Zika may be circulating in Miami Beach, officials say | NIAID director: Soonest Zika vaccine will be 2018 | Early oral immunotherapy may help children with peanut allergy, study says
August 19, 2016
AAP SmartBrief
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Zika may be circulating in Miami Beach, officials say
Florida health officials have identified a cluster of Zika virus cases that may have been acquired from mosquitoes in Miami Beach, but local leaders emphasize that active transmission outside Miami's Wynwood neighborhood has not been confirmed. Thirty-five suspected locally acquired cases have been reported in Florida since local transmission was first documented there.
The New York Times (free-article access for SmartBrief readers) (8/18),  Reuters (8/19) 
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NIAID director: Soonest Zika vaccine will be 2018
National Institute of Allergy and Infectious Diseases Director Anthony Fauci and his NIH colleagues have been working with their counterparts in the pharmaceutical industry to develop vaccines and treatments for emerging diseases. The NIH recently initiated human clinical trials for a Zika virus vaccine, but the earliest it could be available is 2018, and a lack of funding has impeded efforts to quell the current outbreak.
The Washington Post (tiered subscription model) (8/15) 
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Population health starts outside of hospitals.
Social, environmental, and behavioral factors determine about 60% of a person's health status. To address these social factors, healthcare programs must integrate a community's non-medical data with clinical insights to yield positive results.
Pediatric Health Care
Early oral immunotherapy may help children with peanut allergy, study says
Oral immunotherapy to counter peanut allergies in children may be more effective if done at a young age, even as early as 9 months, according to a study in the Journal of Allergy and Clinical Immunology. Almost 80% of children who had the therapy were able to eat foods containing peanuts without having an allergic reaction, researchers said.
HealthDay News (8/18) 
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Study shows increase in gestational diabetes prevalence in US
A study in BJOG: An International Journal of Obstetrics & Gynaecology revealed that the prevalence of gestational diabetes mellitus among US women increased from 0.3% in 1979 to 1980 to 5.8% in 2008 to 2010. Researchers also found that the increasing GDM prevalence was associated with a 184% decrease in large for gestational age/macrosomia and a 0.75% increase in stillbirth rate.
PhysiciansBriefing.com/HealthDay News (8/16) 
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Study shows how unhealthy diet in pregnancy influences ADHD risk in youths
UK researchers found a diet high in fat and sugar during pregnancy is tied to higher IGF2 methylation in the offspring, which was linked to increased ADHD symptoms from ages 7 to 13 among children with early-onset behavior problems. The study was published in the Journal of Child Psychology and Psychiatry.
The Guardian (London) (8/18),  CTV.ca (Canada) (8/19) 
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FDA investigates hair conditioner, CPSC recalls several children's products
The FDA has launched an investigation on WEN by Chaz Dean Cleansing Conditioners after reports of balding, itching, rashes, hair loss and hair breakage. The Consumer Product Safety Commission also announced recalls involving Liquid Plumr clog removing products, Instep and Schwinn jogging strollers, IKEA baby gates, Lorex Care 'N' Share video baby monitors and other products due to safety hazards to children.
AAP News (8/18) 
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Trends & Technology
Summer-lunch program serves 1M meals -- and counting
Summer-lunch program serves 1M meals -- and counting
(Cesar Manso/Getty Images)
A summer lunch program in San Diego this year served its 1 millionth meal, with officials serving 10,000 meals this summer alone. The program, which launched in 2003, operates at 34 sites.
Times of San Diego (8/17) 
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Physicians discuss shortcomings of EHRs
Many EHRs "are designed for billing and not primarily for ease of use by those who provide care," physicians wrote in a commentary in the Journal of the American Medical Association. EHRs often generate an overload of large data that clinical staff finds burdensome and that creates alert fatigue, and they lack integration with technology that combines, monitors and visualizes information for users, the physicians wrote.
BeckersHospitalReview.com (8/16) 
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Health Policy & Regulations
Medicare Advantage, Part D models might stabilize ACA exchanges
Safeguards and incentives that helped stabilize the Medicare Advantage and Part D markets in their early years could be applied to the Affordable Care Act's individual health insurance markets, according to a policy brief from the Robert Wood Johnson Foundation. Raising consumer subsidies, barring insurers from re-entering exited markets for five years and developing fallback plans for underserved markets could encourage consumer and insurer participation, according to the report.
Morning Consult (8/16) 
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The Last Word - News from the AAP
New AAP member discount program-Budget Car Rental
Whether it’s work or play, traveling with Budget is more rewarding for AAP members with low rental rates, discounts and exclusive offers on car rentals in the US. AAP members save up to 25 percent off Budget base rates with offer code (BCD) R705700, plus get other great offers like dollars off, a complimentary upgrade, or a free weekend day. Visit the AAP website for more information on special AAP member offers or to book your reservation online.
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PCO Webinar—Rescue Medication and Seizure Emergency Planning
This new Pediatric Care Online webinar focuses on the following:
  • What a seizure emergency plan is, why it is created, and what it should contain
  • The basics of how to create an effective school seizure action plan
  • The various seizure rescue medications, their side effects, and the practical considerations that come into play when prescribing them for the school setting
Pediatric Care Online is supported by Mead Johnson Nutrition.
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If we are to achieve a richer culture, rich in contrasting values, we must recognize the whole gamut of human potentialities, and so weave a less arbitrary social fabric, one in which each diverse gift will find a fitting place.
Margaret Mead,
cultural anthropologist
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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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