Sexually Transmitted and Blood-Borne Infections: What Parents Need to Know

Sexually transmitted and blood-borne infections (STBBIs) like the human immunodeficiency virus (HIV) can affect both you and your baby. However, many STBBIs can be prevented, tested for and treated. If you are planning a pregnancy, are pregnant or have given birth, learning about STBBIs can help keep you and your baby healthy.

Taking care of your sexual health is important before, during and after pregnancy. Some sexually transmitted and blood-borne infections (STBBIs), like the human immunodeficiency virus (HIV), can be passed from a parent to their baby during pregnancy, birth or while breastfeeding/chestfeeding.

STBBIs can be spread through sexual contact without a condom. Some STBBIs can also be spread through contact with infected blood, like sharing needles or other drug-use equipment.

However, many STBBIs can be prevented, tested for and treated.

During Pregnancy

Testing for STBBIs is a normal part of prenatal care. Testing usually involves a blood test and a urine sample. 

Getting tested early helps make sure you can get the care you need and can lower the chance of passing an infection to your baby during pregnancy or birth.

Did you know?

In Manitoba, everyone who is pregnant should get tested for HIV and other STBBIs at least three times during pregnancy. 

HIV

If HIV is diagnosed during pregnancy, treatment can begin right away. HIV medicines work very well. They can lower the amount of virus in the body to very low levels. This makes it much less likely to pass HIV to a baby.

If you are living with HIV and are pregnant or planning a pregnancy, talk to your health-care provider as early as possible. They can help you manage your HIV and support a healthy pregnancy.

Hepatitis B

Most pregnant people with hepatitis B do not need treatment. Their babies can be protected by getting hepatitis B antibody and vaccination shortly after birth.

Hepatitis C

Hepatitis C can be passed to your baby during pregnancy or birth, but the chance of this happening is low. Treatment isn’t usually started until after pregnancy and breastfeeding/chestfeeding are finished. During this time, your health-care team can support you and monitor both you and your baby.

Syphilis, Gonorrhea and Chlamydia

These bacterial infections can be treated with antibiotics during pregnancy.

After Your Baby is Born

Taking care of your sexual health remains important after pregnancy. Even if you did not have a STBBI during pregnancy, you can still get one later. If you are sexually active, regular HIV and STBBI testing can help protect both you and your baby.

Talk to your health-care provider about STBBI testing if:

  • You or your partner have new, multiple, or anonymous sexual partners.
  • You think you have been exposed to an STBBI.
  • You or your partner inject drugs or share drug-use equipment.
  • You have symptoms such as sores, unusual discharge, pain, fever or a rash.

For some people, testing every three to six months may be recommended.

HIV and Breastfeeding/Chestfeeding

HIV can be passed to a baby through breastmilk/chestmilk. For this reason, people living with HIV in Canada are recommended to use formula to feed their baby. This removes the risk of passing HIV through feeding.

If you are living with HIV and are pregnant or planning a pregnancy, talk to your health-care provider early. They can help you choose the feeding option that is best for you and your baby

How to Lower Your Risk

There are many ways to protect yourself and your baby from STBBIs:

  • If you are planning a pregnancy, talk to your health-care provider about any steps you can take to support a healthy pregnancy.
  • Go to all your prenatal and postpartum appointments.
  • Get tested for STBBIs when recommended by your health-care provider.
  • Talk openly with your health-care provider about any sexual health or substance use concerns.
  • Use condoms when having sex.
  • Encourage your partner(s) to get tested and treated if needed.
  • If you use substances, use sterile needles and smoking equipment every time. Do not share equipment with others.
  • Get medical care right away if you think you have been exposed to an STBBI.

Did you know?

There are medications that can help lower the chances of getting HIV. This medication is called PrEP (pre-exposure prophylaxis). If you do not have HIV but may be at higher risk of getting it, PrEP may be an option for you. Talk to your health-care provider to learn more.

When to Talk to a Health-Care Provider

Talk to your health-care provider if:

  • You think you were exposed to an STBBI.
  • Your partner has an STBBI.
  • You have symptoms like sores, unusual discharge, fever or other signs of infection.
  • You are pregnant or breastfeeding/chestfeeding and you want STBBI testing or have questions about an infection you may have.
  • You would like information or support about your substance use. This could include using substances more safely, using less or stopping.

For more information on finding a health-care provider, check out https://parentinginmanitoba.ca/finding-a-health-care-provider.

