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https://s3.us-west-1.wasabisys.com/virusreports/2020/05/cropped-virus-favicon-32x32.png Pediatricians Archives - Virus Reports http://virusreports.net/tag/pediatricians/ 32 32 Pediatricians worry as vaccine rates plummet nationwide http://virusreports.net/pediatricians-worry-as-vaccine-rates-plummet-nationwide/ http://virusreports.net/pediatricians-worry-as-vaccine-rates-plummet-nationwide/#respond Mon, 29 Jun 2020 09:20:59 +0000 https://virusreports.net/pediatricians-worry-as-vaccine-rates-plummet-nationwide/ Allison A. Ward Published 9:27 p.m. ET June 28, 2020 For pediatricians’ offices, summer traditionally marks the busy season for vaccinations, since many children require shots before they’re allowed back in school each fall.This year, however, the logistics of ensuring all kids are up to date on their vaccines will prove even more difficult because…

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Allison A. Ward
Published 9:27 p.m. ET June 28, 2020

For pediatricians’ offices, summer traditionally marks the busy season for vaccinations, since many children require shots before they’re allowed back in school each fall.

This year, however, the logistics of ensuring all kids are up to date on their vaccines will prove even more difficult because of the coronavirus, health care officials said.

That’s causing concern that outbreaks of certain diseases – such as measles or whooping cough – might occur in coming months.

The rates of children vaccinated plummeted nationwide during the initial wave of COVID-19 cases, when doctors’ offices closed for most well-child visits and parents hesitated to bring their children in for non-emergency concerns during stay-at-home orders.

“To try to minimize the spread of COVID-19, we have asked people to social distance. An unintended consequence of social distancing has been parents avoiding the doctor’s office, even for routine medical care,” said Dr. Robert Frenck, professor of pediatrics for the Division of Infectious Diseases at Cincinnati Children’s Hospital Medical Center. “This has resulted in over a 50% decrease in administration of measles containing vaccines. If this were to continue, it is only a matter of time before we have widespread outbreaks of measles, as well as other vaccine preventable infections.”

Official data on immunization rates in the Cincinnati area were not available at the time of the story. However, Frenck said, “based on national numbers it is likely we have a similar trend in Cincinnati.”

An estimated 16,000 fewer children were vaccinated across Columbus’ Nationwide Children’s Hospital primary care network during the months of March and April compared with the year before, said Dr. Sara Bode, director of the hospital’s school health programs.

“There are still families who are hesitant to come back in,” Bode said. “It’s going to be really tough for us to make up the gap, especially as new kids age into vaccines. We’re going to have to get creative to get kids caught up.”

Vaccines are top of mind for any pediatric provider right now, Bode stressed, and it should be for parents, too.

“One of our concerns is are we susceptible to outbreaks,” Bode continued. “The two measles vaccines you receive at 1 and 4. With kids starting kindergarten, preschool, will we have a certain percentage missing one? That’s not herd immunity anymore.”

Frenck said parents should be vigilant with children’s hand-washing. But that doesn’t mean they can avoid vaccinations for their kids.

“After handwashing, vaccines are the most important interventions that we do in pediatrics,” Frenck said. “Due to vaccines, in areas with high vaccination rates, infections that use to be serious and common place now almost never occur.  However, if our vaccine rates slip, these infections will come roaring back.”

The American Academy of Pediatrics has put out similar statements urging parents to not let vaccination schedules slip despite COVID-19, citing a report from the U.S. Centers for Disease Control and Prevention on the effect the pandemic has had on vaccine rates.

From mid-March to mid-April, the Vaccines for Children program, which provides federally purchased vaccines to 50% of children in the United States, ordered 2.5 million fewer doses of all routine, non-influenza vaccines and 250,000 fewer doses of measles-containing vaccines compared to the same period in 2019.

A survey of 1,000 independent pediatricians nationwide by PCC, a pediatric electronic health records company, that surveyed 1,000 independent pediatricians nationwide, found doses of measles, mumps and rubella (MMR) shots administered fell by 50% during a week in April when compared to a week in February. Diphtheria and whooping cough immunizations dropped 42% while the number of children getting the human papillomavirus vaccine fell by 73%.

Rates have been similar across Ohio, according to the state’s Immunization Registry.

Pediatric vaccines dropped more than 45% when comparing April 2019 to April 2020. There was almost a 20% decrease for the month of March.

If parents have concerns, Dr. Autumn M. O’Brien of Columbus’ Olentangy Pediatrics, suggests asking the physician about what changes the office has implemented to keep them and their children safe from COVID-19.

