Category Archives: Health care information and trends

Kangaroo Care a tranquil experience for parent, child

Newborn Azarias has skin-to-skin contact with his mother, Veronica Engel, as part of a Kangaroo Care exercise. May 15 is International Kangaroo Care Day.

This month, the Neonatal units in St. Paul and Minneapolis are celebrating the importance of Kangaroo Care, a technique where an infant is held skin to skin with mom or dad. Kangaroo Care promotes bonding, provides comfort for the baby and parent and has potential to improve a baby’s medical condition. In honor of International Kangaroo Care Awareness Day, May 15, a mother shares her experience holding her newborn son skin to skin.

Veronica Engel of Chippewa Falls, Wis., holds newborn son Azarias skin to skin as part of Kangaroo Care.

Veronica Engel

My husband and I found out at my 10-week ultrasound that we were having a baby boy, but we also found out that our son, Azarias, had a birth defect called gastroschisis.

Due to his condition, doctors informed me that I wouldn’t be able to hold Azarias until after his surgery. This had me worried because I was afraid of missing out on that special bonding time that you immediately have with your newborn. When he was born, I was able to put him on my chest momentarily but then he had to be rushed off in an isolette to be prepared for his stay at the hospital until the doctors could perform the surgery he needed.  He was staying in the neonatal intensive care unit (NICU) at Children’s – St. Paul, which has private rooms. I am grateful for this because it allowed me to stay in the room with him around the clock.

subscribe_blogI wasn’t able to hold him for the first week of his life due to his condition; however, I was able to hold his hands and feet or rub his head. After his surgery, I was able to hold him the next day. This was special because I got to hold him skin to skin; I held him for three hours straight. It was relaxing and soothing for both of us to be able to have this closeness, which we weren’t able to do at the beginning of his life. I continued to stay with Azarias in the NICU, and each day I would hold him once or twice using skin-to-skin – anywhere from an hour to three hours at a time.

The doctors told me that he was doing excellent for his condition. Not only was he gaining weight at a good pace, but he also was moving along quickly for what he was able to consume and digest.

When I’m holding Azarias skin to skin, I don’t even notice the time fly by; it’s such a relief to be able to help calm and comfort him just by this simple action. Kangaroo Care truly is a tranquil experience for parent and child and has helped us build a lasting bond with each other. I believe that being here and holding him skin to skin has made a difference in Azarias’ ability to recover and heal from this whole ordeal.

Tanning turmoil: Why getting ‘bronzed’ is hazardous to teen health

For teens, one visit to a tanning bed increases the risk of squamous cell carcinoma by 67 percent. (iStock photo)

Gigi Chawla, MD

Every spring, many of us weary from a long winter head south to warmer climes; teens across the country attend prom with their sweethearts. And what do kids tend to do before events like these?

Hit the tanning salon.

Looking “pasty white” in a swimsuit or a new dress just won’t do, right? Think again.

Gigi Chawla, MD

Gigi Chawla, MD

Here’s a brief warning to help dispel the myth of “getting a base tan” before these events. Or ever.

Currently, 35 percent of 17-year-old girls in the U.S. are using tanning beds and 55 percent of college-aged kids have used one at least once.

In 2014, the Star Tribune reported “a third of white 11th-grade Minnesota girls have tanned indoors in the past year, according to a state survey … and more than half of them used sun beds, sunlamps or tanning booths at least 10 times in a recent 12-month period.”

What isn’t immediately clear to our kids is that during a tanning-bed session they may receive up to 12 times the ultraviolet (UV) exposure as they receive being outside in the natural sunlight. This UV radiation exposure from tanning beds is dangerous and linked to three types of skin cancer: melanoma, basal cell carcinoma and squamous cell carcinoma.

Here’s the potential damage that one tanning-bed session can cause a teen:

  • The risk of developing melanoma increases by 20 percent.
  • The risk of developing basal cell carcinoma increases by 29 percent.
  • The risk of squamous cell carcinoma increases by 67 percent

subscribe_blogFor people younger than 35 using a tanning bed, the lifetime risk of developing skin cancer of any type increases by 74 percent.

