Category Archives: Pediatrics
RWJF Analysis of ACA Effects Finds No Increase in New Patient Visits
A new report, ACAView, from the Robert Wood Johnson Foundation (RWJF) and athenahealth, finds that in the first five months of 2014 there was no increase in new patient visits, when compared to the same time last year. The ACAView initiative was created to measure the impact of the Affordable Care Act (ACA) on providers, patients and physicians from 2014 through 2016. The report focuses on the provider perspective, showcasing how the ACA affects the practice patterns and economics of physicians and other care team members around the country. Potential reasons for the lack of an increase in visits include the newly insured being unfamiliar with the health care system, or even the winter weather. Read more on the Affordable Care Act.
Study: Nickel in an iPad Linked to Boy’s Allergic Skin Reaction
An ever-increasing reliance on consumer electronics may also mean rarer allergies are becoming more common, according to researchers who linked an 11-year-old boy’s allergic skin reaction to the nickel found in a first-generation Apple iPad. The study was published in the journal Pediatrics. Previous studies have linked the nickel in computers, smartphones and other electronics to allergic reactions; other common sources of nickel include ear piercings, clothing fasteners and dental work. “With the increasing prevalence of nickel allergy in the pediatric population, it is important for clinicians to continue to consider metallic-appearing electronics and personal effects as potential sources of nickel exposure,” according to the study. Read more on pediatrics.
Study: Changing Generic Pill Color, Shape Can Decrease Prescription Adherence
In addition to known considerations such as side effects and cost, the change in the appearance of prescription medications may also lead some people to stop taking their prescriptions, according to a new study in the Annals of Internal Medicine. In a study of more than 11,000 patients, researchers determined that a change in pill color would increase the odds that a patient would stop taking their heart medication by 34 percent, while a change in pill shape would increase the chances by 66 percent. This adds another wrinkle to the series problem of medication adherence; the American Heart Association estimates that three out of four Americans do not take their medication as directed. Read more on prescription drugs.
CDC Closes Flu and Anthrax Labs After Serious Lapses
After two serious lapses with anthrax and avian flu virus, the U.S. Centers for Disease Control and Prevention (CDC) announced it was temporarily closing its anthrax and flu laboratories and stopping shipments of all infectious agents. Last month at least 63 CDC employees may have been exposed to live anthrax bacteria after samples were sent to laboratories that were not prepared to handle the infectious agents. Anyone possibly exposed has been offered a vaccine and antibiotics; the CDC says no one was in danger.
In the second incident, technicians in a CDC lab accidentally contaminated a largely benign flu virus with a much more dangerous H5N1 bird flu strain. A lab worker who received a shipment of the strain and realized it was more dangerous than the sample expected contacted the CDC. And, in a third incident, the CDC also announced on Friday that two of six vials of smallpox vaccine recently found stored at the National Institutes of Health since 1954 contained live virus that could have infected people.
CDC has convened an investigation with finding expected later this week, as well as:
- Established a high-level working group, reporting to the CDC Director, to help accelerate improvements in laboratory safety; review and approve—on a laboratory-by-laboratory basis—resuming transfer of biological materials; and serve as the transition group for accountability on laboratory safety.
- Established a review group, under the direction of CDC’s Associate Director for Science, to look at the systems, procedures and personnel issues that led to the events, as well as how to prevent similar events in the future.
- Plans to take personnel action regarding individuals who contributed to or were in a position to prevent this incident.
Read more on infectious disease.
