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AAP News Room
American Academy of Pediatrics



 
MARCH 2007 MEDIA MAILING


AAP Department of Communications Contact: Debbie Linchesky, 847-434-7084, or Mindy Weinstein, 847-434-7131.

(Please do not reply directly to this e-mail, as you will not receive a response. Contact Debbie Linchesky at dlinchesky@aap.org or Mindy Weinstein at mweinstein@aap.org if you have questions about the contents of this mailing.)

Information in this mailing is embargoed for release: Monday, March 5, 12:01 am ET. PLEASE RESPECT THE EMBARGO DATE .

In this mailing:

The Table of Contents (TOC) from the March issue of Pediatrics, the peer-reviewed scientific journal of the American Academy of Pediatrics (AAP), and Pediatrics electronic pages, the Internet extension of Pediatrics. These are available electronically and can be viewed at:

Current issue TOC:
http://www.pediatrics.org/current.shtml
Future issue TOC:
http://www.pediatrics.org/future.shtml

Also in this mailing:
1. Many Teens Exposed to Work-Related Hazards
2. Acetaminophen, Ibuprofen or Codeine - Which is Best for Kids’ Pain?
3. Weight in Young Girls and The Onset of Puberty
4. Most Doctors Oppose Drug Testing - Addendum to AAP Policy Statement
5. Flu Vaccine Effective Even If It Doesn’t Exactly Match Strain
6. Lead Exposure Linked to Behavior Problems and Lower IQ
7. High-Deductible Health Plans Too Risky for Children
8. Preventive Dental Care in the United States
9. AAP Partners on Addiction and Recovery Campaign
10. Strategic Outreach to Families of All Reservists (SO FAR) Campaign
11. National Poison Prevention Week - Poison Safety Tips
12. Spring Break Safety Tips

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Below are news releases and briefs on articles appearing in the March issue of Pediatrics, the peer-reviewed, scientific journal of the American Academy of Pediatrics (AAP). To receive the full text of these articles, contact the AAP Department of Communications. The embargo date for all information in this mailing is Monday, March 5, 12:01 am ET.

AAP Contact: Debbie Linchesky, 847-434-7084, dlinchesky@aap.org or Mindy Weinstein, 847-434-7131, mweinstein@aap.org

Note: Please attribute the source as the journal, Pediatrics when covering the following studies.


1. MANY TEENS EXPOSED TO WORK-RELATED HAZARDS

In the national study, “Work-Related Hazards and Workplace Safety of U.S. Adolescents Employed in the Retail and Service Sectors,” 928 teenage workers, 14 to 18 years old, were interviewed by telephone about their work environments. Results indicated that not only are teens exposed to multiple workplace hazards and work long hours during the school week, 52 percent of males and 43 percent of females use dangerous equipment such as box crushers and slicers, or serve and sell alcohol where it is consumed, despite federal child labor laws. In addition, more females than males are involved in cash handling (84 percent vs. 61 percent) leaving them exposed to risks associated with robberies. Helpful information on teen worker rights is available from the federal government, non-profit organizations, and state agencies.

Embargoed until Monday, March 5 at 12:01 am ET.

2. ACETAMINOPHEN, IBUPROFEN OR CODEINE -- WHICH IS BEST FOR KIDS’ PAIN?

A Canadian study found that ibuprofen provided better and more efficient pain relief than acetaminophen or codeine for children brought in to the emergency department with acute musculoskeletal injuries. From May 2002 to January 2003, researchers working on “A Randomized, Controlled Trial of Acetaminophen, Ibuprofen, and Codeine for Acute Pain Relief in Children With Musculoskeletal Trauma,” evaluated 300 children (6 to 17 years) at the Children’s Hospital of Eastern Ontario emergency department with pain from an injury (to extremities, neck and back) who were randomly assigned to receive orally acetaminophen, ibuprofen or codeine. Patients that received ibuprofen experienced greater pain relief at 60 minutes after receiving the dose than the other two medications. In addition, patients taking ibuprofen did not need to take additional doses, where as patients taking acetaminophen or codeine did need additional doses in order to achieve adequate pain relief.

