COVID-19 Information

JUNE 1, 2021

Again, it is hard to believe how things have changed in the last 9 months. The availability of Covid-19 vaccination has started to spread a ray of hope that the lives of adults and children alike will soon be much more “normal”. At this time we as physicians would like to formally announce that we strongly recommend the Covid-19 vaccine for all eligible patients and their parents. Currently the approved vaccine is the Pfizer mRNA Covid-19 vaccine for children 12 and older. This has been shown to be a safe and effective vaccine. The AAP formally recommends that all eligible children receive the vaccine. There are links to the DE and PA vaccine location websites in a banner on our site. We are grateful to all of the parents that have already received their vaccine and we look forward to hearing that more and more patients have received theirs. Stay well and see you soon! The doctors of First State Pediatrics

SEPTEMBER 21, 2020

It is hard to believe that this pandemic has changed all of our lives so much in the last 6 months. We are so proud of the incredible resilience displayed by our amazing patients and families. In addition we are in awe of the dedication of our nurses and office staff members. We also want to commend our custodians, delivery vendors, vaccine and infant formula representatives, IT/Tech consultants and all other vendors that are helping us to provide health care to your children.

This has been such a trying experience, and yet we always see smiling faces through the eyes of everyone wearing their masks when they come into our offices for check ups or any other concerns.

We are still open at both offices for both well and sick visits, and we have started offering Flu vaccines at both offices. We continue to avoid using our waiting rooms. We want everyone to feel safe while in the offices. After a COVID pre-screening, we are ushering all patients straight back to freshly santized examination rooms. Based on current recommendations we require all adults and all children aged 4 and over to wear a mask in the office if medically tolerable. In addition we are able to still provide telemedicine visits for appropriate concerns.

As of April 2020 our Saturday hours were transitioned to telemedicine hours to help reduce unnecessary office openings. We appreciate the enthusiastic response we have received seeing patients remotely in their homes on Saturdays. It brings us joy to be able to help from a slight distance.

We further want everyone to know that the CDC strongly advises everyone to get a Flu vaccination this year. It is of the utmost importance to help prevent a feared double-pandemic this winter - of both COVID-19 and Flu. Please call ASAP to schedule flu vaccines. They are in stock in both offices and appointments are readily available. Also, please do not forget to get to the pharmacy or your own primary care office to get your own flu vaccine. We are all in this together!

MARCH 23, 2020

The COVID-19 pandemic is teaching us many lessons. Our priority remains the wellness and safety of our patents and staff. Social distancing will help “flatten the curve” of this pandemic and we salute your dedication to this mission. The AAP is recommending that children social distance and avoid playgrounds and playdates. We also want you to know we are still here for you and we are following these guidelines in the office:

We are very grateful for your understanding and cooperation. Please contact us for any concerns about your children. Thank you.

MARCH 14, 2020


The novel coronavirus (COVID-19) was declared a pandemic by the WHO on Wednesday March 11, 2020. The United States and the state of Delaware declared State of Emergency statuses due to this pandemic on March 13. Governor Carney decided to close all Delaware public elementary and high schools from March 16 to March 27.

We at First State Pediatrics are guided by our training and core values to continue to care for and assist our patient population during this pandemic. Our offices are still open to see your children and we will do so in the safest ways possible in accordance with current recommendations. For example, you will see us in gloves and facial masks in our offices and we will be implementing changes as outlined below.

The information we are receiving about the pandemic is evolving day by day and we will do our best to share information as we have it. We encourage you to talk to your children about safety measures such as effective hand washing and avoidance of face-touching during this pandemic. For the time being, please review the following information and resources. Please check back here regularly for updates.


1. What are the symptoms of COVID-19?

Symptoms of COVID-19 include cough, runny nose, fever, chills, and shortness of breath – similar to the flu. In children the illness generally presents as a much milder illness but in more vulnerable populations the illness is more likely to be much more serious or deadly. A more vulnerable individual would be anyone who has underlying medical problems (eg: heart, lung, kidney, immune, including diabetes and asthma) or is an older person / senior citizen. In contrast, seasonal allergy symptoms can include sneezing, itchy watery eyes, an itchy congested or runny nose, post nasal drip, and cough without a fever.

2. If my child has cold symptoms consistent with COVID-19 should I take them to the hospital?

We want everyone to know that we do NOT recommend taking otherwise healthy children with cold symptoms (including fever) to any hospitals or emergency rooms unless the child is in distress (such as difficulty breathing or change in mental status) or is rapidly worsening. Please call us for advice about your child’s symptoms before seeking emergency medical attention if they are stable. As of this week the illnesses we are seeing in the offices are typical seasonal illnesses (such as Strep throat and ear infections) and these can be handled as usual by our offices. The flu is still circulating and if your child is not feeling well we may want to see them to evaluate if they have a flu-like illness and to check their breathing. Otherwise, if your child is only having mild cold symptoms we are going to recommend that you stay home and socially isolate until the symptoms have cleared (up to 2 weeks).

3. Who is at risk for COVID-19?

Currently we have no evidence that COVID-19 is widespread in our area but it will spread in the coming weeks. Anyone who has been exposed to an individual known to have the virus or who has travelled to an area with more widespread infection (for example international CDC travel advisory areas or domestic areas with more regional infection) is at higher risk. As we currently know little about the way the virus is spreading in communities in the United States, any person could be at risk regardless of known exposures or travel history. As such we are acting fast to implement practice changes in accordance with AAP and CDC recommendations to reduce risk of exposure in our office.

4. How is First State Pediatrics preparing for COVID-19?

At this time we are fluidly changing our practice policies to protect our patients, your families, and our staff from COVID-19. The following are examples of changes we are implementing:

5. Should we practice “Social Isolation/Distancing”?

YES - somewhat - but not indoor quarantine unless you are instructed to by state authorities. Fresh air in wide open spaces is very good for children and they should be allowed to play outside if they are healthy while avoiding larger groups and close social contact. The governor has closed the elementary and high schools and we recommend limiting social gatherings, especially in larger groups, whenever possible. Many organizations are postponing group activities for the next two weeks to start. Senior citizens and immunosuppressed people of any age are at heightened risk of complications from this virus. We strongly urge families to protect their older family members by limiting contact if you have symptoms, feel you could have been exposed, or have any other personal risk factors. Please explore these articles about “Flattening the Curve”, which experts believe will help protect vulnerable groups from this virus.

6. It is Spring Break. Should we travel?

Unfortunately the current recommendations are to limit unnecessary travel especially to high risk areas, to avoid unnecessary flying, to avoid trains and buses unless necessary, and to avoid cruises. This is affecting many of us as well, and we sympathize wholly with the difficulties faced by our families needing to cancel vacations.

7. Our younger children go to daycare. Should I send them?

For the time being the government has not forced the closure of daycare centers but some are closing independently for the next two weeks because they follow the local school district closures. The decision to continue to utilize daycare centers is difficult. We strongly urge any families with children in daycare to keep the children home if they are sick with symptoms that could be COVID-19. You will need to make a personal decision regarding sending your healthy children to daycare. If they continue to go, we would discourage letting the children unnecessarily interact with vulnerable individuals after daycare until we understand more about the pandemic.

8. Where can we learn more about preparing for COVID-19?

Please explore the following websites for more information about the virus:

9. COVID-19 has me feeling worried and anxious. What can I do?

It is natural to have new feelings in the face of a pandemic. Please explore these resources if you are experiencing anxiety. We encourage you to focus on having fun with your children during the next few weeks. Establish a routine so that all know what to expect each day, despite school being closed. Stay safe and talk to your doctor if you need assistance.