The kids are back in school, and the germs are back too.

Back-to-school season means new teachers, new routines, new friends… and unfortunately, new opportunities to share germs.

Rhinovirus, enterovirus and group A strep are increasing nationally, while overall respiratory illness currently activity remains low.

So what can parents actually do?

Here are a few simple things that make a difference:

-Teach good hand hygiene

Soap and water for about 20 seconds is still one of the simplest ways to reduce the spread of infection.

-Teach kids to cough and sneeze into their elbow or a tissue

Don't send a clearly sick child to school

-If respiratory symptoms are worsening or not improving, or your child has a fever, vomiting, or significant diarrhea, it's time for a break from school.

-Don't underestimate sleep

A well-rested child is better equipped to handle the demands of school, and sleep is an important part of overall health.

-Keep nutrition simple and consistent

Regular meals, adequate protein, fruits and vegetables, and good hydration can go a long way.

-Pay attention to breathing

For children with asthma or a history of wheezing, respiratory infections can be an important trigger. Don't ignore persistent cough, wheezing, shortness of breath, or decreased exercise tolerance.

And remember:

Not every cough needs an antibiotic. Not every fever means something serious. But persistent, worsening, or concerning symptoms deserve attention.

The goal isn't to keep our children in a bubble.

It's to help them stay healthy, recognize illness early, and know when they need medical care.

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