Resources

Breastfeeding/Chestfeeding Your Baby in an Emergency

Emergencies like wildfires, floods, or power outages can happen without warning. Breastfeeding/chestfeeding is the safest and easiest way to feed your baby during an emergency. This information can help you feel prepared to feed your baby safely, even during stressful situations.

Emergencies and disasters can happen suddenly and without warning. They may leave you and your family without electricity, clean drinking water or transportation. These events can be caused by severe weather, disease outbreaks, floods, wildfires or other hazards.

Babies are especially at-risk during emergencies. That’s why it is important to have a plan for how you will feed your baby if you lose power, don’t have clean water, or need to leave your home and go to a reception centre or shelter.

Safe feeding practices are the most important way to protect your baby from getting sick during an emergency. The way you prepare will depend on how you normally feed your baby.

Note: The instructions in this article are only for emergency situations. Please see our other breastfeeding/chestfeeding articles for more information.

If you are feeding your baby formula, please see our article Formula Feeding Your Baby in an Emergency.

If you are Breastfeeding/Chestfeeding your Baby

Breastfeeding/chestfeeding is clean, safe and does not need electricity or running water. This makes it the best way to feed your baby during an emergency.

It also helps protect both you and your baby by:

  • Giving your baby a stable, healthy source of food.
  • Providing protection (antibodies) in your milk that help prevent and fight infections
  • Giving your baby comfort and warmth.
  • Releasing hormones that help you feel calmer and less stressed, which can make it easier to care for your baby during a difficult time.

Know Your Rights

Breastfeeding/chestfeeding is protected by law. You are allowed to breastfeed/chestfeed anytime and anywhere, including public spaces, reception centres and shelters.

If you are exclusively breastfeeding/chestfeeding, you can continue with confidence. Since giving formula can lower milk supply, let people know your feeding preferences so they can support you.

You can tell your baby is getting enough milk if they:

  • Feed often
  • Have six or more wet diapers each day

For more information, check out: Breastfeeding/Chestfeeding – Getting Started – Parenting in Manitoba

Be Prepared Before an Emergency

  • If you pump, plan to evacuate with your pump.
  • Learn to hand express in case there is a power outage and you cannot use your electric pump or consider adding a manual pump to your emergency kit.

Learn more here: How to Express and Store Breastmilk – Parenting in Manitoba

Breastfeeding/Chestfeeding During an Emergency

  • Wash your hands before you breastfeed/chestfeed each time.
  • If you can’t use soap and clean water, use hand sanitizer with at least 60% alcohol.
  • Keep breastfeeding/chestfeeding often, whenever your baby shows they are hungry.
  • Feeling stressed does not lower how much milk you make, but it can slow the flow of milk for a short time.
  • Feeding in a quiet, private space can help.
  • If you use both breastmilk/chestmilk and formula, try to breastfeed/chestfeed more often during an emergency. This can make things easier if clean formula is harder to prepare.

If you pump breastmilk/chestmilk or are using bottles, follow these steps only in emergencies when you do not have your usual equipment or a kitchen:

A diagram showing the four steps to cleaning bottles in a special situation.
  1. Wash your hands with soap and water
  2. Clean bottle and nipple with hot soapy water
  3. Rinse with warm water
  4. Place on a clean surface to dry

Your bottles are now ready to add breastmilk/chestmilk.

If you are not in an emergency, follow proper sterilizing methods: How to Sterilize Your Formula Feeding Equipment

If you are staying in a shelter or hotel, ask staff if they have equipment (such as a pot, stove or kettle) to sterilize feeding supplies.

Safe Use of Frozen Breastmilk/Chestmilk in an Emergency

Frozen breastmilk/chestmilk may be used in an emergency if it has been kept frozen, transported safely and has not spoiled.

Preparing for power outages

  • Set your fridge/freezer temperature control to the coldest setting.
  • Keep your freezer as full as possible with milk in the middle. A full freezer stays frozen for much longer (48 hours) than one that isn’t full (24 hours).
  • Fill empty freezer space with crumpled paper, lined with cardboard, or freezer blocks.
  • Put full water bottles in empty spots and freeze them before a power outage. They help keep everything cold.
  • Once the freezer is ready, keep the door fully closed. During a power outage, try not to open the fridge or freezer. If you do open it, close the door as quick as possible.

