August 2012

1. Message from the Chairperson Danette Glassy, MD, FAAP

2. Get to Know Dr Blankson!

3. New Reports

4. New Resources

5. New Articles

6. Chapter Child Care Contact Corner

7. Upcoming Events


1. Message from the Chairperson Danette Glassy, MD, FAAP:

Dear Section Members and Friends,

Welcome back to E-News for Health Professionals.  The AAP is fully staffed again, and we are able to send you these bulletins.

Much has happened since our last edition.  Dr. Judy Romano, FAAP, has completed her inspiring leadership of the Section on Early Education and Child Care and I have begun to fill her shoes.  Our executive committee will be welcoming Dr. Beth DelConte, FAAP as Dr. David Willis, FAAP, completes his term.  Dr. DelConte’s election was orchestrated by our nominating committee (Drs. Aixa Silvera-Schwartz, FAAP, Charles Feild, FAAP and Bala Munipalli, FAAP).  Thanks to all for your service to the Section.

The Section will continue to refine our strategic plan and move forward our priorities.  We will share our vision and plans for the Section after our meeting in October.  I will be inviting a great deal of participation from our members so we can continue to improve quality for children and families in early care and education settings.

Please don’t hesitate to contact me at dsglassy@aap.net or Jeanne VanOrsdal at jvanorsdal@aap.org with suggestions or ideas.  Thank you for all you do.  Your membership in the Section on Early Education and Child Care is critically important for our work.

Danette Glassy, MD, FAAP Chairperson
AAP Section on Early Education and Child Care

 

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2. Get to Know Mary Blankson, MD, MPH, FAAP!

Dr. Mary Blankson’s clinical pediatrics practice has been predominantly among high risk, underserved and disadvantaged populations from rural and urban Ghana, West Africa to New York City, Minneapolis and for the past 26 years in Birmingham, Alabama in the Jefferson County Department of Health. In addition to clinical practice she has been involved in Public Health-oriented interventions in Alabama, such as Infant Death Review, development of systems of care to prevent repeat teen pregnancies, and improving access to a Medical Home for all children and their families.

Since 2010, Dr. Blankson has served as Chapter Child Care Contact (CCCC) for the Alabama chapter of the American Academy of Pediatrics (AL-AAP)  and is a member of the Executive Committee of the AAP Section on Early Education and Child Care (SOEECC). She is also a Board Member of Alabama Partnership for Children (APC), Alabama Campaign to Prevent Teen Pregnancy, and on the Health Advisory Committee of the Jefferson County Head Start/Early Head Start Program. Dr. Blankson’s long-standing interest in Early Education and Child Care issues has led her to intentionally steer her career toward addressing issues related to quality of child care. She is actively involved with a number of early childhood education and care organizations including Healthy Child Care Alabama’s (HCCA) Child Care Health Consultants and Child Care Resources and Referral (CCRR). Dr. Blankson’s training at the National Training Institute for Child Care Health Consultants at the University of North Carolina in Chapel Hill was a pivotal juncture in her professional development.

“My membership in SOEECC exposed me to invaluable information, experiences and mentors, focusing me on an area in early childhood where prevention and early intervention yield the greatest results.”


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3. New Reports:

Bed-Sharing Influences, Attitudes, and Practices: Implications for Promoting Safe Sleep
The purpose of this study was to examine the infant bed-sharing practices of mothers from the birth of the infant to three months of age. The study was a longitudinal descriptive design using a self-report instrument immediately after delivery with follow-up phone interviews at one and three months after discharge. While no mothers intended to bed-share with their infants immediately after delivery, 60 percent reported bed-sharing at some time at one month after discharge and 9 percent at three months. Only 19 percent of mothers reported receiving information about infant sleeping practices from their physician and 22 percent from their nurse. One month post discharge was identified as a high-risk period for infant bed-sharing. Interventions aimed at teaching new mothers about responding to infant cues and ways to manage a fussy infant may minimize the rate of bed-sharing.

Sudden Unexpected Infant Deaths: Sleep Environment and Circumstances
The study authors sought to describe the characteristics and sleep circumstances of infants who die suddenly and unexpectedly and to examine similarities and differences in risk factors among infants whose deaths are classified as resulting from sudden infant death syndrome (SIDS), suffocation, or undetermined causes. The authors identified modifiable sleep environment risk factors in a large proportion of the SUIDs assessed in this study. The results make an important contribution to the mounting evidence that sleep environment hazards contribute to SUIDs.

