The CDC's Advisory Committee on Immunization Practices approved the use of live attenuated influenza vaccine for the 2018-2019 flu season and recommended that vaccinations be given to all individuals ages 6 months and older, but American Academy of Pediatrics representatives advised the continued use of inactivated influenza vaccine as the first choice of immunization. The use of anthrax vaccination during a mass event was also unanimously approved by the ACIP.
President Donald Trump has signed an executive order directing authorities to keep immigrant families together when they arrive at the US-Mexican border illegally, reversing a widely criticized policy that separated children from parents. Trump initially said he was powerless to change the law governing treatment of such families.
Youths whose mothers received antidepressants during pregnancy had a small increased risk of having poorer motor development outcomes, compared with those whose mothers didn't take antidepressants, researchers reported in Pediatrics. The findings were based on a meta-analysis of 18 studies.
Researchers in England found that the prevalence of human papillomavirus types 16 and 18 dropped from 8.2% in 2010-2011 to 1.6% in 2016 among girls and women in the UK ages 16 to 18 and from 14% to 1.6% among those ages 19 to 21. Routine vaccination was introduced in 2008, and the rates of HPV types 31, 33 and 45 also declined in both age groups, according to the study in The Journal of Infectious Diseases.
The number of children in western Pennsylvania treated for Lyme disease rose from only five between 2003 and 2005 to 285 in 2013, according to a study in the journal Clinical Infectious Diseases. Researchers also found that most pediatric Lyme disease cases were from urban and suburban areas, and the disease was most prevalent among white boys ages 5 to 9.
A study in the American Journal of Psychiatry showed that children ages 3 to 6 with early childhood depression who underwent Parent-Child Interaction Therapy with the "emotional development module" had higher odds of developing less severe depression, fewer disorders and better emotional functioning as well as achieving remission. The findings also associated PCIT-ED with relief, as well as reduced depression symptoms and parenting-related stress among parents.
University of Florida investigators discovered the first confirmed case of Keystone infection in a human in a teenage boy who came to an urgent care clinic in Florida during the Zika virus epidemic in August 2016, as reported in the journal Clinical Infectious Diseases. The Keystone virus is mosquito-borne and from a family of viruses that can cause encephalitis.
A study in Pediatrics showed that the prevalence of unnecessary testing for group A streptococcal pharyngitis in a pediatric ambulatory setting declined from 64% to 40.5% after the implementation of quality improvement initiative approved by the American Board of Pediatrics in Plan-Do-Study-Act cycles to improve compliance to Infectious Diseases Society of America clinical practice guidelines. However, the findings showed similar appropriate antibiotic use before and after the deployment of the QI program.
Mobile health tools help health systems improve the clinical documentation query process by deploying digital messaging platforms that allow physicians to review queries and respond quickly through a mobile device. "It puts work where it should go and gives physicians back valuable time for patient care," said Dr. Daniel Brotman, an internist at Johns Hopkins Hospital.
The ONC and CMS will work together to reduce administrative burdens related to physicians' 21st Century Cures Act requirements, according to a blog post by National Coordinator for Health IT Don Rucker. Together with other federal agencies and stakeholders, the ONC will also create a Trusted Exchange Framework and Common Agreement, address information blocking and promote the use of application programming interfaces.