Packing frozen milk for evacuation:

  • Use a well-insulated cooler big enough to hold your milk.
  • Line the bottom of your cooler with cardboard (corrugated cardboard is a good insulator).
  • Place your milk bags in the cooler.
  • Fill any extra space with more crumpled paper. Packing it tightly helps keep everything cold longer.
  • Place another layer of cardboard or paper on top of the milk.
  • Place frozen gel packs or ice blocks on top of the paper.
  • Seal the cooler with duct tape to help it stay closed and prevent spills if it tips over.
  • Keep the cooler closed until you have reached your destination.

Safe use:

  • If frozen milk has been in a fully packed cooler and is still partly frozen, it can be refrozen.
  • Once the milk is fully thawed, it should be used within 24 hours.
  • If the power went out and came back on while you were away, the milk in the freezer may have thawed and then refrozen. The milk is not safe to use and should be thrown out.

Resources

If you have questions about feeding your baby, contact:

  • Your public health nurse: https://www.gov.mb.ca/health/publichealth/offices.html
  • Breastfeeding hotline:
    • Winnipeg: 204-788-8667
    • Outside Winnipeg: 1-888-315-9257
    • Open 24 hours a day, seven days a week
  • Health Links – Info Santé:
    • Winnipeg: 204-788-8209
    • Outside Winnipeg: 1-888-315-9257
    • Open 24 hours a day, seven days a week
  • La Leche League phone support and groups: 204-257-3509
  • Dial-a-Dietitian:
    • Winnipeg: 204-788-8248
    • Outside Winnipeg: 1-877-830-2892
    • Monday to Friday, 8 am to 4 pm

References

Formula Feeding Your Baby in an Emergency

Emergencies like wildfires, floods, or power outages can happen at any time. These situations can make it hard to get clean water or electricity. If your baby is taking formula, extra care is needed during an emergency to keep feeding safe. This information can help you feel prepared to feed your baby safely, even in stressful situations.

Emergencies and disasters can happen suddenly and without warning. They may leave you and your family without electricity, clean drinking water or transportation. These events can be caused by severe weather, disease outbreaks, floods, wildfires or other hazards.

Babies are especially at-risk during emergencies. That’s why it is important to have a plan for how you will feed your baby if you lose power, don’t have clean water or if you need to evacuate your home and go to a reception centre or shelter.

Safe feeding practices are the most important way to protect your baby from getting sick during an emergency. The way you prepare for an emergency will depend on how you normally feed your baby.

Note: the instructions in this article are only for formula feeding your baby in an emergency situation.

If you are not in an emergency situation, please see our article Formula Feeding Your Baby for more information.

If you are breastfeeding/chestfeeding your baby in an emergency, see our article here: Breastfeeding/Chestfeeding Your Baby in an Emergency.

Be Prepared Before an Emergency

  • Try to keep at least a three-day supply of ready-to-feed formula at home in case of an emergency.
  • If you use powdered or liquid concentrate infant formula:
    • Have a three-day supply of the formula your baby uses.
    • Keep enough bottled water to make the formula:
      • Most babies will need around one litre of water per day to prepare formula.
      • Have a 24-bottle flat of bottled water or several 4L (gallon) jugs on hand.
    • Make sure you have enough bottles and nipples.
    • Keep supplies to wash bottles and nipples, like soap and a clean brush.

Feeding Your Baby

  • Hold your baby skin to skin to provide comfort and warmth.
  • Wash your hands before making formula and before feeding your baby.
  • If you don’t have soap and clean water, use hand sanitizer with at least 60% alcohol.

Storing Formula Safely in an Emergency

  • Prepared formula must be kept in the refrigerator at 4°C (40°F) and used within 24 hours.
  • If you do not have power, use single serve, ready-to-feed formula.

Take Care of Yourself

A quiet, private place to feed your baby will help with the stress and distraction. Connecting with other parents can provide emotional support making it easier for you to care for your baby and other children during a stressful event.

For more information, check out: Well-being & Mental Health – Parenting in Manitoba

Cleaning Baby Bottles in an Emergency

Follow these steps only in emergencies when you do not have the equipment you normally have and a kitchen to clean feeding equipment and make formula:

A diagram showing the four steps to cleaning bottles in a special situation.

  1. Wash your hands with soap and water.
  2. Clean bottle and nipple with hot soapy water. If you are re-using the ready-to-feed infant formula bottles it is important to clean them.
  3. Rinse with warm water.
  4. Place on a clean surface to dry.

