AAP, others concerned with Trump's plan for vaccine safety panel | AAP comments on FDA warning on anesthesia use in young children | CDC, group issue recommendations on improving school recess programs
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January 11, 2017
AAP SmartBrief
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AAP, others concerned with Trump's plan for vaccine safety panel
The AAP and other health care organizations have expressed concern over President-elect Donald Trump's request for Robert Kennedy Jr., a long-time opponent of mandatory vaccination legislation, to lead a possible new commission on vaccine safety and scientific integrity. The AAP is willing "to share the extensive scientific evidence demonstrating the safety of vaccines" with the incoming administration, AAP Executive Director and CEO Dr. Karen Remley and AAP President Dr. Fernando Stein said in a statement.
Tampa Bay Times (St. Petersburg, Fla.)/The Associated Press (1/10),  The Washington Post (tiered subscription model) (1/10),  NBC News (1/10) 
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AAP comments on FDA warning on anesthesia use in young children
The AAP has issued a response on the FDA's advice against repeated or extended use of anesthetics in children younger than 3 years due to likely developmental problems, saying that research shows no risks for children exposed to a single, short anesthetic or sedation and that parents and physicians must consider the risks of delaying needed surgery and diagnostic procedures. The response was endorsed by the American Society of Anesthesiologists, Society for Obstetric Anesthesia and Perinatology, the International Anesthesia Research Society and other health care organizations.
AAP News (1/10) 
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Pediatric Health Care
CDC, group issue recommendations on improving school recess programs
The CDC and the Society of Health and Physical Educators have released guidance to bolster recess programs in elementary and secondary schools with recommendations on setting behavioral and safety expectations, making leadership decisions, engaging the school community, and creating a supportive environment. A second guidance document discusses how to implement the recommendations.
AAP News (1/10) 
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Parental rudeness may compromise NICU care, study finds
NICU medical teams who were treated rudely by mothers in simulated emergency situations performed worse in diagnosing medical conditions, creating treatment plans, and sharing information and workload, compared with situations in which mothers made neutral remarks, according to a study in Pediatrics. The findings also showed better coping with the rude remarks among medical teams that first participated in computer game exercises to help them cope with rudeness, compared with those who underwent a discussion-based intervention.
Reuters (1/10),  Physician's Briefing/HealthDay News (1/10) 
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USPSTF: Childbearing-age women should take folic acid to curb birth defects
The US Preventive Services Task Force has reiterated 2009 guidance recommending that all women of childbearing age take 400 to 800 micrograms of folic acid supplements daily to reduce the risk of neural-tube defects such as spina bifida and anencephaly. The recommendations were published in the Journal of the American Medical Association.
National Public Radio (1/10),  HealthDay News (1/10) 
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Many breast-fed infants may get insufficient vitamin D, survey finds
Many breast-fed infants may have insufficient vitamin D, survey finds
(Veejay Villafranca/Getty Images)
Researchers surveyed 184 breast-feeding mothers and found that 55% gave vitamin D drops to their babies but only 42% overall gave the recommended daily intake of 400 IU. The findings in the Annals of Family Medicine also showed that 90% said they would prefer taking vitamin D supplements themselves instead of giving drops to their babies.
Reuters (1/10) 
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Trends & Technology
Analysis: Gun violence becoming more prevalent in PG-13 movies
An analysis in Pediatrics found an increase in the rate of gun violence per hour in top-grossing PG-13 films from 2013 to 2015, compared with R-rated movies during the same period. The findings should prompt pediatricians to "consider advising parents to be cautious about exposing their children to the gun violence in PG-13 movies," researchers wrote.
The Washington Post (tiered subscription model) (1/11),  Los Angeles Times (tiered subscription model) (1/10) 
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Health Policy & Regulations
Health care professionals urge caution as Senate moves to repeal ACA
Physicians, hospital association executives and advocacy groups are urging lawmakers to proceed with caution as the Senate this week moves toward a repeal of the Affordable Care Act. Sen. Rand Paul, R-Ky., said that President-elect Donald Trump recently agreed that a replacement measure should be prepared before the ACA is repealed.
The New York Times (free-article access for SmartBrief readers) (1/9) 
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Ill. may require elementary schools to test water for lead
Officials would be required to collect water samples from all Illinois schools that teach students in prekindergarten through fifth grade to be tested for lead under legislation passed Monday by lawmakers in the state House. The legislation also requires that officials develop a plan to test water at day care centers.
Belleville News-Democrat (Ill.) (1/9) 
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The Last Word - News from the AAP
Interactive map highlights child vaccination rates across America
The AAP has developed an interactive digital map that highlights state immunization rates for vaccine-preventable diseases, as well as state laws regarding vaccine exemptions. The map includes data on how each state measures up against immunization thresholds that are important to ensure protection for all. The map also highlights recent outbreaks of disease that have occurred in communities where pockets of low-immunization rates left the population vulnerable. While immunization rates have remained steady or increased for many vaccines over the past decade, recent studies show that unvaccinated children are often geographically clustered in communities. These pockets of under-immunization are at higher risk of disease and have been the source of disease outbreaks, as seen with the 2014 measles outbreak in California.
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Behavioral health intervention with adolescents
Substance use and mental health are major concerns among youth. Pediatricians have an important role in preventing, identifying, and treating substance use and mental health concerns. The AAP, thanks in part to the Friends of Children Fund, is offering free access to simulations which provide participants with effective brief intervention techniques. Use of the simulations are free to AAP members and can be accessed at kognito.com/aap.
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
External Resources are not a part of the aap.org website. AAP is not responsible for the content of sites that are external to the AAP. Linking to a website does not constitute an endorsement by AAP of the sponsors of the site or the information presented on the site.
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