Embargoed until Monday, March 5 at 12:01 am ET.

3. WEIGHT IN YOUNG GIRLS AND THE ONSET OF PUBERTY

A new study provides additional evidence that increased body fat in young girls is associated with earlier onset of puberty. The study, "Weight Status in Young Girls and the Onset of Puberty," included 354 girls from diverse socioeconomic backgrounds in 10 regions of the US. According to the authors, this is the first study to report that a higher body mass index (BMI) score in girls as young as 36 months of age and larger increases in BMI between 36 months of age and first grade are associated with earlier puberty. The authors state that more studies are needed to identify exactly how increased body fat leads to earlier puberty in girls.

Embargoed until Monday, March 5 at 12:01 am ET.

4. MOST DOCTORS OPPOSE DRUG TESTING

Recent U.S. Supreme Court decisions have resulted in recommendations for adolescent drug testing in schools, and products made available for parents to test their children at home. A addendum to the 1996 AAP Policy Statement, “Testing for Drugs of Abuse in Children and Adolescents,” opposes involuntary drug testing of adolescents at school or at home and believes more research is needed on both the safety and effectiveness before testing programs are implemented. Laboratory testing for drugs is a scientifically complex procedure, which may be prone to both false-positive and false-negative tests. Testing should only be carried out by professionals with special training in the procedure; most pediatricians have not been adequately prepared to do this. The majority of physicians surveyed in the 2006 Journal of Adolescent Health (83 percent) disagreed with drug testing in public schools, which can be perceived by adolescents as an unwarranted invasion of privacy. The AAP encourages parents who are concerned their child may be using drugs or alcohol to consult their child’s pediatrician rather than rely on school or home-based drug testing products.

Embargoed until Monday, March 5 at 12:01 am ET.

5. FLU VACCINE EFFECTIVE EVEN IF IT DOESN’T EXACTLY MATCH STRAIN

The study, “Vaccine Effectiveness Against Medically Attended, Laboratory-Confirmed Influenza Among Children Ages 6 to 59 Months, 2003-2004,” reviewed the cases of 290 patients from an Atlanta, Georgia, pediatric practice who had laboratory-confirmed influenza infections during the 2003-2004 influenza season. The authors found that full vaccination provided an approximate 50 percent reduction in laboratory-confirmed influenza among children aged 6 and 59 months. This occurred despite a suboptimal match between the vaccine and circulating influenza strains for the 2003-2004 season. Partial vaccination also provided some protection, but only for children aged 24-59 months. Younger children, ages 6 to 23 months, who were only partially vaccinated, had no reduction in influenza. The authors assert that this study confirms immunization against influenza, even in years with a suboptimal vaccine match, can reduce the impact of this disease.

Embargoed until Monday, March 5 at 12:01 am ET.

6. LEAD EXPOSURE LINKED TO BEHAVIOR PROBLEMS AND LOWER IQ

Lower IQ scores might not be the only measurable effect resulting from a child’s exposure to lead. The study “Lead Exposure, IQ, and Behavior in Urban 5-to 7-Year-Olds: Does Lead Affect Behavior Only by Lowering IQ?” found that high lead exposure was associated with behavior problems in urban 5-7 year-olds. The researchers analyzed data from 780 children exposed to high levels of lead in four U.S. cities. They examined the associations between blood lead concentrations at different ages, IQ, and behavioral test scores. In 5-year-olds, the blood lead concentrations had no direct effect on behavior. In 7-year-olds, a direct effect between blood level and behavior was found, specifically conduct and school problems. The results of this study suggest that prevention of lead exposure should continue into late childhood.

Embargoed until Monday, March 5 at 12:01 am ET.

