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Antibiotics Used In Meat Changes Our Health


Using antibiotics on the farm to raise animals contributes to the production of antibiotic–resistant germs or “superbugs.” All animals carry bacteria in their intestines and on their bodies. Giving antibiotics to animals will kill large amounts of bacteria, changing their microbiome (<–good explanation here) and regular “good” bacteria too. Because 60% of the antibiotics used in animals are also used to treat human diseases, with time when antibiotics are used routinely, the bacteria become resistant, survive and multiply. If those resistant bacteria are transmitted to people, we don’t have as many medicines to eradicate them. Therefore, risks develop to humans when these “superbugs” thrive in animals and are transmitted through our food source. Over time, more and more infections carried in the food we eat will lack proper treatments. What we choose to eat will shape our risk.

Susceptible and resistant animal pathogens can reach humans through the food supply, by direct contact with animals, or through environmental contamination. American Academy of Pediatric Technical Report

Antibiotics used for infections in animals should be encouraged but antibiotics used to promote rapid growth and weight gain in animals likely should not (overuse). The majority of tonnage of antibiotics used in raising animals are often used for growth promotion and efficiency meaning they are used to keep meat cheaper, not necessarily safer. Hard to find clear data on exactly what % is used for disease treatment and what % is used for growth. Read full post »

This Matters: Getting Smart About Antibiotics


Super smartness in the world of health care is always a goal. This week is Get Smart About Antibiotics Week, an annual observance to raise awareness of the threat of antibiotic resistance and the importance of appropriate antibiotic prescribing and use. This isn’t just about NOT begging for antibiotics when our children have a runny nose and this isn’t just about docs and nurses being smarter about using antibiotics only when we need them. If we want antibiotics to be around and useful for generations to come, this will take a multi-prong approach.

Antibiotic resistance — “the rise of deadly germs no longer stopped by the drugs that once controlled them” — will only increase over time if we use continue to use antibiotics at our current pace. At home, in raising the food we eat, and in health care organizations.

Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics. That means their infections aren’t easily treated, can grow and spread in their bodies without cure and can potentially cause serious harm. Those bacteria can also spread to others. At least 23,000 people die as a direct result of these infections every year. So this stuff matters. What soap we use, what medicines we avoid, what medicines we use, what food we eat and how it’s raised all change the game. I’ll be doing a series of short posts each day this week to share what I’ve learned about the negative effects of antibiotics overuse. Read full post »

Bigger Peace: Let Fear Spur Presence

FullSizeRender (1)Friday afternoon the terrorist attacks around the world certainly took our collective breath away. The stunning, horrific realities and the wild insecurity we can feel when somewhere familiar becomes unsafe is a potent storyteller. There is something in this though, that we can really listen to.

Things tend to happen in slow motion after this kind of news, almost like they do in our memories during scary recollections of a car accident or a big fall, because when some beloved familiar place is deemed unsafe we can tingle with such scare it pushes us towards vitality. It’s awareness. In ways, the fear these familiarities provoke shrinks the world, changes the scope of what is at stake every single day for every single one of us, and connects us again to how similar we are. Sounds have been crisper under our feet since Friday, the breeze on our face more notable this weekend, and all of a sudden the moment we’re in takes on quite a significance. We can feel so alive and connected to each other in this fear.

We all know fear hones priorities, even momentarily, and reminds us of the sincere gift of a day with those we love. With the news Friday the every day constructed problems at work or in our personal lives dim as the monumental relevance of connection, friendship, family, and freedom again takes on new light. This is a cycle, of course. We cannot hold the intensity and fears of our insecurity in our hands ALL the time to drive presence. Most of us can’t be mindful every single moment either. We’d be muzzled and paralyzed if we let this tincture of storytelling in too much too soon too constantly…but there’s this: Read full post »

U.S. Soccer Bans Headers For Kids Under 10

Soccer HeaderOur kids don’t have to play like the pros, even if we they think they’re ready. I mean really, what’s the rush?? I report this as a pediatrician & as a bona fide soccer mom to 2 boys under age 10:

The U.S. Soccer Federation yesterday announced a ban on “headers” for children under 10 years. There has been no new expert consensus (the new rule rose out of a lawsuit, not new pediatric expert opinion) that heading the ball causes changes/damage to the brain. Although headers have been found to cause concussions, more often children are concussed when hit by a falling ball or after a collision. Research published this fall in JAMA Pediatrics found about 30% of boys’ concussions and 25% of girls’ concussions in high school soccer are a result of heading. Regardless, more research is needed to determine the safety of heading the ball throughout young and late childhood. In the meantime there are 3 things we can all know (and advocate for)  as research teases out early head injury and the influence heading may have over an athlete’s lifetime:

