Thursday, December 19th, 2013
New mothers are more likely to have success with breastfeeding–at least for a few months–if they have periodic meetings with lactation consultants who offer support, tips, and encouragement. These are the findings of two different clinical trials conducted by Dr. Karen Bonuck at the Albert Einstein College of Medicine. The results will be published online in the American Journal of Public Health.
In one of the two trials included in this paper, women who were strongly and regularly encouraged to breastfeed were more than four times likely to exclusively breastfeed their infant at one month and nearly three times more likely to do so at three months, compared with the control group.
However, neither of the two trials showed that women who received lactation support consistently met the American Academy of Pediatrics’ recommendation that mothers breastfeed exclusively for the first six months of their babies’ lives. Bonuck said in a statement that despite this shortcoming, 95 percent of the women in the two trials at least initiated breastfeeding—which exceeds the goal of 82 percent that the CDC proposed in its Healthy People 2020 report.
The American Academy of Pediatrics touts health benefits of breastfeeding including reduced incidence of ear infections and stomach illness and lower obesity rates for children and, for mothers, a reduced risk for pre-menopausal breast cancer, type 2 diabetes and heart disease.
Image: Breastfeeding mother, via Shutterstock
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Common Breastfeeding Myths
Tuesday, December 10th, 2013
A half century after the vaccine against measles was introduced in 1963, the life-threatening disease has been eliminated in the U.S. but remains a global threat, claiming the lives of 430 children – 18 every hour – every day. The international presence of measles is of domestic concern as well, putting families who choose not to have their children vaccinated at risk of exposure if they encounter an infected person who brought the disease from another country. More from the Centers for Disease Control and Prevention:
In an article published on December 5 by JAMA Pediatrics, CDC’s Mark J. Papania, M.D., M.P.H., and colleagues report that United States measles elimination, announced in 2000, has been sustained through 2011. Elimination is defined as absence of continuous disease transmission for greater than 12 months. Dr. Papania and colleagues warn, however, that international importation continues, and that American doctors should suspect measles in children with high fever and rash, “especially when associated with international travel or international visitors,” and should report suspected cases to the local health department. Before the U.S. vaccination program started in 1963, measles was a year-round threat in this country. Nearly every child became infected; each year 450 to 500 people died each year, 48,000 were hospitalized, 7,000 had seizures, and about 1,000 suffered permanent brain damage or deafness.
People infected abroad continue to spark outbreaks among pockets of unvaccinated people, including infants and young children. It is still a serious illness: 1 in 5 children with measles is hospitalized. Usually there are about 60 cases per year, but 2013 saw a spike in American communities – some 175 cases and counting – virtually all linked to people who brought the infection home after foreign travel.
“A measles outbreak anywhere is a risk everywhere,” said CDC Director Tom Frieden, M.D., M.P.H. “The steady arrival of measles in the United States is a constant reminder that deadly diseases are testing our health security every day. Someday, it won’t be only measles at the international arrival gate; so, detecting diseases before they arrive is a wise investment in U.S. health security.
Image: Child getting a vaccine, via Shutterstock
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Tuesday, November 26th, 2013
New research by the Centers for Disease Control and prevention reports that attention deficit hyperactivity disorder (ADHD) affects 11 percent of American children, spiking a staggering 43 percent since 2003 and growing by 2 million children since 2007. Researchers, far from being alarmed, are saying the finding shows that public awareness efforts and better diagnostic tools are helping families and doctors make an accurate number of diagnoses. More from CNN.com:
Today, 6.4 million children between the ages of 4 and 17 – 11% of kids in this age group – have received an ADHD diagnosis, according to the study, which is based on a survey of parents. That’s 2 million more children than in 2007.
The number of children using medications to treat ADHD is also rising. Since the last survey taken in 2007, there has been a 28% increase in children taking drugs to manage the disorder. More than 3.5 million children in the 4 to 17 age group, or 6%, are taking ADHD medications, the survey found.
These data are part of the CDC’s National Survey of Children’s Health, a national cross-sectional, randomized telephone survey. The survey is conducted every four years, and questions about ADHD diagnosis have been included since 2003. The latest data are from interviews conducted via telephone from February 2011 and June 2012, with 95,677 interviews completed and an overall response rate of 23%.
