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QUOTE FOR THE WEEKEND:

“LUNG FORCE is uniting people across the country to stand together against lung cancer, the leading cause of cancer deaths in the U.S.  Lung cancer happens when cells in the lung change (or mutate). Most often, this is because of exposure to dangerous chemicals that we breathe. But lung cancer can also happen in people with no known exposure to toxic substances. Unlike normal cells, cancer cells grow uncontrollably and cluster together to form a tumor, destroying healthy lung tissue around them. Symptoms usually do not appear until cancer cells spread to other parts of the body and prevent other organs from functioning properly. At this point, it is harder to treat lung cancer.   Smoking poses the greatest risk, but there are others such as exposure to radon and air pollution.Screening high-risk individuals has the potential to drama-tically improve lung cancer survival rates. There are multiple types of lung cancer. Knowing this information can help inform treatment options.”

American Lung Association (https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/basics)

Part I Lung Cancer Awareness Month

 

When you breathe in, air enters through your mouth and nose and goes into your lungs through the trachea (windpipe). The trachea divides into tubes called the bronchi (singular, bronchus), which enter the lungs and divide into smaller branches called the bronchioles. At the end of the bronchioles are tiny air sacs known as alveoli.

Many tiny blood vessels run through the alveoli. They absorb oxygen from the inhaled air into your bloodstream and pass carbon dioxide (a waste product from the body) into the alveoli. This is expelled from the body when you exhale. Taking in oxygen and getting rid of carbon dioxide are your lungs’ main functions.

A thin lining called the pleura surrounds the lungs. The pleura protects your lungs and helps them slide back and forth as they expand and contract during breathing. The space inside the chest that contains the lungs is called the pleural space (or pleural cavity).

Below the lungs, a thin, dome-shaped muscle called the diaphragm separates the chest from the abdomen. When you breathe, the diaphragm moves up and down, forcing air in and out of the lungs.

LUNG CANCER

There are 3 types of lungs cancer.  The two most common types of lung cancer that exist are 1 non-small cell lung cancer (NSCLC), which is the most common, and 2 small cell lung cancer (SCLC), an aggressive cancer that occurs in just over 10 percent of all lung cancer cases.

The third group is 3 lung carcinoid tumors (also known as lung carcinoids) are a type of lung cancer, which is a cancer that starts in the lungs. Cancer starts when cells begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body.

Lung carcinoid tumors are uncommon and tend to grow slower than other types of lung cancers. They are made up of special kinds of cells called neuroendocrine cells.

Lung Cancer Symptoms

Both major types of lung cancer have similar symptoms. These symptoms often include a cough that doesn’t go away and shortness of breath.

Sometimes lung cancer does not cause any signs or symptoms. It may be found during a chest X-ray done for another condition. Signs and symptoms may be caused by lung cancer or by other conditions. Check with your doctor if you have any of the following:

  • Chest discomfort or pain
  • A cough that doesn’t go away or gets worse over time
  • Trouble breathing
  • Wheezing
  • Blood in sputum (mucus coughed up from the lungs)
  • Hoarseness
  • Loss of appetite
  • Weight loss for no known reason
  • Tiredness/lethargy
  • Trouble swallowing
  • Swelling in the face and/or veins in the neck

For both conditions, early detection through a low-dose computed topography (CT) scan is especially critical. Identifying lung cancer in its earliest stages even before you have symptoms can reduce the risk of death by 20 percent, according to recent studies.

Non-small cell lung Cancer (NSCLC)

Non-small cell lung cancer (NSCLC) is the most common type of cancer in lung tissues. Your risk of developing this disease increases if you are a longtime or former smoker, have been exposed to passive smoke, or have had environmental or occupational exposure to radon, asbestos, uranium, and other substances. The primary types of NSCLC are named for the type of cells found in the cancer:

  • Squamous-cell carcinoma (also called epidermoid carcinoma)
  • Adenocarcinoma
  • Large-cell carcinoma
  • Adenosquamous carcinoma
  • Undifferentiatiated carcinoma

Small Cell Lung Cancer (SCLC)

In small cell lung cancer (SCLC), small cancerous cells arise in the airway, usually in a central location. This is an aggressive cancer that spreads quickly throughout the body through the blood and lymphatic (node) systems. Typically occurring in people who smoke or who used to smoke, SCLC accounts for just over 10 percent of all lung cancers.

QUOTE FOR FRIDAY:

“November 1st is National Stress Awareness Day.

The holiday season brings joy and celebration. It can also amplify stress levels with the rush of activity and expectations associated. National Stress Awareness Day is well timed at the beginning of November to raise attention to the stress many feel at this time of year. Founded by the International Stress Management Association, National Stress Awareness Day is intended to “increase public awareness and help people recognize, manage, and reduce stress in their personal and professional lives.”

A daily mindful self check-in can help you identify when you are feeling stressed, anxious, or down.

If you are feeling stressed there are practices that can help immediately relieve everyday stressors.”

The George Washington University (https://blogs.gwu.edu/himmelfarb/2023/10/30/november-1st-is-national-stress-awareness-day/)

Do you have stress? Learn tips on how to deal with it!

stressstress image

One way of looking at life is whatever challenges comes your way know you will survive and for any losses you may experience when looking back on them take the positive aspects or memories not the negative that builds a bad effect on you (Ex. Insomnia to depression to high blood pressure to alcoholism to drugs).   A positive effect can be as simple as a smile when reflecting memories, which FYI allows less frowning that will cause less wrinkles on the forehead, as we get older. Sometimes it’s not that simply and when it gets harder take up a constructive way of dealing with it (Ex. Work out at your level, walking, singing, go to a comedy movie, get together with friends go out, and do anything that gets your mind off of the stress and even out of your body through work out at the gym to just biking or walking.).

For starters stress is a body reaction to CHANGE. How to you look at change? Easy, positive! It may not appear easy at first but try to look at this change as a sense of difficulty yet a challenge with a victory in the end, if approached right. Let us take the following challenges, for example – Having a child leave home for college or marriage, losing a home with this economy, a loss of a friend in your life: How do you look at these experiences positive?

Well for the child I would be so happy for her or him starting college life with my worries but knowing I raised her or him well and if he makes mistakes on the way he will learn to get up off the ground and fix them knowing he can come to me or dad whenever he has the need or if we sense a problem we would address it (Its part of life=growing up). Another aspect to look at regarding this stress is there is loss in the parent role so fill up that loss with a new hobby, or get active in whatever organization you are in (Ex. Church, Temple, School, to just taking up ceramics or do more traveling with your spouse and friends).   I had my falls with the stresses that I have come across but got up every time to stand again, some quicker than other times.

How do you deal with losing a home with this economy well appreciate the good memories you had when you had the home and pick up starting a new life elsewhere with making it a journey down the yellow brick road leading you to where the rainbow is at the end; don’t look at it as a loss.

Dealing with losing a friend, again, the way I look at it is I appreciate the time I had with her or him and know they haven’t left me in spirit (if deceased).   If the person is still living know there are reasons for everything; whatever the cause was for the reason for the relationship parting and when out of my control I think of how I had a good friendship as opposed to never having one with that individual. I accept that nothing lasts forever or indefinitely, with appreciating the time I may have had with the person. Ending note is I look at life this way, whatever positive entity comes in my life may be taken away from me and appreciate every moment you spend with that person or thing in your life that you love so much (including my life span that only upstairs knows how long that time factor will be but I try to live a life at its healthiest optimal level with practicing positive behavior which is knowing whatever stressors come my way there is always someone worse off and with God I can face anything.

If I don’t deal with stress like this than I can expect complications that may arise, just like for anyone else who looks at challenges coming their way in a negative sense. You commonly see stress become a negative experience when a person faces continuous challenges/stressors without relief or relaxation between the them. The ending result is the person becomes overworked and stress-related tension builds. Stress that continues without positive resolution at some level can cause a condition called distress, which is a negative stress reaction. The physical reactions that happen to your body due to negative stress:

-Elevated high blood pressure –Headaches –Chest Pain –Upset Stomach   –Insomnia –Grinding of the teeth –Jaw Tension –Teeth grinded down       –Irritability –Anger –Panic episodes –Vasoconstriction to our vessels   causing increases to the heart rate –Decreases sex drive –Depression (Research even suggests that stress also can bring on or worsen certain symptoms or diseases.)

Stress costs American industry more than $300 billion annually.