  1. Headers require essential technique to reduce injury: If heading the ball, young players need to learn proper technique (head positioning, neck position, have appropriate muscular strength etc) so using their forehead they reduce likelihood for injury. Most pediatric sports experts opine that this is unlikely to be easy for little players to reliably learn this technique under age 10 years. It’s unclear what degree heading causes concussion and long-standing injury. “Collision,” pediatric experts wrote in 2010 for Pediatrics, “rather than purposeful heading, was found to be the most likely cause for acute head injuries in soccer players treated in emergency departments.” 
  2. Appropriate Balls: We need to reduce risk of injury by ensuring balls are appropriate size for players, that balls are NOT hyper-inflated and thus more firm, and that balls are water-resistant (so as to not take on water and be heavier). Smarter play, smart equipment. 
  3. Smarter Timelines For Rules: Graduated rules like this (no headers under 10, limited headers for young teens, and then routine headers thereafter) make sense. Not all 8 year-olds need to play by the rules of the pros. Why the rush?

Heading among pre-adolescents is usually a random act. Eyes shut. Head scrunched into neck. Shoulders clenched. ~ Slate.com

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Quick Ask This Flu Season: Peer To Peer Protection

If our entire community got the flu vaccine we’d be MUCH less likely to share it. We’d also be much less likely to get influenza. Studies find that about 10-40% of children get influenza each season. Because their immune systems are a bit “naive” to influenza, they are at risk for more serious illness, especially if under age 5 years.

What if parents were the ones to endorse protection from influenza? What if we drove our schools and playgroups and community protection? I want our communities safe and healthy this flu season and our best defense is the flu vaccine, staying home when ill, and covering our coughs. It may be the mom-to-mom-dad-to-dad message that is most powerful…

The match between the flu vaccine (nasal spray and the shot) and circulating strains of influenza are better this year (including the H3N2 strain). That means the flu vaccine will likely be far more effective in protecting our families!

Data has shown us that nearly 1/2 of the adult population does NOT get their flu shot, yet 75% of parents to young children DO get their young children and toddlers vaccinated. Parents really do want their children protected and although pregnant moms are at high risk for flu only about 50% got their flu vaccine last year. Not only does mom get protection of her own health when she gets the vaccine, she passes on antibodies to her baby!

Will you share a video with your community? I created the below series of flu videos in partnership with The American Academy of Pediatrics targeted to specific demographics and age ranges. You can share them via email, social media or in-person. Help me make the case to ensure our kids are healthy and protected this flu season. I’ve provided the videos and links to share them below. Thank you for joining me in avoiding influenza this year. Share one of these videos?

8 & Under: Why Flu Vaccine Is an Every-Year Thing!

Link to share: https://www.youtube.com/watch?v=kS9mgx8Bemg

 

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Teens Getting High: DXM Cough Medicine

OTC Cough MedsDrug abuse is on every parent’s mind. We simply don’t want our children to ever go down the road of drug addiction. To empower parents to spot the warning signs and help prevent teen abuse of over-the-counter (OTC) cough medicine containing dextromethorphan (DXM), the Consumer Healthcare Products Association (CHPA) is sharing the results of qualitative and quantitative research of teens. The quantitative (numbers-based) research began in 2013 and is conducted three times a year. Here’s some insight from that data: Read full post »

What You Can Do: Children And Safe Gun Storage

Gun Safety family on hillGun violence is a tricky topic to write about. It’s emotionally laden, there are political overtones that bring out passion and I find quicksand when I never expect it.

No matter where you fall on issues related to firearm safety, there is no doubt that we all want the same thing: healthy communities, healthy families, and safe environments to raise our children.

Unfortunately, we continue to have countless reminders about the curiosity of children in the presence of a loaded firearm. No question children and guns are a dangerous combination.

According to the Behavior Risk Factor Surveillance Survey that is administered nationally by CDC, in 2013, there were an estimated 73,000 Washington state children that resided in homes where guns were loaded and unlocked. Nationally, 1.7 million children and teens in the U.S. live in a home with a loaded, unlocked gun.

Kids don’t always know what to do when they find one, but curiosity leads. In a research study entitled, “Seeing Is Believing,” researchers put boys in a room where there were water guns and pistols and watched behind a mirror while they played. The 8 to 12 year-old boys who stumbled upon a gun had a hard time figuring out it if was a toy or a real gun. When they did find it, almost half pulled the trigger. Half pulled the trigger! CURIOSITY is that innocent, protectable right of children that drives this dangerous act.

I don’t need to detail deaths, but quick mentions of gun-related injuries and tragic losses in America can bring fresh energy for necessary safety measures we are all responsible for, gun owners or not. A 3-year-old in New Mexico shot his parents when he grabbed a gun out of his mother’s purse and not the iPod or phone he was searching for. The mother was pregnant and there was also a 2-year-old girl in the room at the time. In the past month we’ve heard about the horrific tragedies with three shootings on college campuses and the unthinkable tragedy of an 11-year-old who shot an 8-year-old this past month over wanting to see a puppy.