Your bottles are now ready to add formula.

Important: If you are not in an emergency situation, follow standard sterilizing methods: How to Sterilize Your Formula Feeding Equipment

Follow the instructions on the package to make formula.

If you are staying in a shelter or hotel, ask staff if they have equipment (such as a pot, stove or kettle) to sterilize feeding supplies.

Making Formula for Your Baby in an Emergency

1. Types of formula

If you have ready-to-feed formula, it is the best choice. If you have it, go to step 4. If not, continue to step 2.

Three types of formula: Ready-to-feed formula in a bottle, liquid concentrate formula in a can, and powder formula in a canister.

2. Water Options in an Emergency

Find out if the tap water is safe to drink in your community. If there is a water advisory, you might be given bottled water. Bottled water is not sterile, so boil it before making formula.

a) If tap water IS safe, or there is a boil water advisory:

  • Run the cold water tap for 2 minutes.
  • If you have a pot and a portable cooktop, boil the water at a rolling boil for 2 minutes.
  • If you have a kettle, boil the water until it shuts off.

b) If tap water is NOT safe, use bottled water:

  • If you have a pot and a portable cooktop, boil the bottled water for 2 minutes.
  • If you have a kettle, boil the water until it shuts off.

c) If you can’t boil water, use ready-to-feed formula.

3. Making the formula: follow the mixing instructions that come with the formula

a) Formula powder or single serve: Powder formula is not sterile, it needs to be mixed with water that has been boiled and cooled for 30 minutes, not longer.

  • Always add the cooled, boiled water first, then use the scoop that comes in the can to add the powder.
  • Shake the bottle well before feeding. If feeding immediately, ensure the temperature is safe for baby.
  • If you have a fridge, you can store and use within 24 hours. If you do not have a fridge, feed formula bottle immediately.
Diagram showing powder formula added to a bottle containing boiled and cooled water. Then it is shaken to mix completely.

b) Liquid concentrate formula:

  • Only use this type of formula if you have a fridge.
  • Cool the boiled water to room temperature, pour it into a jar and put the lid on. This water can be used immediately or kept at room temperature for 24 hours or in a fridge for 2-3 days.
  • Wipe the top of the can and shake it before opening.
  • Mix water with formula and prepare bottle. Feed immediately when temperature is safe or put bottles in the fridge.
  • Use prepared bottles within 24 hours. Do not leave bottles standing at room temperature.
  • Put a tight lid on any unused liquid concentrate and store in the fridge.
  • Use the leftover liquid concentrate within 48 hours.

4. Throw away any formula that your baby doesn’t finish.

Resources

If you have questions about feeding your baby, contact:

  • Your public health nurse: https://www.gov.mb.ca/health/publichealth/offices.html
  • Health Links – Info Santé:
    • Winnipeg: 204-788-8209
    • Outside Winnipeg: 1-888-315-9257
    • Open 24 hours a day, seven days a week
  • Dial-a-Dietitian:
    • Winnipeg: 204-788-8248
    • Outside Winnipeg: 1-877-830-2892
    • Monday to Friday, 8 am to 4 pm

References

Ready-to-Feed Infant Formula: How to Prepare and Store

Just like the name says, this product is used right out of the container. 

  • Ready-to-use (also called ready-to-feed) formula is sterile and safe for your baby as is. 
  • Ready-to-use formula comes in single use bottles as well as larger containers for multiple feedings. 
  • Always follow the manufacturer’s directions on the label. 
  • It is very important that your hands and the place where you prepare the bottles are clean and that feeding equipment is sterilized. 
  • Never add extra water to make the formula thinner as this is dangerous for your baby. 
  • Never mix any other kind of food, drink or type of formula in your baby’s bottle. Adding cereal to your baby’s bottle won’t help them sleep and can cause choking. 
  • Bottles prepared ahead of time need to be covered and stored in the refrigerator. Throw them out if you haven’t used them within 48 hours. 

How to Use and Store 

  • Your baby should start a new bottle at each feeding. 
  • After feeding begins, use the formula within one hour or discard. 
  • After each feeding, throw away any unused formula. Never reuse, reheat or put it in the fridge for later use. 
  • If using formula that comes in a container with more than one serving in it:
    • once opened, cover the container and store it in the refrigerator. 
    • use the entire bottle of formula within 48 hours. 
    • throw out any unused formula that has been open for over 48 hours. 