Specifically, it increases the lifetime risk of:

  • Melanoma by 75 percent
  • Basal cell carcinoma by 150 percent
  • Squamous cell carcinoma by a whopping 250 percent

Moreover, skin cancer now is the leading form of cancer in 25- to 29-year-olds.

Another startling fact: More skin cancer cases arise from tanning-bed use than lung cancer cases do from smoking; yet, in our culture, bronzed skin is seen as a form of beauty.

Some advice to parents: Remember to reinforce to your teens that they are beautiful or handsome no matter the shade of their skin. What’s important is what’s inside. I like to think that we live in an era in which we can look past skin color, where we are not judged by skin color and we should not see beauty based on skin color.

It’s time to remind your kids to “go with your own natural glow.”

Gigi Chawla, MD, is a pediatrician, hospitalist and the Senior Medical Director of Primary Care at Children’s Hospitals and Clinics of Minnesota. Her areas of interest are the care of complex special needs patients, premature infants, ventilator dependent children and care of hospitalized patients.

Sources: The Skin Cancer Foundation, U.S. Food and Drug Administration, Centers for Disease Control and Prevention

 

Children’s care shared with worldwide audience

Buildings can be seen just beyond the marina in Dubai. (Photos by Jill Bauer)

Buildings can be seen just beyond the marina in Dubai. (Photo by Jill Bauer)

Jill Bauer, MA

Recently, I was asked to represent Children’s Hospitals and Clinics of Minnesota at the four-day Arab Health Exhibition & Congress in Dubai. The invitation came from Children’s leadership and Minnesota International Medicine (MIM).

Jill Bauer stands with the spire Burj Khalifa in the background.

Jill Bauer stands with the spire Burj Khalifa in the background.

As Children’s neonatal outreach nurse for the past nine years, my role has been to network with hospital leaders and educators in our region to strengthen relationships and offer our resources, services and expertise to promote best-care practices. My role in Dubai was similar, but on a larger, international scale.

After about 20 hours of air and ground travel, I arrived in Dubai late evening Jan. 24. During the taxi ride to my hotel, my first glimpses of the city were futuristic buildings that towered to the sky and gave me impressions at times of being thrown into a sort of sci-fi movie.

Known as a “wonder of the modern world,” Dubai is full of luxury and wealth but continues to have areas where traditional souks and desserts remain; these reminded me of its Arabian heritage. Although still primarily a Muslim city, it has become a multicultural, globalized business hub with many people speaking English and obvious signs of western culture everywhere.

Members of Minnesota International Medical

Members of Minnesota International Medical

On the first morning, our group — including representatives from MIM, University of Minnesota Medical Center, Regions Hospital, North Memorial Health Care and Noran Neurological Clinic — got up early to go to the Dubai International Convention & Exhibition Centre. Upon arrival at the convention center, we definitely were not alone. More than 100,000 attendees and vendors joined us from 151 countries. It took some time to reach our booth, which was positioned in the midst of 322 U.S. vendors, including Johns Hopkins, the Mayo Clinic and Boston Children’s Hospital, in an area the size of two football fields known as the “U.S. Pavilion.” That gave some perspective about the size of the remaining convention area that housed the additional 150 countries.

During the taxi ride to my hotel, my first glimpses of the city were futuristic buildings that towered to the sky and gave me impressions at times of being thrown into a sort of sci-fi movie.

During the taxi ride to my hotel, my first glimpses of the city were futuristic buildings that towered to the sky and gave me impressions at times of being thrown into a sort of sci-fi movie.

Throughout the convention, I spoke to vendors and attendees from all over the world about MIM and Children’s services and expertise. Our group’s work created various types of relationships, including one formed with a hospital in Abu Dhabi. Networking with their group resulted in a visit to their hospital on the final day of the convention. During the visit, I was asked to do an initial assessment of their nursery and make recommendations for advancing their level of care. After an interview with the CEO, chief nursing officer and nursery manager, as well as a quick nursery tour, I was able to summarize some initial recommendations for the types of resources needed to achieve their goal. MIM will use this summary to create a service proposal for them.