Allergic Reactions to Foods in Preschool-Aged Children in a Prospective Observational Food Allergy Study
Infants and children with diagnosed food allergy are at risk for acute, potentially life-threatening symptoms. Limited data are available on the frequency, severity, and circumstances of reactions and caretaker medical response. This study describes food allergy reaction frequency, circumstances, and response. Pitfalls that may inform improved anticipatory guidance included lack of vigilance, misreading ingredient labels, allergen cross-contact, nonaccidental allergen feeding, and underutilization of epinephrine for severe reactions.

Concurrent Validity of Ages and Stages Questionnaires in Preterm Infants
Although preterm infants born at 29 to 36 gestational weeks (GW) are at risk for developmental delay, they do not always benefit from systematic follow-up. Primary care physicians are then responsible for their developmental surveillance and need effective screening tests. This study aimed to determine whether the Ages and Stages Questionnaires (ASQ) at 12 and 24 months’ corrected age (CA) identify developmental delay in preterm infants.

Risk Factor Changes for Sudden Infant Death Syndrome After Initiation of Back-to-Sleep Campaign
Prone sleep, bed-sharing, maternal smoking during pregnancy, and prematurity increase the risk of sudden infant death syndrome. The sudden infant death syndrome rate initially declined dramatically after the initiation of the US Back-to-Sleep campaign in 1994, but subsequently plateaued. The risk profile has changed since the Back-to-Sleep campaign; the prevalence of simultaneous risks has remained consistent. Intrinsic and extrinsic risks provide unification into 1 underlying triple-risk model and insights into potential underlying mechanisms.

Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010
Obesity is a limiting factor in quality of life and a precursor of serious health problems. Once primarily an adult health concern, obesity has precipitated down to our youngest children in recent decades. Childhood obesity has achieved epidemic status, where one in three children is either obese, or overweight and at risk of obesity on the future. National attention is now focused on this serious public health problem. National campaigns emanating from the highest level of government seek to reverse this epidemic so that our children may embark on health trajectories that promise a quality and length of life at least the equivalent of earlier modern generations.


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4. New Resources:

Medical Home News and Information
Receive the latest medical home news, implementation resources, upcoming events and more by subscribing to the free National Center for Medical Home Implementation’s “Medical Homes @ Work e-Newsletter.” To subscribe, visit the AAP Medical Home website and fill out the quick sign up form.

Safe Sleep Practices and SIDS/Suffocation Risk Reduction
This publication is a collection of standards applicable to safe sleep practices from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition

A Parent's Guide to Safe Sleep (updated handout) (en Español PDF Document)

A Child Care Provider's Guide to Safe Sleep (updated handout) (en Español PDF Document)

Child Care Aware of America (formerly NACCRRA) "In the States" Map
The map includes information about child care licensing in each state. In addition, each state includes a link to the state page from Child Care Aware® of America's reports reviewing child care center and family child care home policies in every state.

The Licensing Toolkit to Limit Screen Time in Child Care
This Licensing Toolkit is intended to assist Licensing Administrators as they develop and revise licensing requirements addressing guidelines for reduced screen time in the prevention of childhood obesity.

The Licensing Toolkit for Use of Water and 100% Juice
This Licensing Toolkit is intended to assist Licensing Administrators as they develop and revise licensing requirements addressing guidelines for the prevention of childhood obesity.


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5. New Articles:

Many Babies with Developmental Delays May Go Untreated
About one out of every three infants who scores well below average on a test of developmental skills -- and is therefore considered at a high risk of having delays -- does not get referred to early intervention services, according to a new study.

Injury Prevention Report Card: Nearly Half of U.S. States Score Low
Many states are failing to enforce proven strategies to prevent injury, such as requiring bike helmets for kids or enacting primary seat belt laws.

Most Children with Autism Diagnosed at 5 or Older
More than half of school-aged kids were age 5 or older when they were first diagnosed with autism spectrum disorder, the study showed. Less than 20% were diagnosed by age 2. The American Academy of Pediatrics recommends that pediatricians screen children for autism at 18 months of age.

Friendships Influence Kids' Activity Levels
While children do not make or break friendships based on physical activity, a new study suggests their social network of friends can greatly influence how much they move.

Too Much Screen Time May Harm Kids' Fitness
Spending too much time in front of computers and other electronic screens may cause American children's heart and lung fitness levels, or "cardiorespiratory" fitness, to decline, a new study suggests.

Pediatricians Are Encouraged to Vaccinate to Prevent Pertussis
Pertussis outbreaks are occurring in parts of the country. While disease can occur in all ages, infants less than 12 months are at highest risk for severe disease and death. The vaccination of parents, siblings, grandparents and caregivers of infants with Tdap will help to cocoon infants that are at increased risk. For more information, visit the AAP website.

