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Pediatrician by Tio Manolo

Thursday, July 9, 2026 Edition XXXXXXXXXXXXX
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

... New AAP guidance recommends age-specific iron deficiency screening, updated ferritin thresholds, and simplified treatment strategies for children. ... FDA approved risankizumab for children 6 and older with plaque psoriasis or psoriatic ...

FDA news in pediatrics: June 2026 | Contemporary Pediatrics

On June 10, 2026, the FDA approved expanded indications for tocilizumab-bavi (Tofidence), adding severe or life-threatening CAR T-cell–induced cytokine release syndrome and hospitalized COVID-19 in patients aged 2 years and older, broadening ...

Paxlovid safe for children age 6 and up, new data reveal | CIDRAP

A study finds that the antiviral drug is safe to prescribe in children with COVID-19 who are at least 6 years old.

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Research of the Day

Naturalistic Developmental Behavioral Interventions Before Age 2: RCT

This RCT provided Naturalistic Developmental Behavioral Interventions (NDBI) to infants showing early autism markers at 12-18 months. Early intervention significantly improved social communication outcomes at age 3.

Key findings: (1) 40% of intervention group no longer met ASD criteria at age 3; (2) Greater gains when started before 15 months; (3) Parent-mediated strategies effective when coached by professionals.

🩺 What this means for your practice:

Refer promptly when developmental concerns arise—don't wait for definitive diagnosis. Early intervention can meaningfully change trajectories. Coach parents to implement strategies in daily routines.

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Popular Beliefs

The flu shot can give you the flu

What the evidence shows: Flu vaccines contain inactivated virus or viral proteins that cannot cause influenza infection. Some people experience mild side effects (sore arm, low-grade fever) that mimic illness. It takes 2 weeks for protection to develop, so some may get infected before the vaccine works.

Cracking knuckles causes arthritis

What the evidence shows: Studies comparing habitual knuckle-crackers to non-crackers found no increased arthritis risk. The cracking sound is from gas bubble release in synovial fluid. The main consequence may be reduced grip strength and annoyed family members.

Chocolate causes acne

What the evidence shows: The relationship between diet and acne is complex. Some studies suggest high-glycemic diets and dairy may worsen acne, but chocolate specifically has not been definitively proven to cause breakouts. Individual responses vary—advise patients to observe their own triggers.

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Behaviors

Breakfast Consumption and Cognitive Performance in School-Age Children

This crossover study compared cognitive test performance in 200 children ages 8-11 on days with and without breakfast. Skipping breakfast significantly impaired attention, memory, and problem-solving speed, with effects noticeable by mid-morning.

Key findings: (1) 18% slower response time on attention tasks without breakfast; (2) Short-term memory scores 12% lower; (3) Nutrient-dense breakfasts outperformed high-sugar options for sustained attention.

🩺 What this means for your practice:

Screen for breakfast skipping during well visits, especially in lower-income families. Connect families with school breakfast programs when appropriate. Quick, balanced breakfast options can be discussed as anticipatory guidance.

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Genetics

CRISPR Gene Editing for Sickle Cell Disease: Long-Term Follow-Up

Long-term data from CRISPR-edited sickle cell patients shows durable remission of vaso-occlusive crises in 95% of treated patients at 4-year follow-up. The one-time treatment has transformed the disease trajectory for participants.

Key findings: (1) No vaso-occlusive crises in 95% of patients; (2) Hemoglobin levels maintained in normal range; (3) No off-target editing effects detected. Access and affordability remain challenges.

🩺 What this means for your practice:

Curative therapy for sickle cell disease is now reality, though access barriers remain. Stay informed about treatment centers and insurance coverage in your area. Early referral for evaluation is appropriate.

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Did You Know? Numbers & Statistics

17 tsp
Average daily added sugar intake by children 2-19
CDC NHANES, 2024
38%
Children 6mo-17y completed COVID-19 primary series
CDC, 2024
10%
High school students reporting current e-cigarette use
CDC YRBS, 2024
100K
People in the US with sickle cell disease
CDC, 2024