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Shots","publishDate":1536182430,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>The American Academy of Pediatrics is recommending children be vaccinated with injectable flu vaccine for the coming season, rather than the nasal spray vaccine FluMist, unless a child will only be vaccinated if he or she can forgo a needle, or if a doctor runs out of flu shots.[contextly_sidebar id=\"hDOkDX1TSKq0uExbrwfmFky6j6An7v9D\"]\u003c/p>\n\u003cp>“The AAP feels that the flu shot should be the primary vaccine choice for all children,” said Dr. Henry Bernstein, a pediatrician and an ex-officio member of the AAP’s committee on infectious diseases.\u003c/p>\n\u003cp>That advice puts the AAP’s annual flu vaccine recommendations slightly at odds with \u003ca href=\"https://www.cdc.gov/mmwr/volumes/67/rr/rr6703a1.htm?s_cid=rr6703a1_w\" target=\"_blank\" rel=\"noopener\">those of the Centers for Disease Control and Prevention\u003c/a>, which state that any of the flu vaccines available for children could be used for the coming flu season.\u003c/p>\n\u003cp>Both, however, share an end goal: getting more children vaccinated.\u003c/p>\n\u003cp>Influenza can be deadly for children. In the past flu season, 180 children under the age of 18 died from the flu, making it the second most deadly flu season — after the 2009 H1N1 pandemic — since the CDC started recording pediatric flu deaths in the winter of 2005-2006.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The CDC recommends everyone over the age of 6 months be vaccinated every year against the flu, unless there is a medical reason to avoid the vaccine.\u003c/p>\n\u003cp>Yet only about 60 percent of children between the ages of 6 months and 17 years got vaccinated against flu in 2016-2017, the most recent year for which data are available. Roughly eight out of every 10 children who died from flu weren’t vaccinated, said Dr. Lisa Grohskopf, a medical officer in the CDC’s influenza division.\u003c/p>\n\u003cp>The differing advice from the CDC and the AAP on AstraZeneca’s FluMist could befuddle parents and pediatricians.[contextly_sidebar id=\"ns1NFKxqZaS66Mu22mM7Fucp2b9WmmE4\"]\u003c/p>\n\u003cp>“There’s no question that ideally we would like for the CDC and the AAP to be completely harmonized” when it comes to recommendations, said Bernstein who is also a member of the Advisory Committee on Immunization Practices, which guides the CDC on vaccine decisions.\u003c/p>\n\u003cp>“Both groups are harmonized in wanting as many children to receive flu vaccine as possible each and every year,” said Bernstein. “When recommendations are not perfectly harmonized, it does pose the possibility for confusion.”\u003c/p>\n\u003cp>But any confusion might be mitigated by the fact that finding FluMist might not be easy this flu season.\u003c/p>\n\u003cp>The decision to once again recommend it — effectively giving doctors and pharmacists a go-head to use it again — was \u003ca href=\"https://www.statnews.com/2018/02/21/flu-flumist-vaccine/\">made by the ACIP in late February\u003c/a>. By that point, though, many flu vaccine orders would already have been placed for the 2018-2019 season.\u003c/p>\n\u003cp>While dozens of lots of vaccine products made by Sanofi Pasteur, GlaxoSmithKline, and Seqirus have been given the \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Post-MarketActivities/LotReleases/ucm613863.htm\" target=\"_blank\" rel=\"noopener\">green light for distribution\u003c/a> by the Food and Drug Administration, no lots of FluMist had cleared that hurdle as of Aug. 30.\u003c/p>\n\u003cp>It has been a rocky few years for FluMist, which once was deemed more effective in children than injectable flu vaccine. But just after ACIP gave FluMist a rare preferential recommendation in 2014, performance problems came into view. By the 2016-2017 flu season, the CDC’s vaccine advisers recommended it not be used in the U.S. ACIP retained that position for the following flu season as well.\u003c/p>\n\u003cp>The problem was vaccine effectiveness studies that are done every year showed FluMist had not been offering much if any protection against the influenza A virus family H1N1.\u003c/p>\n\u003cp>It wasn’t clear why the vaccine’s performance was so poor in the U.S. during the 2013-2014 and 2015-2016 seasons. To make matters more confounding, other countries that use FluMist — Canada, Finland, and Britain among them — did not see the puzzling lack of effectiveness.[contextly_sidebar id=\"plRGl9fWXC0hyQTXcSoyNMZbRMqtlHfF\"]\u003c/p>\n\u003cp>Unlike injectable flu vaccine, FluMist contains live viruses. The viruses in the vaccine, which is puffed up a nostril of the recipient, initiate the infection process, thereby activating an immune response. But the viruses in the vaccine are weakened and don’t induce illness.\u003c/p>\n\u003cp>In response to its U.S. performance problems, AstraZeneca reformulated the H1N1 portion of the vaccine. There is some evidence that suggests the updated vaccine may be more effective — although the company hasn’t been able to do studies in children to confirm that. H3N2 viruses have dominated in the last two flu seasons here.\u003c/p>\n\u003cp>“They provided some evidence that appeared promising that the new virus that’s going to go into the vaccine this season in the U.S. is a bit more fit,” said Grohskopf. “It is promising evidence that what is at least believed to be the root cause of the problem has been fixed.”\u003c/p>\n\u003cp>Bernstein said the AAP was not as convinced by the data as the CDC. He voted against recommending FluMist for the 2018-2019 season at the February ACIP meeting.\u003c/p>\n\u003cp>Another place the CDC and AAP advice diverges slightly relates to when children should be vaccinated.