by Trisha Korioth • Staff Writer
As blame, debate and federal investigations continue into the water crisis in Flint, Mich., Mona
Hanna-Attisha, M.D., M.P.H., FAAP, remains
focused on the care of the city’s children.
The pediatrician who proved Flint’s water
system was contaminated with lead was named
director of the Pediatric Public Health Initiative
(PPHI) at Michigan State University (MSU) and
Hurley Children’s Hospital. ;e initiative will
provide comprehensive services for 9,000 Flint
children under age 6 with probable lead exposure.
A study by Dr. Hanna-Attisha’s team, published
in the February American Journal of Public Health
( http://bit.ly/1PKk9VJ), provided evidence to refute doubts that Flint’s water supply was raising
children’s blood lead levels. Since Dr. Hanna-At-
www.aapnews.org Volume 37 • Number 3 • March 2016
In this issue
Environmental hazards in your community?
Learn how the Pediatric Environmental Health Specialty Unit in your
region can provide technical assistance to help address concerns.
Zika virus prompts testing
by Melissa Jenco • News Content Editor
Federal health o;cials have issued practice guidelines for clinicians and travel guidelines for pregnant
women as Zika virus spreads through Latin America
and the Caribbean.
Centers for Disease Control and Prevention (CDC)
leaders say they are seeing stronger evidence that Zika
in pregnant women is tied to microcephaly (http://1.
usa.gov/1XdCLih) and other neurologic disorders in
their babies and are continuing to investigate.
“I understand that this is a stressful situation for
women and families and particularly for women who
are pregnant and what we are doing … is prioritizing
all of the work we can do to protect
pregnant women,” CDC Director
Tom Frieden, M.D., M.P.H., said.
Zika virus ( http://1.usa.gov/1P-
gWFWw) primarily is spread by
;e virus is being transmitted by mosquitoes in at
least 30 countries and territories, and WHO leaders
recently estimated that within a year, 3 million to 4
million people in the Americas will have been infected.
While travelers have brought the virus back to the
continental U.S., mosquitoes here were not spreading
the virus as of Feb. 16. O;cials from the CDC said
they expect this type of local transmission eventually,
but they don’t anticipate large-scale
outbreaks in the states.
“Our urban areas aren’t as densely populated as a;ected areas in
Central and South America, and
we have widespread use of air conditioning and stronger mosquito
control,” CDC Principal Deputy
Director Anne Schuchat, M.D.,
See Zika, page 4
See Flint, page 7
by H. Cody Meissner, M.D., FAAP
;e 2016 immunization schedules for children
and adolescents from birth through 18 years of age
include several changes from last year, including updated recommendations for the human papillomavirus (HPV) and meningococcal B vaccines.
;e schedules are approved annually by the Academy, the Advisory Committee on Immunization
Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), the American Academy
of Family Physicians, and the American College of
Obstetricians and Gynecologists to reflect current
recommendations for use of vaccines licensed by the
Food and Drug Administration.
;e 2016 format is similar to last year and includes
a single schedule for people from birth through 18
years of age. A catch-up schedule provides recommendations for children and adolescents who start late or
are more than one month behind.
Footnotes contain recommendations for routine
and catch-up vaccination as well as for vaccination of
children and adolescents with high-risk conditions
or in special circumstances. Providers are encouraged
to use figures, tables and footnotes together.
;e schedules are available on pages 17-20 and
;e AAP policy statement Recommended Childhood
and Adolescent Immunization Schedule — United
States, 2016 is available at www.pediatrics.org/cgi/
Providers should be aware that changes in recommendations for a specific vaccine may occur between
annual updates to the immunization schedule and will
be posted on Red Book Online, http://redbook.solu
the CDC website, www.cdc.gov/vaccines/schedules/
In addition, the CDC website includes tables
(job-aids) to clarify recommended use of Haemoph-
Amid politics, pediatrician stands out
as trusted advocate in Flint water crisis
Photo courtesy of Brittany Greeson/The New York Times/Redux
Mona Hanna-Attisha, M.D., M.P.H., FAAP, has become a trusted leader during the Flint
water crisis. Here, she examines Taeyana while her mother Quayana Towns snaps
a photo of the well-known advocate. Dr. Hanna-Attisha will direct the new Pediatric
Public Health Initiative at Hurley Children’s;Hospital and Michigan State University.
2016 immunization schedules include several updates
For the latest on Zika and all
breaking pediatric news, visit