Please welcome esteemed developmental behavioral pediatrician Dr. Siv (Sue) Fasci, coming to Providence in August.
In this year’s report, New Hampshire ranked first among states for overall child well-being, moving up one from 2016. Massachusetts and Vermont filled out the top three. Louisiana, New Mexico and Mississippi were the three lowest-ranked states.
USA Today (5/26) reported that approximately 81% of US mothers “reported breastfeeding at some point, CDC data” indicate, “but that number drastically decreases to about 22% when looking at exclusive breastfeeding for six months, recommended by the American Academy of Pediatrics.” Some women stop nursing their babies because they don’t know if the infant is getting enough milk. Others have difficulties with getting the baby to latch on properly. Still others find the process too painful. AAP spokesperson Andrew Bernstein “said many moms…don’t understand the first days of latching can be painful.” He added, “Breastfeeding isn’t easy.”
Codeine and tramadol should not be used to treat pain or cough in children younger than 12 years as they could be fatal, the Food and Drug Administration (FDA) said Thursday.
The FDA unveiled several changes to the labels of the medications to protect children, adolescents and infants being breastfed.
“We are requiring these changes because we know that some children who received codeine or tramadol have experienced life-threatening respiratory depression and death because they metabolize (or break down) these medicines much faster than usual (called ultra-rapid metabolism), causing dangerously high levels of active drug in their bodies,” Douglas Throckmorton, M.D., deputy center director for regulatory programs in the FDA’s Center for Drug Evaluation and Research, said in a statement.
The FDA is adding the following new restrictions to the warning labels of codeine and tramadol:
Since 1969, codeine has been linked to 64 cases of serious breathing problems, including 24 deaths in children and adolescents. Tramadol is not approved for pediatric use but has been tied to nine cases of serious breathing problems, including three deaths in children and adolescents, according to the FDA. There also have been cases of breathing problems in breastfed infants whose mothers were taking codeine.
In September 2016, the Academy released a clinical report Codeine: Time to Say “No” that expressed concerns about the dangers of codeine use in children and called for more formal restrictions.
The FDA recommends physicians use other medications for treating cough and pain. Officials also encouraged parents to pay close attention to the ingredients in medication they give their children and seek immediate medical attention if children taking the restricted medications experience difficulty breathing, confusion, unusual sleepiness, trouble breastfeeding or limpness.
The American Academy of Pediatrics (AAP) Disaster Preparedness Advisory Council (DPAC), in collaboration with the Centers for Disease Control and Prevention (CDC), recently released two videos, “Zika: Ten Tips for Pediatricians Supporting Families” and “Pediatrician Advice for Families: Responding to Your Concerns about Zika.”
Zika: Ten Tips for Pediatricians Supporting Families provides ten tips for pediatricians to consider when speaking with their patients who may have a child with Zika virus syndrome, or are worried about possible infection in their unborn child.
Pediatrician Advice for Families: Responding to Your Concerns about Zika provides expectant parents and their families with some basic information about the risks of Zika infection during pregnancy and recommends strategies to deal with stress if they are worried. Also addressed is what expectant parents can do or expect if Zika virus infection is suspected or known during pregnancy.
American Academy of Pediatrics staff members worked with DPAC member David Schonfeld, MD, FAAP, and Carolina Peña, MD, FAAP, to develop these videos to reinforce the need for education and outreach specific to Zika, and to fill the gap in psychosocial support resources for those caring for infants with congenital Zika virus syndrome.
These videos and many other Zika resources can be found on the AAP Zika Virus web pages, including the recent AAP webinar, “Zika, the Evolving Story: What You Need to Know” featuring Margaret (Peggy) Honein, PhD, MPH, CDC representative, Mark Hudak, MD, FAAP, and Shana Godfred-Cato, DO, FAAP. Visit these continually updated pages for the latest information and resources on Zika Virus.
AAP named Jay C Butler, MD., C.P.E., FAAP of Anchorage Alaska to the National Vaccine Committee. Committee members provide peer review, consultation, advice and recommendations to the Assistant Secretary for Health, who serves as the director of the National Vaccine Program. Dr. Butler is the chief medical officer for the Alaska Department of Health and Social Sciences and director of the Division of Public Health. He is an affiliate professor of medicine at the University of Alaska Anchorage and President of the Association of State and Territorial Health Officials.
Congratulations Dr. Butler!