Military Servicemembers at Increased Risk of Financial Abuse
Members of the military are at increased risk of financial abuse, according to a new survey from the National Foundation for Credit Counseling (NFCC), and more must be done to help servicemembers protect themselves. An NFCC survey of active duty military personnel found that:
- 77 percent of respondents have financial worries
- 55 percent feel not at all or only somewhat prepared to meet a financial emergency
- 60 percent say they had to look outside of traditional institutions and utilized alternative, non-traditional lenders to meet their financial needs
In order to answer this need, the NFCC is working to give servicemembers a deeper understanding of personal finance through its Sharpen Your Financial Focus program, which includes materials that address their particular financial literacy challenges. The program presents 10 individual lesson topics, ranging from banking to planning for retirement. “No one should be victimized by financial abuse, particularly the military,” said Gail Cunningham, spokesperson for the National Foundation for Credit Counseling (NFCC). “One way to avoid financial abuse is through financial education, as an educated consumer is always a better consumer, one more equipped to identify fraud or deception and make wise financial decisions.” Read more on the military.
Study: Confusion Over Spoon Sizes Can Lead to Incorrect Medication Doses for Kids
Confusion over and differences in spoon sizes can lead to frequent medication dosing errors for children, according to a new study in the journal Pediatrics. Researchers observed 287 parents provide medicine to their children using teaspoons and tablespoons, finding that 39 percent incorrectly measured the dose they intended and 41 percent made an error in measuring what their doctor had prescribed. The findings indicate a growing need to change how doctors prescribe medicine for children. "A move to a milliliter preference for dosing instructions for liquid medications could reduce parent confusion and decrease medication errors, especially for groups at risk for making errors, such as those with low health literacy and non-English speakers," said the study's lead author Shonna Yin, MD, an assistant professor of pediatrics at NYU School of Medicine in New York City. Poison control centers receive approximately 10,000 calls each year related to incorrect dosages of oral liquid medications. Read more on pediatrics.
HHS’ Million Hearts Initiative Launches Health Eating Resource Center
The Million Hearts initiative from the U.S. Department of Health and Human Services has launched a new online resource center to promote healthier eating by individuals and families. The Healthy Eating and Lifestyle Resource Center features lower-sodium, heart-healthy recipes and family-friendly meal plans, and emphasizes managing sodium intake. The searchable recipes include nutritional facts and use everyday ingredients. “This resource helps people see that it’s not about giving up the food you love, but choosing lower sodium options that taste great," said Tom Frieden, MD, Director of the U.S. Centers for Disease Control and Prevention. “Small changes can make a big difference. We can prevent 11 million cases of high blood pressure each year if everyone reduced their daily sodium intake to 2,300 mg.” The Million Hearts initiative was launched with the goal of preventing 1 million heart attacks and strokes by 2017. Read more on nutrition.
3-D Mammograms Improve Breast Cancer Detection Rate, Reduce Recall Rate
Tomosynthesis—also known as 3-D mammography—can increase the detection rate of breast cancer while also decreasing false positives that can lead to multiple and unnecessary re-tests, according to a new study in the Journal of the American Medical Association. Researchers analyzed the results of 454,850 examinations, finding that when 3-D mammography was combined with traditional digital mammograms the detection rate for breast cancer climbed 40 percent while there was a 15 percent decrease in the recall rate, or the percentage of women who needed additional screening due to inconclusive results. The findings come as more and more hospitals and physicians are turning to 3-D mammography. The researchers cautioned that more study was needed into the relatively new technology. Read more on cancer.
AAP: Reading to Young Kids Starting in Infancy Improves Literacy Later in Life
Read to your kids—aloud and every day—starting as early as their infancy. That’s the latest recommendation from the American Academy of Pediatrics' (AAP) Council on Early Childhood. The policy statement is set to appear in the August print issue of the journal Pediatrics. "This is the first time the AAP has called out literacy promotion as being an essential component of primary care pediatric practice," said statement author Pamela High, MD, director of developmental and behavioral pediatrics at Hasbro Children's Hospital in Providence, R.I., and a professor at Brown University. "Fewer than half of children are being read to every day by their families, and that number hasn't really changed since 2003. It's a public health message to parents of all income groups, that this early shared reading is both fun and rewarding." According to the AAP, reading proficiency in the third grade is the most important predictor of eventual high school graduation, but approximately two-thirds of all U.S. children and 80 percent of kids living in poverty finish third grade lacking in reading proficiency. Reading aloud to a young child can promote literacy while also strengthening family ties. Read more on pediatrics.
