Building Blocks for a Health Immune System

You’ve heard about washing hands and covering coughs to protect your child from the flu – on the outside. But what can you do to protect him or her on the inside?


“Good nutrition is a key element of helping kids fight off the cold or flu,” says Rachel Riddiford, manager of clinical dietetics at Dayton Children’s. “Providing the right foods for your child will help create a healthy immune system – a natural defense of the cold or flu.”

Six ways to build a natural defense system:

1. Five fruits and vegetables each day give vitamins C, E and A and phytochemicals, essential for a healthy immune system.
2. Yogurt with active cultures (probiotics) once a day. These foods build defenses against flu and the common cold. Consider daily yogurt with active cultures or even supplements (mixed probiotic strains).
3. What do eggs, nuts, meat and fish have in common? These foods plus poultry provide immune enhancing vitamins B6, B12 (except nuts), zinc and selenium.
4. Got milk? The added vitamins A and D boosts immunity. Cow’s milk also provides vitamin B12 and zinc.
5. Another source of vitamin D? Fish and eggs.
6. Whole and enriched or fortified grains are another power house source of vitamin B6, vitamin A, folic acid (folate), selenium, iron and zinc. Think cereal, bread and rice to keep the flu bug away.

“If your child does get the flu, good nutrition is still important,” says Riddiford. “It’s important to properly hydrate and feed your child in a progression.”

Here are three nutrition tips if your child gets the flu:

1. Stay hydrated. Start with ice chips, progress to sips of clear liquids. Think water, diluted herbal tea and broth. This is even a time to consider caffeine-free soft drinks. Diluted juices such as cranberry and grape may also be well tolerated.
2. When your child is ready to progress to food, start with small bites several hours apart. Good foods to start with are grains without added fat like bread, plain cereal or dry and crispy crackers.
3. Finally, monitor your child depending on how they are tolerating food. Start with more frequent feedings, then mix food (grains) and drink. Next, add fruits and vegetables. Then milk and dairy, finally add meat.

About our expert - Rachel Riddiford, MS, RD, LD


Rachel has been an employee of Dayton Children's since 2004. She is currently the Manager of Clinical Dietetics and works as an eating disorder specialist in the Nutrition Clinic. Rachel completed her BS in Dietetics at Western Michigan University, Master's degree at University of Dayton, and dietetic internship at Indiana University/Purdue University. She has also completed an American Dietetic Association Pediatric and Adolescent Weight Management Certificate. Rachel has worked as a Registered Dietitian for over 20 years in a variety of settings, including adult hospitals, private practice, and child development centers. She has also served as an Adjunct Instructor at the University of Dayton and has held leadership positions in various professional associations, including the Dayton Dietetic Association and the ADA Hunger and Malnutrition Dietetic Practice Group. Rachel loves gardening, sailing, hiking, and cooking, and raising a rambunctious family of five children with her husband.

FAQs about the Flu

Our phones are ringing off the hook about the seasonal and H1N1 flu.  Here are some of the frequently asked questions we've been getting.  Please share with your friends and family.

Q. What are the common symptom of the H1N1 flu?
A. H1N1 flu symptoms are similar to those of the season flu. They include:

• Fever
• Cough
• Sore throat
• Body aches
• Headache
• Chills and fatigue
• Sometimes vomiting and diarrhea

Young children may not have typical symptoms, but may have trouble breathing or not be as active as usual. Children younger than 5 years are more likely to have serious illness than older children. Flu infections can be severe in children with a chronic medical condition.


Q. What is Dayton Children's current visitation policy?
A. We are closely watching the seasonal flu and H1N1 (swine flu) and taking steps to protect our staff and parents and families of patients, while operating as normal. These are the temporary changes that have been made to our inpatient visition policy:

• Visitation is limited to only parents, grandparents and legal guardians.
• Limited visits by siblings or others for special circumstances may be arranged in advance with the nursing staff.
• No more than two visitors per patient should be in a patient’s room at any time.
• In general, for the inpatient units, only children being treated at Dayton Children’s should be brought into the facility.
• ALL visitors should be healthy - free from fever, cough or colds or stomach virus symptoms. Any visitor with signs of illness should not visit.

While we understand this may cause some families an inconvenience, this is necessary to prevent the spread of illness. We will continue to watch the situation daily and communicate new information or changes. We appreciate everyone's patience and cooperation in doing what's best for our patients and staff.

Q.  Where can I go to get my child vaccinated for the seasonal flu?
A.  Public Health Dayton & Montgomery County has the seasonal flu vaccine and is holding clinics. Contact the Immunization Clinic at 225-4550. Visit here for a complete listing of upcoming clinics. If you live in Warren County, the Warren County Health Department also has the seasonal flu vaccine.

Seasonal Flu and H1N1

The start of this year’s flu season (typically November through April) includes the extra challenge of protecting your child from H1N1 (also known as swine flu) as well as seasonal flu. Getting the facts about both kinds of flu will help ease your anxiety, but more importantly, will help you protect your child. The pediatric experts at Dayton Children’s want to give you  accurate, up-to-date information on both H1N1 and the seasonal flu.

Prevention and treatment is the same for both H1N1 and the seasonal flu. Fortunately, the things you can do to prevent getting or spreading the flu are easy, everyday activities.

Six ways to prevent the spread of flu:
1. Wash hands often. Use soap and water for 15-20 seconds-about as long as it takes to sing Happy Birthday twice. Alcohol-based hand cleaners are OK if soap and water are not available.
2. Cover coughs and sneezes with a tissue. If children don’t have a tissue, teach them to cough or sneeze into their shirtsleeve.
3. Keep sick children at home including out of school or day care until they are better-usually seven days after the illness starts.
4. Teach children to stay at least six feet away from people who are sick. Avoid crowds and public places.
5. Teach children not to touch their eyes, nose or mouth. Germs spread this way.
6. Eat healthy and find healthy ways to deal with stress and anxiety.

Dayton Children's has made it easy for parents to access additional flu prevention tips. Here are a few resources that you can share with friends and family to help keep kids healthy this flu season:

• Kohl's a Minute for Kids Website
• Flu prevention tips on video with Dr. Abboud
• Downloadable Parenting Clip
• Seasonal health alerts for the cold and flu