February 2013

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

2. Get to Know Dr Hashikawa!

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:

Greetings Early Learning Advocates!

The Section on Early Education and Child Care and the AAP have continued to promote quality child care and other early learning settings.  I appreciate our SOEECC members in their critical role helping to support quality in their communities and beyond.  Thank you AAP staff and SOEECC members for all you do.

A quick update from the 2012 NCE in New Orleans: Our Section meeting was an outstanding presentation about the Transforming Early Childhood Community Systems initiative and the Early Development Instrument (TECCS/EDI) from Drs. Helen Du Plessis, Neal Halfon, and Peter Gorski. The TECCS Initiative has been spreading rapidly across the country, with participating communities utilizing data-driven approaches and new analytics to improve outcomes for young children and their families.  Participating sites map school readiness (what child health providers might refer to as a health risk assessment) and other data and use innovative strategies to galvanize residents, agencies, and other community-based partners, into action.  For those who could not attend we are planning a webinar in the next several months to learn more about this innovative strategy to improve services for young children.

Please put October 25-29, 2013 on your calendar and catch up with us at the 2013 NCE meeting in Orlando, Florida.  The pre-conference on Friday, October 25 is dedicated to Early Brain and Child Development.  Our Section Program, usually on Sunday but not yet confirmed, will be "Adverse Childhood Experiences: Screening and Intervening in Primary Care and Child Care."

The SOEECC continues to refine our strategic priorities.  The executive committee also met at the NCE and made plans to move the Quality Early Education and Child Care agenda forward.  For another year we have chosen to concentrate our efforts on Early Brain and Child Development, Obesity Prevention, and Strengthening Child Care Policies.

The AAP’s Annual Leadership Forum (ALF) happens in 1 month. Leaders from Chapters, Sections, Committees and Councils come together to help shape the direction of the AAP.   This is an opportunity for any member to propose an idea in the form of a resolution that could be advisory to the Board of Directors.  Attendees of the ALF then vote these resolutions up or down.   Please see this years’ complete list of resolutions at:   http://www.aap.org/en-us/my-aap/chapters-and-districts/Resolutions/Pages/2013-Resolutions.aspx.  I will be voting on these resolutions on behalf of the SOEECC.  If you have any input to help me with my vote, please contact me before March 14.

Traditionally, within the AAP structure, pediatricians have had the opportunity to participate in child advocacy topics on a national level through membership on a COMMITTEE or a SECTION.  Membership to a COMMITTEE is through appointment of interested pediatricians by your Chapter and the AAP Board of Directors.  The work of a COMMITTEE is traditionally about policy.  Membership to a SECTION, as you all know, is through joining the SECTION and paying dues.  The Executive Committee of the SECTION is elected from the membership.  Traditionally, SECTIONs work on education and networking.  SECTIONS propose material for the NCE, create textbooks, brochures, webinars, guidelines, etc.

The SOEECC has been wildly successful.  Because of great pediatricians, AAP staff, and extra support from AAP grants, we have made great contributions to the field of health and safety in early care and education.  But, as you also know, there is national attention on early childhood and improving outcomes for children.  Policy makers at all levels are looking at this age in a comprehensive way.  To catch this momentum and participate in the national conversation, the SECTION on Early Education and Child Care and the COMMITTEE on Early Childhood have started a conversation to explore the merging of our groups to become a third AAP entity: a COUNCIL.  COUNCILS have the ability to participate in policy formation AND education, both internally within the AAP and outward with AAP collaborators.  We will examine the advantages and disadvantages this will allow our work.  As the conversation progresses, I will keep you informed and will ask for your input.

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

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

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2. Get to Know Andrew Hashikawa, MD, FAAP!

Dr. Andrew Hashikawa is a pediatric emergency medicine (PEM) physician at Mott Children’s Hospital the University of Michigan.  He completed his general pediatrics training at the Mayo Clinic and a pediatric emergency medicine fellowship at the Medical College of Wisconsin.  During fellowship, Dr. Hashikawa was awarded the National Institutes of Health loan repayment and AAP resident CATCH grant for child care related research.  He has been the Chapter Child Care Contact (CCCC) for the Michigan AAP since January 2011 but has been working with local child care agencies since moving to Michigan in 2010.

