September 2010

1. Message from the Chairperson Judy Romano, MD, FAAP

2. Get to Know Dr Shope!

3. Division of State Government Affairs Update

4. New Reports

5. New Resources

6. New Articles

7. Chapter Child Care Contact Corner

8. Upcoming Events

1. Message from the Chairperson Judy Romano, MD, FAAP:

Dear Members of the Section on Early Education and Child Care:

Welcome to the September issue of our section newsletter!

Preventing Childhood Obesity in Early Care and Education Programs was just released, and was featured at the Early Childhood 2010 conference in Washington, DC, where section member Danette Glassy, MD, FAAP, presented! This new set of national standards describes evidence-based best practices in nutrition, physical activity, and screen time for early care and education programs. These updated standards will be a part of the new comprehensive Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, Third Edition to be released in 2011.

Future E-News will now include a featured pediatrician so that we can get to know one another. In this E-News, get to know CAPT Tim Shope, MD, MPH, FAAP! If you are interseted in sharing a little about yourself with other section members, e-mail

Lastly, for those of you attending the NCE, click here for a schedule of early education and child care related events. We are looking forward to networking with our Chapter Child Care Contacts – I hope many of you will take advantage of the Curriculum on Infectious Diseases in Early Education and Child Care Settings training. The section program promises to be highly interesting and interactive. We hope to see you there!


Judy Romano , MD, FAAP, Chairperson
AAP Section on Early Education and Child Care

2. Get to Know Dr Shope!

Tim ShopeDr Shope is an active duty Navy general pediatrician currently serving as the Specialty Advisor to the Surgeon General for Navy Pediatrics. Stationed at Naval Medical Center Portsmouth, he sees patients 50% of the time doing a combination of inpatient, newborn, and outpatient care. He has been a Steering/Executive Committee member of the AAP's Section on Early Education and Child Care since its inception in 2001, then known as the Child Care Special Interest Group. Dr Shope is a child care health consultant for the Department of Defense and chairs the Navy Mid-Atlantic Region child care network Special Needs Board, which ensures the accommodation of children with special educational and health care needs in Navy child care centers and family homes. 

"I have thoroughly enjoyed being a member of the SOEECC because through collaboration and support from the AAP, I feel we have made a difference on a large scale in improving health and safety for children in child care on many levels: policy, practice, research and legislative. Each of us has a responsibility to act locally, but working with others in the AAP enables us to think globally, and magnify the impact of great ideas and practices discovered locally."

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3. Division of State Government Affairs Update:

The Division of State Government Affairs has provided an update and includes:

State Government Affairs
  • FY 2010 Early Care and Education State Budget Actions Report
  • Your Participation in AAP Chapter Advocacy is Critical
  • One Voice
  • Advocacy Support from the AAP Committee on State Government Affairs and the AAP Division of State Government Affairs
  • Advocacy Sessions at the 2010 NCE

Click here to read the update.


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4. New Reports:

AAP New Recommendations on Flu Vaccine
The AAP 2010-2011 influenza policy statement, "Recommendations for Prevention and Control of Influenza and Children," highlights the recommendations for routine use of seasonal influenza vaccine and antiviral medications. It includes an algorithm to determine proper dosing for children.

AAP Offers Updated Guidance on Treating Head Lice
A revised clinical report from the AAP, “Head Lice,” published in the August print issue of Pediatrics, clarifies and updates protocols for diagnosis and treatment, and provides guidance for the management of children with head lice in the school setting. This report specifically does not include recommendations for managing lice in child care settings. Refer to Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide, 2nd Edition for the most up-to-date recommendations about lice in child care.

Hazardous Use of Car Seats Outside the Car in the United States, 2003–2007
The objective of this article is to describe patterns of hazardous use of car seats outside the car for infants (<1-year-olds) in the United States from 2003 to 2007. The authors concluded that injury-prevention efforts should be focused on eliminating hazardous use of car seats outside the car. Caregivers should be cautioned against the placement of car seats on elevated or soft surfaces.