But while rising rates of ADHD diagnosis may be an alarming headline, Dr. John Walkup, director of child and adolescent psychiatry at Weill Cornell Medical College and New York-Presbyterian Hospital, found some positive news when looking at rates of prevalence and treatment. In his view, the data suggest that the increasing diagnosis rate of ADHD is getting closer to the true prevalence of ADHD, which is even higher.
“We’ve been working so hard for so long to improve treatment,” Walkup said. “If the prevalence rate is 9 to 11% and we’re getting 8% currently diagnosed, it suggests that the public advocacy for treatment is paying off.”
Image: ADHD buttons, via Shutterstock
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Tuesday, November 12th, 2013
Warnings that children under age 4 should not use over-the-counter cough or cold medicines, even those intended for children, appear to be having a positive effect on the number of families that misuse those products, according to a new study published in the journal Pediatrics. More from The New York Times:
Government researchers said on Monday that those moves have had a remarkable effect: a significant decrease in emergency hospital visits by toddlers and infants with suspected medical problems after using these medicines.
Dr. Daniel Frattarelli, a former chairman of the committee on drugs at the American Academy of Pediatrics, praised the study, saying it showed that “the label is a very powerful tool for changing parent behavior.”
In the new study, published in the journal Pediatrics, researchers at the Centers for Disease Control and Prevention reviewed data from 63 hospitals to estimate the number of emergency visits from 2004 to 2011 by young children who had taken cough and cold medicines.
Children under 2 accounted for 4.1 percent of all emergency visits for suspected drug-related effects before the 2007 withdrawal, the researchers found, and accounted for 2.4 percent afterward. Among 2- to 3-year-olds, emergency room visits linked to cough and cold medicines decreased to 6.5 percent from 9.5 percent after the label change.
Yet there was no significant reduction in emergency visits among children ages 4 to 11. Among 4- and 5-year-olds specifically, visits attributed to cough and cold drugs increased to 6.5 percent from 5.6 percent.
“We’re making great progress in under-2s, and we’re making relatively good progress in 2 to 3s,” said Dr. Don Shifrin, a pediatrician in Seattle and a spokesman for the American Academy of Pediatrics. “But we’d like better news for kids over 4.”
The new report may reignite the debate over when it is safe for parents to give cough and cold medicines to their children, some experts said.
“I would call this Chapter 1 in the story,” said Dr. Matthew M. Davis, a professor of pediatrics and public policy at the University of Michigan in Ann Arbor. “Chapter 2 is going to require additional changes in policy to reduce adverse drug events for older children, 4 and older, and to ensure safer medications in the home medicine cabinet for all ages.”
Dr. Frattarelli said he would like to see “do not use” labeling for children ages 6 and younger, since the drugs continue to be misused for 4- and 5-year-olds.
Image: Cough medicine, via Shutterstock
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Wednesday, September 4th, 2013
Flu season may still feel far away as summer-like temperatures are still felt over much of the country. But the American Academy of Pediatrics issued an advisory this week urging parents to get their children–and themselves–immunized against the flu as soon as possible to achieve the maximum protection when the season begins in earnest. More from NBC News:
There are some new vaccines on the market and while some of the newer ones might appear better, it’s not worth waiting for one, the American Academy of Pediatrics said in an advisory.
“With the exception of children less than 6 months of age, everybody should go out and get their influenza vaccine as soon as the influenza vaccines are available,” Dr. Michael Brady of Nationwide Children’s Hospital and chairman of the Committee on Infectious Diseases for the Academy told NBC News.
“Parents should not delay vaccinating their children to obtain a specific vaccine,” added pediatrician Dr. Henry Bernstein of the Hofstra North Shore – Long Island Jewish Health System in New York, who led the team writing the recommendations.
“Influenza virus is unpredictable, and what’s most important is that people receive the vaccine soon, so that they will be protected when the virus begins circulating.”
The U.S. Centers for Disease Control and Prevention estimates that anywhere between 3,000 to 49,000 people a year die from flu in the United States, and up to 200,000 are sick enough to be hospitalized. A lot depends on the strains circulating. During last year’s flu season, 160 children died from flu.
Image: Child getting a shot, via Shutterstock
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