
By Lora Shinn
Sex. Drugs. Global extinction. When difficult subjects come up, it's not easy being a parent — especially when that subject is climate change.
But a parent, teacher, or caregiver is often the first and best source of trusted information for children. These are also the people who can help them cope with the Big Feelings that inevitably ensue upon realizing future climate change–related difficulties.
How do you do so without creating an anxious — or perhaps worse, despondent — child?
"Similar to other tough topics like sex and drugs, approach climate change in a developmentally sensitive way," said Wendy Greenspun, a New York–based clinical psychologist engaged in climate issues. By doing so, you set up a baseline for kids to take in more complex information as they grow and become ready to exercise their own voices on behalf of their generation's future.
Introducing the Concepts to Young Children (Ages 0–6)
Inspire environmental wonder in little ones.
Since younger children won't easily understand concepts such as greenhouse gases and ocean acidification, start out with a more straightforward message: Living things grow and thrive when we care for them. Children learn through doing, so try planting seeds or caring for animals as a way to raise young environmentalists.
Noticing, appreciating and celebrating the seasons builds a good foundation for understanding climate change, suggests Ronnie Citron-Fink, a former schoolteacher and now the editorial director of Moms Clean Air Force. On hikes, note how leaves fall from trees in autumn, then sprout again in spring. Point out migrating birds or butterflies that come and go with the seasons.
Recognize small actions demonstrating respect for the planet.
In the short- and long-term, it's beneficial to instill the idea of cleanup responsibility. "It's thinking about the impact you have — if you make a mess where plants and animals live, it can hurt them, and if you clean up, it helps them," Greenspun said. Additionally, though the idea of "sharing" can be challenging for people of any age, young children should be encouraged to share Earth's space with other living things.
Likewise, praise kids when they take initiative. That could be as simple as saying "Thank you for turning off the lights, that's helping the planet." Many of us forget to take this step, said Robin Gurwitch, a professor and clinical psychologist at Duke University Medical Center and the Center for Child and Family Health. "When people most important to us notice our actions," she said, "we're more likely to do again and carry it forward."
Keep their faith in humanity alive (it might help restore yours, too).
"For most children under age 5 or 6, the world is a good place, with people taking care of it," said Mary DeMocker, author of The Parents' Guide to Climate Revolution: 100 Ways to Build a Fossil-Free Future, Raise Empowered Kids, and Still Get a Good Night's Sleep. Remind kids that so many grownups care about kids' futures and about nature, and they are working to protect both. "They need to know the adults are in charge, and they've got this," DeMocker added.
In the same vein, avoid processing your own anxieties while talking to young kids, who easily pick up on our emotions. While important to be open about your climate change concerns, do it out of your kids' earshot, by talking with other parents or banding together with fellow activists in your community.
Teaching the Basics to School-Age Kids (Ages 6–12)
Explain the science, simply.
First, gauge what your kids may already know. If they're familiar with the term climate change, ask them to tell you what they've heard about it. Kids sometimes overhear strange ideas, as we know from some of the lies circulated by climate change deniers in our own government. Acknowledge these false claims for what they are, explaining that some people care more about making money or hanging onto power than about the health of our planet. This may be a tough discussion, but it will help you recognize and validate the outrage that kids may feel at older generations.
Once you've dispelled the myths, you can explain the more abstract idea of climate change by using the blanket analogy. Gurwitch suggests describing it this way: "Our world is protected by a layer surrounding the Earth, like a blanket that keeps it at just the right temperature. With global warming, there are more and more blankets being put around the Earth. We can't just toss them off. So we're figuring out how to change back to the right kind and number of blankets."
Emphasize how we're trying to solve the problem.
Pivot to the positive changes we're making immediately after discussing the challenges. "Children can be frightened if they don't know there are adults who care about climate change and are trying to fix problems," noted Greenspun. "It can help battle the sense of helplessness and powerlessness."
Let them know that there are, in fact, millions of adults who are working to protect kids, to answer our own questions about climate change, and to figure out the steps we will take to get to where we need to be, together.
DeMocker suggests offering kid-friendly examples of innovations and solutions, too, including Chinese solar farms designed in the shape of pandas and playgrounds that create energy. Some of these solutions will be relatable to your child — like the Turn It Off campaign students have championed to decrease emissions produced by idling drivers, and the Meatless Mondays initiative sweeping school cafeterias to lessen the climate impact of weekday lunches.
Discuss the power of personal action.
In grade school, children understand cause and effect, so it's a good time to talk about what kids can do to decrease carbon emissions, with your help. Maybe this is biking or carpooling to school, switching out incandescent light bulbs for energy-efficient LEDs, or setting up a home composting system. One note of caution, though: Kids of all ages notice adult inconsistencies. If we talk about the importance of recycling but don't cut single-use items out of our daily routine, we may face some tough questions.