Enhanced Early Childhood Education Pays Long-term Dividends in Better Health
New study is the first randomized, controlled trial to show that early educational enrichment can bring improved health and healthier behaviors in early adulthood.

Eating Right, Learning Right
One in eight low-income parents are watering down infant formula in an effort to keep their youngest fed. That's even with the help of government food assistance programs, according to a new survey conducted by the Pediatric Primary Care Center of the Cincinnati Children's Hospital Medical Center. Of the 65 percent of surveyed families who ran out of infant formula monthly, others dealt with the problem by feeding their infants less often.

UBC Study Shows Young Kids Aren't So Selfish After All
University of British Columbia researchers observed the facial expressions of 20 toddlers when asked to give their food away and found that they had the happiest expressions when giving rather than receiving. The lead researcher said more studies are needed but the findings suggest very young children are more generous and less selfish than is often thought.

Even Known Food Allergens Dangerous for Kids
Eighty-seven percent of 834 cases of allergic reactions to milk, eggs or peanuts in preschool children were attributed to accidental exposures, while 13% were nonaccidental, according to a study in the journal Pediatrics. Researchers noted that only 30% of severe reactions were appropriately treated with an epinephrine shot.

TV Habits 'Can Predict Kids' Waist Size and Fitness'
Children ages 2 to 4 who spent extra weekly hours watching television had an increased risk of a bigger waist size and worse muscular fitness by age 10, Canadian researchers reported in the International Journal of Behavioral Nutrition and Physical Activity.

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6. Chapter Child Care Contact Corner:

Recruiting:
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 chapters:

California 1
California 4
Connecticut
Delaware
Indiana
Montana
Nevada
New York 1
New York 3
North Carolina
Oregon
Puerto Rico
South Dakota
Wisconsin
Wyoming


If you or someone you know is interested in this position, please contact Jill Zubrod-Hernandez at jzubrod@aap.org.  A job description is available at http://www.healthychildcare.org/pdf/CCCCJobDescription.pdf.   If you are not in one of the chapters listed above, but are interested in getting involved with early education and child care, contact your CCCC.  http://www.healthychildcare.org/pdf/CCCCFlyer.pdf

 

Around the Corner:
CCCC Early Brain and Child Development (EBCD) Practical Application Webinar

Join us for a webinar on practical applications of EBCD in the CCCC role.  This webinar will provide attendees with examples of EBCD related work that is being facilitated by other CCCCs and an opportunity for rich discussion. 


DATE: Thursday, September 13th 2012
Time:  11am-12pm CST

Case Study 1: Seth Scholer, MD, FAAP
Case Study 2: Dina Lieser, MD, FAAP
Topic Expert: Colleen Kraft, MD, FAAP

 

Take Note:
Each year in November, your Chapter President and Executive Director begin work on the Chapter Annual Report and the Chapter Profile. An email will be sent out to the CCCC listserv with the CCCC annual report form in late September. Please watch for this!


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7. Upcoming Events:

NRA

The National Registry Alliance Conference
September 19-21, 2012, Panama City Beach, FL

NCE

AAP 2012 National Conference & Exhibition
October 20-23, 2012, New Orleans, LA

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.
APHA

APHA Annual Meeting & Exposition
October 27-31, 2012, San Francisco, CA

NAEYC

NAEYC Annual Conference & Expo
November 7 – 10, 2012, Atlanta, GA

Developmentally appropriate practice—often shortened to DAP—is an approach to teaching grounded both in the research on how young children develop and learn and in what is known about education effectiveness.
NTI

27th National Training Institute
November 28-December 1, 2012, Los Angeles, CA

The theme of this year's conference is "Leading Edge: Early Childhood Science, Policy and Practice." This conference is intended for professionals working in the fields of child welfare, early childhood education, early intervention, mental health, parent education, and pediatrics.

CityMatch

CityMatCH Conference
December 12 – 14, 2012, San Antonio, TX

This conference embraces the interconnectedness of data, practice, and policy exemplified by the Richmond-Kotelchuck Three Factor Approach to Health Policy* (knowledge base, political will, social strategy) and its adaptation: the CityMatCH Data Use Triangle (data, program, policy).

CONACH

International Meeting on Indigenous Child Health
April 19-21, 2013, Portland, OR

The purpose of this international, collaborative conference will be to focus on innovative clinical care models and community-based public health approaches for children and youth in First Nations, Inuit, Métis, American Indian and Alaska Native communities.


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