I am honored to have been invited to attend the convention. I have a sense of pride and passion about representing Children’s within our region and in international settings like Arab Health. Experiences like these emphasize to me how blessed we are to possess the level of expertise and technology at Children’s that allows us the ability to offer such a high standard of cutting-edge, quality, safe care to our patients each day.

Similar to outreach in our region, international gatherings like Arab Health offer opportunities to network with the goal of improving care internationally. This leaves me with hope that one day all will have access to the quality of care that we give to our patients and families daily.

Jill Bauer, MA, is neonatal outreach nurse at Children’s Hospitals and Clinics of Minnesota.

The scoop on a good night’s sleep

Simple steps to a good night’s sleep include: sticking to a schedule, decreasing caffeinated beverages, keeping naps to a minimum, creating a calm environment, and knowing when to unplug from electronics. (iStock photo)

Simple steps to a good night’s sleep include: sticking to a schedule, decreasing caffeinated beverages, keeping naps to a minimum, creating a calm environment, and knowing when to unplug from electronics. (iStock photo)

Erin Fritz, CNP

The significance of good sleep habits often is overlooked. It seems so simple; when the hour is late and it’s dark outside, it’s time to get some rest. Unfortunately for millions of kids and young adults, it’s not that simple. With busy school schedules, after-school and weekend activities, and maximizing time with family and friends, sleep often is one of the first things to become compromised. Not only does lack of sleep make for a tired person, but it has a critical impact on many aspects of health, daytime function and cognitive development.

Snoozing significance

The direct effect that sleep has on health has been well-studied over the years and is known to lower a person’s resistance to illnesses. Decreased amounts of sleep alter immune function, making it more likely for illness to occur. For example, the Centers for Disease Control and Prevention shares evidence for a higher risk of getting the common cold, pneumonia and influenza when sleep deprivation is a factor. Once illness occurs, sleep is necessary to boost the immune system and fight off illness. Sleep is the body’s time to repair and rejuvenate itself.

Daytime function also is altered with sleep deprivation. The American Academy of Pediatrics has recently released recommendations for later start times in middle and high schools after noting an increased risk of automobile accidents and a decline in academic performance related to decreased amounts of sleep. Poor test scores, increased behavioral problems and children falling asleep in class have been highlighted as inhibited daytime functions directly related to sleep deprivation.



Sleep suggestions

Recommendations per the CDC:

Age Recommended amount of sleep
Newborns 16-18 hours a day
Preschool-aged children 11-12 hours a day
School-aged children At least 10 hours a day
Teens 9-10 hours a day
Adults (and elderly) 7-8 hours a day

Sleep solutions

subscribe_blogWhile it’s easy to perpetuate the cycle of being sleepy, it’s possible to make a conscious effort to improve this problem. Simple steps to a good night’s sleep include: sticking to a schedule, decreasing caffeinated beverages, keeping naps to a minimum, creating a calm environment, and knowing when to unplug from electronics.

It’s important to keep in mind that sleep deprivation might not seem like a big deal, but it can have serious consequences. Incorporate healthy sleep habits to promote an overall healthy lifestyle.

Sleep well!

Erin Fritz is a certified nurse practitioner at Children’s Hospitals and Clinics of Minnesota.

Flu vaccination more important than ever

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The flu vaccination is the best defense against what can be a serious infection at any age.

The flu vaccination is the best defense against what can be a serious infection at any age.

Q4_mighty_buttonBy Patsy Stinchfield, PNP

Parents — heads up!

If you haven’t received your or your children’s influenza vaccine, now is the time. The flu has begun to circulate in Minnesota and is a strain (A-H3N2) that is known to cause more-severe illness in all ages, but especially in the very young and the very old. One child in Minnesota already has died this year from this usual, seasonal strain of influenza.

It takes about two weeks to make protective antibodies, so get in now for your shot or nasal mist before gathering with sick friends and relatives.

The flu vaccine contains A-H3N2, but the virus circulating now has changed a bit, making the vaccine not a perfect match. However, it still is critical to get a flu vaccine because there is cross-protection that will help prevent kids from ending up in the hospital or worse yet, the intensive care unit.

It’s a busy time for everyone, but right now there is nothing more important than protecting yourself (especially if you have a baby younger than 6 months who is too young to be immunized), and your children. The flu vaccine is available at most clinics and retail stores, but please call and make arrangements.

Have a happy and healthy holiday!

Patsy Stinchfield, PNP, is the director of infectious disease and prevention at the Children’s Immunization Project at Children’s Hospitals and Clinics of Minnesota.

World AIDS Day: Getting to zero

Dec. 1 is World AIDS Day.

Fatumata, whose name has been changed, is a 15-year-old girl who lived in Eastern Africa all of her life before coming to Minnesota in 2010. She grew up in a refugee camp with her younger brother and sister and her parents. She had to take medicine every day, and sometimes she was sick. But mostly she liked to play with her friends and help her mother with the chores. Fatumata noticed that some of the people in the camp avoided her and her family, and she was not allowed to go to school with the other children. She didn’t know why.

Then one day, Fatumata’s father became ill and eventually passed away. Soon after, her mother became too sick to care for her and her siblings, and her uncle came to tell her that she would be leaving the camp to go and live with his family in the U.S. Fatumata cried because she did not want to leave her mother, but her mother told her that she would be able to grow and be healthy where she was going and that they would see each other again.

Q4_mighty_buttonSo Fatumata and her siblings came to Minnesota. It was cold and, at first, she didn’t understand what anyone was saying. Soon she was able to go to school for the first time, and she learned English, and she continued to take her medications and grow strong and healthy. Today, Fatumata knows why she takes medications. She knows the name of her disease and doesn’t fear her HIV. She has a dedicated medical team at Children’s who provide care and support to her and her family. Fatumata is looking forward to the day when she will be able to go to college and some day, have a healthy family of her own.

Dec. 1, 2014, marks the 26th anniversary of World AIDS Day. It’s an opportunity for us to come together to show support for people living with HIV and AIDS around the world and at home, to remember those who have died from this disease, and to commit to “getting to zero” in the fight against HIV: zero new infections and zero deaths from HIV and AIDS.

HIV today

Around the world, there are an estimated 34 million people living with HIV. About 3.3 million are children younger than 15. In addition, about 17.3 million children have lost one or both parents to AIDS and millions more have been affected by the epidemic. Every day, almost 7,000 people become infected with HIV and nearly 5,000 people die from AIDS. In 2011, 230,000 of those who lost their lives were children, according to UNICEF.

In the U.S., approximately 1.1 million people are living with HIV, and in Minnesota, just more than 7,500 of our neighbors, family members and friends are living with HIV and AIDS, according to the Minnesota Department of Health.

What is Children’s doing in the fight against HIV?

As the largest provider of care to HIV-infected children in Minnesota, we provide medical care to more than 100 children infected with HIV every year. Children come to us from all over Minnesota and the world. Many of the children in our care have been adopted from countries in Asia, Africa, Eastern Europe and the Caribbean. Many more are refugees and immigrants who may not be able to access treatment in their own countries. In addition to expert medical care, families can access specialized support services funded through the federal Ryan White CARE Act, including education, family case management and mental-health services.

What can you do?

1. Get tested, know your status. HIV testing is recommended as a routine part of medical care. Talk to your provider about testing.

2. Get connected, get support. If you are living with HIV, find out about the programs and services offered in your area to help you stay healthy and support you and your family in living with your disease.

3. Educate yourself about HIV. Learn how to prevent HIV infection and how to keep yourself safe. Can you answer these questions about HIV?

True or false?

1. HIV is a virus and AIDS is a bacteria.

2. HIV infection can be spread by hugging.

3. Some people have HIV and do not know it

4. There is treatment for HIV.

5. People who have HIV can give birth to healthy babies.

Quiz answers

1. HIV (human immunodeficiency virus) is a virus and AIDS (Acquired Immune Deficiency Syndrome) is the disease caused by the HIV virus. AIDS makes it hard for people to fight off other kinds of infections and illnesses and can make people sick.

2. False. You cannot get HIV from hugging or playing with other people with HIV. HIV can only be spread by direct contact with blood and some other body fluids through sex, sharing needles, or breastfeeding.

3. True. About 15 percent of people infected with HIV do not know they are infected with the virus. That’s why getting tested is so important.

4. True. We have great treatments and medications for people living with HIV that enable them to stay healthy and live a long time. We don’t have a cure yet, but scientists are hard at work on it.

5. True. When people living with HIV take their medications and see their doctors regularly, they have more than a 98 percent chance of having a baby born without HIV.

Trauma 101: What it means to be a Level I pediatric trauma center

Our pediatric specialists in Minneapolis are on site, not on call, so they can get to children immediately.

Children’s pediatric specialists in Minneapolis are on site, not on call, so they can get to children immediately.

On the surface, it may be difficult to distinguish one hospital from another. Each one has doctors, nurses and operating rooms. Every place has an emergency room, and all ERs are the same, right?

Not exactly.

So then what does it mean when you’re told that Children’s Hospitals and Clinics of Minnesota has a Level I pediatric trauma center in Minneapolis?

Established in June 2013, Children’s Level I Pediatric Trauma Center in Minneapolis received the American College of Surgeons’ verification by meeting the highest standards of expertise and level of preparation to care for critically injured children, which increases Children’s commitment to families throughout the region. Children’s – Minneapolis was designated by the Minnesota Department of Health as the first and only pediatric-only hospital in the state with ACS Level I recognition.

Children’s can accept injured kids directly from the site of the traumatic injury via ambulance or helicopter instead of being transferred from another hospital after being stabilized.

Children’s can accept injured kids directly from the site of the traumatic injury via ambulance or helicopter instead of being transferred from another hospital after being stabilized.

Trauma

Trauma is the leading cause of death and disability in children. The first hour after an accident, the golden hour, is critical. Children’s can accept injured kids directly from the site of the traumatic injury via ambulance or helicopter instead of being transferred from another hospital after being stabilized.

Children’s – Minneapolis’ transformation from Level III status to Level I took three years, a process that was sped up with help of $17.5 million grant and ongoing philanthropic partnership from Minnetonka-based UnitedHealthcare, a UnitedHealth Group company, in 2010, making the UnitedHealthcare Pediatric Emergency Department and Level I Trauma Center a reality.

The emergency department at Children’s – St. Paul, which is Level III, has been renovated, and its staff go through the same training as those in Minneapolis.

At its Minneapolis and St. Paul hospitals, Children’s receives more than 90,000 visits annually and treats nearly 40 percent of Twin Cities pediatric trauma cases.

At its Minneapolis and St. Paul hospitals, Children’s receives more than 90,000 visits annually and treats nearly 40 percent of Twin Cities pediatric trauma cases.

Level I standards

At its Minneapolis and St. Paul hospitals, Children’s receives more than 90,000 visits annually and treats nearly 40 percent of Twin Cities pediatric trauma cases. When it comes to ACS-verified Level I attributes, Children’s has:

  • More than 150 emergency department staff, including board-eligible or board-certified pediatric emergency physicians, nurse practitioners, nurses and more
  • 24/7 in-house pediatric trauma surgeon; Children’s pediatric specialists in Minneapolis are on site, not on call, so they can get to kids immediately
  • Two large trauma bays, resuscitation rooms, a helipad and dedicated orthopedic room for fractures, featuring advanced X-ray capabilities
  • Research programs and performance improvement efforts to ensure that each patient experience leads to the best possible outcome
  • Injury prevention efforts such as Making Safe Simple, Children’s public education program designed to arm the community with basic safety and injury prevention tips

subscribe_blogPlan for the unplanned

You plan everything out for your kids (classes, camps and nutrition). It’s important to have a plan in case they’re in a serious accident. If your child has an emergency, know where to go. Program Children’s ER contact information into your phone. Children’s Hospitals and Clinics of Minnesota are located in Minneapolis (2525 Chicago Ave. S.) and St. Paul (345 N. Smith Ave.)

When it’s critical, so is your choice – Children’s Level I Pediatric Trauma Center, Minneapolis.

The facts about enterovirus D68

Suspected cases of enterovirus D68 infections recently have popped up, with 12 states (Minnesota and Wisconsin are not included to date) contacting the Centers for Disease Control and Prevention for help confirming test samples.

Enteroviruses can be spread by close contact with an infected person who may cough or sneeze on you and by touching objects or surfaces that have the virus on them and then touching your eyes, nose or mouth.

Enteroviruses can be spread by close contact with an infected person who may cough or sneeze on you and by touching objects or surfaces that have the virus on them and then touching your eyes, nose or mouth. (iStock photo / Getty Images)

It is not a mystery virus – we see it every late summer/early fall. What is different is that this particular strain, EV-D68, seems to be causing more intense asthma symptoms, wheezing and respiratory difficulty for a large number of kids at the same time.

Now is as good a time as ever to learn about EV-D68 and enteroviruses in general.

CDC background on enteroviruses

  • Enteroviruses are common viruses – there are more than 100 types.
  • Most enterovirus infections in the U.S. occur seasonally during the summer and fall, peaking in September.
  • It’s estimated that 10 million to 15 million enterovirus infections occur in the U.S. each year.
  • Most people infected with enteroviruses have no symptoms or only mild symptoms, but some infections can be serious.
  • Infants, children and teenagers are most likely to get infected with enteroviruses and become sick. Infants and people with weakened immune systems are at risk of the virus worsening into heart or brain infections.

How is enterovirus spread?

“Enteroviruses can be spread by close contact with an infected person who may cough or sneeze on you and by touching objects or surfaces that have the virus on them and then touching your eyes, nose or mouth,” said Patsy Stinchfield, pediatric nurse practitioner and Children’s director of infectious disease and prevention.

Enterovirus D68

Enterovirus D68 is one of many enteroviruses. EV-D68 infections are thought to occur less commonly than infections with other enteroviruses. It first was identified in California in 1962. Compared with other enteroviruses, EV-D68 has been rarely reported in the U.S. in the past 40 years. There have been no known deaths due to the 2014 virus.

Subscribe to MightyWhat are EV-D68 symptoms?

EV-D68 usually can cause mild to severe respiratory illness; however, the full spectrum of EV-D68 illness is not well-defined. Most people who get infected are infants, children and teens. Most start with common cold symptoms of runny nose and cough. Some, but not all, may also have fever.  For more severe cases, difficulty breathing, wheezing or problems catching your breath may occur.

How should I care for my child if I suspect enterovirus D68?

There is no specific treatment for EV-D68 infections. Many infections will be mild and self-limited, requiring only treatment of the symptoms such as increasing fluids and rest or fever-reducing medicine.

Some people with severe respiratory illness caused by EV-D68 may need to be hospitalized and receive supportive therapy such as oxygen and nebulizations. There are no anti-viral medications or vaccines currently available for EV-D68 treatment or prevention.

What do I do if my child has these symptoms?

If your child has these symptoms, Stinchfield says: 

  1. If symptoms are mild, such as common cold, parents should do what they normally do with a sick child – increase his or her fluids, rest, keep home from school, give fever- and pain-reducing medicines.
  2. If symptoms are moderate, such as cold symptoms worsening or not getting better within a week, or new wheezing begins, take your child to your clinic.
  3. If at any time your child is having difficulty breathing or you are seeing blue lips or they are gasping for air, take him or her to the closest emergency room. 

How do I prevent enterovirus?

There are no vaccines for preventing EV-D68 infections.

Ways to help reduce the risk of getting infected with EV-D68:

  • Superb hand hygiene is important. Wash hands often with soap and water for 20 seconds, especially after changing diapers.
  • Avoid touching eyes, nose and mouth with unwashed hands.
  • Avoid kissing, hugging and sharing cups or eating utensils with people who are sick.
  • Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick.
  • Cover coughs and sneezes.
  • Stay home if you’re ill.

How do I know if my child has enterovirus D68 or another respiratory illness?

Fall and winter seasons see many different viruses circulating in the community. Some of them that look similar with cough and runny nose include:

Respiratory syncytial virus (RSV) is a respiratory virus that infects the lungs and breathing passages. Most otherwise healthy people recover from RSV infection in one to two weeks. However, infection can be severe in some people, such as infants, young children and older adults. RSV is the most-common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia in children younger than 1 year of age in the U.S. RSV is more often being recognized as an important cause of respiratory illness in older adults.

Influenza (flu) is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness. Serious outcomes of flu infection can result in hospitalization or death. Some people, such as older people, young children, and people with certain health conditions, are at high risk for serious flu complications. The best way to prevent the flu is by getting vaccinated each year – Children’s is hosting vaccination clinics at Kohl’s stores around the Twin Cities metro area.

Family screening tests risk of developing type 1 diabetes

(iStock photo / Getty Images)

(iStock photo / Getty Images)

The McNeely Pediatric Diabetes Center is part of an international research network called Type 1 Diabetes TrialNetThe center is screening relatives of individuals with type 1 diabetes (T1D) to see if they are at risk for developing the disease. The TrialNet research study offers a blood test that can identify increased risk for T1D up to 10 years before symptoms appear.

Subscribe to MightyTrialNet offers screening to individuals:

  • Ages 1-45 with a parent, brother, sister or child with T1D
  • Ages 1-20 with a niece, nephew, aunt, uncle, grandparent, half-brother, half-sister or cousin with T1D

Screening is available in the McNeely Pediatric Diabetes Center (located on the fourth floor of the Gardenview building at Children’s  St. Paul, 345 N. Smith Ave., Suite 404. There is no fee to participate, and parking vouchers will be provided to all participating families.

For more information or to refer eligible families, contact Brittany Machus, clinical research associate, at [email protected] or (651) 220-5730.

New Minnesota immunization requirements take effect in September

Minnesota’s new immunization requirements take effect Sept. 1, and with August serving as National Immunization Month, we urge parents to get their children’s vaccinations updated ahead of the upcoming school year.

The Minnesota Department of Health's statewide requirement changes were made to protect kids from measles, whooping cough and other preventable diseases. (iStock photo / Getty Images)

The Minnesota Department of Health’s statewide requirement changes were made to protect kids from measles, whooping cough and other preventable diseases. (iStock photo / Getty Images)

The Minnesota Department of Health’s statewide requirement changes were made to protect kids from measles, whooping cough and other preventable diseases.

Getting vaccinated before September is important.

“Vaccines take about a month or so, in general, to really be full force and working for your body effectively,” Pamela “Gigi” Chawla, MD, Children’s senior medical director for primary care, said in an interview with KARE-TV. “We want kids to be ready for their school year.”

The new requirements include:

  • Hepatitis A and B vaccinations for children enrolling in child care or school-based early childhood programs
  • Pertussis vaccine added to tetanus-diphtheria vaccine for seventh-graders
  • Meningococcal meningitis vaccine for seventh-graders

According to the Centers for Disease Control and Prevention, vaccinations given to children in the past 20 years will prevent an estimated 732,000 deaths and save $295 billion.

Looking to schedule an appointment? Contact one of our 12 clinic locations.

Changes to state’s immunization law (KARE-TV):