AAPNews0911_1-33_AAPNews0911 8/16/11 12:05 PM Page 1
Volume 32 • Number 9 • September 2011
AAP urges Congress to focus
on children in disaster planning
by Jamie Poslosky • Washington Correspondent
Since the Sept. 11, 2001, terrorist attacks, the Academy has been engaged in a range of activities to highlight the unique needs of children during disasters.
This month’s designation as National Preparedness
Month provides a platform to increase advocacy for
children’s physical and mental health needs before,
during and after a disaster strikes.
At the federal level, the Academy is working with
Congress to ensure that the reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA)
prioritizes children. The original law was signed in
December 2006 by then-President George W. Bush
to improve the nation’s public health and medical preparedness and response capabilities for emergencies.
“I remember when we first started going to federal
agencies advocating for children’s needs within PAHPA,
we used to have to invite ourselves to the table. Now,
we are being invited to the table,” said Gary Peck,
M.D., FAAP, former member of the AAP Disaster Preparedness Team and initial chair of the AAP Disaster
Preparedness Advisory Council (DPAC). “AAP has
made tremendous strides as an organization and at a
national advocacy and policy level. We continue to
position ourselves as a leading resource for children in
Part of this evolution is attributable to DPAC, created
in May 2007 to develop and implement a strategic
plan for disaster preparedness and to support AAP disaster preparedness initiatives, advocacy and policy
efforts. DPAC has been working with AAP Department
of Federal Affairs staff to advocate for children in local,
state and national disaster preparedness efforts, including PAHPA reauthorization.
In July, the U.S. House of Representatives Energy
and Commerce Committee unanimously passed a
PAHPA reauthorization bill, H.R. 2405, and the Senate
is anticipated to do the same later this year.
See Washington Report, page 4
New light is being shed on the
long-held practice of wrapping an
infant in a blanket snuggly with legs
fully extended and together, which
experts say can lead to hip subluxation and dislocation.
The AAP Section on Orthopaedics
has teamed up with the Pediatric
Orthopaedic Society of North America and the International Hip Dysplasia Institute to recommend
swaddling so that hips are free to
move and in safe abducted position.
Read the literature review and
Parent Plus information for distri-
bution on page 11.
Photo courtesy of International Hip Dysplasia Institute
What’s new with flu?
Time to prepare for 2011-’12 season
by Henry H. Bernstein, D.O., FAAP
Believe it or not, flu season is
just around the corner. It’s time
to get prepared.
The Academy’s updated recommendations for the prevention and treatment
of influenza in children will be available Sept. 5
10.1542/peds.2011-2295. The policy statement
also will be published in the October issue of
Following are the key messages from the policy
The influenza vaccine composition this sea-
son is unchanged from last season.
The trivalent vaccine for the 2011–’12 influenza season contains the following three virus
• A/California/7/2009 (H1N1)-like antigen
(derived from 2009 pandemic influenza A
See Influenza, page 12
UTI in febrile infants
Revised guideline discourages routine
by Kenneth B. Roberts, M.D., FAAP
A revised AAP clinical practice
guideline on the diagnosis and management of the initial urinary tract
infection (UTI) in febrile infants and
young children is markedly different from the previous
practice parameter published in 1999.
Urinary Tract Infection: Clinical Practice Guideline
for the Diagnosis and Management of the Initial UTI in
Febrile Infants and Children 2 to 24 Months, was released
See UTI, page 6
In this issue
AAP Honor Roll of Giving
AAP President-elect candidates
comment on the future of pediatrics
Vote for AAP president-elect and district leaders from
Sept. 1 through Oct. 1.