How to Make Ready-to-Feed Formula

Step by step instructions on how to make ready-to-feed formula with corresponding images.
1. Have sterilized items ready.
2. Wash and clean your hands and countertops with soap and water.
3. Rinse the top of the can with warm water and make sure the can does not have any dents.
4. Shake the can. Open with a sterilized can opener. 
5. Fill each bottle with enough formula for one feeding. Do not add water.
6. Use sterile tongs to put nipples, discs and caps on bottles.
7. Put bottles in the refrigerator. Use prepared bottles within 24 hours. Do not leave bottles out at room temperature. Put a tight cover on the can of unused ready to feed formula and store it in the refrigerator. Use within 24 to 48 hours. Check the formula container for the different formula storage recommendations.
8. Before feeding baby, shake the bottle well and always check the temperature of the formula to ensure it is not too hot.)

Warming the Bottle Before Feeding 

  • Most babies like to drink their formula at room temperature. 
  • You can warm the bottle by placing it in a bowl of warm water. 
  • Never warm bottles in a microwave oven as it causes hot spots and can burn your baby’s mouth. 
  • Check the temperature of the formula by placing some drops on the inside of your wrist. 
Droplets falling from a baby bottle onto a wrist, with a thermometer in the background.

Protecting Kids in Manitoba: Invasive Meningococcal Disease and the Importance of Vaccines

Invasive meningococcal disease (IMD) is a serious infection caused by a germ (bacteria) called Neisseria meningitidis. The best way to protect your child from IMD is through vaccination with the Men-C-ACYW vaccine. Manitoba is currently experiencing an IMD outbreak and has expanded its immunization program to help keep affected families and communities safe.

What Is Invasive Meningococcal Disease (IMD)?

IMD is a serious illness caused by a bacteria called Neisseria meningitidis. There are five main types: A, B, C, Y and W. Many people carry this germ in their nose or throat without feeling sick, but it can spread to the blood or brain and cause serious infections that may lead to brain damage, hearing loss or even death.

For more information on Meningococcal Disease, check out: Meningococcal Disease (Neisseria meningitides) | Health | Province of Manitoba

What’s Happening in Manitoba Right Now?

Since December 2023, Manitoba has seen more cases of IMD caused by the W strain. Most cases are in the Northern Health Region and Indigenous communities. Babies under 12 months are most at risk. That’s why babies aged six weeks to under 12 months can now get up to two extra doses of the Men-C-ACYW vaccine for free if they:

  • live in an Indigenous community in Manitoba
  • travel often to an Indigenous community,
  • have household visitors from Indigenous communities

Once your baby turns 12 months, they should receive two routine doses of Men-C-ACYW vaccine:

  • first at 12 months of age
  • second in Grade 6

Did you know?

Children born between January 1, 2020, and February 28, 2023, can also get the Men-C-ACYW vaccine for added protection against all major strains of meningococcal bacteria.

Learn more Routine Immunization for Schedule

If your child has not received their routine meningococcal vaccine, you can book a vaccine appointment:

For more information about who can get vaccines in Manitoba, visit:
 www.gov.mb.ca/health/publichealth/cdc/vaccineeligibility.html

What are the Side Effects of the Men-C-ACYW Vaccine?

Common, mild reactions to the vaccine may include:

  • sore arm
  • fever
  • headache
  • feeling tired or unwell for a day or two

Did you know?

Aspirin® (ASA) should not be given to children, as it can cause a rare but serious illness called Reye’s Syndrome. Talk to your healthcare provider about the use of Acetaminophen (Tylenol®, Tempra®) or ibuprofen (Advil®, Motrin®)

Who Should Not Get the Meningococcal Vaccine?  

Talk to your health-care provider if your child:

Note: A mild illness, like a runny nose or slight cough, does not mean your child should skip getting a dose.

The Men-C-ACYW vaccine is safe and effective. Health Canada approves all vaccines only after carefully reviewing how well they work and how safe they are. It is much safer to get the vaccine than to get meningococcal disease.

For more information on the Meningococcal Conjugate Quadrivalent (Men-C-ACYW) vaccine, check out: Meningococcal Conjugate Quadrivalent (Men-C-ACYW) Vaccine Public Health – Fact Sheet

What are Other Ways I Can Protect My Child against IMD?

