SPOKANE, Wash. -- It is National Influenza Vaccination Week, and one Washington doctor is spotlighting the importance of protecting children from the virus this season.

Dr. Melissa Quisano, a family medicine specialist at Kaiser Permanente in Spokane, said the spread of flu goes up in winter as people gather for the holidays.

"Unfortunately, the more we gather in enclosed spaces, the more we share our germs," Quisano explained. "We want to protect ourselves and protect our loved ones, so it's definitely important to get those vaccines before you're gathering with family or even larger crowds."

Data from the Centers for Disease Control and Prevention showed the number of flu shots administered to children younger than four last year was down from previous years. The number of shots decreased almost 14% for kids ages six months to 23 months, and nearly 12% for children ages two to four in 2020.

Quisano pointed out a similar decline in children getting immunizations is likely because families were asked to stay home during the pandemic, noting she is happy they listened.

"Except that the unfortunate result of this is that a lot of those children maybe missed their usual well-child checks, which is when we most often will give their vaccinations, their immunizations," Quisano lamented. "A lot of children missed their regularly scheduled immunizations as well."

According to the Washington State Department of Health, routine vaccines like Tdap (Tetanus, Diphtheria, Pertussis), which is required to enter seventh grade in the state, were down 11% last year. Shots for meningococcal disease were down more than 8% for 11- and 12-year-olds.

Quisano added she understands people have a lot of questions about vaccines.

"I just encourage families, if they have any questions, to please feel free to reach out to their primary-care clinician," Quisano advised. "We're happy to answer those questions."

New Mexico's families of color, Hispanic families in particular, have been hit hardest by income losses caused by the COVID-19 pandemic, according to a new report.

The annual Kids Count Data Book from New Mexico Voices for Children tracks 16 indicators across four domains: economic security, education, health, and family and community.

Emily Wildau, KIDS COUNT coordinator at New Mexico Voices for Children, said families suffering from income losses relied heavily on monthly checks from the American Rescue Plan.

"One of the most interesting things in that hardship data is limited numbers on how families have been spending the expanded child tax credit," Wildau reported. "Primarily, they're paying for their basic needs, they're paying down debt at really high rates and trying to do some saving as well."

The payments would have been continued for another year under the Build Back Better Act, which has stalled in the U.S. Senate.

Wildau pointed out data showed the pandemic led to increases in childhood food insecurity, greater numbers of children enrolled in Medicaid, and significantly higher numbers of chronically absent students.

New Mexico is one of the poorest states in the country, but is currently flush with resources due to federal relief dollars and high state revenues. At the same time, the state regularly ranks last in K-12 education.

It could change if voters approve a question on this November's ballot to tap the state's Land Grant Permanent Fund to provide additional money for early childhood and K-12 education.

Wildau hopes the new data pointed will keep lawmakers focused on child and family well-being.

"We want to consider everything that's done now with the budget, as far as early childhood goes especially, is seen as a bridge to hopefully passage of that amendment so that there's permanent funding," Wildau urged.

In her State of the State address this week, Gov. Michelle Lujan Grisham highlighted education, promoting a 7% raise for educators this year, noting the proposal would put New Mexico first in the region for average educator pay.

Colorado and other states are hoarding more than $6 billion intended for struggling families, according to new analysis.

In 2020, Colorado denied more applications for cash assistance through the Temporary Assistance for Needy Families program than it accepted. Ali Safawi, a research associate at the Center for Budget and Policy Priorities, said many Colorado families with children are not getting the help they need, even though the state has some $87 million in unspent TANF funds.

"So in Colorado, we see that for every 100 families with kids living in poverty, just 20 receive TANF," he said. "That means that 80 families out of that 100 are not, even though they are experiencing poverty and could really use that assistance."

Welfare reforms passed under the Clinton administration, aimed to help families transition to jobs that would end what critics called a cycle of dependency, gave broad leeway to states for how to use TANF funds. In Colorado, TANF distributions vary greatly depending on which county you live in.

Safawi noted that most Colorado families living in poverty already are working, but at jobs that do not pay a living wage. He added that investing in children's well-being pays off down the road. When families have cash resources to meet their basic needs, their kids do better in school, earn better wages as adults and are more financially self-sufficient.

"We know from a lot of research that giving cash to families who are struggling with very low incomes has a significant difference for children," he said, "and these impacts are not just immediate; we see improvements in their health and their economic outcomes well into adulthood."

He pointed to Columbia University research showing that raising a low-income family's income by just $1,000 a year, about $83 a month, creates more than $10,000 in societal benefits. Safawi said one way to get assistance to more Colorado families is to increase qualifying income limits, which are exceptionally low.

"It's $421 a month for a family of three," he said. "That means if they make over that, they don't qualify. We don't really see income eligibility that low anywhere else outside of the Deep South, which has a long history of limiting assistance primarily to Black families."

Washington state lawmakers are considering a policy which could help close the wealth gap for future generations.

The Washington Future Fund is a policy typically known as "baby bonds" and would allocate $3,200 to children born under the state's Medicaid program Apple Health. They would have access to it between the ages of 18 and 30.

Jennifer Tran, research and policy director for the Washington State Budget and Policy Center, said the policy would help address the racial wealth gap in particular.

"We know that children of color disproportionately represent households that have fewer wealth and assets," Tran observed. "It's really building at the state level a program that would encourage wealth building for kids in Washington state."

Recipients of the one-time benefit would be able to spend it in-state to help pay for a home, post-secondary education or to start a small business. The legislation was requested by the State Treasurer's office and modeled after legislation enacted in Connecticut last year. The House version of the bill, is scheduled for a public hearing today.

In the legislation's current version, the first distributions would go out 18 years from now for children born this year. Tran argued lawmakers should consider more flexibility with how the fund can be used.

"While buying a home and pursuing higher education and starting businesses might be the right mix of opportunities right now, there could be new, emerging ones to consider in the future," Tran pointed out.

The Washington Future Fund would be pooled in an investment fund. According to the State Treasurer's office, there are about 40,000 Apple Health births each year, or about half of the births in the state. A baby bond policy has been proposed at the federal level by Sen. Cory Booker, D-N.J.