Holding Open Discussions with Preteens (Ages 12–14)
Encourage climate change questions — even if you can't always answer them.
Tweens are driven by scientific curiosity, awareness, and a sense of civic responsibility. When they're seeking answers to big questions, you can embark with them on the hunt. Start teaching children about how to find trusted resources for climate science information — and what disinformation is out there. However, there's no need to follow every web link. "If we're not careful, the information can become overwhelming and swamp us," Gurwitch said, and can lead to a sense of futility or unrealistic expectations.
Engage children's personal strengths in expressing their concerns.
Maybe your middle-schooler loves polar bears or is worried about air pollution. Communicate that small acts to spread awareness can have ripple effects and encourage them to speak out. Some children feel comfortable giving presentations to other kids, others will prefer to work on poster campaigns and group art projects, and others might perform spoken-word poetry. Invite outgoing kids to join a rally with you. DeMocker, whose family lives in Eugene, Oregon, began attending climate protests with her children at this age, joining symbolic kayak blockades of the Columbia River to protest fossil fuel exports. "We modeled simple living, but also civic engagement," she said.
Branching Out With Teens (Ages 15–18)
Don't be afraid to let your teen educate you on climate change.
After all, when it comes to climate change, your teen may be more aware of the latest research on fossil fuels and lighting alternatives than you are."We can all learn from our children and listen to them," Greenspun said. Many of us might react defensively, due to guilt or frustration over not doing more. "We all need to have the humility to step back and look at parts of ourselves we don't necessarily like to look at," she said.
So if your vegetarian teen confronts you over burgers, ask questions and reflect back their thoughts: How did you decide to become a vegetarian? How do you feel to live in a family with meat-eaters? Can you think of some solutions or compromises?
Share news articles with your teens about their peers making a difference.
The Youth Climate Movement is flourishing, and there are many inspiring examples you can point to spotlighting young people standing up for their generation's future. "It's empowering for teens to see that the government and people are taking them seriously," said Citron-Fink. "It shows them that their voices matter."
This will also help encourage teens to channel climate outrage and worry into action and to focus on the things they can have control over. That's important for their mental health, since as Greenspun pointed out, "Obsessing over all the things we don't know and can't do anything about often contributes to stress and anxiety."
Discuss coping strategies — what to do when you feel scared, angry, and overwhelmed.
It might be a breathing practice, talking to a friend or grandparent, or going for a walk. "Review with kids what they've found helpful in the past, when they've gone through something hard," Greenspun said.
On the other hand, some teens might act as if they don't care about climate change. "There might need to be a little more digging to find out what that's really about," Greenspun said. "Underneath the bravado of not caring, there's often a lot of fear and sadness."
It's also important to focus on the good news: If humans are to blame for getting into this crisis, humans can also get us back on track. And the latest reports on climate change all emphasize that we do have solutions in reach. "Reassure kids that the scientists say we still have time to avoid the worst climate impacts," DeMocker said. "Scientists are telling us how to turn this around," she added — and many of us are listening.
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A Healthy Microbiome Builds a Strong Immune System That Could Help Defeat COVID-19
By Ana Maldonado-Contreras
Takeaways
- Your gut is home to trillions of bacteria that are vital for keeping you healthy.
- Some of these microbes help to regulate the immune system.
- New research, which has not yet been peer-reviewed, shows the presence of certain bacteria in the gut may reveal which people are more vulnerable to a more severe case of COVID-19.
You may not know it, but you have an army of microbes living inside of you that are essential for fighting off threats, including the virus that causes COVID-19.
How Do Resident Bacteria Keep You Healthy?
