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South Dakota Gov. Kristi Noem signed a bill that bans gender-affirming health care for trans youth. To get gender-affirming care for her son, she now has to drive more than 230 miles out of state. South Dakota Gov. The family also has deep ties to South Dakota, and their 7-year-old child is comfortable and settled in the state.
Dr. Harvey Karp nearly announced last summer that the FDA certified that Snoo reduces SIDS. But 15 years later, the ability of the Snoo — now on the market as a $1,700 high-tech bassinet — to reduce SIDS remains unproven. Despite lofty promises from Karp and Nina Montée Karp, his wife and cofounder, experts who spoke with Insider remain skeptical. Karp said he and his wife created the Snoo to reduce parent stress and reduce SIDS. But the FDA approval never came, and the press release was never officially distributed.
Karp and Montée Karp built the hype into a parenting-media empire that put out three books and two instructional films in 10 years. Karp and Montée Karp met at a Hollywood party in the early '90s. Karp and Montée Karp promised her independence and flexibility to accommodate her two young children's day-care schedules and a 90-minute commute. Karp and Montée Karp insisted on being involved in minutiae that most top executives hand off. Karp and Montée Karp turned the Snoo into an award-winning holy grail of parenthood in just a few years.
Karp and Montée Karp built the hype into a parenting-media empire that put out three books and two instructional films in 10 years. Karp and Montée Karp met at a Hollywood party in the early '90s. Karp and Montée Karp promised her independence and flexibility to accommodate her two young children's day-care schedules and a 90-minute commute. Karp and Montée Karp insisted on being involved in minutiae that most top executives hand off. Karp and Montée Karp turned the Snoo into an award-winning holy grail of parenthood in just a few years.
The Miami Palmetto Senior High School Lady Panthers huddle before the start of their basketball game against the Miami Senior High School Lady Stings at Miami Senior High School on Feb. 3, 2023, in Miami. Florida schools will no longer ask student-athletes to share their menstrual histories in order to play high school sports, following months of opposition from parents, physicians and advocates. Until now, the form included five optional questions about a student-athlete's menstrual history. Now, however, the newly adopted form will not ask student-athletes about menstruation, instead requiring them to fill out questions about their medical, surgical and emotional histories. (The organization did not provide statistics on transgender and nonbinary people's participation in high school sports in Florida.)
Once a child outgrows an infant car seat, a convertible seat is the next step up. Based on our tests, Consumer Reports recommends that parents transition their children to a rear-facing convertible seat by age 1. By contrast, in almost all the rear-facing convertible seats, the head of the dummy avoided contact. Bottom LineMost children will need to move from an infant seat to a convertible seat to remain rear-facing. The Britax ClickTight convertible seats also stand out because they’re almost as easy to install rear-facing as they are to place when forward-facing.
Utah is likely to become the first state to ban gender-affirming medical care for transgender minors this year. The Utah Senate approved a bill Friday that would bar minors from receiving gender-affirming surgeries and place an indefinite moratorium on their access to puberty blockers and hormone therapy. Spencer Cox, who became the second Republican governor last year to veto a bill that bars transgender students from playing girls’ sports. Bri Martin, the editor of the student newspaper at West High School, described gender-affirming care as “nothing short of life-saving,” the Salt Lake Tribune reported. The bill also allows minors to sue medical providers for malpractice for gender-affirming medical care if the minor “later disaffirms consent” before they turn 25.
And there are questions about the quality of care at urgent care centers and whether they adequately serve low-income communities. Additionally, passage of the Affordable Care Act in 2010 spurred an increase in urgent care providers as millions of newly insured Americans sought out health care. Private-equity and venture capital funds also poured billions into deals for urgent care centers, according to data from PitchBook. Equity concernsSome doctors and researchers worry that patients with primary care doctors – and those without – are substituting urgent care visits in place of a primary care provider. There are also concerns about the oversaturation of urgent care centers in higher-income areas that have more consumers with private health care and limited access in medically underserved areas.
State legislators across the country proposed a record number of bills targeting LGBTQ rights last year, but less than 1 in 10 have become law, a report published Thursday by the Human Rights Campaign found. The LGBTQ advocacy group’s 2022 State Equality Index, an annual review of state legislation and policies that affects the rights of lesbian, gay, bisexual, transgender and queer people, found that state lawmakers introduced 315 bills that HRC described as “anti-equality.” Of those, just 29 became law. “I know they don’t see that, but these are not winning issues.”This year’s State Equality Index also found that state lawmakers introduced 156 “pro-equality” bills, of which 23, or just under 15%, became law. Seventeen states bar Medicaid from covering certain transgender medical care. In just the first few weeks of the year, state lawmakers have introduced nearly 150 such bills, with the majority continuing to target LGBTQ youth, according to an NBC News analysis.
