Hear me straight: we don’t want anyone addicted to tobacco products. No question it’s an ugly habit and a terribly complex addiction. Expensive, detrimental to health, so very ugly… So I’m all for WA State House Bill 2313 (SB 6157) supporting moving the purchase age of tobacco from 18 to 21. Yes I know you can vote and enlist in the military at 18, but inconvenient or not, teen brains are not fully developed by the time they enter college-age and the effects of nicotine and the trend towards lifelong addiction are seriously grim. Complain all you want that Washington would be a “nanny state” but the facts are clear: if you start smoking at a young age, odds are that you will still be smoking as an adult. We know that more than 80% of all adult smokers begin smoking before the age of 18; and more than 90% do so before leaving their teens. We need to get tobacco out of reach so we can stop addiction before it starts. This isn’t just about public health it’s also about the health care spending of your tax dollars.
My friend and colleague Dr. John Wiesman (WA Secretary of Health), gave a press conference this week on the new bill. Here are a few staggering excerpts from his speech:
Counting cigarettes, smokeless tobacco, and e-cigarettes together, in 2012, 12 out of every 100 10th graders used these products, and by 2014 that number had risen to 20 out of every 100. That’s a frightening 67% jump in just 2 years!
Both cigarettes and e-cigarettes set kids up for a lifetime of addiction and poor health.
The most effective way to stop this trend is to stop our kids from smoking before they start.
Middle school, high school and college students are still undergoing significant brain development.
Nicotine exposure during this critical time appears to affect the structure and function of the brain and may lead to lasting cognitive and behavioral impairments.
If that’s not enough reasons to support this work, I don’t know what is. But, here’s one last piece of data that will hit you square in the wallet (ouch). Each year in Washington alone, we spend: Read full post »
Drug 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 »
Gun 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.
New 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….”
The vaccine schedule is the same schedule for boys and for girls. The path to today’s human papilloma virus (HPV) vaccine has not been entirely straightforward for parents as recommendations have changed over time. Know this: the clear and simple message is that HPV vaccine is safe and effective for boys and girls. We know it works best when given earlier in the tween/teen years and we know the immunity it produces in our bodies is durable and lasting. HPV vaccines is an anti-cancer vaccine that works best when given to boys and girls at age 11. For me it’s a no-brainer to recommend this vaccine enthusiastically before children head off to 6th grade.
Earnestly, it’s not a “new” vaccine as pediatricians began giving the vaccine back in 2007 and it’s been given well over 50 million times. In the U.S. we starting giving the vaccine to girls first yet because human papilloma virus can infect boys and girls, men and women, HPV vaccine is also recommended for boys age 11 and older. Uptake by boys has been fast and steady since recommendations included them. Three different HPV vaccines are now available: a 2-HPV strain (protects against the viral strains that cause 70% of cervical cancer) or a 4-HPV strain vaccine (same 2 strains plus two more that protect against HPV strains causing warts) and now a 9-strain vaccine (expansion of strains causing warts), upping the number of different viruses that the vaccine protects teens against. The new options improve protection against HPV viruses that cause genital warts and also HPV viruses that can cause cancers of the cervix, mouth, throat, vagina and rarely, the penis.
You may have already read yesterday’s blog on preparing your daughter for college. Much of my advice for girls, of course, also pertains to boys (and vice versa). I’m writing two separate posts only for the purpose of getting people to read this content, not to differentiate. I added one section here for boys (on alcohol and risks) not because it’s an issue for boys only. In fact, we know that 1 out of every 5 high school girls binge drinks (see below).
If you have a boy heading off to college this fall there are a few things to know to help improve his safety and success this year. Of anything I know from my experience being a previous school teacher, and now pediatrician and mom to boys (still 10 years away from college!) the transition from HS to college-age is one steeped in emotion for all. In addition to the tips I’ve provided for girls, alcohol and the HPV vaccine are topics to discuss to ensure it’s a better and safer year for your son (or daughter) this year.
ONE: Safe Sex & Birth Control – What Your Teen Son May Need To Know:
My boys always want it to be screen time. I don’t think that is changing anytime soon. These apps, shows, games, and devices are only getting smarter at capturing their attention.
It feels like there isn’t a giant list of new advice to share regarding “screen time.” But because of the recent media focus and deluge of content on “screen addiction,” coupled with recommendations for dealing with screens while parenting this summer, I’m here with a few responses and observations. It seems to me, parents (all of us) are looking for a couple of things in the content we read about parenting with screens: permission and hacks for simplicity. This post will perhaps offer neither. Until the end.
Most of us acknowledge that not all screens are the same, nor is all programming, nor are the stages of life where apps and screens are enjoyed (infants versus an 8 year-old). “Screen time” is an issue layered with complexity. Parenting during this explosive device development era demands simple rules and dictums for limiting their use help, but the rules by themselves limit the development of full-on zealots. No one follows the rules like religion. Parents, grandparents and caregivers aren’t devout to recommendations because we claim the rules just don’t fit into the context of our lives. Most of us figure out a way to make justifiable exceptions. It’s simply too easy to pull out your phone, especially when it delights your child the way it does, and entertain. But no question that with the rules out there stressing non-use and limits, we’re left feeling a little guilty anytime we left our children indulge. Imagine knowing that screens before bed interfere with the “sleep hormone” melatonin (the light emitted from the screen limits secretion) but even so still choosing to let your children “chill out” with a video for a 1/2 hour before bed each night. Or imagine following the no-screen-time-before-age 2 religiously for your first child but then breaking this rule routinely when you have a second one! This just happens all the time. Read Why No TV Before Bed Is Better. Read full post »
My goal here is to educate people about the risks and realities of e-cigarettes amid an environment full of popular misconceptions and half-truths. Talking about e-cigarette use in adults will NEVER be the same as talking about e-cigarette use and dangers for children and teens. Different groups, different realities, different risks, different use, and different vulnerabilities. Period.
This is part two of the “What To Do If Your Child Is Drowning” series. Read about infants/toddlers here.
The purpose of these posts is to find out what you should do if you realize your child is actually drowning or struggling in the water rather than repeat the warnings of how to prevent it. I want to put a couple thoughts and tools in your hands to know WHAT to do if faced with an emergency.
Dr. Linda Quan, an emergency attending physician and drowning expert at Seattle Children’s shares information on what to do if you come upon a school-age child or teenager who is drowning. Preparing for this can help boost awareness and response if ever you support or discover a child in need for rescue. Read full post »
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?
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?
Seattle Children’s provides healthcare for the special needs of children regardless of race, color, creed, national origin, religion, sex (gender), sexual orientation or disability. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.