The lifetime prevalence of an emotional disorder is more than 50%, often due to chronic, untreated stress reactions.

Stress is a normal part of life. Many events that happen to you and around you — and many things that you do yourself (Ex. Work 40 to 60 hrs a week in a highly stressful job, like a policeman) – will put stress on your body. You can experience stress from your environment, your body, and your thoughts. You can also cause the stress to impact your body with first just signs and symptoms (s/s) developing, that are listed above, but without relief of the stress these s/s can lead you into a disease/illness forming or even make the diagnose (s) you already have even worse.

Many signs and symptoms pick up when exposed to continual stress or stresses that just build up on top of each other causing some people in developing unhealthy habits, poor dieting, and the lack of desire to be as active as they were which in turn develops conditions that would not have occurred if this negative behavior didn’t happen over a long period of time.

This behavior with the stress or stresses you are experiencing increases the probability of health conditions starting to take place in your body or if you’re with certain diagnoses already the stress can possibly impact your body by worsening the condition.   The conditions that can develop from any age of being under continual stress over a period of time are:

-ADD or ADHD –Panic disorders –High blood pressure –Anti-arrhythmias -Cardiac Disease -Diabetes 1 or Diabetes 2 -Stroke –Irritable Bowel Syndrome –Weight Gain/Obesity –Fibromyalgia –Complex Regional Pain Syndrome –ETOH -Depression and so much more.

How to bypass developing conditions that can be caused from the long constant stress or stresses you experience? One method is fight back (fight or flight), and when it gets really difficult don’t turn to bad heath patterns in your life to deal with the stressors turn to a healthy diet, keeping a healthy weight for your body mass index (BMI) so you can deal better with fighting the stressors in your life (if not sure what your BMI is check online to find out how to calculated it, it is for free), and practice healthy habits. You may be saying how to I even go about that or maybe it’s easy for me but not true. Let me shine some light on this topic. I was there many times before and found a resolution to help deal better with my stresses through a change in eating and I lost 22 lbs. and still I am trying with being physically challenged at this moment to get to my optimal shape. If you want to check out how to deal effectively with your stress and live a healthier life for prevention of complications that stress can cause go to healthyusa.tsfl.com/. You will learn both through Dr. Anderson and his book “Dr. A’s habits of health”. This will help you in dealing with stressors as well as boost up your health with losing weight and learning healthy habits in living. Through Dr. Anderson’s book you will learn about all 4 food groups in how to eat the foods, when to eat the foods, what portion sizes to use, with learning even about diseases and illnesses that can occur through poor habits in diet, activity, and more. If this this news spreads throughout America it would make our country much healthier which we could use for now and in the future. This is not a recruiting organization but a company that can help you and many others live a better and possibly longer life.

Hope I have helped you in someway dealing with any stress in your life. Also, I hope to hear from you both with your comments on the articles you read on my blog with visiting the website in taking the right step to reach the optimal level of your heath including learning methods that help you deal the best you can with stress.

QUOTE FOR HALLOWEEN:

Walk Safety:

  1. Cross the street at corners, using traffic signals and crosswalks. Look left, right and left again when crossing and keep looking as you cross.
  2. Put electronic devices down, keep heads up and walk, don’t run, across the street.
  3. Teach children to make eye contact with drivers before crossing in front of them.
  4. Always walk on sidewalks or paths. If there are no sidewalks, walk facing traffic as far to
  5. the left as possible.  Children should walk on direct routes with the fewest street crossings.
  6. Watch for cars that are turning or backing up. Teach children to never dart out into the street or cross between parked cars.
  7. Join kids under age 12 for trick-or-treating. If kids are mature enough to be out without supervision, tell them to stick to familiar areas that are well lit and trick-or-treat in groups.

Drive extra safely:

     1.Enter and exit driveways and alleys slowly and carefully.

