This Georgia AAP (virtual) board meeting started with a brief review from Dr. Kathleen Tomey (Department of Health)
AAP Update from Dr. Scornik:
Safe sleep initiatives briefly discussed by Dr. Sarah Lazarus which aligns with Strong4Life campaign:
Update on E-Cigarettes Webinar*+: Wednesday, October 28 at 12:30 pm Please note new date! Here’s a chance to still register. First in a series of three webinars offered to Georgia Pediatricians on the growing epidemic of youth e-cigarette use Faculty: Alice Little Caldwell, MD, FAAP https://register.gotowebinar.com/register/8457518617359610381
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More from our recent AAP Board Meeting –more highlights:
Dr Sally Goza, AAP National President reviewed some of the AAP’s initiatives:
Healthcare coverage & Change in ‘public charge’
Early Childhood Programs
Social Media. She noted that Pinterest and Google have made efforts to curb harmful inaccurate posts, especially with regard to immunization information, whereas Facebook has not been cooperative.
2020 Georgia Blueprint for Children:
Dr. Sarah Lazarus, a terrific ED physician and an advocate for safe sleep, described updates and obstacles related to reducing sudden unexpected death infant death.
NASPGHAN 2018 GERD recommendations (33 page PDF) with regard to positioning: “The working group recommends not to use positional therapy (ie, head elevation, lateral and prone positioning) to treat symptoms of GERD in sleeping infants”
“I do think it should have happened a while ago when we saw there were deaths from them, but I’m glad they did it now,” says Sarah Lazarus, DO, a pediatric emergency medicine physician at Children’s Healthcare of Atlanta. Dr. Lazarus is also an injury prevention researcher at Emory University and reviews infant deaths for the state of Georgia. And what about putting the crib mattress at an incline to help with reflux?
Lazarus says she knows pediatricians used to recommend that, but she says new studies show that it doesn’t really help and may be unsafe. “We do not recommend any sort of wedging or propping or positioning at this point,” she says. In addition to avoiding inclined surfaces, the commission is reminding parents that babies can suffocate if they sleep with blankets, pillows, or other items. The safest way for a baby to sleep is flat on their back, in a bare crib, and on a flat, firm surface.Related blog posts:
The High Toll of Sudden Infant Death From 2013-2015, there was an average of 3523 US infants each year who died from SUID (sudden unexpected infant death), peaking at 1-2 months of life. More black infants died of SUID in the first year than black children who died from firearm homicides in all of childhood through age 19 years. SUID deaths from 2013-2015 (10,568) was similar to the total number of motor vehicle-traffic deaths in all of childhood (10,714) and greater than the total number of any of the other causes.
Dr. Heval Kelli introduced a program called young physician initiative. “Getting into medical school can be a long process and difficult to navigate particularly for students from underserved communities due to the lack of access to medical mentorship and network. The Young Physicians Initiativeprovides early and interactive guidance to underserved middle school, high school and college students. We inspire students to pursue careers in medicine and pursue pipeline’s opportunities byBeing Present in their communities.”
Here are links to his website and to one of the articles covering this project:
Right now, in Georgia, it is estimated that there are 3 infant deaths per week associated with sleep practices. In Tennessee, following widespread adoption and promotion of safe sleep practices, this resulted in a 50% reduction in these types of infant deaths within two years. In Georgia, the department of public health has been working on distributing inexpensive portable bassinets to Medicaid population, along with educational material. There is a lot more to do. In hospital nurseries infants are often NOT placed on their backs to go to sleep until shortly before discharge.
Useful website: Charlieskids.org This website has a book called “Sleep Baby Safe and Snug” which incorporates updated recommendations on safe sleep practices. Interestingly, the fact that the book has a picture of a pacifier has slowed distribution of this book (even when free) because this runs counter to another program (“Baby Friendly” hospital designation) to promote breastfeeding.
Here are some of the slides from Dr. Freed’s presentation on safe sleep practices: