Category Archives: Child & Youth Health

When depression and cultural expectations collide

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By Anna Gorman
KHN

“My time is coming. It’s already time for me to die. I can’t wait. … So yeah I plan to kill myself during spring break, which by the way, starts in two days.” — Wynne Lee wrote in a March 29, 2012 journal post

Wynne Lee’s mind was at war with itself – one voice telling her to kill herself and another telling her to live. She had just turned 14.

She tried to push the thoughts away by playing video games and listening to music. Nothing worked. Then she started cutting herself. She’d pull out a razor, make a small incision on her ankle or forearm and watch the blood seep out. “Cutting was a sharp, instant relief,” she said

When it comes to mental health treatment, Asian Americans often get short shrift. Researchers say they are both less well-studied and less likely to seek treatment.

Some days, that wasn’t enough. That’s when she’d think about suicide. She wrote her feelings in a journal in big loopy letters.

At first, Wynne thought she felt sad because she was having a hard 8th grade year. She and her boyfriend broke up. Girls were spreading rumors about her. A few childhood friends abandoned her. But months passed and the feelings of helplessness and loneliness wouldn’t go away.

“I was really happy as a kid and now I was feeling like this,” she said. “It was really unfamiliar and scary.”

Wynne Lee didn’t know where her despair was coming from. The words “depression” and “suicide” were not in her vocabulary. She knew, however, that she was failing — she was defying expectations of who she was supposed to be. Continue reading

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Free child car seat check-up events in King County

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Child safety seat car seat From Public Health – Seattle & King County

Child safety seats can save lives, but they need to be used properly to be effective.

Parents and caregivers can get support in fitting their children securely in car seats at five free child car seat check-up events in upcoming months, beginning Friday, April 24, 2015. Public Health – Seattle & King County is hosting the events.

Event details

Parents and caregivers will have their child safety seat checked by a certified child safety seat technician for safe installation and educational materials will be on hand. Soon-to-be parents and caregivers are welcome as well.

These events are ones of many ongoing child safety seat check-up events in the Puget Sound area. Check the Washington Safety Restraint Coalition website for locations and schedules. Continue reading

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Teen Use of Long-Term Contraception Rising, But Remains Low – WebMD

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A diagram showing a hormonal IUD in the uterusThe use of long-acting, reversible forms of contraception remains low among sexually active teen girls, though that trend seems to be changing, according to a U.S. government report released Tuesday.

Among teens aged 15 to 19, the use of long-acting reversible contraception rose from less than 1 percent in 2005 to about 7 percent in 2013, according to the federal Centers for Disease Control and Prevention.

via Teen Use of Long-Term Contraception Rising, But Remains Low – WebMD.

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Measure kids’ medicines in metric units, not spoonfuls, doctors say | Reuters

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SpoonsChildren’s liquid medicines should only be measured in metric units to avoid overdoses common with teaspoons and tablespoons, U.S. pediatricians say.

Tens of thousands of kids wind up in emergency rooms after unintentional medicine overdoses each year, and the cause is often badly labeled containers or unclear directions, said Dr. Ian Paul, a pediatrician at Penn State Milton S. Hershey Children’s Hospital and lead author of new metric dosing guidelines from the American Academy of Pediatrics (AAP).

via Measure kids’ medicines in metric units, not spoonfuls, doctors say | Reuters.

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Kids’ fast food consumption on the decline | Reuters

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Fast FoodBetween 2003 and 2010, the number of U.S. kids eating fast food on any given day went down, and the calories from some types of fast foods have declined as well, according to a new study.

According to data from the National Health and Nutrition Examination Surveys, in 2003, almost 39 percent of U.S. kids ate fast food on a given day, which dropped to less than 33 percent by the 2009-2010 survey.

via Kids’ fast food consumption on the decline | Reuters.

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The Children’s Health Insurance Program debate

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insure kids now chip schipBy Christine Vestal
Stateline

The federal-state Children’s Health Insurance Program (CHIP) will run out of money on Sept. 30.

Until recently, Congress showed little interest in paying for it. But this week, the House agreed on a bill that would continue the $13 billion program in its current form through 2017.