You can help prevent illness by:

  • washing hands often
  • covering your mouth and nose when coughing or sneezing
  • not sharing food, drinks or personal items like water bottles or lip balm

If you have questions about meningococcal disease or vaccines, talk to your health-care provider or contact:

Health Links–Info Santé
Winnipeg: 204-788-8200
Toll-free: 1-888-315-9257
www.gov.mb.ca/health/publichealth/cdc/div/index.html
Protect Our People MB

More Information

Cold and Flu: When to Seek Health Care

Parent’s often have questions about when they should take their child to the doctor.

Call 911 or your local emergency number if your child:

  • has severe trouble breathing or blue lips;
  • is limp or unable to move;
  • is hard to wake up or does not respond;
  • has a stiff neck or severe headache;
  • seems confused; or
  • has a seizure (convulsion/fit)

Take your child to an emergency department, nearest hospital, nursing station or health centre if your child:

  • is less than 3 months old and has a temperature of 38°C or more;
  • has trouble breathing when resting, is wheezing, has chest pain when breathing or is coughing up bloody sputum (phlegm or saliva);
  • is showing signs of dehydration (fewer than 4 wet diapers in 24 hours, increased thirst, no tears, dry skin, mouth and tongue, faster heartbeat, sunken eyes, grayish skin, sunken soft spot (fontanelle) on baby’s head);
  • is constantly irritable and will not calm down;
  • is listless, not interested in playing with toys or unusually sleepy.

Contact your child’s health care provider:

  • if your child still has a fever after five days or was feeling better and then suddenly develops a new fever.
  • if your child has a bad earache or sore throat.
  • if your child has symptoms of influenza and has a condition listed below that may put them at a higher risk of complication
    • asthma
    • diabetes, kidney, heart disease or lung disease
    • morbid obesity
    • neurologic conditions including cerebral palsy, muscle weakness, seizures and developmental delay
    • heart disease such as congenital heart disease and congestive heart failure
    • blood disorders such as sickle cell disease
    • immune system problems or taking medications that suppress the immune system (such as chemotherapy)
    • receiving long-term aspirin therapy for chronic disorders

Not sure where to go for health care in Manitoba?

Keeping your Family Safe at Parties and Celebrations

Parties and celebrations are a great way to spend time with family and friends, but they can also bring safety risks – especially for children. Here are some tips to help keep everyone safe while having fun.

Supervision and Childproofing

  • Always know who is watching your children. A room full of people doesn’t mean someone is paying attention. If you’re busy, ask a trusted adult to help. 
  • Remember that other peoples’ homes may not be childproof. Ask if you can move dangerous items higher and keep bathroom and stairway doors closed. Always keep a watchful eye on your children.
  • It is important to make sure your baby has a safe space to sleep, wherever you are. For more information, check out Safe Sleeping for Your Baby – Parenting in Manitoba.

For more information on home safety, check out:

Food, Drinks and Hidden Hazards

  • Children are naturally curious, so it’s important to keep anything dangerous out of reach.
    • Drinks with alcohol or cannabis are harmful to children. Some foods – like cherry tomatoes, grapes, hard candies and nuts – can be a choking hazard for young children. Ask guests to keep food and drinks away from children. 
    • Watch out for purses and coats. They might have medicine or small items that can cause a child to choke. Put coats and bags in a closed room or closet. 
    • Be careful with house plants. Some house plants are poisonous, and some may have thorns or spikes.  
    • Fireplaces or woodstoves may be hot. Use a safety barrier so children can’t get close enough to be burned. Discourage children from playing anywhere near a fireplace or woodstove.  
  • Keep sidewalks and stairways clear and clean to help prevent slips and falls. 

 Kitchen Safety  

  • Keep children out of the kitchen area during meal preparation and cooking, but especially away from the stove and oven. 
  • Turn pot handles toward the back of the stove so children can’t grab or bump them. Never leave an active (cooking) stove top unattended. 
  •  Keep knives away from the counter edge when in use. When you’re done using them, put them in the dishwasher or sink. Do not put knives in a sink with soapy water because they’re hard to see and could cut someone’s hand.
  • Keep coffee urns and hot drink containers out of children’s reach. 
  • Watch out for cords and tablecloths — children might pull on them and spill hot food or drinks. 

A family gathered around a dinner table enjoying a meal.