2. Get rid of any distractions – like your phone – in your car so you can concentrate on the road and your surroundings.

3. Turn your headlights on earlier in the day to spot children from greater distances.

4. Popular trick-or-treating hours are 5:30 p.m. to 9:30 p.m. Be especially alert for kids during those hours.

 

Have a fun but safe Happy Halloween! Here are a few ways you can help prevent injuries on Halloween:

Have a Healthy Halloween

Have a Healthy Halloween

halloween-safety-tips   halloween-tips

  • Monitor costume accessories. Make sure swords, knives and other accessories are short, soft and flexible.
  • Avoid trick-or-treating alone. A trusted adult should accompany smaller children, and older children should travel in groups.
  • Remain visible. Trick-or-treating is an evening activity, and it can last until after dark. Fasten reflective tape to costumes and bags to increase visibility for drivers, and use flashlights to see and be seen.
  • Be cautious with glow sticks. Glow-in-the-dark sticks and accessories should only be used under adult supervision and should never be cut or broken open.
  • Examine treats. Parents should inspect all treats for tampering and/or choking hazards before allowing children to enjoy them.
  • Limit treats. Limit the amount of candy and treats your children eat. Too much candy at one time can cause an upset stomach.
  • Test and remove makeup. If makeup is going to be used as part of a costume, always test the makeup on a small area of skin first to ensure it does not cause irritation. Remove makeup at bedtime to prevent skin or eye irritation.
  • Avoid decorative contact lenses. Decorative contact lenses can cause serious eye injuries.
  • Obey traffic rules. Look both ways before crossing the street, and use crosswalks when available. Walk on the sidewalks, when possible; if there aren’t any sidewalks, walk along the far edge of the road facing traffic.
  • Ensure costumes and accessories fit properly. Masks, costumes and shoes should fit properly to avoid blocked vision, trips and falls.
  • Eat only factory-wrapped treats. Avoid homemade treats made by strangers.
  • Carefully choose which homes you visit. Only visit well-lit houses, and enter homes only if accompanied by a trusted adult.
  • Ensure costumes are flame-resistant. As a precaution, avoid walking near lit candles or luminaries while in costume.
  • Carry a cell phone in case of emergency.Following these simple safety tips will help keep your children safe—without any unplanned scares. St. David’s Round Rock Medical Center wishes everyone a fun and safe Halloween.
  • Parents should also supervise children while carving pumpkins. Be sure children use pumpkin carving kits—or knives specifically designed for carving—to avoid injury. Younger children can even use paint, markers or other decorations that do not have sharp edges.
  • Have a one destination area, a home with all the kids dressed up having a halloween party meet instead of walking around house to house; or what I heard is a group of people all meet in a parking lot with the kids dressed up with their parents having a halloween meet getting there candy for safety.

CDC recommends the following this Halloween:

Moderate Risk Activities:

  • Participating in one-way trick-or-treating where individually wrapped goodie bags are lined up for families to grab and go while continuing to social distance (such as at the end of a driveway or at the edge of a yard)
    • If you are preparing goodie bags, wash your hands with soap and water for at least 20 second before and after preparing the bags.
  • Having a small group, outdoor, open-air costume parade where people are distanced more than 6 feet apart
  • Attending a costume party held outdoors where protective masks are used and people can remain more than 6 feet apart
    • A costume mask (such as for Halloween) is not a substitute for a cloth mask. A costume mask should not be used unless it is made of two or more layers of breathable fabric that covers the mouth and nose and doesn’t leave gaps around the face.
    • Do not wear a costume mask over a protective cloth mask because it can be dangerous if the costume mask makes it hard to breathe. Instead, consider using a Halloween-themed cloth mask.
  • Going to an open-air, one-way, walk-through haunted forest where appropriate mask use is enforced, and people can remain more than 6 feet apart
    • If screaming will likely occur, greater distancing is advised. The greater the distance, the lower the risk of spreading a respiratory virus.
  • Visiting pumpkin patches or orchards where people use hand sanitizer before touching pumpkins or picking apples, wearing masks is encouraged or enforced, and people are able to maintain social distancing
  • Having an outdoor Halloween movie night with local family friends with people spaced at least 6 feet apart
    • If screaming will likely occur, greater distancing is advised. The greater the distance, the lower the risk of spreading a respiratory virus.
    • Lower your risk by following CDC’s recommendations on hosting gatherings or cook-outs.