Influence of Licensed Characters on Children's Taste and Snack Preferences
The goal of this study was to examine how popular licensed cartoon characters appearing on food packaging affect young children’s taste and snack preferences. This study found a relationship between licensed characters appearing on food packaging and children’s taste and snack preferences. Overall, children preferred the taste of foods and selected foods for snack more often when a character appeared on the packaging.

Results of an Observational Study of Child Care Centers in Pennsylvania: Varying Approaches to Health and Safety
Section member Sue Aronson, MD, FAAP, contributed to this study that explored several health and safety practices in child care centers in Pennsylvania. Results showed that many child care centers lack adequate health and safety practices especially those sites that were urban, for profit, or were predominately state funded. Improving the training of staff, updating or increasing comprehensive and accurate policies, and obtaining input from skilled health professionals may improve safety in child care centers.The Foundation of Lifelong Health Are Built in Early Childhood

The Foundations of Lifelong Health Are Built in Early Childhood
Co-authored by the National Scientific Council on the Developing Child and the National Forum on Early Childhood Policy and Programs, the knowledge base summarized in this document presents a compelling rationale for fundamentally rethinking the health dimension of early childhood policy. Science tells us that meeting the developmental needs of young children is as much about building a strong foundation for lifelong physical and mental health as it is about enhancing readiness to succeed in school.

A Review of School Readiness Practices in the States: Early Learning Guidelines and Assessments
Research on the importance of the early childhood years has compelled states to support children’s school readiness. This brief provides an overview of state Early Learning Guidelines and statewide school readiness assessments administered in kindergarten, and outlines key considerations for thinking about readiness at the state level.The 2008 Child Care Licensing Study

The 2008 Child Care Licensing Study
The National Association for Regulatory Administration recently announced the release of the third Licensing Study, in an ongoing series, that provides the most updated comparative data on child care center/family child care regulations available today, as well as updated comparative data on state child care licensing policies and practices. The report includes 50-state comparative data tables and a set of state profiles.

Parental Information and Behaviors and Provider Practices Related to Tummy Time and Back to Sleep
This exploratory study aimed to discern parental understanding and behaviors, provider practices, and available online information related to infant positioning including “Back to Sleep” and “Tummy Time” (TT) during early infancy. Results showed that 90% of the mothers reported receiving information about positioning the infant while asleep. However, only 55% mothers postpartum and 26% at 2 months after birth received information regarding infant positioning during awake time. Health care providers reported barriers such as lack of time and confusing guidelines to TT education. Parenting Web sites were inconsistent regarding TT initiation and duration information.

For AAP resources on tummy time and safe sleep, click here.

Pest Management and Pesticide Use in California Child Care Centers
The purposes of the study were to 1) assess the prevalence of specific pest problems in child care centers; 2) identify methods currently used to mitigate pest problems in centers; 3) determine how and by whom pest management decisions are made in centers; 4) assess compliance of child care centers with key requirements of the Healthy Schools Act of 2000; and 5) assess awareness of integrated pest management in child care centers and identify preferred education strategies.

State Case Studies of Infant and Early Childhood Mental Health Systems: Strategies for Change
A new report from the Commonwealth Fund looks at mental health identification and intervention systems for children from birth to age 5 in Colorado, Indiana, Massachusetts, and Rhode Island, and focuses on state achievements and the process of change. Interviews with leaders and stakeholders in each state are combined with additional research to profile innovative strategies and initiatives. The findings underscore the importance of collaborative partnerships and point toward a vision of mental health systems for the nation’s youngest children and their families.

Parental Involvement in Interventions to Improve Child Dietary Intake: A Systematic Review
A systematic review of interventions designed to change child and adolescent dietary behavior was conducted to answer whether parent involvement enhanced intervention effectiveness, and what type of involvement was most effective in achieving desired outcomes. Limited conclusions may be drawn regarding the best method to involve parents in changing child diet to promote health. However, direct methods show promise and warrant further research.

