Volume 33 • Number 6 • June 2012
How to help children struggling to cope
when a parent suffers from PTSD
2012 Red Book
A look at editions from 1938 to present
highlights dramatic changes in the fields
of infectious diseases, immunization
by Kristy Kennedy • Correspondent
After coming home from Iraq, a soldier learned his
9-year-old had been obsessed with the news, staying
up late to scan television reports for some word about
what was happening in areas where his dad was stationed.
The boy had been diagnosed with attention-
deficit/hyperactivity disorder during his father’s deploy-
ment, the veteran told Kathleen M. Chard, Ph.D.,
director of the PTSD and Anxiety Disorders Division
of the Cincinnati VA Medical Center. “You can imag-
ine that attention and concentration would be tough,”
Dr. Chard said. Doctors had failed to pick up on the
boy’s worry and lack of sleep.
by Larry K. Pickering, M.D., FAAP
The Academy published the first Red Book in 1938
as the Report of the Committee on Immunization
Procedures. The eight-page document covered 18
diseases but had no figures, tables or other visuals
and, of course, no web links.
At that time, vaccines were available for prevention
of infections due to seven organisms or diseases:
diphtheria, pertussis, scarlet fever, tetanus, typhoid
fever, varicella and variola. However, none of these
vaccines were licensed by the Food and Drug Administration, and variola was the only vaccine thought
to be effective.
Of the 18 diseases or organisms originally
described, 11 now can be prevented by immuniza-
See Red Book, page 8
Focus On Subspecialties
by Mark A. Gilger, M.D., FAAP,
Small magnets causing serious injuries, deaths in children
and R. Adam Noel, M.D.
If it looks pretty, it’s a toy, and if it’s little, it might
be candy. Young children will put anything in their
mouths, including shiny, highly powerful magnets
smaller than a pea.
A recent case demonstrates how dangerous these rare
earth (neodymium) magnets can be if swallowed.
A 22-month-old, previously healthy and active toddler from Mississippi had two vomiting episodes. The
parents thought he might have an intestinal virus. Later
that day, the child was pale, weak and continued to
vomit, resulting in an admission to the emergency
department. At the hospital, the child was diagnosed
with dehydration, and an X-ray revealed the presence
of eight magnets in the right side of his abdomen. He
Children’s Hospital, New Orleans
An X-ray of a 22-month-old reveals the presence of
eight rare earth magnets the toddler had swallowed.
Why is it important to be a FAAP?
by Alyson Sulaski Wyckoff • Associate Editor
Ask 100 members of the Academy why they value their
membership, and you’ll likely get 100 different responses.
Some appreciate the educational opportunities, while
others join because of advocacy, access to resources or opportunities to connect with colleagues. The importance placed
on being a Fellow of the American Academy of Pediatrics,
or FAAP, also can evolve with pediatricians’ career goals.
Kelsey Logan, M.D., M.P.H., FAAP, a member of the
Section on Young Physicians Executive Committee, takes
advantage of the many resources the Academy provides,
such as journals, webinars and other items. She was introduced to the educational items as a resident and now
“could not imagine practicing pediatrics without them.”
While the resources are important, Dr. Logan didn’t
realize the Academy also would enrich her life with connections to colleagues and support systems. Consequently,
she emphasizes AAP benefits to the residents she supervises
at the Ohio State University (OSU), where she is assistant
professor of internal medicine and pediatrics, medical
director of the sports concussion program and a physician
for various OSU teams.
See FAAP, page 10
In this issue
Point-Counterpoint: VCUG relevance for febrile UTI
If a renal ultrasound performed after the first documented febrile
urinary tract infection (UTI) is normal, should a voiding cystourethro-gram (VCUG) be recommended? Pages 12-13