<p>Our immune defense is part of a complex biological response against harmful pathogens, such as viruses or bacteria. However, because our bodies are inhabited by trillions of mostly beneficial bacteria, virus and fungi, activation of our immune response is tightly regulated to distinguish between harmful and helpful microbes.</p><p>Our bacteria are spectacular companions diligently helping prime our immune system defenses to combat infections. A seminal study found that mice treated with antibiotics that eliminate bacteria in the gut exhibited an impaired immune response. These animals had low counts of virus-fighting white blood cells, weak antibody responses and poor production of a protein that is vital for <a href="https://doi.org/10.1073/pnas.1019378108" target="_blank">combating viral infection and modulating the immune response</a>.</p><p><a href="https://doi.org/10.1371/journal.pone.0184976" target="_blank" rel="noopener noreferrer">In another study</a>, mice were fed <em>Lactobacillus</em> bacteria, commonly used as probiotic in fermented food. These microbes reduced the severity of influenza infection. The <em>Lactobacillus</em>-treated mice did not lose weight and had only mild lung damage compared with untreated mice. Similarly, others have found that treatment of mice with <em>Lactobacillus</em> protects against different <a href="https://doi.org/10.1038/srep04638" target="_blank" rel="noopener noreferrer">subtypes of</a> <a href="https://doi.org/10.1038/s41598-017-17487-8" target="_blank" rel="noopener noreferrer">influenza</a> <a href="https://doi.org/10.1371/journal.ppat.1008072" target="_blank" rel="noopener noreferrer">virus</a> and human respiratory syncytial virus – the <a href="https://doi.org/10.1038/s41598-019-39602-7" target="_blank" rel="noopener noreferrer">major cause of viral bronchiolitis and pneumonia in children</a>.</p>Chronic Disease and Microbes
<p>Patients with chronic illnesses including Type 2 diabetes, obesity and cardiovascular disease exhibit a hyperactive immune system that fails to recognize a harmless stimulus and is linked to an altered gut microbiome.</p><p>In these chronic diseases, the gut microbiome lacks bacteria that activate <a href="https://doi.org/10.1126/science.1198469" target="_blank" rel="noopener noreferrer">immune cells</a> that block the response against harmless bacteria in our guts. Such alteration of the gut microbiome is also observed in <a href="https://doi.org/10.1073/pnas.1002601107" target="_blank" rel="noopener noreferrer">babies delivered by cesarean section</a>, individuals consuming a poor <a href="https://doi.org/10.1038/nature12820" target="_blank" rel="noopener noreferrer">diet</a> and the <a href="https://doi.org/10.1038/nature11053" target="_blank" rel="noopener noreferrer">elderly</a>.</p><p>In the U.S., 117 million individuals – about half the adult population – <a href="https://health.gov/our-work/food-nutrition/2015-2020-dietary-guidelines/guidelines/" target="_blank" rel="noopener noreferrer">suffer from Type 2 diabetes, obesity, cardiovascular disease or a combination of them</a>. That suggests that half of American adults carry a faulty microbiome army.</p><p>Research in my laboratory focuses on identifying gut bacteria that are critical for creating a balanced immune system, which fights life-threatening bacterial and viral infections, while tolerating the beneficial bacteria in and on us.</p><p>Given that diet affects the diversity of bacteria in the gut, <a href="https://www.umassmed.edu/nutrition/melody-trial-info/" target="_blank" rel="noopener noreferrer">my lab studies show how diet can be used</a> as a therapy for chronic diseases. Using different foods, people can shift their gut microbiome to one that boosts a healthy immune response.</p><p>A fraction of patients infected with SARS-CoV-2, the virus that causes COVID-19 disease, develop severe complications that require hospitalization in intensive care units. What do many of those patients have in common? <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e2.htm" target="_blank" rel="noopener noreferrer">Old age</a> and chronic diet-related diseases like obesity, Type 2 diabetes and cardiovascular disease.</p><p><a href="http://doi.org/10.1016/j.jada.2008.12.019" target="_blank" rel="noopener noreferrer">Black and Latinx people are disproportionately affected by obesity, Type 2 diabetes and cardiovascular disease</a>, all of which are linked to poor nutrition. Thus, it is not a coincidence that <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm6933e1.htm" target="_blank" rel="noopener noreferrer">these groups have suffered more deaths from COVID-19</a> compared with whites. This is the case not only in the U.S. but also <a href="https://www.washingtonpost.com/world/europe/blacks-in-britain-are-four-times-as-likely-to-die-of-coronavirus-as-whites-data-show/2020/05/07/2dc76710-9067-11ea-9322-a29e75effc93_story.html" target="_blank" rel="noopener noreferrer">in Britain</a>.</p>Discovering Microbes That Predict COVID-19 Severity
<p>The COVID-19 pandemic has inspired me to shift my research and explore the role of the gut microbiome in the overly aggressive immune response against SARS-CoV-2 infection.</p><p>My colleagues and I have hypothesized that critically ill SARS-CoV-2 patients with conditions like obesity, Type 2 diabetes and cardiovascular disease exhibit an altered gut microbiome that aggravates <a href="https://theconversation.com/exercise-may-help-reduce-risk-of-deadly-covid-19-complication-ards-136922" target="_blank" rel="noopener noreferrer">acute respiratory distress syndrome</a>.</p><p>Acute respiratory distress syndrome, a life-threatening lung injury, in SARS-CoV-2 patients is thought to develop from a <a href="http://doi.org/10.1016/j.cytogfr.2020.05.003" target="_blank" rel="noopener noreferrer">fatal overreaction of the immune response</a> called a <a href="https://theconversation.com/blocking-the-deadly-cytokine-storm-is-a-vital-weapon-for-treating-covid-19-137690" target="_blank" rel="noopener noreferrer">cytokine storm</a> <a href="http://doi.org/10.1016/S2213-2600(20)30216-2" target="_blank" rel="noopener noreferrer">that causes an uncontrolled flood</a> <a href="http://doi.org/10.1016/S2213-2600(20)30216-2" target="_blank" rel="noopener noreferrer">of immune cells into the lungs</a>. In these patients, their own uncontrolled inflammatory immune response, rather than the virus itself, causes the <a href="http://doi.org/10.1007/s00134-020-05991-x" target="_blank" rel="noopener noreferrer">severe lung injury and multiorgan failures</a> that lead to death.</p><p>Several studies <a href="https://doi.org/10.1016/j.trsl.2020.08.004" target="_blank" rel="noopener noreferrer">described in one recent review</a> have identified an altered gut microbiome in patients with COVID-19. However, identification of specific bacteria within the microbiome that could predict COVID-19 severity is lacking.</p><p>To address this question, my colleagues and I recruited COVID-19 hospitalized patients with severe and moderate symptoms. We collected stool and saliva samples to determine whether bacteria within the gut and oral microbiome could predict COVID-19 severity. The identification of microbiome markers that can predict the clinical outcomes of COVID-19 disease is key to help prioritize patients needing urgent treatment.</p><p><a href="https://doi.org/10.1101/2021.01.05.20249061" target="_blank" rel="noopener noreferrer">We demonstrated</a>, in a paper which has not yet been peer reviewed, that the composition of the gut microbiome is the strongest predictor of COVID-19 severity compared to patient's clinical characteristics commonly used to do so. Specifically, we identified that the presence of a bacterium in the stool – called <em>Enterococcus faecalis</em>– was a robust predictor of COVID-19 severity. Not surprisingly, <em>Enterococcus faecalis</em> has been associated with <a href="https://doi.org/10.1053/j.gastro.2011.05.035" target="_blank" rel="noopener noreferrer">chronic</a> <a href="https://doi.org/10.1016/S0002-9440(10)61172-8" target="_blank" rel="noopener noreferrer">inflammation</a>.</p><p><em>Enterococcus faecalis</em> collected from feces can be grown outside of the body in clinical laboratories. Thus, an <em>E. faecalis</em> test might be a cost-effective, rapid and relatively easy way to identify patients who are likely to require more supportive care and therapeutic interventions to improve their chances of survival.</p><p>But it is not yet clear from our research what is the contribution of the altered microbiome in the immune response to SARS-CoV-2 infection. A recent study has shown that <a href="https://doi.org/10.1101/2020.12.11.416180" target="_blank" rel="noopener noreferrer">SARS-CoV-2 infection triggers an imbalance in immune cells</a> called <a href="https://doi.org/10.1111/imr.12170" target="_blank" rel="noopener noreferrer">T regulatory cells that are critical to immune balance</a>.</p><p>Bacteria from the gut microbiome are responsible for the <a href="https://doi.org/10.7554/eLife.30916.001" target="_blank" rel="noopener noreferrer">proper activation</a> <a href="https://doi.org/10.1126/science.1198469" target="_blank" rel="noopener noreferrer">of those T-regulatory</a> <a href="https://doi.org/10.1038/nri.2016.36" target="_blank" rel="noopener noreferrer">cells</a>. Thus, researchers like me need to take repeated patient stool, saliva and blood samples over a longer time frame to learn how the altered microbiome observed in COVID-19 patients can modulate COVID-19 disease severity, perhaps by altering the development of the T-regulatory cells.</p><p>As a Latina scientist investigating interactions between diet, microbiome and immunity, I must stress the importance of better policies to improve access to healthy foods, which lead to a healthier microbiome. It is also important to design culturally sensitive dietary interventions for Black and Latinx communities. While a good-quality diet might not prevent SARS-CoV-2 infection, it can treat the underlying conditions related to its severity.</p><p><em><a href="https://theconversation.com/profiles/ana-maldonado-contreras-1152969" target="_blank">Ana Maldonado-Contreras</a> is an assistant professor of Microbiology and Physiological Systems at the University of Massachusetts Medical School.</em></p><p><em>Disclosure statement: Ana Maldonado-Contreras receives funding from The Helmsley Charitable Trust and her work has been supported by the American Gastroenterological Association. She received The Charles A. King Trust Postdoctoral Research Fellowship. She is also member of the Diversity Committee of the American Gastroenterological Association.</em></p><p><em style="">Reposted with permission from <a href="https://theconversation.com/a-healthy-microbiome-builds-a-strong-immune-system-that-could-help-defeat-covid-19-145668" target="_blank" rel="noopener noreferrer" style="">The Conversation</a>. </em></p>By Jeff Masters, Ph.D.
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