“I think we always forget that even though the pandemic is here, we still see measles, we still see a lot of whooping cough,” O’Brien said. “It’s important to keep up on vaccines and you can be as safe and healthy as you can.”

Terry DeMio of The Enquirer and Valerie Royzman from the Wooster Daily Record contributed.

Read or Share this story: https://www.cincinnati.com/story/news/2020/06/28/pediatric-vaccine-rates-plummet-nationwide/112021214/

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Pediatricians sound alert on coronavirus-related illness affecting kids in Miami-Dade http://virusreports.net/pediatricians-sound-alert-on-coronavirus-related-illness-affecting-kids-in-miami-dade/ http://virusreports.net/pediatricians-sound-alert-on-coronavirus-related-illness-affecting-kids-in-miami-dade/#respond Tue, 19 May 2020 21:21:50 +0000 https://virusreports.net/pediatricians-sound-alert-on-coronavirus-related-illness-affecting-kids-in-miami-dade/ Doctors suspect post-viral multisystem inflammatory syndrome is affecting children in Miami-DadeNicklaus Children's Hospital (Google Streetview)MIAMI-DADE COUNTY, Fla. – Pediatricians in Miami-Dade County suspect they have cases of the multisystem inflammatory syndrome in children, a condition that the Centers for Disease Control and Prevention recently reported is related to the coronavirus pandemic.Doctors at Holtz Children’s Hospital…

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Doctors suspect post-viral multisystem inflammatory syndrome is affecting children in Miami-Dade

Nicklaus Children's Hospital
Nicklaus Children’s Hospital (Google Streetview)

MIAMI-DADE COUNTY, Fla. – Pediatricians in Miami-Dade County suspect they have cases of the multisystem inflammatory syndrome in children, a condition that the Centers for Disease Control and Prevention recently reported is related to the coronavirus pandemic.

Doctors at Holtz Children’s Hospital in Allappattah and at Nicklaus Children’s Hospital near Coral Gables have patients in the pediatric intensive care unit who are exhibiting symptoms of the post-viral syndrome that also known as MIS-C.

Pediatricians believe MIS-C is a spectrum of disorders defined by how some children’s immune systems are responding to the coronavirus. Nicklaus Children’s Hospital’s Dr. Marcelo Laufer said the theory is that the virus triggers an inflammatory process.

“By the time the inflammatory process starts, the virus is not present in the body anymore,” Laufer said. “Therefore, many of these patients are not contagious by the time we see them.”

The cases in Miami-Dade County remain under investigation. The Florida Department of Health is supposed to investigate the local cases, according to Miami-Dade County. The CDC is gathering data.

According to Jennifer Piedra, a spokeswoman for the Jackson Health System, Holtz Children’s Hospital has two confirmed cases of the rare and treatable disease.

“Both patients are receiving appropriate treatment in the pediatric intensive care unit, and are showing signs of improvement,” Piedra wrote in an e-mail.

Laufer wants parents to know the disease can be serious if left untreated.

“We want these patients to come to the hospital and feel safe. It’s a safe environment,” Laufer said. “We feel it’s important for the community to know they’re going to be safe if they come to the emergency room.”

Patients first present with fever and inflammation. The symptoms of the syndrome vary from case to case. Some children have red eyes and red tongues. The organ involvement can be cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological.

“What’s striking about this particular illness is by day one or two the kids get very sick,” Laufer said. “And fortunately in Florida, we are lucky they are starting after the rest of the world, so we had the advantage of knowing what had worked and what didn’t work in other places.”

The Evelina London Children’s Hospital pediatric intensive care unit was among the first to identify the illness. In the U.S., the disease first emerged in New York. CNN recently reported there are suspected cases in about 16 more states.

Before pediatricians identified the pattern, some children were initially misdiagnosed as Kawasaki disease cases. Both illnesses can cause inflammation in blood vessels throughout the body.

“The gastrointestinal symptoms are more than in Kawasaki, they get significant abdominal pain, vomiting, and diarrhea — which usually is not as prominent in Kawasaki,” Laufer said. “And then, they have a rash which is basically redness in different parts of the body and swelling of the hands, swelling of the feet.”

Symptoms similar to Kawasaki disease:

  • High fever
  • Very red eyes
  • Red, dry, cracked lips
  • Swollen lymph nodes
  • Rash

Local 10 News Assignment Desk Managers Kerry Weston and Peggy Phillip contributed to this report.

Copyright 2020 by WPLG Local10.com – All rights reserved.


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