Earlier this week the American Academy of Pediatrics (AAP) hosted a daylong Symposium on Child Health, Resilience & Toxic Stress in Washington, D.C. that brought together federal government officials, national thought leaders and medical professionals to discuss the emerging science of toxic stress.
According to the AAP, science shows that adversity experienced in childhood has long-lasting physical and emotional effects that have come be known as "toxic stress.” Toxic stress can occur when a child experiences chronic adversity without access to stable, supportive relationships with caring adults. These adverse childhood experiences can include physical and emotional abuse; neglect; exposure to violence; food insecurity; and economic hardship. An AAP 2011 policy statement found that toxic stress can affect a child's brain development and lead to the presence of many adult diseases, including heart disease, cancer, chronic lung disease and liver disease.
“[Currently], there are more randomized trials for leukemia than for effects of stress on children,” said James S. Marks, MD, MPH, senior vice president of the Robert Wood Johnson Foundation, at the symposium. “This is about more than our children—it’s about our future as a people and a society, and the earlier you invest in children the better the return to society and to those children and families.”
During the symposium, the AAP announced the formation of the Center on Healthy, Resilient Children to launch in the next year or so, which will be a national effort coordinated by the AAP and many partners to support healthy brain development and prevent toxic stress. In addition to prevention efforts to keep children healthy, the Center will focus on ways to help pediatricians and others identify children who have experienced adversity and toxic stress and ensure they have access to appropriate interventions and supports.
"Pediatricians envision a world in which every child has every opportunity to become a healthy, successful adult," said James M. Perrin, MD, president of the AAP. "Achieving this will require strong, sustained investments in the health of the whole child, brain and body. It will require building upon our existing work and forging new partnerships across sectors and fields of expertise.”
NewPublicHealth spoke with Perrin following the symposium
NewPublicHealth: How familiar are pediatricians with the evidence surrounding the burden and response to toxic stress in children and families?
James Perrin: I think there is increasing awareness of toxic stress in pediatric practice, not only in community practice, but in our specialty practices, too. I think people are recognizing how critically important toxic stress is to the developing child and developing brain. And the increasing science in this area has been incredibly helpful for us to understand the potential permanent effects of toxic stress. But we also want to focus on positive ways to affect brain development. Reading to children, for example, affects brain development and brain growth in positive ways.
An American Academy of Pediatrics symposium earlier this week focused on ways to prevent “toxic stress” in children and families, including addressing mental health education and treatment early in a child’s life. In a comprehensive interview during May’s Mental Health Awareness Month, David Shern, PhD, senior science advisor at Mental Health America and a member of American Public Health Association’s Mental Health Section, addressed the importance of this approach.
“[W]e can develop strong mental health which gives us increased resilience to deal with the adversities that we experience in life, to concentrate better, to be more productive, to be more emotionally well balanced,” he said. “So it’s important that when we think about the overall health of our population, we think not only about preventing illness, which of course is critically important, but also promoting strength and well being.”
Read the full interview with the American Public Health Association.
Study: Public Transportation Policy Often Doesn’t Take Public Health into Account
Many officials and planners continue to ignore public health issues such as air pollution, crime and numerous traffic hazards when designing transportation projects, according to a new study in the Journal of Planning Education and Research. This is especially true for non-white and poor neighborhoods, which often find themselves along major roads, making this a social justice issue, as well. “The public health effects of heavy traffic are broad,” said study author Carolyn McAndrews, PhD, assistant professor at the University of Colorado Denver’s College of Architecture and Planning. “Studies have found associations between high-traffic roads and high mortality rates, lung cancer, cardiovascular disease, respiratory disease, poor birth outcomes and traffic-related injuries.” The study was based on an analysis of Verona Road near Madison, Wisconsin, which can see nearly 60,000 vehicles per day and is in a neighborhood that is home to approximately 2,500 people. Read more on transportation.
