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MNAAP Newsletter

Pain-Reducing Measures in the Office Setting for Pediatric and Adolescent Immunizations

By Katy M. Bos, MS, APRN, ACNS-BC, PCNS-BC – Pediatric Clinical Nurse Specialist, Mayo Clinic and Robert M. Jacobson, M.D., F.A.A.P. – Professor of Pediatrics, Medical Director, Employee and Community Health and Southeast Minnesota Region Immunization Programs, Mayo Clinic

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Part of a child’s routine medical care is vaccinations. In the first six years, a child will get up to 25 to 30 injections. The World Health Organization (WHO) suggests that needle pokes are a painful and anxiety-provoking health-related experience, potentially leading to a lifetime of fear of needles, vaccine non-compliance, negative health attitudes, and health care avoidance behaviors by children and their caregivers. The WHO also expressed concern that these negative effects could potentially lead to lower vaccine coverage rates and risk of vaccine-preventable diseases.

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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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A Look Back at MNAAP’s Highlights in 2013

By Robert M. Jacobson, MD, FAAP…

What were the top ten events for our chapter in 2013? What would such a list look like, and what would we learn from it?

I ended up making such a list to help with our year-end reporting. At the end of 2013, our chapter submitted its annual chapter report for the national organization. The report details MNAAP’s accomplishments for the year. It’s a Herculean task of cleaning out the stables of the year gone by and trotting out accomplishments for a national audience. We ask the leaders of our workgroups and committees to participate in the reporting as well.

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Leading and Supporting Child Health Issues

By Robert M. Jacobson, president of MNAAP…

I hope you take the time to read the front-page article about the destructive changes that have occurred to Minnesota’s newborn screening program. It’s the leading issue for our chapter this year in terms of advocacy. It rose to the top for three reasons: a clock-ticking sense of urgency, the large number of children who will be impacted, and the lack of other organizations willing to take the lead.

Occasionally our colleagues ask why we aren’t focusing more attention to injury prevention, gun control, child sex trafficking, responsible sex education, or other hot-button issues. My response is that we are careful to prioritize which efforts we best lead and which efforts we join coalitions our fellow pediatric advocates’ best lead. We only have so many resources. We have limited lobbying time, consultant support, and volunteer person-power. Last legislative season we pursued legislation related to anti-bullying, early brain development, newborn screening, and access to care. We have work groups and committees that drive each of those efforts.

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