Early Childhood Development (ECD) = critical period with consequences for lifetime. A thread:

The brain grows and develops in complexity at a phenomenal rate in first 2-3 years: forming new connections at an astounding rate of >1million per second! Pic Source: The Urban Child Institute
The baby's brain comes with a blue print: genes, but needs critical components to achieve its potential: 1. Nutrition 2. Protection 3. Stimulation The first #1000Days and a bit beyond are crucial for Nature and Nurture to play their role Pic Source: UNICEF
1. Nutrition: Mother's breast milk (and her nourishment) and wholesome age appropriate complementary food from 6 months is crucial Pic Source: https://www.boredpanda.com/breastfeeding-photos-
2. Protective Environment: Conflict zones, exposure to societal violence, negative influences such as neglect, verbal and physical abuse set off biological processes that hamper brain development in early childhood
3. Stimulation: Crucial aspect that has changed MOST in the last decade + for the worse
'Every time a parent speaks to a child- it sparks something in the child, it forms brain connections'
Pressing need to have young ones play and communicate with parents and not a 'screen' pic source:sellcell.comPic source: firstthingsfirst.org
less #ScreenTime is more, for an infant even less is deleterious. It breaks my heart to see parents/g-parents take refuge/pleasure, treat #handheld as friend/parent, bribe etc
Brain development is both experience-expectant & experience dependent process: screens mess it up .
#ScreenTime Recommendations (@AmerAcadPeds)
<18 months = Nil ( except for video calls!)
18 months to 2yrs = high quality, if choosing to, co watch and help understand what they are seeing
2-5 years = 1 hour, high quality, co-watch, understand to apply to world around them
In summary: "When you pay attention to the beginning of the story, you can change the whole story"
First #1000Days (Pregnancy-2 years) is the most critical (things amiss = lasting effects) and sensitive (things amiss = lost opportunity) period
Eat, Play & Love seems to work well!

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More from @DrRajathAthreya

23 Feb
Childhood #Asthma: not unusual to see some wishing it away. It’s stigmatised and poorly managed. Knowing triggers that can be avoided is the first step. Children need personalised Rx plan

9 Asthma Triggers and What to do About Them healthychildren.org/English/health…
Let us take up:
1.Can you prevent #Asthma?
2. Can you cure Asthma?
3. Will my child get 'addicted' to inhalers?
4. You have prescribed steroids!!
5. Can I try alternative medicine/no medicine?
1.Can you prevent #Asthma?
Primary (Preventing it all together)
Not much, but these help:
Breastfeeding - protective, regulates immune and allergic responses
Avoiding obesity/Overweight + wt loss/healthy wt in children with respiratory symptoms
Avoid exposure to/smoking
Read 13 tweets

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