Understanding Quality in Context: Child Care Centers, Communities, Markets, and Public Policy
Early care and education can prepare children for school, but while some preschool and child care programs do an excellent job, others are inadequate and some may even harm healthy development. This study focuses on child care center directors to better understand why there is so much variation, and how public initiatives can better help poor-quality programs improve. Using data from in-depth interviews and classroom observations, the research considers how various factors—including director and program characteristics, market forces, and federal state and local policies—are associated with each other, director decision making, and program quality. Ultimately, the goal of the study was to identify what supports quality in some centers, what blocks progress in others, and how public policy can do more to ensure that all children get off to a good start.

Using Data to Promote Collaboration in Local School Readiness Systems
This brief reviews results of an Annie E. Casey Foundation sponsored project that challenged local data intermediaries in 8 cities (all partners in the National Neighborhood Indicators Partnership) to use their data to promote strengthening of their local school readiness systems. The project showed it was possible to develop rich neighborhood level information on factors affecting early childhood development in all cities and that the effective presentation of such information in reports and public forums did help build momentum for coherence in school readiness initiatives. Particularly valuable were data showing the spatial concentration of early childhood risks in low-income neighborhoods.

African American’s Awareness of Disparities in Infant Mortality Rates and Sudden Infant Death Syndrome Risks
African American infant mortality rates (IMR) in San Francisco have remained 2.5 to 3 times those of Whites for over 20 years. African American residents in 4 neighborhoods with the most African American births were surveyed to assess awareness of IMR disparities, associated risks, and social capital. Regarding awareness of SIDS risk reduction, the authors found that 69.4% of respondents agreed that putting infants to sleep on their backs reduces risk, 86.6% agreed that avoiding fluffy pillows reduces risk, 94.1% agreed that avoiding secondhand smoke reduces risk, and 94.5% agreed that getting good prenatal care reduces risk.

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5. New Resources:Preventing Childhood Obesity in Early Care and Education Programs

Preventing Childhood Obesity in Early Care and Education Programs
This new set of national standards describing evidence-based best practices in nutrition, physical activity, and screen time for early care and education programs was just released, and was featured at the Early Childhood 2010 conference in Washington, DC! These updated standards will be a part of the new comprehensive Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, Third Edition to be released in 2011.

Preventing Childhood Obesity in Early Care and Education Programs will be available for purchase from the AAP Bookstore by October 2010.

New PowerPoint Presentation: The Medical Home
To better equip health care professionals with the resources to educate colleagues and early education and child care professionals, we feature a new PowerPoint presentation each E-News. Each presentation will be on a different topic and can be customized to meet your needs. This E-News we feature a presentation on the medical home. Educate others on what a medical home is, and how child care programs, child care health consultants, pediatricians, and states can support this concept.

New Fact Sheets on Head Start and Early Head Start Programs in 2009
Based on Head Start Program Information Report data, the Center for Law and Social Policy has released 2 new fact sheets providing a snapshot of the characteristics of children enrolled in the programs and the services provided to them during the 2008-2009 program year.

Framing Early Childhood Development: Recommendations for Infant-Toddler Professionals & Advocates
To help infant-toddler professionals and researchers successfully communicate with policymakers and the public about early childhood development, the Zero to Three Policy Network is publishing a series of articles in The Baby Monitor focused on effective communication about the early years. The “Framing Early Childhood Development” article in the series explores some specific early childhood frames, the impact of those frames on how people reason about infant-toddler development, and the consequences of these messages for public policy. The article concludes with practical tools which infant-toddler advocates can use to develop their own messages about infant-toddler policy issues. All of the articles in the series can be found on the Zero to Three Web site.

DOE Launches Early Learning Initiative Web Page
President Obama has made early learning a priority in his administration. As part of the focus on early learning at the US Department of Education, an Early Learning Initiative Web page has been created. This new page is designed to help visitors find out about…
  • key programs, funding opportunities, resources and publications, technical assistance, and interagency work
  • early learning in the Administration’s proposal for reauthorizing the Elementary and Secondary Education Act
  • investments in early learning across Departments

Who’s Minding the Kids? Child Care Arrangements: Spring 2005/Summer 2006
This US Census Bureau report, which is the latest in a series that dates back to 1985, shows the number and characteristics of children in different types of child care arrangements in the spring of 2005 and the summer of 2006. This report can be used as a resource when presenting data on where children are being served, for how long, and at what cost.