CDC Report Finds Up, Downs in Risky Youth Behaviors
The latest Youth Risk Behavior Surveillance System (YRBSS) from the U.S. Centers for Disease Control and Prevention found that while teens are smoking fewer cigarettes and getting into fewer fights, they’re still texting and driving at dangerous rates. The YRBSS—conducted once every two years—monitors an array of risky teen behaviors at the national, state and local levels. It includes data from 42 states and 21 large urban school districts.
Among the findings from the 2013 report:
- Cigarette smoking rates among high school students have dropped to 15.7 percent, meeting the Healthy People 2020 objective of reducing adolescent cigarette use to 16 percent or less
- The percentage of high school students nationwide who had been in a physical fight at least once during the past 12 months decreased from 42 percent in 1991 to 25 percent in 2013
- Fights on school property have been cut in half during the past 20 years, from 16 percent in 1993 to 8 percent in 2013
- 41 percent of students who had driven a car or other vehicle during the past 30 days reported texting or emailing while driving
- The percentage of high school students who are currently sexually active has declined from 38 percent in 1991 to 34 percent in 2013
- Among the high school students who are currently sexually active, condom use also has declined from 63 percent in 2003 to 59 percent in 2013
Read more on pediatrics.
More Active Military Personnel Seeking Mental Health Treatments
The percentage of U.S. military personnel being treated for mental health conditions more than tripled between January 2000 and September 2013, climbing from 1 percent to 3.5 percent, according to a new study in the Medical Surveillance Monthly Report. That comes out to approximately 2,698,903 mental disorder-related treatment courses during the period. In 2012, approximately 232,184 individuals with at least one "initial" mental disorder diagnosis spent a total of 18,348,668 days in mental health disorder treatment. Researchers pointed toward the mental health toll of the terrorist attacks of Sept. 11, 2001, the war in Iraq and the war in Afghanistan—as well as an increased emphasis on getting soldiers who need help into treatment—as they main reasons for the increase. Read more on the military and mental health.
Think you know what to expect when the camera is trained on the stars of Worldwide Wrestling Entertainment (WWE)? Think again. Three of WWE’s most popular wrestlers—Alberto Del Rio, Titus O’Neil and Roman Reigns—star in several new videos produced for Father’s Day 2014 that could make dads across the country practice their very best voices for story time, gather up the kids for a game of “go fish” and plan a tea party.
The new videos are a collaborative effort of WWE, the U.S. Department of Health and Human Services’ (HHS) Administration for Children and Families’ Office of Family Assistance, the National Responsible Fatherhood Clearinghouse and the Ad Council.
Yes, the videos are adorable, but the hope is that dads will watch and then do. That’s critical. Reams of research show that children who grow up without a father’s input can face serious and lasting social, economic and health problems, according to studies compiled by the National Fatherhood Initiative. The non-profit group’s founders include former HHS Secretary Louis Sullivan and actor James Earl Jones.
Some more facts on absent fathers:
- Children in father-absent homes are almost four times more likely to be poor. In 2011, 12 percent of children in married-couple families were living in poverty, compared to 44 percent of children in mother-only families.
- Infant mortality rates are 1.8 times higher for infants of unmarried mothers than for married mothers.
- Even after controlling for income, youths in father-absent households still had significantly higher odds of incarceration than those in mother-father families. Youths who never had a father in the household experienced the highest odds.
- Being raised by a single mother raises the risk of teen pregnancy, marrying with less than a high school degree and forming a marriage where both partners have less than a high school degree.
- A father’s involvement in schools is associated with the higher likelihood of a student getting mostly A's. This was true for fathers in biological parent families, for stepfathers and for fathers heading single-parent families.
“The importance of being a present and engaged dad lies in the long term effects and benefits that this responsibility has on the children and families we serve,” said Earl Johnson, director of the Office of Family Assistance. “Fatherhood must be respected as essential to the well being of our communities and as an investment in the creation of a caring, healthier and more productive society as a whole.”
