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Pediatrician by Tio Manolo

Tuesday, August 4, 2026 Edition XXXXXXXXXXXXXXXVI
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

... US measles cases have climbed to 2,318 in 2026, already exceeding all of 2025 and marking the country's highest annual total since 1991, as CDC data show falling MMR coverage continuing to fuel outbreaks.

Pediatricians and health officials are sidestepping Trump's CDC on vaccine advice | NPR & Houston Public Media

On Jan. 5, the CDC removed some vaccines from the recommended vaccine schedule for all children — against the advice of major medical groups like the American Academy of Pediatrics.

These Are the Top Pediatric Doctors in Westchester in 2026

Aalok R. Singh Boston Children’s Health Physicians Valhalla 914.493.7513 Maria Fareri Children’s Hospital, Westchester Medical Center Hospital Medicine · Lauren Geller Summit Health Purchase 914.848.8630 The Mount Sinai Hospital Acne, Psoriasis/Eczema, Vitiligo, Vascular Malforma...

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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

Teething causes high fevers and diarrhea

What the evidence shows: While teething may cause mild symptoms (gum irritation, drooling, slight temperature elevation), it does not cause high fever (>102°F/38.9°C) or diarrhea. These symptoms should prompt evaluation for other causes. Attributing significant illness to teething may delay diagnosis of serious conditions.

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.

Shaving makes hair grow back thicker and darker

What the evidence shows: Shaving removes hair at the skin surface, leaving a blunt tip that may feel coarser as it grows out. However, it does not affect hair thickness, color, or growth rate. This is an optical illusion from the blunt vs. tapered hair shaft.

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Behaviors

Physical Activity and Academic Achievement: School-Based Intervention Study

This cluster RCT examined whether increasing physical activity during the school day improved academic outcomes in 3,500 elementary students. Schools were randomized to add 30 minutes of daily activity or continue standard curriculum.

Key findings: (1) Intervention students showed 15% improvement in reading scores; (2) Math scores improved 8%; (3) On-task behavior increased and disruptive behavior decreased. Benefits were greatest for students with ADHD symptoms.

🩺 What this means for your practice:

Advocate for physical activity in schools—it enhances rather than detracts from learning. Counsel families on the importance of daily active play for cognitive development, not just physical health.

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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

35+
Conditions screened on most state newborn screening panels
HHS, 2024
1 in 36
Children identified with Autism Spectrum Disorder in the US
CDC ADDM Network, 2024
10%
High school students who attempted suicide
CDC YRBS, 2024
84%
Infants ever breastfed in the US
CDC Breastfeeding Report Card, 2024