What if there were a virus that killed or maimed dozens of children daily in the U.S.? We know its structure, mechanism of death and disability, and potential cure, yet we are not funded to research it, to remove antiquated laws that keep it alive and become deadlier as it sits in wait in over 80 million homes, coat pockets, backpacks, and schools.

The unimaginable has happened again. Fingers point and newspaper columns, talk shows, Twitter and Facebook feeds swarm with a tsunami of blame, angst, agony, and personal tragic stories of grief beyond words, repeated with a regularity that no other country in the world accepts. Names of schools big and small forever etched in our consciousness - Columbine, Newtown, and now Parkland. Names of children, sons and daughters, whose parents had marked in their calendars graduation days, teacher conferences, and school dances, that their children now will not attend, due to the inability of, as we were so recently reminded of by a Parkland student who is not yet able to vote or serve in the military, , "We're kids. You're the adults. You're supposed to protect us." The AAP's recent statement on the Parkland school shooting stated that, "Every one of our 100 U.S. senators and all 435 U.S. representatives bear a responsibility to take meaningful action to protect our children, our families, and our communities. Our elected leaders cannot continue to fail at this most essential task." And failing they are: 90 deaths a day by firearms including 7 children a day.

The majority of Americans want and deserve improved gun safety measures such as banning assault rifles and the absurd bump stocks. We want universal background checks, extreme risk protection orders, and funding of research for gun safety. This should be just the minimum.

Unfortunately, even these common-sense measures wouldn't decrease gun deaths of children or their family members much in concentrated areas of violence and poverty outside of school walls, on street corners, and in homes where firearms are still not safely stored - in over a third of households - while suicide by firearm takes over 22,000 lives annually. We have smart gun technology where only a registered owner would be able to fire their gun. We have limited background checks that must be improved. We have legislators that continue to fight for what is right. But until we can honestly look a mother or father in the eye and promise them that their beloved sons and daughters will not be exposed to this deadly scourge in their schools, in their neighborhoods, and in their homes, we cannot lay idle. There are 7 children at risk of dying today and tomorrow. They need our every preventative effort. Now.

The Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2018 is available on the CDC website as an 8-page color document in PDF format. Click here  to go to the schedule.

Changes in the 2018 immunization schedules for children and adolescents aged 18 years or younger include: new or revised ACIP recommendations for poliovirus, influenza and measles, mumps, and rubella vaccines; and clarification of the recommendations for rotavirus and pneumococcal vaccines.

Changes Affecting Multiple Portions of the Schedule include: Mention of MenHiberix (Hib-MenCY) vaccine has been removed from Figure 1 and Figure 2 and the relevant footnotes (Hib and meningococcal A,C,W,Y). Manufacturing of MenHiberix has been discontinued in the United States and all available doses have expired.

Cover Page. Changes to the 2018 figure from the 2017 schedule are as follows: A table was added outlining vaccine type, abbreviation, and brand names for vaccines discussed in the child/adolescent immunization schedule.

Figure 2. Changes to the 2018 figure from the 2017 schedule are as follows: The maximum ages for the first and last doses in the rotavirus vaccination series were added to the rotavirus vaccine row. The inactivated poliovirus vaccine rows were edited to clarify the catch-up recommendations for children 4 years of age and older.

Figure 3. Changes to the 2018 figure from that in the 2017 schedule include: A reference was added to the HIV column of the figure. The reference provides additional information regarding HIV laboratory parameters and use of live vaccines. Within the pneumococcal conjugate row, stippling was added to heart disease/chronic lung disease, chronic liver disease, and diabetes columns to clarify that, in some situations, an additional dose of vaccine might be recommended for children with these conditions.

Footnotes. The footnotes are presented in a new simplified format. The goal was to remove unnecessary text, preserve all pertinent information, and maintain clarity. This was accomplished by a transition from complete sentences to bullets, removal of unnecessary or redundant language, and formatting changes. In addition to this overall simplification, content changes include: The Hepatitis B vaccine (HepB) footnote was revised to include information regarding vaccination of <2,000-g infants born to hepatitis B virus surface antigen (HBsAg)-negative mothers. The poliovirus vaccine footnote was revised to include updated guidance for persons who received oral poliovirus vaccine as part of their vaccination series.

* The influenza vaccine footnote has been updated to indicate that live attenuated influenza vaccine (LAIV) should not be used during the 2017-2018 influenza season. A reference link to the 2017-2018 season influenza recommendations has been added.

* The measles, mumps, and rubella vaccine (MMR) footnote was updated to include guidance regarding the use of a third dose of mumps virus-containing vaccine during a mumps outbreak.

* The meningococcal vaccine footnote has been edited to create separate footnotes for MenACWY and MenB vaccines.

The recommended birth through 18 years and catch-up immunization schedules have been approved by ACIP, the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists.

Join us for a presentation by and discussion with:

Dina Ross, PhD (sociologist, parent educator, and feeding expert)

Dr. Rose has developed a unique and valuable perspective on the challenge of successfully starting children off on a varied diet and introducing new foods at any age. She is the creator of "It's Not About Nutrition" and "The Super Food Explorer Kit", and author of "It's Not About the Broccoli: Three Habits to Teach Your Kids for a Lifetime of Healthy Eating."

Objectives -- At the conclusion of the activity, participants should be able to:

  • More information to come

To register: https://www.surveymonkey.com/r/LetsTalkDinaRose

We encourage participation by all individuals. Advance notification of any special needs will help us better serve you. Please notify us of your needs at least two weeks in advance of the program.

