Volume 32 • Number 11 • November 2011
It’s not just about ‘Back to Sleep’ anymore
AAP focuses on total sleep environment
in new SIDS policy statement
Treating influenza in children
Everything you wanted to know
about antiviral medications
by Lori O’Keefe • Correspondent
Infant deaths attributable to sudden infant death syndrome (SIDS)
declined by 53% in the 10 years after
the Academy recommended babies
be placed to sleep on their backs in 1992. In recent
years, however, the number of deaths due to SIDS
has remained stagnant. Meanwhile, deaths attributable
to accidental suffocation and strangulation in bed
quadrupled between 1984 and 2004.
In response to these trends, the Academy has revised
its policy statement on SIDS and released a technical
report to more clearly address the risk factors and safe
sleep practices associated with SIDS and other common causes of infant death during sleep.
Both the policy statement and technical report are
titled SIDS and Other Sleep-Related Infant Deaths:
Expansion of Recommendations for a Safe Infant Sleep-
The policy statement is available at http://pedi
-2284 and will be published in the November issue
of Pediatrics. The technical report
is online only (Pediatrics. 2011;
“We want to emphasize that we
are still concerned about SIDS,
and it is still a huge issue, but we
also want people to understand
that there are other reasons babies
may die while they are sleeping,
Although SIDS rates have dropped, SIDS still is
the third leading cause of infant death and the main
cause of postneonatal death.
“Some people think SIDS is a problem that has
gone away, so people may have become complacent
about safe sleep practices,” Dr. Moon said.
In fact, the media recently reported that SIDS is
caused by accidental suffocation, which couldn’t be
by John S. Bradley, M.D., FAAP
and Henry H. Bernstein, D.O., FAAP
In a perfect world, all children 6 months of
age and older would receive influenza vaccine
each year, and we would never have to treat any
of them. In reality, however, there are several reasons why influenza will continue to cause morbidity and mortality in children, despite our best
efforts at immunization.
1. The virus is notorious for mutating. In
a recent review of eight winter seasons, prior to
the 2009 H1N1 pandemic, only once did the
vaccine strains match perfectly (and protect
against) all the circulating strains of influenza A
and B virus.
See Antivirals, page 8
Voters’ choice for 2012-’ 13 president
Dr. McInerny looks forward to
new era of medicine
See SIDS, page 12
by Alyson Sulaski Wyckoff • Associate Editor
Pediatricians and social networking: What are the boundaries?
Thomas K. McInerny, M.D., FAAP, predicts his
efforts as future AAP president will
entail working on key national issues
during a critical time when the
Affordable Care Act, the medical
home and adoption of electronic
medical records (EMRs) all take center stage.
Dr. McInerny, of Rochester, N. Y.,
was elected AAP president-elect and
will become 2012-’ 13 president during the 2012
National Conference & Exhibition in New Orleans.
“We’re really moving into a whole new era in med-
icine, with marked change with the medical home and
See Election, page 13
In this issue
What’s new in ADHD?
The AAP has published a clinical practice guideline along
with supplemental information, based on a review of evidence. Page 23
Pediatricians must understand the limits of what they can post online
or risk discipline for unprofessional conduct, advises Jonathan M.
Fanaroff, M.D., J.D., FAAP, in this month’s Pediatricians and the Law
column on page 17.
Telemedicine success stories
Using face-to-face technology to improve the practice of
medicine. Page 30