TXT4 Tarrant Cares offers a convenient, safe and simple way to search for assistance with food; clothing and housing services; early childhood care; family support; mental health and counseling services; substance abuse programs; child abuse and neglect services; COVID-19 testing and vaccine information; and other critical needs.

By texting the word FIND to 67629, users are offered a guided search to access a list of nearby organizations to contact and provided with a ZIP code-specific list of resources. TXT4 Tarrant Cares is offered in English and Spanish and is available to anyone in Tarrant County in need of services. Examples of searches might include information on the nearest food pantry, rent assistance, or resources that can help residents apply for Supplemental Nutrition Assistance Program (SNAP) benefits.

The new texting service is associated with Tarrant Cares, an online information service populated with the most up-to-date community resource listings by United Way’s 211 helpline. TXT4 Tarrant Cares draws on the Tarrant Cares database and gives users a quick, ZIP code-specific report of nearby resources to contact for support. The community-based solution is a collaborative effort by Mental Health Connection of Tarrant County (MHC), The Center for Children’s Health, led by Cook Children’s Health Care System, and Tarrant County.

“We have a lot of amazing local organizations and nonprofit agencies standing by to support individuals and families in our community, but sometimes it can be tough to figure out where to turn when you are in the midst of a crisis,” said Tarrant County Judge B. Glen Whitley, who founded the Tarrant Cares website with MHC in 2010. “TXT4 Tarrant Cares puts those answers in the palms of their hands, literally.”

The need for the new service came from feedback by a local task force chaired by Cook Children’s that studied the impact of Adverse Childhood Experiences (ACEs). These experiences include exposure to abuse or neglect, family violence, mental illness, or any experiences that can disrupt a child’s development and lead to chronic health conditions. The ACEs Task Force worked with more than 60 partners and advisers in developing community recommendations to prevent and reduce adversities in children prenatally to age 5, to improve their health, safety and school readiness. Findings by the task force determined that getting help into the hands of local families most at risk of ACEs meant creating a more efficient and effective way for those families to access critical resources.

 “Texting is probably one of the best ways to communicate resources and information because people feel more comfortable texting than they do picking up the phone,” said Roderick F. Miles, a member of the ACEs Task Force and executive administrator in the Office of Tarrant County Commissioner Roy Charles Brooks. “Our vision is to keep people from falling through the cracks and we do that by creating space for them to advocate for themselves and be their own navigators, their own social workers—and then they become advocates for other people and help them navigate through the process as well.”

“The collective, long-term financial cost of not meeting the physical and mental health needs of our community’s most marginalized and vulnerable families is high, and the individual human cost is much higher,” said Virginia Hoft, executive director of MHC. “TXT4 Tarrant Cares is an important step forward in our efforts to level the playing field by giving everyone in our community immediate access to vital resources.”

TXT4 Tarrant Cares does not provide emergency response or the full range of service offerings provided by 211. A resource navigator can still be reached by calling 211 and information about services can be accessed online at www.tarrantcares.org. Individuals needing immediate assistance from a first responder should still contact 911.

About the ACEs Task Force

In 2019, the Tarrant County ACEs Task Force, created Circles of Support, a Blueprint for Safe, Healthy, and School-Ready Children. The effort was led by Cook Children’s Health Care System; the office of Mayor Betsy Price; the Office of Tarrant County Judge B. Glen Whitley; the Office of Tarrant County Commissioner Roy Charles Brooks; JPS Health Network; and supported by the Morris Foundation. The need for an easy-to-use texting service is a component of 25 priority recommendations detailed in the Circles of Support blueprint to assist families through difficult times.

About TXT4 Tarrant Cares (67629)

Launched in April 2021, TXT4 Tarrant Cares is a community-based texting service designed to help individuals and families in Tarrant County locate information on where to obtain critical resources—including food, housing, counseling, and childhood services. The texting service offers a guided search and delivers ZIP code-specific access to a database of local agencies and service organizations. TXT4 Tarrant Cares is an extension of Tarrant Cares, an online information service for individuals, families, caregivers and agencies. The community-based solution is a collaborative effort by Mental Health Connection of Tarrant County (MHC), and The Center for Children’s Health, led by Cook Children’s Health Care System, and Tarrant County.