Autism rates tripled among children in the New York and New Jersey metropolitan area from 2000 to 2016, according to a study published Thursday in the journal Pediatrics. Although there is no medical test for autism, the CDC has established a network of 17 sites across the country that estimate autism rates based on a combination of formal medical diagnoses and records from schools and health care providers. Nationally, the rise in autism rates has been similar to the trend in New York and New Jersey, according to a 2021 CDC report. But there’s probably more to the story: Genetic factors, and perhaps some environmental ones, too, might also be contributing to the trend. Beyond the improvements in diagnostics, genetic factors could be driving up autism cases on their own, experts said.
Transgender youths reported more life satisfaction and fewer symptoms of depression and anxiety after receiving gender-affirming hormone therapy for two years, according to a new study. However, medical associations such as the American Medical Association and the American Academy of Pediatrics, among others, oppose efforts to restrict gender-affirming care for minors. In addition to the New England Journal of Medicine study, about half a dozen others have shown that access to puberty blockers and hormone therapy can improve mental health outcomes, including reducing suicidal ideation, among transgender youths. Three studies — two published in 2020 and another published in 2021 — found that earlier access to gender-affirming medical care is associated with better mental health. They also noted that improvement in mental health varied widely, and that some participants continued to report high levels of depression and anxiety and lower levels of positive emotions and life satisfaction.
Do Overweight Kids Need Pills?
  + stars: | 2023-01-16 | by ( Allysia Finley | ) www.wsj.com   time to read: 1 min
Childhood obesity rates have been climbing since the 1970s, but kids have never packed on as many pounds as quickly as they did during Covid shutdowns. According to one study, the share of 5- to 11-year-olds classified as obese ballooned by nearly 40% between March 2020 and January 2021. About 1 in every 4 kids by the end of the study was considered obese. The AAP last week recommended weight-loss drugs and bariatric surgery for obese adolescents and teens. Such interventions are supposed to be a last resort, but medicating children has become the go-to solution for common problems like anxiety and impulse control.
So far, Texas has taken the lead with 36 such bills, according to Equality Texas, a statewide LGBTQ advocacy group. Four states — Arkansas, Alabama, Tennessee and Arizona — have enacted restrictions on gender-affirming medical care for minors, though federal judges have blocked them from taking effect in Arkansas and Alabama. State Sen. David Bullard, the Republican sponsoring the bill, told The Oklahoman that gender-affirming medical care is a “permanent change in your body that cannot be reversed. Accredited medical associations — including the American Medical Association, the American Academy of Pediatrics and the American Psychological Association — have supported gender-affirming care for minors. Advocates and doctors who treat trans youth have said many of the health care restrictions proposed by state legislators mischaracterize what gender-affirming care is.
Childhood vaccinations across the U.S fallen for a second year in a row, leaving hundreds of thousands of kids vulnerable to otherwise preventable illnesses. But fears stoked by vaccine misinformation have also been a growing problem, O'Leary said. "We're still trying to understand the extent to which misinformation around Covid vaccines has spread to misinformation about other childhood vaccines," he said. In a December interview, Dr. Rochelle Walensky, the CDC's director, told NBC News that vaccine misinformation is one of the biggest threats to public health. About a third of kids ages 5 through 11 have had two doses of a Covid vaccine.
Overall, those receiving state-required vaccinations declined to about 93% last year, down from 94% in the previous school year and 95% in the 2019-2020 school year, according to the CDC report. All U.S. states require the vaccine against measles and rubella and all but Iowa require a shots against mumps. All states also require the combined diphtheria, tetanus and acellular pertussis shot and the vaccine against poliovirus, while 49 states require inoculations against varicella, or chickenpox. Exemptions for vaccinations, which may be granted by states in cases where parents request them for their children remained low at 2.6%. O'Leary said the data points to U.S. needs for a focus on addressing access and poverty in order to increase vaccination rates.
"And we know that measles, mumps and rubella vaccination coverage for kindergarteners is the lowest it has been in over a decade," Peacock said. Nearly a quarter of a million kindergartners are potentially vulnerable to measles due to a dip in vaccination coverage during the pandemic, according to the Centers for Disease Control and Prevention. Kindergarteners are required to be vaccinated against measles, mumps and rubella, chickenpox, polio, and diphtheria, tetanus and pertussis. The vaccination rates for measles, mumps and rubella was 93.5% during the 2021-2022 school year, below the target coverage of 95% to prevent outbreaks. The CDC report looked at whether the kindergarteners had received the second dose of their measles, mumps and rubella vaccine.
Intensive behavioral and lifestyle changes should be the first-line approach, but the AAP also includes recommendations for anti-obesity medications and surgery for the first time. The guidelines say that pediatricians should offer weight-loss drugs for children age 12 and up with obesity. She also acknowledged that these lifestyle changes can be really hard to adopt, especially for overworked and low-income parents. The more adverse the environment around you, the harder it is to live a healthy lifestyle,” Hassink said. Medications and surgery are expensive, and asking overstretched parents to implement lifestyle changes is not always realistic.
