by Henry H. Bernstein, D.O., M.H.C.M., FAAP, and
Flor M. Munoz, M.D., FAAP
With the 2017-’ 18 influenza season
imminent, the Academy has updated
its recommendations for the prevention and treatment of influenza in
children. ;e policy statement Recommendations
for Prevention and Control of Influenza in Children,
2017-2018 is available at https://doi.org/10.1542/
peds.2017-2550 and is published in the October
issue of Pediatrics. Key points are highlighted below.
The 2016-’ 17 influenza season was moderate
Influenza A (H3N2) viruses predominated, with
a majority of circulating strains matching vaccine
strains well. Severity indicators were within the
range of what has been observed during previous
H3N2-predominant seasons, which have been associated with more severe illness and mortality, especially in older individuals and younger children,
compared with seasons during which H1N1 or B
Since the start of the influenza season is
unpredictable, immunization of all children
6 months and older should begin as soon as
the seasonal influenza vaccine is available.
;e influenza season may start early in the fall/
winter, have more than one disease peak and extend
into late spring. Complete immunization should occur by the end of October, if possible. ;ere is no
evidence that administering the influenza vaccine
www.aapnews.org Volume 38 • Number 10 • October 2017
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Don’t miss the deadline to cast your ballot for AAP president-elect
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CATCH: 25 years of
making a difference
Since the Academy launched the Community Access to Child Health (CATCH) program
in 1993, it has awarded over $9 million to
nearly 1,800 projects that have enabled pediatricians to engage with their communities to
improve child health.
As the 25th anniversary of the program ap-proaches, it is clear that CATCH has been a
success and is an integral part of the Academy’s
work. ;e impact these grants have had can be
seen not only in community health outcomes
but also in the number of projects that are sustained beyond CATCH funding.
Since 2010, CATCH grantees have been surveyed about how the program a;ected them
and their communities. Most (88%) said that
e;orts made through CATCH are still in existence, reflecting real change in how children
are cared for in their communities. One-third
leveraged CATCH dollars for additional funds.
Eighty-five percent reported personal satisfaction in conducting a CATCH project.
;e first CATCH projects focused on building and strengthening the medical home and
increasing access to care. Although this remains
a core part of CATCH projects, they have expanded to focus on a range of pressing child
health topics. Since 2015, the top five funded
topics include mental and behavioral health;
health education and prevention; adolescent
health; immigrant, refugee and undocumented
individuals’ health; and school health.
CATCH is supported by a network of over
120 AAP members who serve at the chapter
and district levels to assist applicants, review
See Flu guidance, page 4
See CATCH, page 12
New flu guidance reiterates importance
of vaccine for everyone 6 months and older
They may be trendy, but tattoos and piercings have medical risks such
as infection (above) and social implications. An AAP clinical report helps
pediatricians talk with teens before they ink or pierce. See page 11
Counsel teens on consequences,
permanence of tattoos, piercings