FDA: Pregnant Women Should Eat More Fish Lower in Mercury
Pregnant women should be eating more fish that is lower in mercury, according to new draft advice from the U.S. Food and Drug Administration (FDA) and the U.S. Environmental Protection Agency (EPA). According to the FDA, pregnant women should eat 8-12 ounces (2-3 servings) per week of fish that are lower in mercury to support fetal growth and development. “For years many women have limited or avoided eating fish during pregnancy or feeding fish to their young children,” said Stephen Ostroff, MD, the FDA’s acting chief scientist. “But emerging science now tells us that limiting or avoiding fish during pregnancy and early childhood can mean missing out on important nutrients that can have a positive impact on growth and development as well as on general health.” The draft advice also includes new guidelines for breastfeeding women, those who might become pregnant and young children. Read more on maternal and infant health.
Study: Direct, Indirect Costs of Autism are Substantial
It costs an average of $2.4 million to support a person with an autism spectrum disorder (ASD) and an intellectual disability throughout the course of their life in the United States and $1.4 million to support someone with an ASD but without an intellectual disability, according to a new study in the journal JAMA Pediatrics. With children, the largest contributors to that total are special education services and parental productivity loss. For adults, the largest contributors are residential care or supportive living accommodation and individual productivity loss; adult medical costs are also much higher. According to the researchers, these substantial direct and indirect economic effects illustrate the need to develop more effective interventions to alleviate the strain on families. Read more on pediatrics.
CDC: 29M People in the U.S. have Diabetes—and One in Four Don’t Realize It
More than 29 million people in the United States have diabetes—and one in four don’t even realize it, according to the U.S. Centers for Disease Control and Prevention (CDC). The total estimate is up from 26 million in 2010. According to the CDC, one in three U.S. adults (86 million) have prediabetes, meaning their sugar levels are high, but not high enough to be classified as type 2 diabetes; an estimated 15-30 percent of these people will develop type 2 diabetes within 5 years unless they lose weight and increase their physical activity. “These new numbers are alarming and underscore the need for an increased focus on reducing the burden of diabetes in our country,” said Ann Albright, PhD, RD, director of CDC’s Division of Diabetes Translation. “Diabetes is costly in both human and economic terms. It’s urgent that we take swift action to effectively treat and prevent this serious disease.” Read more on diabetes.
NIH Researchers Publish Review of Key Marijuana Adverse Health Effects
As more states consider legalizing marijuana, researchers at the National Institute on Drug Abuse (NIDA)—a division of the National Institutes of Health—have published a review of adverse health effects of the drug, including impaired driving. The review was published last week in the New England Journal of Medicine and the study authors consider a number of key concerns including:
- Rising marijuana potencies
- Possible health consequences of secondhand marijuana smoke
- Long-term impact of prenatal marijuana exposure
- According to the reviewers, research suggests that marijuana impairs critical thinking and memory functions during use and that these deficits persist for days after using
- A long-term study showed that regular marijuana use in the early teen years lowers IQ into adulthood, even if users stopped smoking marijuana as adults.
“It is important to alert the public that using marijuana in the teen years brings health, social, and academic risk,” said lead author and NIDA Director Nora D. Volkow, MD. NIDA offers additional information on the consequences of marijuana here. Read more on substance abuse.
Social Media is a Largely Untapped Communications Tool for Health Policy Researchers
As social media use continues to expand, it also presents a growing opportunity for health policy researchers to communicate with both the public and policy makers. However, few of these researchers appear to be using social media to the best of its potential in this field, according to a new study in the journal Health Affairs. The study, which was funded by the Robert Wood Johnson Foundation, examined 325 health policy researchers, finding that only 14 percent of participants reported tweeting and only 21 percent noted blogging about their research in the past year. Many cited fears that social media would not be compatible with their research, the creation of professional risks and the lack of respected it is given by their peers or their academic institutions as obstacles to social media use. “Historically, the communication gap between researchers and policy makers has been large,” concluded the authors. “Social media are a new and relatively untested tool, but they have the potential to create new communication channels between researchers and policy makers to help narrow that gap.” Read more on technology.
