CDC: Enterovirus D68 found in 4 people who died | Premature birth, pneumonia are behind most child deaths worldwide | 5 children in Texas had contact with Ebola patient
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October 2, 2014
AAP SmartBrief
News for pediatricians and other child health professionals

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CDC: Enterovirus D68 found in 4 people who died
CDC officials said Wednesday that enterovirus D68 was detected in four people who died, but none of the deaths have been directly attributed to the virus. The respiratory infection has spread across 42 states, affecting 500 people. The Wall Street Journal (tiered subscription model) (10/1), USA Today (10/1)
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Premature birth, pneumonia are behind most child deaths worldwide
In 2013, 965,000 children younger than age 5 died of premature birth complications, while 935,000 died of pneumonia, according to a report published in The Lancet. More than half of the 6.3 million child deaths that year were caused by infectious diseases such as malaria, diarrhea and pneumonia. HealthDay News (10/1)
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Pediatric Health Care
5 children in Texas had contact with Ebola patient
As many as 18 people, including five children, in Texas had direct contact with the first U.S.-diagnosed Ebola patient, Thomas Eric Duncan, Gov. Rick Perry and health officials announced Wednesday. All individuals possibly exposed to the patient will be closely monitored for 21 days. The Wall Street Journal (tiered subscription model) (10/1), NBC News (10/1)
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Free, long-term birth control may lower teen pregnancy rates
Free access to long-acting contraceptives was associated with significant declines in the number of unplanned pregnancies and abortions among 15- to 19-year-old girls, according to a study in the New England Journal of Medicine. The average pregnancy rate for teen girls who were given counseling and free birth control was 34 for every 1,000 girls, compared to 158 per 1,000 in all sexually active teen girls in the U.S. Reuters (10/1), HealthDay News (10/1)
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Timing of gluten introduction doesn't prevent celiac disease
Children at high risk of celiac disease who were fed gluten daily between 16 and 24 weeks after birth were no less likely to develop celiac disease than those who were not given gluten, Dutch researchers found. Another study showed that delaying gluten introduction until 12 months of age did not protect high-risk children from the disease, but it did delay its development. Both studies were published in the New England Journal of Medicine. The Wall Street Journal (tiered subscription model) (10/1), Reuters (10/1)
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Infant mortality rates in N.C. hit historic low in 2013
The number of infant deaths in North Carolina last year matched the rate in 2010 as the lowest ever, at 7.0 per 1,000 live births, the North Carolina Department of Health and Human Services said. The biggest declines in infant mortality rates in the state were seen among Hispanics and blacks. Asheville Citizen-Times (N.C.) (tiered subscription model) (10/1)
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Trends & Technology
Parents choose cheaper surgical procedures for children
Parents who were given a price list of procedures for their children were nearly twice as likely to choose a less expensive form of surgery as those who were not given price information, a study in the Annals of Surgery showed. Cost was the main influence behind the decision of 31% of the parents. The New York Times (tiered subscription model)/The Upshot (10/1)
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Guidelines issued for outpatient pediatric echocardiography
Fifty-three of 113 indications for initial use of transthoracic echocardiography in the outpatient pediatric setting were considered appropriate, according to guidelines issued in the Journal of the American College of Cardiology. The guidelines aim to help pediatricians and pediatric cardiologists determine whether echocardiography is needed, Dr. Robert Campbell of Emory University School of Medicine said in a statement. News (10/1)
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Health Policy & Regulations
Most Mass. public schools comply with diet, exercise policies
A majority of Massachusetts public schools have adopted state policies on physical education, school meals and BMI assessment among students, according to a state audit. The report also says legislators should consider requiring 30 minutes of daily exercise for elementary-school students and 45 minutes for middle- and high-school students. San Antonio Express-News/The Associated Press (9/29)
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The Last Word - News from the AAP
Return of "What's the Latest with the Flu"
The 2014-2015 influenza season is approaching. To assist clinicians, the AAP "What's the Latest with the Flu" messaging series offers a quick snapshot that addresses the current situation with the flu, with links to AAP and CDC resources. See the September 2014 message here.
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AAP advocacy day trainings
The AAP will be hosting two Advocacy Day trainings on Oct. 27 and Jan. 23, 2015. Beginning with an in-depth training session on how to advocate to members of Congress, the day will culminate with in-person visits to federal legislators on Capitol Hill. The October training will take place in Washington, D.C. There is no cost to attend the Advocacy Day trainings other than travel. If you are interested in attending either of the trainings, please e-mail Devin Miller at
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You're going to come across people in your life who will say all the right words at all the right times. But in the end, it's always their actions you should judge them by."
-- Nicholas Sparks,
American novelist
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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.
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