News Worthy

All Articles in the Category ‘News Worthy’

No Benzocaine For Teething Babies

Hallelujah, I’ve been saying I don’t like teething gels since 2010. This is a PSA for all parents out there trying to help soothe their teething baby. Today, the FDA came out and said avoid using over-the-counter teething products containing benzocaine. That means no teething gels like Anbesol, Baby Orajel, Cepacol, Chloraseptic, Hurricaine, Orabase, Orajel, Topex or other generic brands. The agency said “products containing the pain reliever benzocaine for the temporary relief of sore gums due to teething in infants or children should no longer be marketed and is asking companies to stop selling these products for such use. If companies do not comply, the FDA will initiate a regulatory action to remove these products from the market.”

This is great news for parents (and pediatricians who have been advising against it for years). In general, I think most pediatricians think of teething as a developmental milestone, not a condition that demands medicine. That being said, we always wanna make our babies, who may look uncomfortable, more comfortable. But the last thing we want to do is reach for something that might cause harm. Read full post »

5 Quick Things: Hot Cars, 13 Reasons Why, Marijuana Smoke, Single Sports, Co-Sleeping

I recently changed up the format of reporting I do with my local NBC affiliate station KING5 News. I’m doing more of a weekly roundup of pediatric studies, current events and newsworthy topics that I think are important for parents to know about. For those of you who aren’t able to tune in, I wanted to share a brief synopsis of what I’m covering. Let me know what you think! What topics would you want me to talk about?

1. 13 Reasons Why: Netflix released the second season of “13 Reasons Why” a popular show about a high school student’s suicide. A recent Pediatrics study that found hospitalization rates are increasing for suicide attempts and ideation (doubled between 2008-2015), so this show’s release was particularly untimely. I really appreciate the HealthyChildren.org page with strategies for parents to discuss the show with their teens. These portrayals in media matter: using Google Analytics, data found that there was a significant increase in online searches for suicide, including searches for how to kill oneself, in the days after 13 Reasons Why debuted. This increase reflected as many as 1.5 million more searches than expected, with a 26% spike in searches for the phrase “how to commit suicide.” Reminder that all teens should be screened every year for depression starting at age 12. Here’s a fantastic piece with 13 Things All Pediatricians Should Know About 13 Reasons Why but I think all parents should, too.

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After The Vegas Shooting: What To Do Now And How To Talk To Children About Firearms

In the wake of the recent Las Vegas shooting, I went on the Seattle NBC affiliate, KING5 News, to discuss how to talk to your children about guns and violence. Frankly, it’s not the first time I’ve covered this topic and as horrifying as it is, it probably won’t be last. I’m upset and sad that these shootings are becoming a part of American culture and I’m committed to doing my best to learn and translate what the experts advise us to do to decrease deaths from firearms.

I have lost people I love dearly to firearms so like so many of you, this is personal.

No question that we can feel helpless after horrific events. Focus on what you can do and share that with your children. If there is a gun in your home, keep it locked, unloaded & separate from ammunition. Remember that exposure to violent media and violent video games will change your child’s relationship with firearms – the “weapon effect” is real – so think carefully about what video and media your children use. Common Sense Media is a great site to help you sort out your choices.

Guns And Violent Media – A Toxic Mix With An Available Antidote. <— read this, it’s amazing. Basically the gist: violent media changes what children think of and may do with firearms and firearm safe storage reduces firearm suicide and accidental shootings by 75%. Seventy-five percent reduction of suicide deaths and accidents from firearms just with storage. Talk about it, do it.

As individuals we obviously can’t prevent mass shootings by what we do in our homes today, but we can communicate openly and honestly in age-appropriate ways with our children, we can build a safer culture with our firearms in America, we can vote, and we can remind children all of the things we do to increase safety in their lives. We can make sure that those around us know how much we want to keep firearms out of children’s hands, too. This will help. Read full post »

Tips And Facts For Families On The Solar Eclipse

I know, everyone is writing about the eclipse. I’ve got just a few messages. One is, this is gonna be cool. Two, the caution messages are real. The cool part is because when our world goes a little dark mid-day next week it will be fairly startling. Even the animals are expected to change up how they behave. And the cautionary messages just make sense. Our eyes and our vision are clearly worth protecting ferociously. Damage from the eclipse can be permanent so taking a few steps to understand how and why just makes sense. And for framing this whole thing up in life? Thank goodness many of us have children in our midst. Their enthusiasm about how BIG this event is can help scale how exciting it is when the sun disappears in the middle of the day. Children harbor amazing perspective of what matters. Monday is a great day to stop reading the news and stare up into the sky (carefully). Thank goodness.