Eco-Healthy Child Care Program Goes NationalEco-Healthy Child Care
This fall, 2 leading programs to protect children’s health in child care settings are merging. Since 2005, Children’s Environmental Health Network’s (CEHN’s) Healthy Environments for Child Care Facilities and Preschools program and Oregon Environmental Council’s (OEC) Eco-Healthy Child Care program have independently protected children’s environmental health by educating child care professionals about toxic exposures and air quality issues within child care facilities. In October, the 2 will merge into one—the Eco-Healthy Child Care program—led by CEHN. OEC will continue to provide services to child cares in Oregon and serve as an advisor to the national program. Click here to read more.

Coordinating Child Care Consultants: Combining Multiple Disciplines and Improving Quality in Infant/Toddler Care Settings
This brief by the National Infant & Toddler Child Care Initiatives is designed to help provide a framework and practical suggestions for coordinating and educating consultants. Coordinated networks improve communication and collaboration among consultants and with the infant/toddler (I/T) caregivers they support. Considerations are also included to help child care consultation networks improve I/T caregiver access to discipline specific services such as health, oral health, education, early intervention and social services.

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6. New Articles:

Different Approaches, Same Importance for Preschools  
Early education means a lot more today that it did just a couple decades ago, officials say. The city of Long Beach offers a wide array of pre-kindergarten education opportunities for parents, from private child care, to parent participation co-ops, to several different offerings from the Long Beach Unified School District.

Ed Policies Ignore Science on How/When Kids Learn
Our education system starts at age 5, pays little attention to children’s development and achievement until third grade, and is strewn with remedial programs to get older children back on track. Meanwhile, studies keep pouring forth that highlight the importance of children’s earliest years – birth to age 8 – in developing the mental capacity that enables life-long learning. In short, our education policies don’t align with the latest science on how and when children learn.

Funds Set to Train Child Care Providers
Child care providers will have more opportunities to improve their programs and at a lower cost as the state Department of Children and Families pumps $1.5 million into training programs across much of Wisconsin. The announcement came Monday [August 9th] as the department gears up to launch its quality rating program that next summer will link child care centers' quality to the amount of state subsidies they receive.

US Government Creates Board for Early Learning
US Secretary of Education Arne Duncan and US Secretary of Health and Human Services Kathleen Sebelius announced the formation of the Early Learning Interagency Policy Board to improve the quality of early learning programs and outcomes for young children; increase the coordination of research, technical assistance and data systems; and advance the effectiveness of the early learning workforce among the major federally funded early learning programs across the 2 departments.

Can Preschoolers Be Depressed?
Parenting author Pamela Paul attempts to answer that question in this weekend's New York Times Magazine. Among her sources are Joan Luby, professor of child psychiatry at Washington University School of Medicine; Daniel Klein, professor of clinical psychology at the State University of New York at Stony Brook; and Arnold Sameroff, developmental psychologist at the University of Michigan's Center for Human Growth and Development. Luby is one of the first researchers to systematically study the criteria for preschool depression. Diagnosing it in children so young is controversial.

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7. Chapter Child Care Contact Corner:

Are you looking to become more involved in early education and child care? If so, we have an opportunity for you! We are looking for an AAP Chapter Child Care Contact (CCCC) in the following states:
  • Delaware
  • Michigan
  • Nevada
  • Puerto Rico

If you or someone you know is interested in this position, please see the CCCC job description and/or e-mail Stephanie Nelson at If you are not located in the above states yet are still interested in becoming more active, contact your CCCC for ideas.

