resources related to COVID-19 can be found on the CSTS website.

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Genetic sequence data for SARS-CoV-2, the virus that causes #COVID19, plays a vital role in force health protection efforts within the DoD. To jumpstart sequencing efforts, the Armed Forces Health Surveillance Branch's Global Emerging Infections Surveillance and Response applied a collaborative approach to sequencing capabilities. Resulting sequence data will provide critical information about transmission patterns, track diagnostic effectiveness, and guide the development and evaluation of medical countermeasures.

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Armed Forces Health Surveillance Branch | Coronavirus | Global Emerging Infections Surveillance
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