Higher Risk Activities:

Avoid these higher risk activities to help prevent the spread of the virus that causes COVID-19:

  • Participating in traditional trick-or-treating where treats are handed to children who go door to door
  • Having trunk-or-treat where treats are handed out from trunks of cars lined up in large parking lots
  • Attending crowded costume parties held indoors
  • Going to an indoor haunted house where people may be crowded together and screaming
  • Going on hayrides or tractor rides with people who are not in your household
  • Using alcohol or drugs, which can cloud judgement and increase risky behaviors
  • Traveling to a rural fall festival that is not in your community if you live in an area with community spread of COVID-19

QUOTE FOR WEDNESDAY:

“Even though it’s not an official holiday, Halloween is much beloved by children and adults alike. What could be more fun than trick-or-treating, apple bobbing, or costume parties?

Halloween Pumpkin with candy

To make sure treats are safe for children, follow these simple steps:

  • Snacking: Children shouldn’t snack on treats from their goody bags while they’re out trick-or-treating. Give them a light meal or snack before they head out – don’t send them out on an empty stomach. Urge them to wait until they get home and let you inspect their loot before they eat any of it.
  • Safe treats: Tell children not to accept – and especially not to eat – anything that isn’t commercially wrapped. Inspect commercially wrapped treats for signs of tampering, such as an unusual appearance or discoloration, tiny pinholes, or tears in wrappers. Throw away anything that looks suspicious.
  • Food Allergies: If your child has a food allergy, check the label to ensure the allergen isn’t present. Do not allow the child to eat any home-baked goods he or she may have received.”

U.S. Food and Drug Administration (https://www.fda.gov/food/buy-store-serve-safe-food/halloween-food-safety-tips-parents)

Happy Halloween! More safety tips on candy

 

Halloween Candy Safety Tips

Parents should take precautions about Halloween candy safety, but its also important to have a realistic sense of harm. Its easy for the media to give us the sense that the world is a more menacing place than it really is. In the 1980s, a myth spread about the serious risk of troubled people using poison and razor blades to tamper with Halloween candy. Almost all reports were discredited.

But no amount of debunking can completely alleviate parent anxiety. After all, however rare, it could happen. Some Halloween candy safety precautions include:

  • For young children, remove any choking hazards such as gum, peanuts, hard candies, or small toys.
  • Instruct your children to show you all their candy before eating it so that you can carefully inspect it for tampering.
  • Tell your children not to accept or eat anything that isnt commercially wrapped.
  • Throw out candy or treats that are homemade, unwrapped, or have torn wrapping.

And managing the Halloween candy craze? First, to reduce trick-or-treat munching, give your children a snack or light meal before you leave the house. Decide ahead of time how many pieces of candy they can eat on Halloween night.

Pumpkin Carving Safety Tips

  • Carve pumpkins on stable, flat surfaces with good lighting.
  • Have children draw a face on the outside of the pumpkin and then do the cutting yourself.
  • Place lighted pumpkins away from curtains and other flammable objects, and do not leave lighted pumpkins unattended.
  • If you set jack-o-lanterns on your porch with candles in them, make sure that they are far enough out of the way so that childrens costumes wont accidentally set on fire.
  • Artificial lights and candles are a safer alternative to real candles.

Halloween Costume Safety Tips

  • If possible, have your children wear clothing that is bright, reflective, and flame retardant.
  • If your child is carrying a prop, such as sword or pitchfork, make sure that the tips are smooth and flexible enough to not cause injury if your child falls on them.
  • Avoid long, baggy, or loose costumes to prevent tripping.
  • Insist that your children wear well-fitting, sturdy shoes. Mom’s high heels are better for costume parties, not trick-or-treating.
  • Securely fit hats and scarves to prevent them from slipping over your childrens eyes.
  • Apply a natural mask of cosmetics rather than have your child wear a mask that might restrict breathing or obscure vision. If you use a mask, make sure it fits securely and has eyeholes large enough to allow full vision.

Have a happy and safe Halloween!

BE SAFE WITH YOUR ANIMALS!

QUOTE FOR TUESDAY:

“To help ensure adults and children have a safe holiday, follow these Halloween safety tips:

● Be sure to choose a costume that won’t cause safety hazards; all costumes, wigs and accessories should be fire-resistant
● If children are allowed out after dark, fasten reflective tape to their costumes and bags, or give them glow sticks
● Opt for nontoxic Halloween makeup over masks, which can obscure vision; always test makeup in a small area first to see if any irritation develops
● Remove all makeup before children go to bed to prevent skin and eye irritation”

National Safety Council – NSC (https://www.nsc.org/community-safety/safety-topics/seasonal-safety/autumn-safety/halloween?srsltid=AfmBOoqTlCaJeYjJhU5m32xSXESW8ZnWaGqY1eq8Tee_elCyKDAzgJzR)

Halloween is coming up so here’s safety tips for both the treaters and the drivers!!

