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MNAAP Newsletter

Word from the President: Celebrating Large Chapter of the Year

By Robert M. Jacobson, MD, FAAP, president of MNAAP

In case you haven’t heard, MNAAP received the 2014 Outstanding Large Chapter of the Year award in March at AAP’s Annual Leadership Forum. AAP has been awarding chapters for their performance since 1964. Of its 66 chapters, 18 are defined as large. Minnesota is among those 18. We’ve won the award twice before, most recently in 2010 under the leadership of Anne Edwards, MD.

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Is Breastfeeding Still Best? MN Hospitals Make Changes to Support it

By Pamela Heggie, MD, FAAP, IBCLC, Fairview Children’s Clinic, Minneapolis and Robert M. Jacobson, MD, FAAP, Mayo Clinic, Rochester and MNAAP President

A recent article published in the journal Social Science and Medicine made headlines and was widely quoted in blogs, email list-serves and Facebook: “Is Breast Truly Best? Estimating the Effects of Breastfeeding on Long-term Child Health and Wellbeing in the United States Using Sibling Comparisons” (Colen, 2014). This article raised questions about the long-term benefits of breastfeeding on health outcomes for children.

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Have You Heard? MN has Updated its EHDI Guidelines

By Michael Severson, MD, FAAP, pediatrician and EHDI Advisory Board Member; Faith Kidder, CPNP, Child and Teen Checkups at the Minnesota Department of Health, and Cara Weston, Newborn & Child Follow Up Unit at the Minnesota Department of Health

Hearing screeners in Minnesota have a valuable new resource in the Guidelines for Hearing Screening after the Newborn Period to Kindergarten Age, recently approved by the Minnesota Newborn Hearing Screening Advisory Committee.

The new guidelines provide Minnesota-specific information and resources, including details on screening equipment, protocols, and pass/refer criteria, as well as Individuals with Disabilities Education Act (IDEA) Part C and Part B referral and evaluation. They also clarify documentation and reporting requirements.

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Poverty, Toxic Stress and Health Disparities

By Charles N. Oberg. MD, FAAP, Program Director of Maternal and Child Health at the University of Minnesota’s School of Public Health; pediatrician at Hennepin County Medical Center; District VI Vice Chair for the American Academy of Pediatrics

In 2013 the AAP added poverty and child health to its strategic plan as a key priority calling for further investigation as well as action. Its agenda reads in part, “When families can’t afford the basics in life, it negatively affects their health. Poverty can inhibit children’s ability to learn and contribute to social, emotional, and behavioral problems. Furthermore, poverty is a contributing factor to toxic stress, which has been shown to disrupt the developing brains of infants and children and influence behavioral, educational, economic and health outcomes for years.” As poverty affects children from minority communities at higher rates, the resulting disparity in toxic stress results in disparities of health.

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