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Know Your Role: Parents and Sports

soccer lightIn any youth game or match there are typically four roles: player, coach, referee, and parent. You only get to choose one. We’re headed off to the first of 3 soccer games today. A joy, really, to watch these little boys enjoy their team, struggle to do their best, wrangle their wits and learn to play on a team. My boys aren’t the star players (that’s for sure) but they love it when something goes well. They work hard for goals that rarely come. They really do enjoy knowing when they’ve passed a ball successfully. There is no question they love feeling they belong on these teams and they really do enjoy playing the game. That’s why we have kept it up.

I used to debrief after the games with my boys — discussing what went well and what didn’t — at first they seemed to love that. And then I heard the advice from other parents ahead of me and from those who have dealt with the not-so-great coaches:

Know your role. You only get one.

In any game or sport there are the players or competitors (your child), there is a coach, and there is the referee keeping it fair. You’re none of those and even if the person in one of those roles isn’t performing at their best it’s earnestly not your job to correct it. You just don’t want to be the backseat driver here (and your child certainly doesn’t want to hear it) and you really don’t want to have the ugly habits we’ve all seen.

In any game or match you’re observing you’re only one thing: the parent.

I’ve spent the last few years telling my boys how much I enjoyed watching them play the game at the end of each game as opposed to discussing how much I liked watching them succeed or how I felt for them while they failed.

I’m thankful for the advice I was given — it’s made the soccer Saturday madness a bit less high-stakes and it’s focused and honed the joy.

I hope the advice I heard helps you, too. I welcome any more advice or pearls you have.

Also, this sign is legendary and spot on:

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“Like I Needed Another Reason Not To Sleep At Night”

Today was the Great Shake Out. My boys let me know what happened at 10:15 today at school: “the ‘ole drop, cover, and hold” said my 6 year-old. The technical instructions are “drop, cover, and hold on” but we get his drift. The numbers couldn’t have been better today 10-15-2015 for a 10:15am reminder of how important it is and how good it can feel to know what to do when an earthquake strikes.

Another thing: when you’re having a bad day, why not practice the drop, cover and hold? I mean…..

Okay but seriously, Dr. Suzan Mazor and I are teaming up again to work on updating our emergency/disaster kits. You might have seen us putting together our first kit back in 2010. The New Yorker article that made headlines this summer re-ignited my decision (and remarkable fear) to have a plan in place should the worst happen. You read the article and I know you’ll say, “like I needed another reason not to sleep at night?” Great thing is planning and preparation truly is the antidote to fear.

My REFRESH card prompted me to realized that our water expires this year and it’s pretty obvious since it has nearly evaporated. True.

All instructions for what you need in your kit and what you need in your communication plan are below. You’ve waited until now. Seriously no reason to wait any longer if you don’t have a 3-day kit in place. A promise for me that is easy to make:

I know you’ll feel better having done this.

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Do You RWDD? Pot At Age 12 And Teen Driving

Teen Driving Pie ChartNew acronym for me this week: RWDD. It’s “Riding With a Drinking Driver.” Not a drunk one, but someone who has been drinking. Risky at any age, but particularly when it’s high school. But before I get to that lemme acknowledge that texting has changed the lexicon, upped the capacity for quick communication in our lives, and earnestly transformed some of our relationships. Clearly we’re all learning a ton about shortcuts in communication. I think about this in my personal life but also what impact texting and digital technology has on how we deliver health care, how we partner and listen to populations, how we hear the worries of parents and caregivers and how we share what we know. Sometimes it seems we’re just always trying to catch up. I learned all sorts of new teen texting acronyms & idoms last week on CNN that extend past “lol” and “ICYMI” (see: OOTD, KOTD, and smash <– phew). But no one mentioned RWDD.

A study out yesterday in Pediatrics is worth a quick mention to any parent or any adult or any family doc or any pediatrician or any nurse practitioner or any medical assistant or any coach or any teacher that has contact/supervision/leadership/influence with a teen. The study, conducted on middle school students in the Los Angeles area, found that positive beliefs about marijuana at age 12 were predictors of later getting a DUI or RWDD when a new teen driver 4 years later. Translation: middle school is a wild time of transition and the time we should check in about marijuana’s lack of safety and risks associated with alcohol. Researchers conclude that 6th grade is when we should be talking with our tweens, that “positive beliefs and ability to resist marijuana in early adolescence, not actual alcohol and marijuana use, had the strongest association with DUI and RWDD ∼4 years later.”

No question that we send a wildly confusing message about pot to children and teens with our state’s legalization. Most teens think legal = safe and that’s where we’re potentially setting up our teens for big mistakes. Getting high seems fun to teens and it may seem more fun with something that appears to be “safer….”

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