This Week in Pediatrics
Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips
With a multistate cyclosporiasis outbreak underway this summer, pediatric providers should maintain a low threshold to consider Cyclospora cayetanensis in children with protracted or relapsing watery diarrhea. ByTrisha Torga, MD · July 15th 2026 · An adolescent medicine specialis...
What it was like for 6 pediatricians on the front lines of Utah’s measles outbreak | KUER
Pediatricians in Utah have been on the front lines as measles and other vaccine-preventable ailments have returned to the U.S. In interviews with KFF Health News, six doctors shared insights on this new era of vaccine hesitancy — and what could be done to turn the situation aroun...
US measles cases surpass 2025 total, hit highest level since 1991 | Contemporary Pediatrics
An outbreak centered on Piedmont ... Johns Hopkins University measles tracker.2 · The majority of 2026 cases have been confirmed among children and teenagers aged 19 and younger, and about 1 in 10 children under age 5 who have ...
Research of the Day
School Start Times and Adolescent Mental Health: A Natural Experiment
This natural experiment followed 50,000 high school students before and after a district-wide shift to later school start times (8:30am vs 7:15am). Students gained an average of 45 minutes of sleep per night and showed significant improvements in mental health markers over the 2-year study period.
Key findings: (1) 27% reduction in depressive symptoms; (2) 34% decrease in suicidal ideation reports; (3) Improved academic performance and attendance. Effects were most pronounced in students getting 8+ hours of sleep.
These data support advocating for developmentally appropriate school start times. Middle and high school students need 8-10 hours of sleep—counsel families on sleep hygiene and the importance of adequate rest for mental health.
Popular Beliefs
Starve a fever, feed a cold
What the evidence shows: Neither fevers nor colds benefit from restricting food. Both conditions increase metabolic demands, and adequate nutrition supports immune function. Encourage normal eating as tolerated and emphasize hydration with any illness.
ADD/ADHD is caused by poor parenting or too much sugar
What the evidence shows: ADHD has strong genetic and neurobiological components. While environment can influence symptom severity, poor parenting and diet do not cause ADHD. Evidence-based treatments include behavioral therapy and, when appropriate, medication. Blaming parents is harmful and delays effective intervention.
Too many vaccines overwhelm a child's immune system
What the evidence shows: Children's immune systems handle vastly more antigens daily from the environment than from vaccines. Today's vaccines contain far fewer antigens than older versions despite protecting against more diseases. Studies show no increased infection rates in vaccinated children—vaccines strengthen, not weaken, immunity.
Behaviors
Media Multitasking and Attention in Adolescents
This study of 600 high school students examined the relationship between media multitasking (using multiple screens simultaneously) and attention abilities. Heavy media multitaskers showed reduced ability to filter irrelevant information.
Key findings: (1) Heavy multitaskers had 15% more attention lapses in class; (2) Greater difficulty switching between tasks effectively; (3) Sleep quality mediated some of the relationship.
Counsel adolescents (and parents) on single-tasking for homework. Having phone notifications off and single-device focus improves learning efficiency and quality.
Genetics
Exon-Skipping Therapy for Duchenne Muscular Dystrophy: Expanded Approvals
FDA has approved additional exon-skipping therapies targeting previously untreatable Duchenne muscular dystrophy mutations. These antisense oligonucleotide treatments now cover 80% of DMD patients, slowing disease progression.
Key findings: (1) Treated patients maintain ambulation 2-4 years longer; (2) Cardiac and respiratory function also preserved; (3) Earlier treatment initiation correlates with better outcomes.
Genetic testing to identify specific DMD mutation is essential for treatment planning. Refer to neuromuscular centers for evaluation. Treatment options continue to expand rapidly.