In late February, Republicans in both houses issued a “discussion draft” outlining modifications they claimed would make the program more flexible for states, even though most governors say they don’t want any changes to what they consider a near-perfect health care program.

Most governors say they don’t want any changes to what they consider a near-perfect health care program.

The GOP proposal would have narrowed coverage to the lowest-income families currently served by CHIP and allowed states to cut back enrollment.

If CHIP is not renewed, advocates say more than 2 million of the 8 million kids currently covered by the program could wind up uninsured.  Continue reading

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King County teen e-cigarette use is on the rise, but fewer smoke cigarettes or drink alcohol

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Map of SeattleFrom Public Health – Seattle & King County

Most King County youth are heeding public health prevention warnings about cigarette smoking and drinking and driving, according to new, preliminary results from the Healthy Youth Survey.

However, e-cigarettes use among youth is increasing.

One in five King County high school seniors reports vaping or e-cigarette use, which is double the number that smokes cigarettes. Continue reading

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Rural, urban suicide gap widening among youth | Reuters

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GunOverall, for every 100,000 males ages 10 to 24, about 20 in rural areas committed suicide every year, compared to about 10 per year in urban areas.

And for every 100,000 females in that age group, about 4 died by suicide each year in rural communities, compared to about 2 each year in more urban areas.

via Rural, urban suicide gap widening among youth | Reuters.

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Untreated Dental Decay Is Falling Among Children – NYTimes.com

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Fewer cavities but drop may not be statistically significant, says CDC

Child having teeth examined at dentistsCavities in preschoolers appear to be declining and fewer young children have untreated dental decay, federal health authorities reported on Thursday.

It is the first drop in dental decay for this age group since 2007, when a report from the Centers for Disease Control and Prevention cited an alarming rise in decayed baby teeth.

via Untreated Dental Decay Is Falling Among Children – NYTimes.com.

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Racial and ethnic disparities persist in teen pregnancy rates

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African-American and Latina girls are more than twice as likely as white girls to become pregnant before they leave adolescence, which continues to confound states.

SLN_Feb03_teenpregnancy

By Teresa Wiltz
Stateline

LaNita Harris of the Oklahoma City County Health Department explains two of the posters the department uses in its Teen Pregnancy Prevention program. Although teen pregnancy and birth rates have dropped the past two decades, states still face the reality that black and Latina teens are more than twice as likely as white teens to become pregnant. (AP)

It’s a problem once thought to be intractable, and yet pregnancy and birth rates for black and Latina teens have dropped precipitously in the past two decades—at a much faster clip than that of white teens.

Despite this, black and Latina girls are more than twice as likely as white girls to become pregnant before they leave adolescence.

This glass half-full, half-empty scenario is a dilemma that continues to confound states. The racial and ethnic disparities surrounding teen pregnancy are stubborn, often a cause and consequence of poverty and a complex array of societal factors.

Teen pregnancies are usually unplanned and come with a steep price tag, costing U.S. taxpayers up to $28 billion a year, according to the Office of Adolescent Health, which is part of the U.S. Department of Health and Human Services.

Some states like Mississippi have found innovative ways to tackle the problem by targeting specific populations, while others like Kansas are serving up bills that make it more difficult for teens to access sex education, which is a critical component of preventing pregnancy in adolescence, according to advocates such as the National Campaign to Prevent Teen and Unplanned Pregnancy. Continue reading

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Health officials perplexed by vaccination skeptics – AP

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Boy gets shot vaccine injectionScientists have long assumed the problem is that some parents are simply misinformed, and providing them “corrective information” will clear things up. But some studies have shown that doesn’t seem to work. For example, in the last 15 years, a leading concern of many vaccine opponents is that shots trigger autism in children. One recent study found that some vaccine-opposed parents could be presented with medical evidence disproving that, and seemed persuaded. But they also said they still did not intend to vaccinate their kids.

via News from The Associated Press.

