Prevent Back-to-School Illness

As the school year begins, so does the increased risk of your child encountering seasonal illnesses such as colds, flu, and stomach bugs. With students spending extended time in close contact in classrooms, cafeterias, and other shared spaces, exposure to germs is a common concern. Maintaining your child’s health in these environments can be difficult, especially during the first few weeks of school.

Fortunately, there are proactive steps you can take to support your child’s immune system and help prevent illness. Focusing on strong daily habits, including hygiene, nutrition, sleep, and stress management, can help build a solid foundation for wellness.

This guide outlines practical, research-backed tips to support your child’s health, from teaching effective handwashing to assembling a personalized back-to-school wellness kit. These strategies are designed to help your child feel their best throughout the school year.

Common Back-to-School Illnesses

When children return to school, they are exposed to a wide variety of germs in classrooms, cafeterias, hallways, and playgrounds. These shared environments create conditions where illnesses can easily spread. Knowing what to look for can help parents respond quickly and prevent further transmission.

Below are some of the most common back-to-school illnesses and their key symptoms:

Colds and Flu

Upper respiratory infections like the common cold and influenza are among the most frequent illnesses children face during the school year. These viruses spread through respiratory droplets and contaminated surfaces. The CDC notes that children typically experience more colds per year than adults, which can lead to missed school days and disrupted routines.

The CDC also recommends annual flu vaccination for everyone six months and older, especially children, to reduce the spread of influenza and lower the risk of serious complications.

Stomach Bugs

Stomach illnesses such as those caused by norovirus are highly contagious and can spread quickly in schools. These viruses are transmitted through contaminated food, shared surfaces, or direct contact. According to the CDC, norovirus is a leading cause of outbreaks in school and childcare settings. Symptoms include vomiting, diarrhea, stomach cramps, and sometimes fever.

Ear Infections and Strep Throat

Bacterial infections like strep throat and ear infections are also common in school-age children. The American Academy of Pediatrics explains that strep throat is caused by group A Streptococcus and spreads through close contact. Symptoms include a sore throat, fever, and difficulty swallowing.

Ear infections frequently follow upper respiratory illnesses, especially in younger children. The CDC notes that signs of ear infection can include ear pain, trouble hearing, and increased irritability.

Hygiene Practices to Avoid Illness

Teaching your child good hygiene habits is one of the most effective ways to reduce the spread of germs and illness at school. When practiced consistently, these small habits can significantly lower the risk of common infections like colds, flu, and stomach bugs.

The Importance of Regular Handwashing

Handwashing is one of the most effective tools for preventing the spread of viruses and bacteria. According to the World Health Organization (WHO), proper hand hygiene helps reduce the transmission of respiratory and gastrointestinal illnesses in community settings.

Teach your child to:

Turning handwashing into a routine, such as singing a favorite 20-second song, can help young children develop the habit.

Practicing Proper Hygiene Habits

Beyond handwashing, small daily behaviors can also help reduce germ exposure.

The American Academy of Pediatrics recommends that children:

These habits can be reinforced at home and school through reminders, posters, or visual cues.

Sanitizing School Supplies and Backpacks

High-touch items like lunchboxes, water bottles, and backpacks can easily collect germs throughout the day. According to the CDC, frequent cleaning of personal items can help reduce exposure to harmful microbes.

To minimize risk, try the following:

Keeping these items clean helps limit the spread of germs between school and home environments.

Boosting Immunity Before School

A strong immune system is your child’s first line of defense against back-to-school illnesses. By encouraging healthy habits, including balanced nutrition, hydration, sleep, and targeted support, you can help strengthen their immune response and resilience throughout the school year.

Balanced Diet with Fruits and Vegetables

Nutrient-dense foods provide essential vitamins and antioxidants that help the body fight infection. According to the National Institutes of Health, nutrients such as vitamin C, vitamin A, zinc, and antioxidants play a vital role in immune regulation.

Try to include the following immune-supporting foods in your child’s diet:

Encourage meals that also include lean proteins, whole grains, and healthy fats to round out their daily nutrient intake.

Proper Hydration and Sleep

Role of Immune-Boosting Supplements

While food should be the primary source of nutrients, supplements can help fill in gaps, especially for picky eaters or during high-risk times like back-to-school season. The NIH Office of Dietary Supplements recommends discussing supplement use with a healthcare provider to ensure safety and appropriate dosing for children.

Some options parents may consider include:

Always consult a pediatrician or pharmacist before starting a new supplement to ensure it is appropriate for your child’s age and health status.

By supporting your child’s nutrition, hydration, sleep habits, and supplement needs, you can help them build a resilient immune system and stay healthier during the school year.

Managing Your Child’s Stress and Mental Health

Stress doesn’t just affect your child’s mood; it can also weaken their immune system, making them more susceptible to illnesses. By fostering a positive, low-stress environment, you can help protect both their mental and physical health during the school year.

The Connection Between Stress and Immunity

When a child experiences stress, the body produces higher levels of cortisol, a hormone that can suppress immune function when elevated for prolonged periods. According to the American Psychological Association, chronic stress may reduce the body’s ability to fight off infections, making children more susceptible to colds, flu, and other common illnesses.

Research from the National Institutes of Health also shows that stress can impact inflammation and immune regulation in both children and adults, reinforcing the importance of stress management in overall health.

Tips for Reducing Stress in Children

1. Create a Predictable Routine
   A consistent schedule gives children a sense of security and structure. According to the CDC, predictable routines support emotional stability and help reduce anxiety during transitions like the start of a new school year.
2. Encourage Open Communication
   Talk to your child about their day, any challenges they’re facing, and how they feel about returning to school. Listening to their concerns can help ease their worries.
3. Incorporate Relaxation Activities
   Unstructured downtime is essential. Activities like drawing, listening to calming music, reading, or practicing breathing exercises can help children decompress. Mindfulness techniques, such as short meditations or guided imagery, have been shown to help reduce anxiety and improve self-regulation in kids (Mindful.com).
4. Limit Screen Time
   Too much screen time can disrupt sleep and contribute to overstimulation. Encourage your child to take breaks from digital devices to focus on physical activity, hobbies, or family interaction. The AAP recommends setting consistent limits on screen use, especially before bedtime.

Creating a Positive Environment

Support your child’s emotional well-being by celebrating their successes, no matter how small. A positive home environment fosters confidence and resilience, enabling them to navigate the challenges of the school year with greater ease.

By addressing stress and prioritizing mental health, you’re not just helping your child feel better emotionally; you’re also strengthening their defenses against illness.

Preparing a Back-to-School Health Kit

A well-stocked back-to-school health kit can help your child stay prepared for minor health issues that arise during the day. By including essential items, you can ensure they have the tools they need to stay healthy and manage small problems independently.

Essential Items for a School Health Kit

Health and Wellness Essentials

Personal Comfort Items

Teaching Independence

Teach your child how and when to use the items in their kit. Empowering them with this knowledge builds confidence and ensures they know how to handle minor health concerns on their own.

By preparing a thoughtful back-to-school health kit, you can help your child stay healthy, comfortable, and ready to tackle each school day.

When to See a Pediatrician

While many back-to-school illnesses are mild and can be managed at home, some symptoms may indicate a more serious condition that requires professional attention. Knowing when to consult a pediatrician is essential for your child’s health and recovery.

Signs That Medical Attention Is Needed

The Role of a Pediatrician in Preventing Illness

Regular well-check visits are important for tracking your child’s growth and addressing health concerns before they become serious. Pediatricians can also recommend preventive measures like vaccinations and immune-boosting strategies tailored to your child’s needs.

Collaborating with a Healthcare Provider

If your child is prescribed medication, consider consulting with a compounding pharmacy to create custom formulations that are easier for kids to take.

By recognizing the signs of serious illness and seeking timely medical care, you can ensure your child gets the treatment they need for a safe and healthy school year.

How Compounding Pharmacy of America Can Help

At Compounding Pharmacy of America, we provide custom pediatric formulations to meet your child’s specific health needs. Whether your child requires dye-free medications, alternative delivery methods, or tailored dosing, we collaborate with healthcare providers to ensure safe, effective solutions.

Our Pediatric Compounding Services Include:

Immune Support Supplements for Kids

For families seeking immune-supportive options, we offer Vita-Kids Immune, a liquid supplement formulated with key nutrients that support immune function. It’s easy to administer, child-friendly, and can help fill dietary gaps during high-risk periods, such as the school year.

As always, speak with your pediatrician before starting any new supplement. The NIH Office of Dietary Supplements recommends consulting a provider to ensure appropriate use, especially for children.

Set Your Child Up for a Healthy School Year

The back-to-school season brings excitement, growth, and a few new health challenges. By prioritizing prevention, encouraging healthy routines, and preparing for common illnesses, you can help your child stay strong and focused all year long.

If your child needs a custom medication or immune support option, our pharmacy team is here to help. Visit our Pediatric Services page to learn more about how personalized care can make a difference in your family’s wellness journey.

*Editor’s Note: This article was medically reviewed for accuracy and updated in May, 2025. This article was updated  to reflect the latest health guidelines, research, and back-to-school wellness strategies.

---

Resources:

1. American Academy of Pediatrics. (2016). Media and young minds. Pediatrics, 138(5), e20162591. https://publications.aap.org/pediatrics/article/138/5/e20162591/60347/Media-and-Young-Minds 
2. American Psychological Association. (n.d.). Children and stress. https://www.apa.org/topics/children/stress
3. Centers for Disease Control and Prevention. (n.d.). About coughing and sneezing. https://www.cdc.gov/hygiene/about/coughing-and-sneezing.html
4. Centers for Disease Control and Prevention. (n.d.). About hand hygiene. https://www.cdc.gov/clean-hands/about/index.html
5. Centers for Disease Control and Prevention. (n.d.). About hand hygiene in schools and early care and education settings. https://www.cdc.gov/clean-hands/prevention/about-hand-hygiene-in-schools-and-early-care-and-education-settings.html
6. Centers for Disease Control and Prevention. (n.d.). Cleaning and disinfecting schools to prevent the flu. https://archive.cdc.gov/www_cdc_gov/flu/school/cleaning.htm
7. CDC. (2024, April 30). Hand Sanitizer Guidelines and Recommendations. Clean Hands. https://www.cdc.gov/clean-hands/about/hand-sanitizer.html
8. Centers for Disease Control and Prevention. (n.d.). Hygiene practices for respiratory viruses. https://www.cdc.gov/respiratory-viruses/prevention/hygiene.html
9. Centers for Disease Control and Prevention. (n.d.). How much sleep do children need? https://www.cdc.gov/children-mental-health/about/index.html
10. Centers for Disease Control and Prevention. (n.d.). How to clean and disinfect early care and education settings. https://www.cdc.gov/hygiene/about/how-to-clean-and-disinfect-early-care-and-education-settings.html
11. CDC. (2024). Tips for Parents. Parent Information. https://www.cdc.gov/parents/about/index.html
12. NCCIH. (2016). Probiotics: Usefulness and Safety. NCCIH; NCCIH. https://www.nccih.nih.gov/health/probiotics-usefulness-and-safety
13. Signs of Dehydration in Infants & Children. (2019, September 24). HealthyChildren.org. https://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/dehydration.aspx
14. Centers for Disease Control and Prevention. (2024, April 30). Hand Sanitizer Guidelines and Recommendations. Clean Hands. https://www.cdc.gov/clean-hands/about/hand-sanitizer.html
15. National Institutes of Health, Office of Dietary Supplements. (n.d.). Immune function: Health professional fact sheet. https://ods.od.nih.gov/factsheets/ImmuneFunction-HealthProfessional/
16. National Institutes of Health. (2018, November 27). Can childhood stress affect the immune system? https://directorsblog.nih.gov/2018/11/27/can-childhood-stress-affect-the-immune-system/
17. UNICEF. (n.d.). How to teach your kids handwashing. https://www.unicef.org/parenting/health/how-to-teach-your-kids-handwashing
18. University of Southern California Environmental Health & Safety. (n.d.). Respiratory etiquette. https://ehs.usc.edu/usc-public-health/respiratory-etiquette/
19. World Health Organization. (n.d.). Advice for the public on COVID-19. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public