Morning Briefing
Summaries of health policy coverage from major news organizations
Health Officials, Doctors Struggle To Explain Rise In Cases Of Polio-Like Illness
There have been 80 confirmed cases of the polio-like illness known as AFM in 25 states this year as of Friday, the US Centers for Disease Control and Prevention said Monday. In addition, there are 219 cases under investigation. This is eight more confirmed cases than the agency reported last week and 20 additional patients under investigation. (Goldschmidt, 11/5)
The condition is called acute flaccid myelitis, or AFM. Though rare, it has jumped onto the national radar. As doctors struggle to explain its third nationwide peak since 2014, families like the Bottomleys are trying to provide hope to others hit with the sudden, polio-like disease and to push for more awareness in the medical community. AFM causes inflammation of the nervous system, particularly the gray matter of the spinal cord, which results in weakening muscles in usually one or more arms and legs. It can also affect the face and lead to difficulty swallowing or even breathing. Almost all AFM patients are hospitalized for several days or even months. (Reddy, 11/6)
There isn't a cure for AFM, and the agency doesn鈥檛 know what causes the illness. The CDC said there is no specific treatment for AFM; there鈥檚 no known medical treatment that can reverse the effects once the central nervous system is attacked. Rehabilitation can help some patients regain function, but there are many unknown factors. (Weixel, 11/5)
The number of measles cases in the United States so far this year has surpassed 2017 with the potential for about a quarter of the highly contagious respiratory infections to be occurring in one New York county north of New York City. Nationwide as of Oct. 6, the most recent nationwide data available, 142 measles cases had been reported, according to the federal Centers for Disease Control and Prevention. The number of people sickened, mostly unvaccinated, exceeded the 2017 total of 120 in mid-August. (Cutler, 11/5)
Meanwhile, pediatricians offer advice about common childhood health issues聽鈥
The academy says research since its 1998 discipline policy led to the update. It says spanking is falling out of favor among parents, especially those with young children. While some parents still believe it can lead to short-term improvements in behavior, studies show spanking is no more effective than non-physical punishment, including timeouts, setting firm limits and establishing unwanted consequences. (Tanner, 11/5)
Parents should not spank their children, the American Academy of Pediatrics said on Monday in its most strongly worded policy statement warning against the harmful effects of corporal punishment in the home. The group, which represents about 67,000 doctors, also recommended that pediatricians advise parents against the use of spanking, which it defined as 鈥渘oninjurious, openhanded hitting with the intention of modifying child behavior,鈥 and said to avoid using nonphysical punishment that is humiliating, scary or threatening. (Caron, 11/5)
Parents are often disappointed or even a little bit upset when I tell them there鈥檚 no medicine to help their coughing, sneezing, drippy-nosed children feel better. There鈥檚 nothing that works, I say, and medicines can have bad side effects. We don鈥檛 recommend any of the cough and cold medications for children under 6. But after all, parents are intimately aware of just how miserable a cough and a runny nose and congestion can make a small child feel, from cranky days to disruptive nights. (Klass, 11/5)
And in Louisiana聽鈥
Louisiana has the second-highest early, or preterm, birth rate in the U.S., earning it an 鈥楩鈥 rating, according to a recent report from the March of Dimes, a non-profit organization advocating for maternal and infant health. According to the Preterm Birth Report Card, published Nov. 1, Louisiana had a 12.7 percent preterm birth rate in 2017. Mississippi was the only state that ranked lower, at 13.6 percent. Baton Rouge and New Orleans are among the 10 cities in the country with the highest preterm birth rates, according to the report. The overall preterm birth rate in the U.S. rose to 9.93 percent in 2017 from 9.85 percent the year before, according to data from the National Center for Health Statistics. (Clark, 11/5)