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Measles outbreak continues

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From January 1 to February 13, 2015, 141 people from 17 states and Washington DC were reported to have measles, according to the US Centers for Disease Control and Prevention

State tallies: [AZ (7), CA (98), CO (1), DC (1), DE (1), IL (11), MI (1), MN (1), NE (2), NJ (1), NY (2), NV (4), OR (1), PA (1), SD (2) TX (1), UT (2), WA (4)]†. Most of these cases [113 cases (80%)] are part of a large, ongoing multi-state outbreak linked to an amusement park in California.

state-measles-cases

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Federal policy change may boost school-based health services

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school_nurse_clip_artBy Michael Ollove
Stateline

A recent federal policy reversal, long-sought by states and health care advocates, could enable schools to take a lead role in managing chronic childhood diseases and result in the hiring of many more school nurses.

The change, announced quietly and unexpectedly last month by the Centers for Medicare and Medicaid Services (CMS), will allow public schools to receive Medicaid money for health services they provide to eligible students for the first time since 1997.

“Children don’t park their chronic diseases outside the school doors,” – Donna Mazyck, exe. dir. National Association of School Nurses.

Once several financing and bureaucratic hurdles are cleared, advocates believe the new policy will improve the coordination of care provided to children with conditions such as asthma, diabetes and mental illness. It will be especially important, they say, for low-income kids who are less likely to have comprehensive medical coverage.

The policy change had been sought for at least 10 years by states and advocacy groups working in the area of children’s health. CMS declined to comment, beyond the letter it sent to state Medicaid directors announcing the decision.

“It’s still so early, a month into the rule changes, but this represents a tremendous opportunity to address children’s health needs,” said Mary-Beth Malcarney, an assistant research professor at the George Washington University School of Public Health, whose work was used by the coalition of advocacy groups that pushed CMS for the change. Continue reading

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Too little, too late for many New Yorkers seeking hospice

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By Fred Mogul, WNYC

Sandra Lopez and her Chihuahua, Coco, were inseparable. He followed her everywhere, and kept Lopez’s mood up when she was in pain – which was often.

On Oct. 15, Lopez, died at age 49 of pancreatic and vaginal cancer that had slowly spread throughout her body over two years. She left behind a 15-year-old daughter and little Coco. But with hospice care, she spent her last weeks where she wanted to be — at home, with her pain under control.

Sandra was in and out of the hospital in 2014, but for the months she was home, a hospice nurse from Metropolitan Jewish Health System visited once a week to help manage the pain, backed up by a 24-hour, nurse-staffed phone line that Lopez called often.

“Some days the pain is so excruciating,” she told me in August from the couch in her Brooklyn apartment, “that the pain overrides the medication.”

But despite evidence that hospices can greatly relieve discomfort, extend life and save money, and despite a generous hospice benefit available through both Medicare and Medicaid, relatively few people in New York take advantage of it, compared to elsewhere in the country.

Continue reading

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More than half of U.S. infants sleep with unsafe bedding

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From the National Institutes of Health

NIH, CDC study shows unsafe infant bedding use still common, despite warnings

Alert IconNearly 55 percent of U.S. infants are placed to sleep with bedding that increases the risk of sudden infant death syndrome, or SIDS, despite recommendations against the practice, report researchers at the National Institutes of Health, the Centers for Disease Control and Prevention, and other institutions.

Soft objects and loose bedding — such as thick blankets, quilts, and pillows — can obstruct an infant’s airway and pose a suffocation risk, according to the NIH’s Safe to Sleep campaign.

Soft bedding has also been shown to increase the risk of SIDS Infants should be placed to sleep alone, on their backs, on a firm sleep surface, such as in a mattress in a safety-approved crib, covered by a fitted sheet. Soft objects, toys, crib bumpers, quilts, comforters and loose bedding should be kept out of the baby’s sleep area.

Parents have good intentions but may not understand that blankets, quilts and pillows increase a baby’s risk of SIDS and accidental suffocation.”—Carrie K. Shapiro-Mendoza, Ph.D.

Based on responses from nearly 20,000 caregivers, the researchers reported that, although such potentially unsafe bedding use declined from 85.9 percent in 1993-1995, it still remained high, at 54.7 percent, in 2008-2010.

“Parents have good intentions but may not understand that blankets, quilts and pillows increase a baby’s risk of SIDS and accidental suffocation,” said the study’s first author, Carrie K. Shapiro-Mendoza, Ph.D., M.P.H., senior scientist in the CDC’s Division of Reproductive Health in Atlanta.  Continue reading

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