COVID-19 rates are soaring in Tarrant County and cases among children are no exception. As of Wednesday, Nov. 11, over 8% of all COVID-19 tests performed among physician offices, urgent care locations and the medical center are positive for the virus. This is up from 6.5% just one week ago.

High case numbers are being recorded in Tarrant County almost daily. On Monday, the county broke an all-time record with 1,525 COVID-19 cases. This was the fourth day in a row local health officials announced single-day highs.

“What we're seeing in kids is mirroring what we're seeing in adults, not just in Texas, but nationwide we're seeing increasing rates of transmission,” said Nicholas Rister, M.D., pediatric infectious diseases physician at Cook Children’s Medical Center. “The overarching theme that children do better with this disease than adults is still true. That’s not to say that some kids haven't gotten very ill, but compared to adults, especially elderly adults with a lot of other health issues, children have done quite well.”

Eight patients are currently hospitalized at Cook Children’s. Thankfully, the medical center has seen no pediatric deaths due to COVID-19. But that doesn’t mean parents should let their guard down.

“We have our cases of children, especially those with multisystem inflammatory syndrome (MIS-C), who have been very sick,” said Dr. Rister. “We’re certainly learning more about MIS-C and how to identify it. What we're seeing is kids coming in with prolonged fevers or unexplained fevers. We have to think ‘Could this be COVID? Either an initial COVID-19 infection or a child who's recovered from that, but is now having an inflammatory syndrome.’”

Dr. Rister says it is known that children can spread COVID-19 among other children and adults. He adds that most cases among children are linked to family gatherings, sports activities and community spread. He, along with the infectious diseases team at Cook Children’s, does not feel schools are a huge driver in the COVID-19 numbers at this point.

“Schools have done a great job trying to manage this, and we haven't seen the balloon in spread that we were worried about,” said Dr. Rister. “But even if there was no spread within a school, which is almost certainly there will be, we know children will get these infections from their families.”

He says as rates go up in our area, we should expect to see cases go up in schools, especially with many families planning to gather for the holidays in two weeks.

“If things keep going up and it gets harder and harder for schools to manage, they may change plans,” he said. “That's going to be an individual school and family decision.”

There is some good news to share. So far, Cook Children’s Medical Center hasn’t recorded a single flu case, which is somewhat surprising since flu typically begins ramping up this time of year. That doesn’t mean you should skip the flu shot though. Once flu does begin making the rounds, the flu shot is your best chance at protection.

Other precautions you can take to protect yourself from COVID-19 and other viruses include:

• Wear a mask when in public or around others outside of your family unit.
• Maintain social distancing of at least six feet from others.
• Wash your hands often with soap and water for at least 20 seconds. If soap and water aren’t available, use an alcohol-based hand sanitizer with at least 70% alcohol.
• Avoid gatherings.
• Don’t go to work or send your child to school sick.

As of Oct. 12, the number of patients who have tested positive reached 1,657, with four of those patients currently in the hospital.

Pediatric cases of COVID-19 have been climbing along with overall cases in Tarrant County. On Sunday, Tarrant County Public Health reported an ‘uptick’ with 794 new cases.

“I’ve been asked frequently about the number of infected children, as well as the number of infected adults locally and throughout the state. We’ve noticed over the last couple of weeks that we’ve had more positive cases here,” said Mary Suzanne Whitworth, M.D., medical director of Infectious Diseases at Cook Children's. “Part of the reason we have more cases here is because we are doing more testing. If you double the amount of testing you do, you would expect to double your number of positive results. If you more than double your number of positive results, that means there’s more disease in the community.”

Cook Children’s COVID-19 positivity rate was near 2.5% in August. Today, our overall positivity rate is 5.3%. Dr. Whitworth says that rate is in line with statewide and national data for children. She says throughout the pandemic, less than 10% of all COVID-19 cases occurred in children under 15 years old.

“It is disturbing that our percent positivity rate is going up, and we also see that in Tarrant County,” she said. “Tarrant County is hovering around 10% positivity rate, while the state has dropped to around 7%.”

There are a number of reasons why this may be occurring, including people going out more and becoming tired of wearing masks and social distancing. She also says there are some cases at schools, but those haven’t been tremendous numbers.

So what can you do to protect yourself and your family?

• Wash your hands often, for 20 seconds with soap and water, or use hand sanitizer.
• Keep at least six feet away from others.
• Wear a mask.
• When around others, remember being outdoors is safer than indoors.

