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		<title>US pediatricians&#8217; group moves to abandon race-based guidance</title>
		<link>https://cincylink.com/2023/07/17/us-pediatricians-group-moves-to-abandon-race-based-guidance/</link>
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		<pubDate>Mon, 17 Jul 2023 05:00:26 +0000</pubDate>
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					<description><![CDATA[For years, pediatricians have followed flawed guidelines linking race to risks for urinary infections and newborn jaundice. In a new policy announced Monday, the American Academy of Pediatrics said it is putting all its guidance under the microscope to eliminate "race-based" medicine and resulting health disparities. Related video above: Doctor discusses review process for COVID-19 &#8230;]]></description>
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<p>
					For years, pediatricians have followed flawed guidelines linking race to risks for urinary infections and newborn jaundice. In a new policy announced Monday, the American Academy of Pediatrics said it is putting all its guidance under the microscope to eliminate "race-based" medicine and resulting health disparities. Related video above: Doctor discusses review process for COVID-19 vaccines for children under 4 years oldA re-examination of AAP treatment recommendations that began before George Floyd's 2020 death and intensified after it has doctors concerned that Black youngsters have been undertreated and overlooked, said Dr. Joseph Wright, lead author of the new policy and chief health equity officer at the University of Maryland's medical system.The influential academy has begun purging outdated advice. It is committing to scrutinizing its "entire catalog," including guidelines, educational materials, textbooks and newsletter articles, Wright said. "We are really being much more rigorous about the ways in which we assess risk for disease and health outcomes," Wright said. "We do have to hold ourselves accountable in that way. It's going to require a heavy lift."Dr. Brittani James, a family medicine doctor and medical director for a Chicago health center, said the academy is making a pivotal move."What makes this so monumental is the fact that this is a medical institution and it's not just words. They're acting," James said. In recent years, other major doctor groups including the American Medical Association have made similar pledges. They are spurred in part by civil rights and social justice movements, but also by science showing the strong roles that social conditions, genetics and other biological factors play in determining health.Last year, the academy retired a guideline calculation based on the unproven idea that Black children faced lower risks than white kids for urinary infections. A review had shown that the strongest risk factors were prior urinary infections and fevers lasting more than 48 hours, not race, Wright said.A revision to its newborn jaundice guidance — which currently suggests certain races have higher and lower risks — is planned for this summer, Wright said.Dr. Nia Heard-Garris, head of an academy group on minority health and equity and a pediatrician at Chicago's Lurie Children's Hospital, noted that the new policy includes a brief history "of how some of our frequently used clinical aids have come to be — via pseudoscience and racism."Whatever the intent, these aids have harmed patients, she said."This violates our oath as physicians — to do no harm — and as such should not be used,″ Heard-Garris said.Dr. Valerie Walker, a specialist in newborn care and health equity at Nationwide Children's Hospital in Columbus, Ohio, called the new policy "a critical step" toward reducing racial health disparities.The academy is urging other medical institutions and specialty groups to take a similar approach in working to eliminate racism in medicine."We can't just plug up one leak in a pipe full of holes and expect it to be remedied," said Heard-Garris. "This statement shines a light for pediatricians and other healthcare providers to find and patch those holes."
				</p>
<div>
<p>For years, pediatricians have followed flawed guidelines linking race to risks for urinary infections and newborn jaundice. In a new policy announced Monday, the American Academy of Pediatrics said it is putting all its guidance under the microscope to eliminate "race-based" medicine and resulting health disparities. </p>
<p><strong><em>Related video above: Doctor discusses review process for COVID-19 vaccines for children under 4 years old</em></strong></p>
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<p>A re-examination of AAP treatment recommendations that began before George Floyd's 2020 death and intensified after it has doctors concerned that Black youngsters have been undertreated and overlooked, said Dr. Joseph Wright, lead author of the new policy and chief health equity officer at the University of Maryland's medical system.</p>
<p>The influential academy has begun purging outdated advice. It is committing to scrutinizing its "entire catalog," including guidelines, educational materials, textbooks and newsletter articles, Wright said. </p>
<p>"We are really being much more rigorous about the ways in which we assess risk for disease and health outcomes," Wright said. "We do have to hold ourselves accountable in that way. It's going to require a heavy lift."</p>
<p>Dr. Brittani James, a family medicine doctor and medical director for a Chicago health center, said the academy is making a pivotal move.</p>
<p>"What makes this so monumental is the fact that this is a medical institution and it's not just words. They're acting," James said. </p>
