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Posts for tag: update

By contactus@priority-pediatrics.com
May 26, 2019
Category: Infectious Disease
Tags: immunizations   measles   update   2019   Vaccinations   Public Health  

Measles – 2019 Outbreaks

 

Total Number Of Measles Cases In US Climbs To 25-Year High Of 971, CDC Reports

The Washington Post (5/30) reports there have been 971 cases of measles in the US so far this year, “the greatest number since 1994, when 963 cases were reported for the entire year,” according to the Centers for Disease Control and Prevention (CDC). The agency announced the new total on Thursday, rather than waiting for Monday when it typically updates the count, “because it had reached this new milestone.”

       

The New York Times (5/30) reports CDC Director Robert Redfield said, “Measles is preventable and the way to end this outbreak is to ensure that all children and adults who can get vaccinated, do get vaccinated.” Redfield added, “Again, I want to reassure parents that vaccines are safe, they do not cause autism. The greater danger is the disease that vaccination prevents.” The Times adds that the “measles was eliminated as an endemic disease in the United States in 2000,” but if the current outbreak continues then the US could lose that status, “meaning the disease would be considered endemic in the country for the first time in a generation.”

 

Updated 5/22/2019 

Pediatricians are monitoring multiple outbreaks of measles across several U.S. states.

Situation

  • Current outbreak locations:
  • Number of infections: 880 cases in 24 states (from 1/1/19 through 5/17/19)
  • Pediatric population affected: All pediatric populations at risk. Patients 19 years or younger have accounted for 77% of the cases so far; 48% have been younger than 5 years old.
  • The main outbreaks have been associated with travelers who brought measles back from Israel, Ukraine, and the Philippines.
  • Cases have been reported in Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Pennsylvania, Oklahoma, Oregon, Texas, Tennessee, and Washington.

Background

  • Infants and children aged less than 5 years, adults aged more than 20 years, pregnant women, and people with compromised immune systems, such as from cancer, chemotherapy, or HIV infection, are at high risk for severe illness and complications from measles.
  • Measles can cause serious illness requiring hospitalization, even in previously healthy children.
  • Consider measles in patients with fever and rash and ask about recent international travel, exposure to international travelers, or exposure to people with measles
  • During an outbreak, MMR vaccine should be offered to all people exposed or in the outbreak setting who lack evidence of measles immunity. During a community-wide outbreak that affects infants, MMR vaccine has been shown to be effective in preventing symptoms after exposure and may be recommended for infants 6 through 11 months of age.
  • Involvement of state and local health departments is often advisable for any diagnosis of measles, as there may be specific ways these departments wish to receive specimens and manage patients.

Actions as recommended by the American Academy of Pediatrics and the U.S. Public Health Service

Resources

10 Things You Should Know about Measles:

By contactus@priority-pediatrics.com
February 01, 2019
Category: Infectious Disease
Tags: Influenza   Flu   immunizations   Vaccines   flu shot   update   Urgent Care   ER  

 

Note: 2018-19 Flu Season Update
As the flu season continues, please review these reminders and updates below:

  • It is not too late to get a flu shot if you have not received a flu immunization during the current flu season.
  • Receiving a flu vaccine every year offers the best available protection against flu and has been shown to reduce illnesses, hospitalizations and deaths in people of all ages. 
  • If you or someone in your family are diagnosed with a respiratory illness even though you've had a flu shot, flu test confirmed or not, the flu vaccine was effective, especially if they are  seen by a doctor and sent home with minimal treatment.
  • If you or someone in your family have flu-like symptoms that unless instructed by a physician to be given for other medical reasons, you should avoid aspirin and aspirin-containing products (such as Pepto- Bismol, Kaopectate and Alka-Seltzer, for example), which have been associated with rare but severe complications when taken by children and adolescents with flu.
  • If your child needs evaluation at a Children's Healthcare of Atlanta facility when your routine office is closed, it is better to seek care at Children’s urgent care locations as an alternative to the Emergency departments. Families can visit choa.org/locations for more specifics regarding the Urgent Care centers or use the Children’s app on their mobile phones to check wait times at the different locations.
  • Please visit these resources at choa.org/flu to learn more about influenza.

 

Dr. T

By contactus@priority-pediatrics.com
September 01, 2018
Category: Safety
Tags: guidelines   car seats   update   car safety   toddler   rear facing   2018  

Key takeaways for parents in preparation for Child Passenger Safety Week is 

Sept. 23-29, 2018

  • Children should ride properly restrained on every trip, in every type of transportation, beginning from birth.
     
  • Rear-facing is the safest way to ride. Parents should keep children rear-facing as long as possible until they fit within the weight and height limits set by the manufacturer of their car safety seat.
  • While parents look forward to children moving from one milestone to another, car seats are one area where delayed transitions are best. Each transition – from rear-facing to forward-facing, forward-facing to booster – lowers the child’s protection in the event of a crash.
     
  • When a child rides rear-facing, the head, neck, and spine are all supported by the hard shell of the car safety seat and all move together, with little relative movement between body parts. When children ride forward-facing, their bodies are restrained by the harness straps, but their heads – which for toddlers are disproportionately large and heavy – are thrown forward, possibly resulting in spine and head injuries.

 

What is the change in recommendations?

  • Previously, the AAP recommended children should remain rear-facing at least to age 2; the new recommendation removes the specific age milestone.
  • The prior recommendation to keep children rear-facing to age 2 was based in part on a study that found lower risks of injury among children ages 1 to 2 years who were rear-facing. That data was supported by biometric research, crash simulation data and experience in Europe where children ride rear facing for longer periods. However, in 2017, questions arose about the original study, and it was retracted by the journal Injury Prevention. A re-analysis of the data found that while rear-facing still appeared to be safer than forward-facing for children younger than 2, the injury numbers were too low to reach statistical significance.
  • This means we don’t have a large enough set of data to determine with certainty at what age it is safest to turn children to be forward-facing. If you have a choice, keeping your child rear-facing as long as possible is the best way to keep them safe.
  • The AAP decided to update its recommendations to reflect how the science has evolved.
  • Fortunately, car seat manufacturers have created car seats that allow children to remain rear-facing until they weigh 40 pounds or more, which means most children can remain rear-facing past their second birthday.

 

Facts about car seats and motor vehicle injuries:

  • Motor vehicle injuries are the leading cause of death among children in the United States. (CDC)
     
  • In the United States, 633 children ages 12 years and younger died as occupants in motor vehicle crashes during 2015 and more than 132,000 were injured. (CDC)
     
  • Of children ages 12 years and younger who died in a crash in 2015, 35 percent were not buckled up. (CDC)

 

  • Child safety seats are often used incorrectly. Approximately 59 percent of car seats and 20 percent of booster seats are installed or used incorrectly. (CDC)

 

  • Car seats reduce the risk of death in car crashes by 71 percent for infants and 54 percent for toddlers ages 1 to 4.  Booster seats reduce the risk for serious injury by 45 percent for children ages 4 to 8 years.  (CDC)

 

Child Passenger Safety Week culminates with National Seat Check Saturday Sept. 29. Certified child passenger safety technicians will be available at car seat events nationwide to provide safety tips and car seat installation instructions to parents and caregivers.

 

Car Seats: Product Listing for 2018

 

My bottom line and practical advice is to let your toddler ride in an appropriate rear facing car seat until he/she doesn't fit any more (knees are almost in your child's face).

 

Dr. T