7. HIGH-DEDUCTIBLE HEALTH PLANS TOO RISKY FOR CHILDREN

With 20 percent of employers now offering high-deductible insurance plans (HDHP), which are essentially catastrophic health insurance plans, the American Academy of Pediatrics (AAP) is concerned about risks these plans place on children. A new AAP policy statement, “High-Deductible Health Plans and the New Risks of Consumer-Driven Health Products,” discusses the implications of HDHPs on families and pediatricians. Of particular concern is that families with HDHPs are likely to delay or avoid seeking care when they are faced with paying for care before the deductible is met, which means these children may not get the preventive care they need for long-term good health. The financial risks are significant under HDHPs, especially for low- to moderate-income families and for families whose children have special health care needs. Among the recommendations, the policy advocates that coverage be provided for preventive services including well-child care, immunizations and appropriate screenings. Preventive services should be covered before the deductible is met.

Embargoed until Monday, March 5 at 12:01 am ET.

8. PREVENTIVE DENTAL CARE IN THE UNITED STATES

Preventive dental care is a cornerstone of optimal oral health. Researchers in the study “Preventive Dental Care for Children in the United States: A National Perspective,” analyzed data collected from the 2003 - 2004 National Survey of Children’s Health (102,353 children) and found that 72 percent of U.S. children were reported to have had a preventive dental care visit in the previous year. Variables that significantly lowered the likelihood of a preventive dental visit included being under 6 years old, black or multiracial, lower income, being uninsured for dental coverage and lacking a personal doctor. Children in states with State Child Health Insurance Program (SCHIP) dental coverage and broadest income eligibility had a 24 percent higher likelihood of a preventive dental visit when compared with children in states with limited or no (SCHIP) coverage for dental services.

Embargoed until Monday, March 5 at 12:01 am ET.

9. AAP PARTNERS ON ADDICTION AND RECOVERY CAMPAIGN

A 90-minute documentary, "Addiction," will air on HBO on March 15, focusing on drug addiction recovery and treatment. This program will kick off a campaign to launch or expand local advocacy activities. For more information, visit the Addiction Action Web site at http://www.AddictionAction.org

10. STRATEGIC OUTREACH TO FAMILIES OF ALL RESERVISTS

The American Academy of Pediatrics recently endorsed the project Strategic Outreach to Families of All Reservists (SO FAR). This project aims to address the mental health needs of families of those in the Reserve and National Guard who are engaged in the war in Iraq. Specifically, SO FAR will provide a flexible and diverse range of psychological services that fosters stabilization, aid in formulating prevention plans to avoid crises, and to help families develop and maintain coping skills during the phases of alert, activation, deployment, and reunion/reintegration. For more information about this program visit the Psychoanalytic Couple and Family Institute of New England (PCFINE) Web site at http://www.pcfine.org

11. NATIONAL POISON PREVENTION WEEK

Some 30 children die every year from unintentional poisonings, and approximately 1.2 million phone calls are placed to poison control centers annually by adults seeking help for children ages 5 and under. The American Academy of Pediatrics supports National Poison Prevention Week, March 18-24, to prevent such tragic events. For more information, visit http://www.poisonprevention.org Poison prevention and treatment tips from the AAP in both English and Spanish can be found at http://www.aap.org/advocacy/releases/poisonpreventiontips.htm

12. SPRING BREAK TIPS

It’s almost spring break, and lots of families will visit sunny climates for some rest and relaxation. It’s great to get away, but parents also need to protect their children from the sun’s harmful rays. The American Academy of Pediatrics has some spring break tips for the whole family. The tips can be found in both English and Spanish at http://www.aap.org/advocacy/releases/marspringbreaktips.htm

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The FAAP designation following a pediatrician's name stands for Fellow of the American Academy of Pediatrics. Pediatricians with a FAAP designation have obtained board certification in pediatrics and made an ongoing commitment to lifelong learning and advocacy for children.

MEDIA REQUEST FORM

To request copies of AAP news releases, digests or briefs, or policy statements and studies from Pediatrics, go to the Media Request Form.

For more information on children’s health, visit the AAP Press Room at: http://www.aap.org/pressroom








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