He has established excellent working relationships with representatives from the Early Childhood Investment Corporation, Michigan Association for the Education of Young Children, Head Start, community college child care educators, and local public health departments.  He also served as the state’s child care representative for the AAP and Centers for Disease Control and Prevention’s Pandemic Preparedness Meeting in 2011. 

His main research interest is acute illness in child care settings.  He has published research related to child care illness in Pediatrics (May 2010) and (December 2012) and was the lead author on the most recent C.S. Mott National Poll on Children’s Health’s survey that asked parents with children less than 6 years old in child care about their opinions on the impact of child care illness on their work and medical care seeking behavior (http://mottnpch.org).  Over the past two years, he has been involved with the implementation of both the AAP’s Healthy Future’s Managing Infectious Diseases in Child Care and the Medication Administration in Child Care Curriculum thoughout the state.  Currently, Dr. Hashikawa and state early child care representatives, as a result of the Building Bridges Among Health & Early Childhood Systems project, are looking to develop and establish a statewide health and early childhood consortium of Michigan AAP health care professionals and state early learning representatives.

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3. New Reports:

Presleep Activities and Time of Sleep Onset in Children
Presleep activities have been implicated in the declining sleep duration of young people. A use-of-time approach may be used to describe the presleep period. The study aims were to describe the activities undertaken 90 minutes before sleep onset and to examine the association between activities and time of sleep onset in New Zealand young people.

Part C Early Intervention for Infants and Toddlers: Percentage Eligible Versus Saved
Part C early intervention is a nationwide program that serves infants and toddlers who have developmental delays. Previous research has revealed that large numbers of candidates for Part C services do not receive early intervention. Current eligibility criteria for Part C services vary from state to state. This article compares estimates of the percentage of children who are likely to be eligible for early intervention in each state and Washington, DC, with the proportion of children who are served in each of those jurisdictions.

Development at Age 36 Months in Children With Deformational Plagiocephaly
Three-year-olds with a history of deformational plagiocephaly scored lower than those without cranial deformation on all measures of the Bayley Scales of Infant and Toddler Development, a study in the journal Pediatrics showed. Researchers said that the biggest differences in developmental scores between the two groups were in cognition, parent-reported adaptive behavior and language, while the smallest was in motor development.

Association of Nutrient-Dense Snack Combinations With Calories and Vegetable Intake
Children given a snack combination of vegetables and cheese ate 72% fewer calories before becoming full, compared with those who ate potato chips, researchers reported in the journal Pediatrics. Children who were overweight or obese saw a greater effect, the research showed.

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4. New Resources:

Information on Medical Cribs Used in Homes and Child Care Settings
On December 28, 2010, the Consumer Product Safety Commission (CPSC) issued a final rule identifying new safety standards for consumer cribs. The CPSC crib standards, which establish improved safety requirements, including a ban of drop-side rail designs for consumer cribs, took effect for consumer crib manufacturers and retailers on June 28, 2011 and child care centers, family child care homes, and places of public accommodation (such as hotels) on December 28, 2012. However, current FDA regulation allows pediatric medical cribs used in hospitals to keep the drop-side rail feature because it is critical for providing appropriate medical care to sick children.

Make Water Available Throughout the Day
When children are thirsty between meals and snacks, water is the best beverage choice.

Pediatric First Aid for Caregivers and Teachers (PedFACTS), 2nd Edition
This course is designed for caregivers, teachers, and others who care for children. The PedFACTs course focuses on what to do if a child in your care suddenly becomes ill or gets injured.

Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program
Need creative ideas for meal planning, shopping, and food preparation? Or fun suggestions for active play?

This handbook was developed by USDA’s Food and Nutrition Service and the Department of Health and Human Services Administration for Children and Families, Centers for Disease Control and Prevention, and Health Resources and Services Administration to help CACFP child care providers create healthier environments for the children in their care.

Head Start Child Development and Early Learning Framework: Core Strategies to Support School Readiness
The revised Head Start Child Development and Early Learning Framework represents the foundation of the Head Start Approach to School Readiness. It aligns with and builds from the five essential, or core, domains of birth to five school readiness, to identify critical areas of learning and development for 3 to 5 year children, including dual language learners and children with disabilities. The Framework guides curriculum selection, implementation, and assessment and can be used when planning and assessing teaching and learning experiences and children's progress toward school readiness goals.

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5. New Articles:

Overcoming Impact of Adversity on Learning
Poverty, neglect, or family stress can make it especially difficult for young children to develop the self-discipline and habits of mind they will need to succeed in the classroom and beyond. Armed with research and a commitment to the whole child, Washington state has transformed the way its agencies work together and in partnership with researchers to address the effects of early adversity on learning and to help disadvantaged children build resiliency and other so-called executive-function skills they need to learn and grow.

Teach Kids to Choose from Variety of Healthy Foods for a Balanced Diet
Letting kids pick what they'd like to eat from a range of healthy choices will go far to ensure they have a balanced diet and make mealtimes more enjoyable.

Toddlers' Early Language Skills May Influence Later Anger Management

'Hovering' Moms May Take Fun Out of Play
Mothers who were highly directive during playtime were more likely to be resented by their children, University of Missouri researchers reported in the journal Parenting: Science and Practice. Correcting children in play may stifle their creativity, but being a warm and caring parent can cancel out some of the negative effects of being bossy, the study found.

Fussy Infants Exposed to More TV
Fussy and active babies at age 3 months were exposed to more TV on a daily basis by their mothers than babies not considered fussy or active, a study in the journal Pediatrics showed. Researchers from the University of North Carolina at Chapel Hill tracked 217 black mothers and their babies, and found that maternal obesity and educational attainment also were linked to more TV viewing early in life.

13 Infant Deaths Tied To Sleep Positioners
Sleep positioners, or sleep wedges, often marketed for their effectiveness in preventing sudden infant death syndrome, have been linked to at least 13 infant deaths since 1997, a CDC report found. Most of these babies were aged 3 months or younger and died due to suffocation after rolling onto their stomachs from a side-facing position. In 2010, both the FDA and Consumer Product Safety Commission warned against the use of sleep positioners.

Kids in Daycare Are More Likely to Be Obese
Children who attended day care or stayed with an extended family member were about 50% more likely than those under parental care to be overweight or obese between ages 4 and 10, a Canadian study showed. Researchers reported in the Journal of Pediatrics that known risk factors -- such as parents' socioeconomic status or maternal BMI -- didn't explain the difference in risk.

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6. 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:

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

Around the Corner:

If you or someone you know is interested in this position, please contact Jill Hernandez at jhernandez@aap.org.  A job description is available at http://www.healthychildcare.org/pdf/CCCCJobDescription.pdf.   

If you are not in one of the states listed above, but are interested in getting involved with early education and child care, contact your CCCC.  http://www.healthychildcare.org/pdf/CCCCFlyer.pdf

We are working on scheduling CCCC Webinars on the following topics for 2013:

  • Strengthening Standards in Early Education & Child Care
  • Mental Health
  • Pediatric Obesity

Dates and times for these webinars will be sent out on the CCCC email listserv. 
If you are interested in providing a brief overview of a success story from your state on one of these topics, please contact Jill Hernandez at jhernandez@aap.org.

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7. Upcoming Events:

Child Care Aware

2013 Child Care Aware of America Policy Symposium
April 10-13, 2013, Washington, DC

Child Care Aware® of America’s Policy Symposium is the nation’s premiere conference addressing issues affecting local, state and federal public policy for children in child care.



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.


NAEYC's 2013 National Institute for Early Childhood Professional Development
June 9-12, 2013, San Francisco, CA

The 2013 Institute theme focuses on the principles and guidelines of Developmentally Appropriate Practice—with a focus on the degree to which teachers and family childcare providers are implementing these practices in their work with children and families.
NAFCC Conference

NAFCC Conference 2013
July 18-20, 2013, Scottsdale, AZ

Our national conference offers providers, and people who work in support of family child care, an opportunity for professional development, networking, and resources to improve educational opportunities they provide to children and families.


AAP National Confernece & Exhibition
October 26-29, 2013, Orlando, FL

The AAP National Conference & Exhibition, October 26–29 at the Orange County Convention Center, is the hottest spot for the latest best practices and pharmacological and technical advances brought to you by the leaders in pediatrics.

NAEYC Annual

NAEYC's 2013 Annual Conference & Expo
November 20-23, 2013, Washington, DC

In November 2013, educators will come from across the country and around the world to Washington, DC, to participate in hundreds of well-planned workshops, seminars, and presentations on the latest research and information on early childhood development.

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