Questions? Please email This email address is being protected from spambots. You need JavaScript enabled to view it.">Amy Wishner or This email address is being protected from spambots. You need JavaScript enabled to view it.">Samantha Pierpont 

EPIC® Pediatric Obesity is funded by a grant from the Pennsylvania Department of Health.

Additional Info

  • Event Start Date 2018-11-15
  • Event Start Time 12:00 PM
  • Event End Time 1:30 PM
  • Live Event Webinar? Yes

Hilton Hotel, Harrisburg PA

Save the date! More information to come.

Additional Info

  • Event Start Date 2018-08-16
  • Event Start Time 8:00 AM
  • Live Event Webinar? Yes
October 18 2018 6:00 PM

PA AAP Executive Board Meeting

Save the Date!

Additional Info

  • Event Start Date 2018-10-18
  • Event Start Time 6:00 PM
  • Event End Time 9:00 PM
  • Live Event Webinar? Yes
October 19 2018 8:00 AM

PA Leadership Meeting - Fall 2018

Save the Date!

Additional Info

  • Event Start Date 2018-10-19
  • Event Start Time 8:00
  • Live Event Webinar? Yes
March 19 2018 12:00 PM

LIVE Twitter Chat

Teen Health Week Twitter Chat

#Teens4Vaccines
@ImmunizePA

We will discuss and share facts about vaccines and vaccine preventable diseases.
Share with @ImmunizePA what you are doing for #TeenHealthWeek 2018.
Ask @ImmunizePA your questions about vaccines and vaccine preventable diseases.

Planned by the PA Immunization Coalition

Additional Info

  • Event Start Date 2018-03-19
  • Event End Date 2018-03-19
  • Event Start Time 12:00 PM
  • Live Event Webinar? Yes
March 11 2018 11:29 PM

International Teen Health Week

Written by

International Teen Health Week (March 18-24) plans are underway all over the world including in Haiti, Switzerland, Australia, Brazil, Hungary, and many states in the US. An interactive map and information about how to be involved can be found here

LIVE Twitter Chat!
Planned for Teen Health Week by the PA Immunization Coalition

 March 19, 12 pm
#Teens4Vaccines
@immunizePA

Resident Corner: Access 4 Kids

Every year, the Section on Pediatric Trainees has implemented an advocacy campaign. Currently, we are in the middle of "Access 4 Kids." The focus of this campaign is advocating for improved access to healthcare for all children. This has been difficult at times this year and even has teetered on the brink of extinction for some children. The four main populations of children that the campaign is geared toward are: children living in foster care or group homes; immigrant children; children identifying as lesbian, gay, bisexual, transgender or questioning; and, children with special health care needs. These groups have been recognized as some of the most vulnerable.

The attention this quarter is toward access to healthcare for immigrant children and The Deferred Action for Childhood Arrivals program (DACA). DACA has been in place since 2012 and has granted eligible youth relief from deportation and work authorization, enabling them to better care for themselves and their families and give back to their communities. However, on September 5, 2017, the Trump administration announced that it will end DACA in 6 months.

Access to healthcare and the ability to visit a physician is essential in improving and determining children's health. We as trainees recognize this key piece to children's health and well-being and are dedicated to advocating for our patients. We encourage all pediatricians to get involved. Reach out to your local residency programs for more information!

See these resources: 
AAP Immigrant Child Health Toolkit
AAP Immigrant Health Toolkit, and the 
AAP statement from September 2017 on the reversal of DACA.

 

This is the first update from the newly formed Advocacy Committee. We hope to organize, and disseminate state and community-wide advocacy priorities for our members to empower them to regularly act on behalf of Pennsylvania's children and pediatricians. Please reach out to us if you would like to participate!

It was with great excitement in January when the Children's Health Insurance Program (CHIP) was funded for six years. Fortunately, that excitement was further augmented in early February when CHIP funding was extended for 10 years. It was a breath of fresh air and a great victory for pediatricians like us in Pennsylvania who had worked so hard to support CHIP legislation. We understand how important CHIP is for the children we care for, and we deserved the celebration.

The excitement and celebration of CHIP seemed to wear off quickly, however, with a renewed focus on firearm violence surrounding the tragic events in Parkland, Florida. If you have not viewed the national AAP statement, it is available here. At the PA AAP, we are currently aligning with the AAP's national efforts, and will continue to update you on legislative activities in PA surrounding firearm violence prevention. We would appreciate any passionate members with innovative ideas to reach out to our committee, as this particular issue is going to require all of our collective best efforts.

Other issues our committee has been focusing on include the opioid epidemic, immunization bills intended to raise barriers to vaccination, and CRNP scope of practice. We have greatly appreciated those members who have written to us and even taken the lead on some of these issues they are passionate about, and we encourage all of you to continue to do so.

In regards to our committee, we are currently in the process of adding a resident and a medical student. Applications have been distributed and if you know any residents or medical students who are interested, please have them reach out to us directly.

Lastly, our advocacy day is coming up in April 27 - see following article. All members are welcome to join. We will likely be addressing firearm violence given the current momentum and importance of a collective effort to advance legislation on this issue. We welcome your participation and feedback.

Thank you all, and keep up the strong work for children and families in Pennsylvania. Please let us know how we can best assist you.