Quick Summary Of The Total Solar Eclipse

On Monday, August 21, 2017, all of North America will be treated to at least a partial view of an eclipse of the sun. Anyone within the path of totality can see one of nature’s most awe inspiring sights (as I’m told) – a total solar eclipse, which has not happened in 99 years. This path, where the moon, the sun and the Earth all line up such that the moon completely blocks out the sun will stretch from Salem, Oregon to Charleston, South Carolina. The New York Times created the above video that captures the science and awe of this event. Even NASA created a website to provide a guide to viewers. Out West, people are talking of little else and Slate is reporting that Oregon is expecting 1 million tourists view the eclipse. People are changing up their weeks to view this. Two little girls from Seattle are getting real – they’re launching a weather balloon into space, in partnership with NASA, with live GPS tracking (and an Amelia Earhart LEGO) and some live video coverage links, too. I mean, it’s a big deal.

Can The Eclipse Hurt My Eyes?

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New Zika Advice: Sex And Ways To Protect Yourself

Zika Test Tube

I’ll continue to monitor and track Zika news to share with you as I learn about it. My inboxes keep filling up with Zika questions even though I think the risks to our families, if you’re not pregnant or not thinking of getting pregnant, is low. That being said, if you’re thinking of having a baby now or in the next 6 months or if you are not using contraception and are sexually active, listen up.

Last Friday, the Centers for Disease Control and Prevention (CDC) presented new guidelines for preventing the sexual transmission of the Zika virus. The news and recommendations regarding transmission and our behavior is evolving and changing rapidly as researchers, doctors and medical experts learn more about Zika. This science is not complete, but these guidelines best attempt to keep our population the safest it can be with the information we have. Here is a short rundown on the new guidelines.

New CDC Updates And Reminders About Zika:

Number one reason for this is that although daytime-biting mosquitos are the primary transmission of Zika virus (in areas with Zika — click here for info and world maps) sexual transmission of Zika has been documented here in the United States after travel/exposure —> infection). As of March 23rd, of the 273 travel-associated Zika infections documented in the US, 19 cases are in pregnant women and 6 were sexually transmitted.

The below info helps shape ways to protect yourself:

  • WOMEN: If a woman has been diagnosed with Zika (or has symptoms of Zika after possible exposure) it’s recommended she wait at least 8 weeks after her symptoms first appear before trying to get pregnant. As a reminder, symptoms of Zika include rash, red eyes, joint aches, overall feeling of being unwell. Secondary reminder, and one that makes this advice a bit of a challenge to interpret, only 1 in 5 who get Zika virus will have symptoms in the first place. Therefore, if we want to be really careful consider this: if you’ve traveled to a Zika-affected area you may want to wait 8 weeks after returning home before attempting to get pregnant, with or without symptoms.
  • MEN: If a man has been diagnosed with Zika (or has symptoms of the illness), he should wait at least 6 months from those first signs of the illness before having unprotected sex. This recommendation comes off news that the virus has been found live in semen 62 days. The 6 months is a conservative calculation.The CDC took the longest known risk period (about 2 months) and then multiplied that by 3 for conservative recommendations to ensure no transmission.
  • MEN WHO TRAVEL AND HAVE PREGNANT PARTNERS: Men who travel to areas with Zika outbreaks need to prevent transmission to pregnant partners for the rest of the pregnancy. CDC recommends: “Men who have traveled to or reside in an area with active Zika virus transmission and their pregnant sex partners should consistently and correctly use condoms during sex (i.e., vaginal intercourse, anal intercourse, or fellatio) or abstain from sex for the duration of the pregnancy. This course is the best way to avoid even a minimal risk of sexual transmission of Zika virus, which could have adverse fetal effects when contracted during pregnancy. Pregnant women should discuss their male sex partner’s history of travel to areas with active Zika virus transmission and history of illness consistent with Zika virus disease with their health care provider; providers can consult CDC’s guidance for evaluation and testing of pregnant women
  • The CDC is NOT recommending that that men and women living in Zika-affected regions postpone pregnancy all-together like other countries (think Ecuador).
  • Infectious Disease experts feel that a Zika virus infection in a woman who is not pregnant would not pose a risk for birth defects in future pregnancies after the virus has cleared from her blood (roughly about a week after infection is over).
  • They have also updated their Question/Answer page that is chalk full of helpful information.