   

 

There may be fewer ghosts, witches, and superheroes wandering along the roads this Halloween looking for candy and treats because of safety concerns, but it’s important that drivers remain vigilant and keep an eye out for costumed children darting into the road, crossing parking lots, or strolling along the streets.

The scary reality is that Halloween has been one of the deadliest days of the year for pedestrians, especially children, statistics show. The risk of a pedestrian fatality was over 40 percent higher on Halloween, based on a comprehensive study published by the Journal of the American Medical Association that analyzed 42 years of data.

“Halloween night is like a ‘perfect storm’ of risk because it involves darkness, a huge increase in pedestrian traffic—especially children—and all sorts of distractions,” says Jennifer Stockburger, director of operations at Consumer Reports’ Auto Test Center. “Everyone needs to be ultracareful to not turn such a fun evening into tragedy.”

About half of traffic deaths overall occur either in the dark or at dawn or dusk, says the Insurance Institute for Highway Safety. “Driving at night is three times as risky as driving during the day,” says Matthew Brumbelow, a senior research engineer at the IIHS. The holiday should also serve as a reminder to motorists and pedestrians alike about the dangers.

The latest data from the National Highway Traffic Safety Administration show that 6,205 pedestrians died in traffic collisions in 2019.

Fortunately, there are clear steps that trick-or-treaters and drivers can take to improve safety for all. Below are tips from CR experts and NHTSA.

Tips for Trick-or-Treaters

  • Parents should accompany children younger than 12.
  • Children should walk—not run—from house to house.
  • Children should stay on sidewalks instead of walking between cars or on lawns, where there could be tripping hazards.
  • Parents should remind children to look for cars when crossing driveways.
  • Pedestrians shouldn’t assume they have the right of way, because motorists may not see them.
  • Go trick-or-treating before it is truly dark, especially with young children.
  • Parents and children should consider choosing costumes that are lighter in color, which make it easier for drivers to see them. Adding reflective material to the front and back makes a costume easier to pick out. It can even be built into the design.
  • Avoid costumes that make it more difficult for a child to see, especially ones that include costume masks. Of course, because of the pandemic, children and chaperones should wear face masks that cover the nose and mouth, and they should practice social distancing.
  • Give children a flashlight to walk with in the dark, so they can be more easily seen by drivers. Glow sticks can help, too.
  • Kids should keep their phones in their pockets, unless taking photos on a porch. Walking with a device risks the child not being aware of their surroundings.

Now for the Driver’s; Tips for them:

  • Drive slowly in and around neighborhoods and on residential streets, even if you don’t see trick-or-treaters around.
  • Don’t drink and drive. Drunk driving incidents increase on Halloween. NHTSA reports that 41 percent of all people killed in motor vehicle crashes on Halloween night from 2014 to 2018 were in crashes involving drunk driving. About one-third of all crash fatalities in the U.S. involve drunk drivers, according to NHTSA.
  • Watch for children who may dart out into the street, and always yield to pedestrians. If you see one child, there are likely to be more ready to cross.
  • If you’re driving children around for trick-or-treating, make sure they’re buckled up appropriately in a child car seat or with a seat belt. Make sure they buckle up each time they enter the car, and check to make sure they’re secure before you drive to the next stop.
  • Parents transporting kids for Halloween activities may be tempted to buckle them in wearing their costumes. But some costumes may have added padding or hard surfaces that will make it difficult for the car-seat harness or vehicle seat belt to properly fit the child. Consumer Reports advises buying or making costumes without padding or hard surfaces; or have your child change into their costume after arriving at their destination.
  • Pull over at safe locations to let children exit at the curb and away from traffic. Use your hazard lights to alert other drivers of your car.
  • Try to park in a spot where you won’t need to back up. But if you must, have an adult outside to make sure no children are in the way of your vehicle when you do.
  • Don’t use a cell phone or other mobile device while driving. Pull over safely to check voice messages or texts, if necessary.

By being cautious and mindful of safety this Halloween, you can make sure the holiday is a treat for all.