“As the holidays approach, I have wrestled with how to handle this and I know everyone else is wrestling with it too,” she said. “It’s going to be difficult to not be involved in crowded gatherings, but they’re not going to be very safe this year. Those are some of the things I think we can do.”

She says another important way to protect yourself and your family is to get a flu shot.

“There are decades of safety data with flu shots. They are safe. You can’t get the flu from a flu shot. You might be a little achy afterwards, but that beats having the flu where you might be in bed for a week with high fever and miss work or miss school.”

The ACEs Task Force, chaired by Cook Children’s, aims to reduce adversities for children starting before they are even born. Their work is based on a study conducted between 1995 and 1997 by Kaiser Permanente and the CDC. The study, which involves 10 questions about what a person experienced before the age of 18, shows ACEs are associated with high risk behaviors, chronic disease and reduced quality of life in adulthood. The task force is focusing their efforts on the signs of stress or difficulties that show up in early childhood.

There were only five juvenile drowning deaths in all of 2017, according to Tarrant County Public Health spokesman Kelly Hanes.

Read the full story here.

Drowning is the leading cause of unintentional injury-related death in children ages 1 to 4 years old and the second leading cause of unintentional injury-related death for ages 1 to 14.

SafeKids Tarrant County, led by Cook Children’s, offers other sobering facts for parents leading into this swimming season:

• Drowning can still occur even if you know how to swim.
• No one is “drown proof” – no matter their level of swimming ability.
• Falls, entrapments and injuries lead to drowning regardless of swimming level.
• A majority of people overestimate their own and their child’s ability to swim, especially in a panic.
• Drowning is quick and silent.
• Drowning occurs in as little as 2 minutes.
• Irreversible brain damage occurs in as little as 4 minutes.
• Most children who drown are out of sight or missing for less than 5 minutes and usually in the presence of 1 or both parents.
• Most children die who are submerged for as little as 6-10 minutes.
• Children who drown do not scream splash or struggle. They silently slip beneath the water, even with adults and lifeguards present.

That’s scary information, but there are steps you can take to help protect your child and have a safe summer while in the water:

1. Constant visual supervision

• Assign an adult water guardian whose only responsibility is to watch children who are in the water.
• Teach children who can’t swim to stay away from water unless they are with an adult who is within arm’s reach and has eye-to-eye contact on them.

2. Learn to swim

• Studies show that formal swim lessons for children under age 4 reduce drowning by 88 percent.
• Take swim lessons with your child if you don’t know how to swim yourself. Even adults who are strong swimmers should never swim alone.

3. Keep backyards and bathrooms safe

• Dump all water buckets and empty kiddie pools when they are not in use.
• Install safety latches on toilets
• Never leave children unattended in the bathtub

4. Multiple barriers on all pools and spas

• Install pool fences, self-closing, self-latching gates and door alarms in areas leading to pools and spas.
• Keep a phone by the pool and call 911 in an emergency
• Keep pool area picked up and clear of toys and other items which might attract an unsupervised child.

5. Always check pool/spa first for missing child

• Make sure to look at the bottom of the pool or spa.
• Do not quickly scan the top and move on – children who drown often sink to the bottom and appear as shadows that easily be overlooked.
• Every second counts.

6. Wear life jackets

• Children who cannot swim should always wear a properly sized Coast Guard approved life jacket.
• Do not rely on water wings, floats or other toys to keep children safe.

7. Learn CPR

• Studies show CPR doubles the victim’s chance of survival.
• Use hard/fast compressions in the center of the chest until help arrives.
• Refresh CPR skills yearly, certifications every two years.
• Post CPR guidelines near the pool.

Related Links

• Cookchildrens.org/safety
• Safe Kids’ Water Safety Tips
• Play it Safe on the Water - Texas Parks and Wildlife
• Backyard and Pool: Household Safety Checklist
• Household Safety: Preventing Drowning

Obesity? That's one.

Car accidents? That's a big risk too.

But would you guess the number one issue is asthma?

In Tarrant County, 19.5 percent of children suffer from asthma, according to data gathered in a survey sent to parents by The Center for Children's Health led by Cook Children's. The Community-wide Children's Health Assessment and Planning Survey (CCHAPS) was completed by more than 8,600 parents in Tarrant, Denton, Hood, Wise, Parker and Johnson counties.

