The CDC said sporadic flu activity was reported in 28 states for the week ending May 11, and this could continue for several more weeks. The share of outpatient visits for flu-like illness dropped to 1.5%, but the overall flu-related hospitalization rate increased slightly to 65.7 per 100,000 people, and three additional pediatric deaths were reported.
Male youths ages 10 to 19 had 3.8 times increased odds of committing suicide from 1975 to 2016, compared with female youths, but the male-to-female suicide incidence rate ratio between 2007 and 2016 dropped from 3.14% to 1.8% among those ages 10 to 14, and from 4.15% to 3.31% among those ages 15 to 19, researchers reported in JAMA Network Open. The findings also showed that firearm-related suicide significantly increased among those ages 15 to 19, but male-to-female IRR for hanging or suffocation-related suicides significantly declined in both age groups.
CDC researchers reported that 36.4% of the 13,508 pool chemical injury-related emergency department visits between 2015 and 2017 involved youths younger than 18, with most injuries caused by chemical fume or dust inhalation. The findings in the agency's Morbidity and Mortality Weekly Report also showed that 64.5% of injuries happened between Memorial Day weekend and Labor Day.
Canadian researchers evaluated 5,741 children with diabetes, ages 1 to 17, and found that 25.6% developed diabetic ketoacidosis no more than 3 days after being diagnosed, with DKA incidence rising by 2% each year between 2001 and 2014. The findings in CMAJ Open showed that the highest rates of DKA increase, at 2.7% each year, was observed among children ages 5 to 11.
A study in the Journal of Maternal-Fetal & Neonatal Medicine showed that babies whose mothers took opioids during pregnancy had greater skin conductance scores during and after a heel-stick test. Facial distress was higher before the procedure, suggesting greater behavioral distress and increased self-soothing difficulties, among opioid-exposed infants.
Adolescents who owned promotional items from alternative tobacco manufacturers had a 2.1 times increased likelihood of using alternative tobacco products, such as e-cigarettes, compared with those who didn't, after adjusting for age, ethnicity/race, gender, baseline alcohol and cigarette use, and maternal educational attainment, according to a study in JAMA Network Open. Researcher Bonnie Halpern-Felsher said the findings should prompt the FDA to prohibit tobacco product companies from providing any marketing materials to youths.
The number of emergency department patients who left California hospitals after seeing a clinician but before their care was complete jumped 57% from 2012 to 2017, while the median wait before admission from the ED increased by 15 minutes to 336 minutes. Experts said the increase in patients leaving against medical advice could be attributed to overcrowding, with ED trips in the state up by nearly 20% from 2012 to 2017.
A Government Accountability Office report found the CMS is not doing enough to ensure the public knows about major changes to Medicaid, particularly the implementation of work rules through Section 1115 waivers. To improve transparency and avoid inconsistencies, the report urges the CMS to create standard transparency rules for new waivers, extension requests and major changes under Section 1115.
The FDA has approved Takeda Pharmaceutical's Gattex, or teduglutide, injection as a treatment for pediatric patients at least 1 year old with short bowel syndrome who need additional nutrition or fluids via intravenous feeding. The drug was previously approved for adult patients with SBS.