Pediatricians Recommend Weight-Loss Drugs for Obese Children
  + stars: | 2023-01-09 | by ( Sarah Toy | ) www.wsj.com   time to read: +1 min
Children 12 and older who are obese should be offered weight-loss medications alongside lifestyle and behavioral counseling, according to new American Academy of Pediatrics guidelines. The American Academy of Pediatrics for the first time recommended physicians offer weight-loss drugs for children with obesity, aiming to take early action against an increasingly common condition linked to a host of health problems. Children 12 or older who are obese should be offered medications for weight loss alongside lifestyle and behavioral counseling, according to guidelines published on Monday by the largest professional association of pediatricians in the U.S. The association also recommended that doctors offer to refer severely obese children 13 or older to surgeons to assess whether they would be good candidates for bariatric surgery. It said pediatricians should screen obese children for high cholesterol, diabetes and hypertension.
Metformin has been used off label to achieve weight loss in children. Of the 27 randomized trials of metformin for weight loss in children reviewed by the guidelines panel, 74% showed some positive effect of the medication. Wegovy last month won U.S. approval for chronic weight management in children ages 12 and older. For children ages 2 to 12 years, AAP said there was not currently enough evidence to recommend use of these medications. They also include recommendations for diagnosing obesity annually in children ages 6 years and older, through checks on BMI, and practices such as motivational interviewing.
Researchers have discovered myriad risk factors associated with autism, including infections during pregnancy, air pollution and maternal stress. “We can detect the clear rhythm of autism with just about one centimeter of hair,” Arora said. Autism diagnosis timingArora and his team hope their technology could help young children, even newborns, receive early interventions for autism sooner than they can now. “We want to enable early intervention.”There is not yet a biological test for autism spectrum disorder. Perhaps eventually, that information could open up new pathways for the development of drugs or therapies for autism, he said.
Last year, the nation’s largest LGBTQ advocacy organization, the Human Rights Campaign, labeled 2021 the “worst year” for LGBTQ rights in modern U.S. history, citing a record number of anti-LGBTQ bills introduced in state legislatures across the country. “The LGBTQ+ community is really under siege right now,” said Ricardo Martinez, CEO of LGBTQ advocacy group Equality Texas. One bill that was successfully implemented, and gained national headlines for months, was Florida’s Parental Rights in Education law, or what critics have dubbed the “Don’t Say Gay” bill. The word “grooming” has long been associated with mischaracterizing LGBTQ people, particularly gay men and transgender women, as child sex abusers. Those losses came after some conservative groups ramped up misleading or inflammatory campaign ads targeting transgender rights.
Why detransitioners are crucial to the science of gender care
  + stars: | 2022-12-22 | by ( ) www.reuters.com   time to read: +43 min
A Canadian health provider said it couldn’t participate, citing recent threats to hospitals offering youth gender care. But as Reuters found, hard evidence on long-term outcomes for the rising numbers of people who received gender treatment as minors is very weak. Dr Marianne van der Loos, the Dutch study’s lead author, is a physician at Amsterdam University Medical Center’s Center for Expertise on Gender Dysphoria, a pioneer in gender care for adolescents. For those who also received medical treatment, detransitioning typically includes halting the hormone therapy they otherwise would receive for years. One is Max Robinson, who was 16 when she sought gender care at Kaiser in 2012.
Pharmacists and parents across the country are contending with empty shelves as they search for children’s pain relief medications amid the ongoing spread of RSV, flu and Covid. CVS and Walgreens each announced on Monday that they are limiting the number of children's pain relief medications customers can buy: CVS to two, and Walgreens to six. Courtesy Chantel JablonskiCaswell said shortages of children’s Tylenol and ibuprofen and their generic versions started a month or two ago. Johnson & Johnson Motrin brand children's pain relievers at a Stop & Shop store in Dobbs Ferry, N.Y., on Jan. 23, 2022. Khan said “this is probably the worst” shortage of children’s medicine he’s seen, surpassing even peak Covid.
Others should join them as the fight for federal paid sick time rights continues. Three years into a pandemic, nearly 1 in 4 private sector workers in the U.S. still don’t have a single paid sick day. Millions more do not have paid sick time to care for sick children. Paid sick time is also an investment in one of our most powerful tools to build up children’s fragile immune systems: vaccination. We must act now to ensure that everyone has the paid sick time they need for themselves and their families.
The vast majority are either unvaccinated or have received just one of the two recommended doses of measles, mumps and rubella vaccine, according to City of Columbus Public Health. The outbreak, the largest in the U.S. since 2019, is happening as resistance to school vaccination requirements is spreading across the country. The percentage of parents who said they were against vaccination requirements for school was even higher. "As I think about the challenges that we have to public health vaccine, misinformation is among the biggest threats," she said. "Here in Ohio, we have some pretty active anti-vaccine groups," said Tara Smith, a professor of epidemiology at the Kent State University College of Public Health.
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