"We questioned parents on everything from how often their child is buckled in properly to how many grocery stores in their neighborhood sell fresh fruits and vegetables," said Larry Tubb, senior vice president of the Center for Children’s Health. "The information we are gathering is extremely valuable when it comes to measuring the overall health of children in our region."

Overwhelmingly, parents in Tarrant County (and all of the surveyed counties) reported their children are dealing with asthma. In fact, children in this area ages 6-9 are three times more likely to have asthma than children living in other parts of Texas. While we don't know why the numbers are so high, we do know people with asthma have varying triggers, and what affects one person will not necessarily affect another. Those triggers include, but are not limited to, cigarette smoke, indoor and outdoor mold, pet dander, air pollution, dust mites, cockroaches, pollen, smoke and strong odors.

The second biggest health issue on parents minds is obesity, with 17.8 percent reporting concerns about their child's weight, activity level and access to healthy foods.

Accidental injuries rings in third. In Tarrant County, 11.9 percent of parents reported their children had been injured and required medical care. Those injuries range from car and ATV-related incidents to drowning, bicycle falls and crashes.

The fourth issue on the list is a lack of dental care for children. Parents reported 9.7 percent of children either didn't see a dentist regularly, didn't brush their teeth enough or some even reported their child didn't have their own toothbrush.

Finally, mental illness is the fifth biggest issue concerning parents in Tarrant County. Behavioral and emotional development is on the minds of 8.5 percent of respondents. Many reported their children have suffered sleep problems, self-esteem issues or have tried to harm themselves.

The survey used to gather this data is part of a Cook Children's initiative to improve the health and well-being of every child in our six-county region by 2020. This initiative launched in 2009 with the very first survey of its kind sent to parents. Since then, the surveys have been sent out every three years.

"The information provided by parents in our community is available on-line and being used by a host of organizations, including Cook Children’s, to build programs and services. There isn’t one perfect answer, but, together we are making solid progress in improving the health of the children in our community by putting the child and family at the center of our planning," said Tubb.

About The Center for Children's Health

The Center for Children's Health, led by Cook Children's, is home to the Community-wide Children's Health Assessment & Planning Survey (CCHAPS), Community Health Outreach and Community Health Research. The center's goal is to create aligned collaborations that will allow us to make our North Texas region one of the healthiest places to raise a child.

Tarrant County Public Health (TCPH) identified the first imported case of Zika virus in the county, in a positive sample tested in TCPH’s North Texas Regional Laboratory.

TCPH says the patient traveled to a Caribbean country with known local transmission of the disease. No other health information will be released at this time to protect the identity of the patient.

Mary Suzanne Whitworth, M.D., medical director of Infectious Diseases at Cook Children’s, expressed confidence in the job of Tarrant County Public Health monitoring the situation locally. She said people should know that attention that is being paid to the spread of the Zika virus.

“The Centers for Disease Control and Prevention (CDC) is keeping up with this on an hourly basis and monitoring this and will keep us informed,” Dr. Whitworth said. “It's important for people to remember that sexual transmission, mother to fetus and blood transfusion are the only person-to-person routes to get Zika. Currently, there's no casual contact transmission that happens person-to-person."

TCPH says: “Zika virus is spread to people primarily through the bite of an infected Aedes species mosquito. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is typically mild with symptoms lasting for several days to a week. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika.”

Sexual transmission of Zika virus can also occur and is of particular concern during pregnancy. TCPH adds: "If a person infected with Zika virus is bit by an Aedes mosquito, that mosquito may later bite another person and spread the virus further."

“The most important thing residents can do is to eliminate mosquito breeding sites around their home,” said TCPH Health Director Vinny Taneja. “When we stop the breeding cycle, we help stop the spread of mosquito-borne diseases.”

Although the beginning of mosquito season is still several weeks away, residents are encouraged to maintain their properties to reduce mosquito breeding sites. Residents should:

• Routinely dump standing water on their property,
• Overturn all small containers,
• Dispose of any trash or debris that can contain small amounts of water.

TCPH has produced a video to help residents Eliminate Mosquito Breeding Sites.

County residents can also call the health department’s Zika Hotline (817-248-6299), if they have questions about this disease. For more information on Zika virus and for other useful tips, click here.

More resources:

Zika virus information from Cook Children's

Zika: From nuisance to 'genuine threat to public health'

How to fight and win against mosquitoes

Centers for Disease Control and Prevention Zika site