<p>In recent years, other major doctor groups including the American Medical Association have made similar pledges. They are spurred in part by civil rights and social justice movements, but also by science showing the strong roles that social conditions, genetics and other biological factors play in determining health.</p>
<p>Last year, the academy retired a guideline calculation based on the unproven idea that Black children faced lower risks than white kids for urinary infections. A review had shown that the strongest risk factors were prior urinary infections and fevers lasting more than 48 hours, not race, Wright said.</p>
<p>A revision to its newborn jaundice guidance — which currently suggests certain races have higher and lower risks — is planned for this summer, Wright said.</p>
<p>Dr. Nia Heard-Garris, head of an academy group on minority health and equity and a pediatrician at Chicago's Lurie Children's Hospital, noted that the new policy includes a brief history "of how some of our frequently used clinical aids have come to be — via pseudoscience and racism."</p>
<p>Whatever the intent, these aids have harmed patients, she said.</p>
<p>"This violates our oath as physicians — to do no harm — and as such should not be used,″ Heard-Garris said.</p>
<p>Dr. Valerie Walker, a specialist in newborn care and health equity at Nationwide Children's Hospital in Columbus, Ohio, called the new policy "a critical step" toward reducing racial health disparities.</p>
<p>The academy is urging other medical institutions and specialty groups to take a similar approach in working to eliminate racism in medicine.</p>
<p>"We can't just plug up one leak in a pipe full of holes and expect it to be remedied," said Heard-Garris. "This statement shines a light for pediatricians and other healthcare providers to find and patch those holes."</p>
</p></div>
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		<title>Kids need summer camp more than ever, so here are tips on how to do it safely</title>
		<link>https://cincylink.com/2021/07/10/kids-need-summer-camp-more-than-ever-so-here-are-tips-on-how-to-do-it-safely/</link>
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		<pubDate>Sat, 10 Jul 2021 04:39:09 +0000</pubDate>
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					<description><![CDATA[It's that time of year again. This is when parents start looking for summer camps for their kids. We asked the experts what summer camp will look like this year as we all try to navigate a post-pandemic world. Summer Camp before COVID seems like a whole different world. The YMCA says, if your last &#8230;]]></description>
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<p>It's that time of year again. This is when parents start looking for summer camps for their kids. </p>
<p>We asked the experts what summer camp will look like this year as we all try to navigate a post-pandemic world.</p>
<p>Summer Camp before COVID seems like a whole different world. </p>
<p>The YMCA says, if your last camp was in 2019, be prepared. </p>
<p>Everything will be further from the moment you sign your child up to the moment you drop them off. </p>
<p>“There will be safety protocols ahead of coming to camp," said YMCA CEO Paul McEntire. "They are often different requirements. Sometimes it is a test before you show up within 48-72 hours. Some do that that varies a good bit."</p>
<p>For McEntire, the camp is his job. </p>
<p>“We operate just over 320 overnight resident camps across the country and 10-thousand-day camps,” McEntire said. </p>
<p>This year, he says, they're moving towards more of an educational focus.</p>
<p>“That is one thing that will be distinctly different at many of our camps in 2021- dealing with the loss of learning that everyone’s going to have to be working on probably for a couple of years to help children catch up,” McEntire said. </p>
<p>Of course, the fun will be there, but it might look a little bit different, and COVID safety protocols might vary by region. In general, though, you can expect masks and minimal group mixing.</p>
<p>“As much as possible, the programs and activities and the things the kids love those are all the same," said McEntire. "A handful of things aren’t safe enough to do in COVID.” </p>
<p>As for safety and guidelines, they rely on the CDC. </p>
<p>Dr. Tanya Altmann, a Los Angeles Area Pediatrician and a spokesperson for the American Academy of Pediatrics, said that if there ever was a year that kids need camp, it's this year. </p>
<p>“This year, summer camp is going to be more important than ever for our kid's social and emotional well-being," Dr. Altmann said. "I’m online every day looking for camp options for my boys because I don’t want them sitting at home on zoom anymore. I want them outdoors, doing things and learning and having fun.” </p>
<p>She also says we've learned a lot. We know how to prevent transmission. We know the outdoors is safer. We know that we need to distance and wear a mask and do the proper sanitizing.</p>
<p>"Code Ninjas," a franchise that teaches kids to code, is primarily indoors. </p>
<p>In San Diego, the owners tell us that their summer classes are already filling up. There are only seven kids per session. A 6-foot distance, temperature checks, and masks will be enforced. For those who are still not comfortable, a virtual option is available. </p>
<p>“There’s going to be a lot of changes, but I think there are so many ways to make camp safe and fun and an amazing experience that these kids need this summer,” said Dr. Altmann.</p>
<p>At the YMCA, enrollment is already ahead of 2019 registration numbers, proving that parents need a break and want their kids to have a good, old-fashion summer. </p>
<p>"We know camp is such an important component for children for their social, emotional health, mental well-being, relationships and for just being a kid that’s always been what camp is about, right?' McEntire said.</p>
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