Blood Testing For Suspected Zika Virus:

For Men, at this time, CDC advises that testing of exposed, asymptomatic men (men with no Zika symptoms but who have traveled) for the purpose of assessing risk for sexual transmission is not recommended.

For men and for women, regardless of pregnancy status, get tested if you develop two or more of the following symptoms during or within two weeks of travel to an area of active Zika virus transmission OR within two weeks of unprotected sex with a man who tested positive for Zika virus or had symptoms of Zika infection during or within two weeks of return from travel to an area with Zika transmission: Read full post »

Zika, Dengue And Mosquitoes: Info For Women And Men Who Want Babies

zika cdc infographic

Image c/o CDC

 

Zika virus scares continue to worry expecting parents and pregnant moms. In addition, we’re now just learning about a state of emergency in the big island of Hawaii because of the rising cases of Dengue virus, a virus also transmitted by mosquitoes. Shifting lifestyle advice for growing families will continue as researchers and public health officials learn more. We should expect that the recommendations for travel will change and evolve this summer. As of today, news reports from Brazil coupled with public health officials new knowledge and evolving medical research from around The Americas has clarified a number of things for pregnant moms and families thinking about having babies. Some things we DO know:

  • What is Zika: Zika virus is predominately spread by mosquitoes. It is a virus causing joint aches, red eyes, rash and overall yuck feelings in about 1 in 5 people who get it. Typically the virus causes mild symptoms and goes away on its own even in the minority of people who have symptoms. The virus typically clears the blood stream a week after symptoms show up but we know it can remain for longer periods in other bodily fluids (urine, semen). Zika has been around for decades but warmer climate and travel has spread the mosquitoes and the virus around the world. Then it caused a massive outbreak in Brazil (over a million people estimated to have had the virus). During the same period a surge in cases of birth defects worried health officials about a possible connection of serious side effects from the virus during fetal development.
  • zika map voxWhere is Zika: Outbreaks of Zika have been reported in over 30 countries, including some cases (not outbreaks) in the United States. Zika is often found in small pockets of countries who have reported cases (costal areas, low-lying areas with standing water) and not ubiquitously throughout the entire landscape. It’s not a risk everywhere you go in Central America but it has touched every country. Further, even though we expect to have cases of Zika in most parts of the US over the upcoming months, you’re simply not likely to get Zika in most parts of the United States for a few reasons: mosquitoes that carry and transmit Zika typically only live in the gulf coast and Southeastern US, our measures to control mosquitoes in the US are effective, and many of us who live in warm climates where mosquitoes live spend the majority of the day in air-conditioning and have access to repellent if outside.OUTBREAKS ARE NOT EXPECTED here in the US but we certainly have no guarantee. Here is a nice infographic from Vox depicting the distribution of mosquitoes who can potentially transmit Zika in the US.
  • Birth defects from Zika: The long-term effects from Zika remain unknown, however there are serious concerns about Zika virus and the association of a constellation of symptoms on developing babies, specifically life-altering brain and neurologic changes (microcephaly and developmental delays & changes in the eye). More evidence connecting Zika as the culprit has unfolded in recent weeks. Zika has been found in the brains of babies with microcephaly, it’s been found in the placenta of women who have miscarried, and it’s been found in affected babies eyes. These findings don’t yet prove a cause-and-effect relationship between Zika and these defects but it is more data to construct the case. It is unknown exactly how Zika could cause such devastating changes to a developing baby (for example, researchers cannot yet prove that it’s the virus itself versus our own immune response to the virus that causes devastating side effects in developing babies).

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Zika Virus And Pregnant Moms

mosquitoIt’s January, 2016. News stories have inspired significant anxiety about Zika virus. It’s a scary topic because news about the outbreaks are just unfolding and this affects an already anxious group, PREGNANT mamas and expecting families. I want to share with you real time information and data to try to alleviate anxiety and educate the best I can. I suspect with time some of this will change. I’ve curated the most common questions and answers directly from the Centers for Disease Control (CDC) below. The most alarming information coming from these outbreaks are the effects of Zika on pregnant women and their babies. First things first, Zika virus will only affect an unborn baby who is exposed to Zika in utero if mom is infected WHILE she is pregnant. Meaning, women not pregnant who get Zika can have Zika virus, clear the virus from her bloodstream (typically about 1 week after illness resolves) and not transmit Zika to future babies. If you are pregnant, there is no question it makes sense to think carefully about travel. That babymoon just can’t be the priority if it will put you at risk. Zika is potentially dangerous to a baby during any trimester or pregnancy or at the time of delivery.