In the Car 

  • Everyone needs to wear a seatbelt every time you ride in a car. 
  • Babies and young children must ride in a car seat or booster seat appropriate for their age and weight. For more information on car seat safety, check out:
  • Put suitcases, gifts, and food in the trunk or somewhere they won’t move around. 
  • In Manitoba, it’s against the law to use your cell phone or any handheld device while driving. If you do, you could lose your license right away, pay a $672 fine, and get five demerit points. 
  • Never drive after drinking alcohol or using cannabis. It’s dangerous and illegal. Plan for a safe ride home, ask someone to be a designated driver, take a cab/ride-sharing service or use public transit.

Did you know?

In November and December, you can request a ride home in some cities and towns from Operation Red Nose volunteers here: Operation Red Nose – Safety Services Manitoba. You can also call the following phone numbers:

If you are celebrating the holidays, check out this article for additional safety tips: Holiday Safety Tips.

More Information 

Holiday Safety Tips

The holidays are full of fun and excitement, but many seasonal items — from trees and decorations to toys and gifts — can also bring safety risks. Careful planning can help prevent injuries. These simple tips will keep your family safe while enjoying the season. 

Parties and Celebrations

For many families, parties and celebrations are a big part of the holidays. While you celebrate, it is important to keep everyone safe. Check out these helpful tips to make sure your holiday gatherings are safe and enjoyable: Keeping your Family Safe at Parties and Celebrations.

Holiday Trees 

If you choose a real tree:

  • Pick a fresh, green tree. The needles should stay on, and the branches should bend, not snap.  
  • Water your tree every day so it does not dry out. It might need about one litre of water each day. Use clean water to water the tree.  
  • Clean up fallen needles every day — they can be sharp on fingers and toes. 
  • Keep your tree away from heaters, fireplaces and any other sources of heat.  
  • Make sure your tree is secure in the stand and will not tip over.  

If you choose an artificial (fake) tree:

  • Look for a label that says “fire resistant.” These trees are safer but can still catch fire.

Other safety tips

  • Never leave young children or pets alone near the tree. 
  • If you have pets, let them check out the tree before you decorate it. This helps them get used to it and makes them less curious later. That way, they are less likely to eat ornaments or knock the tree over.

A cat playing beside a decorated Christmas tree with lights.

Decorations and Ornaments

  • Do not use tinsel. Children and pets can swallow it and get sick with digestive problems. It can also get wrapped around their fingers and cut off blood flow.
  • Put small or breakable ornaments high on the tree or out of reach on high shelves so young children can’t reach them. Save glass ornaments for when your children are older. 
  • Remember decorations are not toys and do not have the same safety standards as toys. This means that they may not be safe for children to touch or play with.
  • Young children may eat decorations that look like food (red berries, for example). Keep these out of sight and reach. 
  • Limit stair handrail decorations. They can make the rail hard to hold and may cause someone to fall.  

 Holiday Lighting  

  • Make sure your lights work properly and have safety labels like CSA, cUL or cETL. 
  • Screw bulbs in tightly and turn off lights before bed or when leaving home. 
  • Old lights (incandescent or non-LED) can get hot, so keep them away from things that can burn. Use outdoor lights outside and indoor lights inside. 
  • Some lights have chemicals that can make you very sick if swallowed or touched. Check product safety labels for warnings and keep lights away from children.
  • Secure cords and light strands so people don’t trip. 
  • Always be careful when using a ladder. Be sure the ladder is on a flat surface and you can comfortably reach what you are working on. 

Candles 

  • Use battery-powered candles instead of real ones. They are safest. 
  • If you use real candles, put them in sturdy candle holders that will not tip over. 
  • Be careful with loose sleeves or long hair when around candles — they can catch fire. Never reach over one candle to light another. 
  • Never leave candles burning if you leave the room or go to sleep. 
  • Keep real candles away from children, pets, trees, decorations and wrapping paper. 

Did you know?

Holiday injuries are like injuries that occur any time of the year. Prepare your home for holiday and year-round safety by:

Toys and Gifts

  • Pick toys that match your child’s age. Check the age suggestion label on the package.  
  • Know what toys contain button batteries or magnets. They can cause serious injuries when swallowed or placed in noses or ears.
  • Follow the instructions to put toys together and use them safely. 
  • Keep toys with small parts away from babies and toddlers. They can choke.
  • Teach older children to be careful with toys that have small parts.  
    • Make a “small toy zone” where only older children play, like in a separate room.
    • Let older children play with small toys when younger children are sleeping and clean up the toys after they are finished playing. 