Study: Many Preschool-aged Children Spending Too Much Time in Front of TVs, Computers
Many three- and four-year-olds are spending more than twice the recommended amount of time—two hours—in front of computers and television screens, according to a new study in the journal Child Indicators Research. Utilizing data on 2,221 preschool-aged children from the 2007 Head Start Family and Child Experiences Survey, researchers found that 55.7 percent of children had a television in their bedroom and 12.5 percent had high home screen time, defined as more than four hours each weekday. They also found that 56.6 percent of children had access to a computer at home and 37.5 percent had used it on the last typical weekday. In addition, 49.4 percent of children used a classroom computer for more than one hour each week and 14.2 percent played computer games at school for more than five hours each week. “This research should be used as a foundation for additional studies-- particularly those that look at educational screen time versus entertainment screen time,” said Erica Fletcher, a PhD student at Ohio State’s College of Public Health and lead on the project. “It’s a critical time to dive deeper into that. Since the data were collected, devices with screens like tablets and smart phones have become more affordable and are increasingly being used in the classroom. That has helped narrow the economic ‘digital divide’ on accessibility.” Read more on pediatrics.
Overly Clean Homes Can Increase Child’s Risk of Asthma, Allergies
Living in an overly clean home can actually increase an infant’s risk of developing allergies or asthma as they grow older, as their bodies are not given the chance to develop appropriate responses, according to a new study in the Journal of Allergy and Clinical Immunology. The researchers behind the study were surprised by the results, as they had been looking deeper into data that found that exposure to roach, mouse and pet droppings and other allergens increased asthma risk. "What we found was somewhat surprising and somewhat contradictory to our original predictions," said study co-author Robert Wood, MD, chief of the Division of Allergy and Immunology at the Johns Hopkins Children's Center in Baltimore, according to HealthDay. "It turned out to be completely opposite—the more of those three allergens you were exposed to, the less likely you were to go on to have wheezing or allergy." Approximately 40 percent of the allergy- and wheeze-free children in the study were raised in homes with high amounts of allergens and bacteria, while only 8 percent who suffered from both conditions had been exposed to allergens and bacteria while infants. Read more on pediatrics.
Study: Prenatal Medicaid Policy Reduces Smoking, But Doesn’t Improve Preterm Birthweights
While a Medicaid policy that fast-tracks applications of pregnant women helps reduce smoking during pregnancy, it has no significant effect on improving preterm birth rates or low birth weights, according to a new study in the journal Health Affairs. The study specifically looked at Medicaid’s presumptive eligibility and unborn-child option, which provides coverage for prenatal care. “Although the prevalence of prenatal smoking in the United States has declined in recent decades, it is nearly twice as high among low-income women enrolled in Medicaid than it is in the U.S. population as a whole,” said Marian Jarlenski, PhD, lead author of the paper. “Our research shows that Medicaid’s presumptive eligibility policy led to a nearly 8 percentage-point decrease in smoking during pregnancy, but neither policy significantly improved rates of preterm birth or babies born small for their gestational age.” Read more on maternal and infant health.
CDC: Watercress Tops ‘Powerhouse’ Fruits and Vegetables List
With a “nutrient density score” or 100.00, watercress tops the U.S. Centers for Disease Control and Prevention’s (CDC) new list of “powerhouse” fruits and vegetables. The list of 41 foods was created as a tool for nutrition education and dietary guidance. The study defined “powerhouse” as foods most strongly associated with reduced chronic disease risk, which are often green leafy, yellow/orange, citrus and cruciferous items. Chinese cabbage, chard, beet green and spinach rounded out the top five. The full list is available here. Read more on nutrition.