Zika virus is unusual in a couple ways: only 20% of people who get it know it — meaning most people infected won’t develop any symptoms. Secondly, we don’t have a vaccine and we don’t yet have an anti-viral to protect pregnant moms and their babies from side effects. So, unlike infections caused by influenza and polio, or rubella or mumps, we have to change our social determinants of health — basically pregnant moms have to take precautions with where they go and how they expose themselves. I’ve found this CDC Q/A extremely helpful.

What Is Zika Virus Disease?

CDC: “Zika is a disease caused by Zika virus that is spread to people primarily through the bite of an infected Aedes species mosquito. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week.”

Like mosquitoes all over the world, the mosquitoes that carry the virus and spread it to people breed in open ponds/pools of water. The ones that carry Zika tend to bite and infect primates and humans during the day. These little buggers can get the virus from an infected person and then bite another person and transmit it during outbreaks.

What Are The Symptoms Of Zika?

CDC: “About one in five people infected with Zika will get sick — symptoms from being ill. For people who get sick, the illness is usually mild. For this reason, many people might not realize they have been infected. The most common symptoms of Zika virus disease are fever, rash, joint pain, or conjunctivitis (red eyes). Symptoms typically begin 2 to 7 days after being bitten by an infected mosquito.”

Remember, 80% of people who get Zika won’t have any symptoms. So heading off to a country with an outbreak and coming home feeling fine doesn’t ensure you haven’t been exposed. This is key in protecting those at risk. We can’t make a lot of assumptions of who has it and who doesn’t.

How Is Zika Transmitted?

CDC: “Zika is primarily transmitted through the bite of infected Aedes mosquitoes. Aedes mosquitoes, which spread the virus, live in every Western hemisphere country but Canada and Chile. It can also be transmitted from a pregnant mother to her baby during pregnancy or around the time of birth. We do not know how often Zika is transmitted from mother to baby during pregnancy or around the time of birth.”

Research will likely evolve through these outbreaks. What we know is that unborn babies are at most risk for serious complications. They are dependent on their moms making great decisions during pregnancy. Holy moly, it’s always a lot of pressure but this sure is another one for us to bear.

More on who is at risk, what to do if you’re planning a trip to Mexico for a babymoon, and ways to prevent getting Zika:

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Good News & Bad News: Whooping Cough

Two new Pediatrics studies are out this week teaching us more about the effectiveness of the whooping cough vaccine. Lots to learn about how we protect babies and reminders here why we’re immunizing moms during EVERY pregnancy:

  • First, the good news: traditionally we have been trained to tell parents that the first shots we give during infancy aren’t fully protective for infants but rather the beginning of creating immunity against the diseases they prevent. However, a study conducted by researchers at the CDC looked back at cases of infants with pertussis from 1991-2008 and they found evidence that babies who received their whooping cough shot as early as they could, at the age of 6 weeks, were less likely to be hospitalized and/or die from the infection. Wonderful news! The first evidence out there that even that first shot, when given as early as possible, helps protect very young infants who are most at risk from whooping cough. New parents can increase protection, even during outbreaks like we’re having right now, by getting their babies immunized on-time and as early as possible.
  • The not so good (but important) news: the effectiveness of the Tdap shot given to young teens (explained more below) doesn’t always provide long-lasting protection and wanes significantly in the years after the 11-year-old booster dose is given. New research out found after 1 year, about 70% of teens are still protected from the booster, but by 4 years after the shot only about a 1/3 of them are. More:

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E-Cigs And A Free App To Help Quit Smoking

Last week a proposal was introduced that would give Washington State the toughest e-cigarette laws in the country. If passed, House Bill 1645 would significantly raise the taxes on e-cigarettes, ban the sale of flavored vaping liquids, ban online sales to Washington residents and require producers to list ingredients on labels. And while opponents of the bill argue that e-cigarettes are “healthier” than tobacco, there’s no denying the dangers of having such a highly addictive substance in arm’s reach to children and teens in an unregulated manner. Washington isn’t the only state taking action. This week California released a campaign calling out marketers of e-cigs for targeting teens. Teens are using e-cigs more and more with 1 in 5 high school sophomores here reporting having used them in the last month. E-cigarettes and e-hookahs may carry an illusion of safety they don’t warrant.