Check for toy recalls by visiting http://healthycanadians.gc.ca/.  

For more information on toy and gift safety, check out:

Button batteries are found in toys, gifts and novelty items sold for the holidays and other household items like watches and remote controls. They are round and flat, like a button. They can cause serious burns and injuries.

  • It is important to act quickly if your child swallows a button battery. 
  • If you think your child has swallowed a button battery, do not wait for symptoms. Take your child to the nearest hospital, nursing station or health centre as soon as possible. 
  • A swallowed button battery can cause severe internal chemical burns in as little as 2 hours. Batteries can also cause burns if they get stuck in ears or noses.
Close up of several button batteries.
  • Know which items in your home contain button batteries, such as musical gift cards, novelty items that light up, TV remotes, key fobs, flameless candles, string lights and many toys and games.
  • Look for products with battery compartments that prevent easy access. For example, screw-closed compartments are harder to get into than those that slide to open. 
  • Regularly check that button battery compartments are secure. 
  • Always supervise children when they play with items that use button batteries

For more information on battery safety, check out Battery safety. 

  • Keep toys with small, strong magnets away from children. Always read and follow safety warnings and age recommendations on toys with magnets. 
  • Swallowing magnets can cause serious injuries or even death. 
  • If a child swallows more than one magnet, they can stick together inside the body and cause damage or block the digestive system. If someone swallows a magnet, get medical help right away. 
  • Magnets can be found in products such as jewelry, fridge magnets, clothing accessories and toys including building toys, train sets and board games. 

For more information on magnet safety, check out Magnet safety 

Gift tags, gift bags, wrapping paper, plastic bags, plastic wrap, ribbons and bows can be dangerous for young children. They can choke or suffocate on these items. After opening gifts, put all wrapping and packaging somewhere children cannot reach. 

Winter Safety 

For many families, spending time outdoors is a part of the holiday season. Here are some tips for keeping safe in cold weather:

  • Dress in layers to stay warm and dry. 
  • Be sure your head, hands and feet are warm by wearing warm hats, mittens or gloves and winter-rated boots. 
  • Always wear a helmet for skating, sledding, or skiing. 
  • Pick sledding hills that are far from roads and don’t have trees or rocks. 
  • Never play on frozen rivers or lakes unless an adult says it’s safe. The clear part of the ice should be a minimum of five centimetres (two inches) before it is safe to walk on. If you are not sure, stay off the ice.  
  • Wear bright clothes or reflectors so cars can see you near roads. 

For more information on keeping your baby warm in the winter, check out Keeping your baby warm in winter – Parenting in Manitoba

Resources

Health Links-Info Santé: If you have questions about your health, you can call Health Links-Info Santé 24 hours a day to speak to knowledgeable, experienced nurses free of charge. Call 204-788-8200 in Winnipeg or 1-888-315-9257 toll-free elsewhere in the province.

Manitoba Poison Centre: If you think you or someone you love has been exposed to a dangerous substance, you can call the Manitoba Poison Centre at 1-844-POISON-X or 1-844-764-7669 (toll-free) for help. They can also provide information to help you prevent poisonings. Check out their website here: Manitoba Poison Centre

Learn More

Acetaminophen is a Recommended Treatment for Fever and Pain During Pregnancy

Health Canada and the Society of Obstetricians and Gynaecologists of Canada (SOGC) confirm, there is no conclusive evidence that taking acetaminophen (Tylenol®) as directed during pregnancy causes autism or other brain development problems.

Acetaminophen (Tylenol®) is a recommended treatment of pain or fever in pregnancy when used as directed. It should be used at the lowest effective dose for the shortest duration needed.

Do not take more than the recommended dose. Taking too much acetaminophen (Tylenol®) can harm to your liver.

 Acetaminophen (Tylenol®) has been used safely by millions of Canadians for decades, including during pregnancy and while breastfeeding.

Untreated fevers during pregnancy may cause:

  • The mother or birthing parent to have a miscarriage
  • Problems with how your baby’s organs develop, heart issues and autism

If you are not feeling well

Talk to your health care provider about how you are feeling and if you have questions about the use of any medications.

Call Health Links-Info Santé, you can speak to a nurse 24/7, 365 days of the year in over 100 languages. They can answer your health questions and help you find health services in your community.

 Other ways to support a healthy pregnancy:

References: