As children in Sanford, NC return to school, local health officials are advising parents to take steps to protect their children from common fall viruses such as influenza, RSV, and COVID-19. The respiratory virus season in warmer regions like Sanford can begin as early as September and last into the winter months.
Children are particularly at risk due to close contact with peers at school and daycare. In these settings, viruses spread through coughs, sneezes, and shared surfaces. Young children may not always practice good hygiene or avoid sharing items, increasing the likelihood of illness.
Influenza is one of the main concerns this season. It spreads quickly and can cause high fever, chills, sore throat, body aches, and fatigue. Complications such as pneumonia and dehydration are possible in children. RSV poses a significant risk for infants and toddlers; it often starts with mild cold symptoms but can progress to wheezing or difficulty breathing that sometimes requires hospitalization. COVID-19 continues to circulate among children as well; while symptoms may be milder than in adults, those with chronic conditions could experience more severe effects.
Parents are encouraged to reinforce handwashing habits with their children—using soap and water for at least 20 seconds—and ensure proper cough etiquette by teaching kids to use tissues or their elbows when coughing or sneezing. Keeping sick children home until they have been fever-free for at least 24 hours without medication is also recommended.
Regular cleaning of high-touch surfaces such as toys and doorknobs helps reduce transmission within households. Improving indoor air quality by opening windows or using HEPA-filter air purifiers can further lower the risk of airborne virus exposure.
Consulting a pediatrician about vaccines for flu and COVID-19 is advised. For infants or high-risk children, doctors may recommend additional protection against RSV.
Parents should seek medical attention if their child has trouble breathing, shows signs of dehydration like dry mouth or sunken eyes, exhibits unusual sleepiness or irritability, or has difficulty feeding—especially in infants.
“At Central Carolina Hospital, we care for children across Sanford, NC and are here to support your family all season long. Whether your child needs care for a virus or just a wellness visit, our pediatricians are ready to help.”
Central Carolina Hospital reminds families that prevention efforts should start early due to the longer virus season in warmer climates like Sanford.