What House Bill 1645 Proposes

  • Instill a 95% tax on vaping products similar to tobacco product taxes
    • Right now only North Carolina and Minnesota have imposed taxes on E-cigarettes
  • Make it illegal to sell flavored liquid nicotine or other vaping fluids
  • Ban internet sales to Washington residents
  • Require ingredients list on all labels

Curbing An Urge To Smoke: An App For That

Supporters of e-cigarettes and those fighting against regulation often claim the devices are helpful in helping tobacco users quit, so-called harm reduction. I certainly won’t and can’t argue with anecdotes that this is useful for those wanting to quit. While this concept hasn’t been entirely disproved or entirely proven, there is still a lot we don’t know about vaping and the effects of liquid nicotine. If you or someone you know wants to quit tobacco, there are some new digital resources available to help you kick the habit. The good news is we can be hopeful that dual-pronged approaches may help those wanting to quit earnestly succeed. Download this app?

3-23 smartquit

Image courtesy: Washington Department of Health

Washington State residents have access, for a limited time, to a free app called SmartQuit. Sponsored by the Department of Health, the app is a tobacco cessation program that proved three times more effective than trying to quit on your own, according to a recent study from Fred Hutchinson Cancer Research Center. SmartQuit users create a personal plan to become aware of their urges to smoke, they then learn new ways of thinking about those urges to suppress the desire to smoke. The Washington Department of Health is offering the app for free to a limited number of users. Because the funding is limited, please don’t download unless you’re serious about using the app as the number of free downloads will run out. Consider it? If you or someone you know does, report back on your opinions?

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Peanuts During Infancy To Prevent Food Allergy

Photo from Edwart Visser Flickr Creative CommonsThere’s new data out to support stronger recommendations for introducing peanuts during infancy. Like hemlines, it may seem like this data keeps changing. As time, the science and our understanding of risk unfolds we’ve seen shifts in advice about starting solids that have left many parents wondering what really is best when starting foods and wanting to decrease risk for food allergy.

Briefly, and in general, it’s best to start a variety of foods for your child during infancy, starting around 4 to 6 months of age. In fact its now believed that it may be protective to introduce things like wheat, egg, soy, fish, and peanuts even before a child takes their first step around a year of age. The 2013 recommendations (that exclude information about peanuts) are explained in this post, “When Should I start Baby Food?”

The recommendation to share diverse foods during infancy that includes fish and eggs may feel new to you. For example, when my babies were born (mid-2000’s) advice and consensus suggested that avoidance of peanuts until after a year of age was best — the thought that avoidance of peanut during critical development may be protective against severe allergy development. Now, concomitant with a doubling in food allergies, we face an utter and potentially embarrassing reality — perhaps medical advice and our work to improve allergy risk by restricting foods in  infancy did just the opposite. Perhaps avoidance was exactly the wrong thing to do. Maybe we’ve engineered part of the problem.

This kind of advice can feel intense when raising children. “Do this, don’t do that, do this now, don’t do this now!” Doing the right thing is what we all want but doing right can remain elusive, especially when recommendations shift. I remember a fellow pediatrician questioning my eating a peanut butter sandwich while I was pregnant with my second son. She couldn’t believe I’d made that choice. At the time I remember not only feeling judged but a little terrified too. Perhaps I’d not take the data seriously enough? Oh goodness, I thought, as I diligently didn’t introduce “high allergy” foods until toddlerhood for my boys. Today I realize that wasn’t all that right either. It can feel like another hemline change for sure and yikes these sure are shorter skirts!

Fast forward 7 years to 2015. A New England Journal of Medicine study out this past month systematically evaluated risk for development of peanut allergy in children who were at higher risk for developing the allergy in the first place. And they started with infancy and introduced peanuts early in some of the babies. Researchers found if infants were introduced to peanuts early in life (between 4 and 11 months of age) their risk of peanut allergy at age 5 years significantly decreased.

The early introduction of peanuts significantly decreased the frequency of the development of peanut allergy among children at high risk for this allergy.  ~ New England Journal Of Medicine

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