Save the Date!  NCE 2010 – CCCC Meeting
Mark your calendars to attend the AAP National Conference and Exhibition (NCE) October 2-5, 2010 in San Francisco, CA. If you would like to see more information about the NCE, click here

Currently the 2nd phase of the Healthy Futures: Improving Health Outcomes for Young Children project is under development. This involves the development of a curriculum on infectious diseases in child care. The infectious disease curriculum is expected to launch at the 2010 NCE. The CCCCs are invited to attend a training/discussion on the new curriculum and grant program to support the implementation of the curriculum. The training is set for Sunday, October 3, 2010 from 9:00am-11:30am. If you are interested in more information, please e-mail Stephanie Nelson at

Medical Home Chapter Champions Program on Asthma & Chapter Child Care Contacts
Medical Home Chapter ChampionsSupported by the Merck Childhood Asthma Network, Inc. (MCAN), the Medical Home Chapter Champions Program on Asthma (MHCCPA) facilitates the dissemination of best practices and advocacy related to the implementation of the National Heart, Lung, and Blood Institute (NHLBI) asthma guidelines within medical homes at the AAP chapter and/or state level(s). 

Program goals include:

  1. Increasing access to a medical home for all children and youth, especially those with health disparities;
  2. Facilitating pediatric practices’ adoption and implementation of the NHLBI guidelines within the context of a medical home; and
  3. Increasing advocacy efforts for implementation of asthma care within medical homes.

Chapter Child Care Contacts and Medical Home Chapter Champions can work together to:

  1. Educate each other (along with other individuals/groups) about their role as a chapter contact/champion and brainstorm ideas for collaboration
  2. Create discussions at the state and local level on AAP recommended guidelines on medical home and quality child care
  3. Improve health and safety practices
  4. Advocate for quality child care
  5. Promote communication between the medical home, child care program, and family
  6. Educate families and child care providers about the core principles of medical home
  7. Develop/implement new health policies that are family-centered
  8. Assist child care programs in compiling community/health resource files
  9. Educate pediatricians about early education and child care issues

For more information about the MHCCPA or to find out who the champion is for your Chapter, click here.

Annual Report
Each year in November, your Chapter President and Executive Director begin to work on the Chapter Annual Report and Chapter Profile. The CCCC template report form was developed as a tool for you to report your efforts to your Chapter. Please complete the form and e-mail it to your Chapter President and Executive Director, copying AAP staff at by December 1, 2010. As a reminder, if you need assistance completing the form you can always contact your Mentor.

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8. Upcoming Events:

CityMatCH CityMatCH Conference
September 12 – 14, 2010, Chicago, IL
National Association of Child Care Resource & Referral Agencies NACCRRA Professional Development Institute
September 15 – 17, 2010, Minneapolis, MN
National Conference & Exhibition

AAP 2010 National Conference & Exhibition
October 2 – 5, 2010, Washington, DC

Please join us at the section educational program on Sunday from 1:00pm to 5:00pm. For a schedule of events taking place at this year’s NCE related to early education and child care, click here. This schedule will be updated to include additional room locations once they become available.
Maternal and Child Health Federal/State Partnership Meeting

Maternal and Child Health Federal/State Partnership Meeting
October 20, 2010, Washington, DC

Immediately following this meeting, the Association of Maternal & Child Health Programs and CityMatCH are co-sponsoring a one-day meeting, “Looking to the Future: Opportunities and Challenges in Health Reform for Maternal and Child Health” on October 21st.
14th Annual Birth to Three Institute (Early Head Start)
October 25 – 28, 2010, Washington, DC
National Association for the Education of Young Children

NAEYC Annual Conference & Expo
November 3 – 6, 2010, Anaheim, CA

An Afternoon with the American Academy of Pediatrics
Friday, November 5th, Noon – 3:30 PM
  • Developmental Screening in Early Childhood Settings
  • Introduction to Medication Administration
American Public Health Association

APHA Annual Meeting & Exposition
November 6-10, 2010, Denver, CO

National Association for Regulatory Administration

NARA Licensing Seminar
November 15 – 17, 2010, Cincinnati, OH

Section member Kristen Copeland, MD, FAAP, will be presenting “Aligning Standards for Healthy Active Children” from 10:15am to 11:45am on Tuesday, November 16th.

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