\u003c/p>\n\u003cp>The AAP recommendations, published Monday in the journal Pediatrics, suggest pediatricians should start urging parents to vaccinate their children as soon as flu vaccine becomes available. That can be as early as late July or August, which — depending on when flu activity picks up — is often months ahead of when children will face a flu threat. Flu season often peaks in January or February, and influenza B viruses, which are particularly hard on children, often circulate late in the winter.[contextly_sidebar id=\"99nVOxVZDXqlh05RmfHN75NAR5MEv5RW\"]\u003c/p>\n\u003cp>There are some studies that have shown protection from flu vaccine starts to wear off as the season wears on.\u003c/p>\n\u003cp>The CDC’s recommendations, published Aug. 24, suggested people should be vaccinated by the end of October, when flu activity can start to tick up.\u003c/p>\n\u003cp>Grohskopf acknowledged the variability and unpredictability of influenza makes it tough to know when to advise people to get the vaccine. “What we can say is the best time to get vaccinated is probably a couple of weeks before flu starts circulating where you are. But we can never really tell people when that is,” she admitted.\u003c/p>\n\u003cp>One thing is clear though, she said. Parents of young children should start the vaccination process earlier. That’s because children under 8 years old who haven’t had at least two flu vaccines in their life need two doses of vaccine given at least four weeks apart. The second shot should be by the end of October, the CDC guidance said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2018/09/03/flumist-vaccine-recommendations/\" target=\"_blank\" rel=\"noopener\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"New recommendations urge parents to vaccinate their children as soon as flu vaccine becomes available. ","status":"publish","parent":0,"modified":1536135982,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":1135},"headData":{"title":"Pediatrics Group Urges Parents to Ditch FluMist in Favor of Shots | KQED","description":"New recommendations urge parents to vaccinate their children as soon as flu vaccine becomes available. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Pediatrics Group Urges Parents to Ditch FluMist in Favor of Shots","datePublished":"2018-09-05T21:20:30.000Z","dateModified":"2018-09-05T08:26:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444271 https://ww2.kqed.org/futureofyou/?p=444271","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/09/05/pediatrics-group-says-avoid-popular-flumist/","disqusTitle":"Pediatrics Group Urges Parents to Ditch FluMist in Favor of Shots","nprByline":"Helen Branswell\u003cbr />STAT","path":"/futureofyou/444271/pediatrics-group-says-avoid-popular-flumist","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The American Academy of Pediatrics is recommending children be vaccinated with injectable flu vaccine for the coming season, rather than the nasal spray vaccine FluMist, unless a child will only be vaccinated if he or she can forgo a needle, or if a doctor runs out of flu shots.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“The AAP feels that the flu shot should be the primary vaccine choice for all children,” said Dr. Henry Bernstein, a pediatrician and an ex-officio member of the AAP’s committee on infectious diseases.\u003c/p>\n\u003cp>That advice puts the AAP’s annual flu vaccine recommendations slightly at odds with \u003ca href=\"https://www.cdc.gov/mmwr/volumes/67/rr/rr6703a1.htm?s_cid=rr6703a1_w\" target=\"_blank\" rel=\"noopener\">those of the Centers for Disease Control and Prevention\u003c/a>, which state that any of the flu vaccines available for children could be used for the coming flu season.\u003c/p>\n\u003cp>Both, however, share an end goal: getting more children vaccinated.\u003c/p>\n\u003cp>Influenza can be deadly for children. In the past flu season, 180 children under the age of 18 died from the flu, making it the second most deadly flu season — after the 2009 H1N1 pandemic — since the CDC started recording pediatric flu deaths in the winter of 2005-2006.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The CDC recommends everyone over the age of 6 months be vaccinated every year against the flu, unless there is a medical reason to avoid the vaccine.\u003c/p>\n\u003cp>Yet only about 60 percent of children between the ages of 6 months and 17 years got vaccinated against flu in 2016-2017, the most recent year for which data are available. Roughly eight out of every 10 children who died from flu weren’t vaccinated, said Dr. Lisa Grohskopf, a medical officer in the CDC’s influenza division.\u003c/p>\n\u003cp>The differing advice from the CDC and the AAP on AstraZeneca’s FluMist could befuddle parents and pediatricians.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“There’s no question that ideally we would like for the CDC and the AAP to be completely harmonized” when it comes to recommendations, said Bernstein who is also a member of the Advisory Committee on Immunization Practices, which guides the CDC on vaccine decisions.\u003c/p>\n\u003cp>“Both groups are harmonized in wanting as many children to receive flu vaccine as possible each and every year,” said Bernstein. “When recommendations are not perfectly harmonized, it does pose the possibility for confusion.”\u003c/p>\n\u003cp>But any confusion might be mitigated by the fact that finding FluMist might not be easy this flu season.\u003c/p>\n\u003cp>The decision to once again recommend it — effectively giving doctors and pharmacists a go-head to use it again — was \u003ca href=\"https://www.statnews.com/2018/02/21/flu-flumist-vaccine/\">made by the ACIP in late February\u003c/a>. By that point, though, many flu vaccine orders would already have been placed for the 2018-2019 season.\u003c/p>\n\u003cp>While dozens of lots of vaccine products made by Sanofi Pasteur, GlaxoSmithKline, and Seqirus have been given the \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Post-MarketActivities/LotReleases/ucm613863.htm\" target=\"_blank\" rel=\"noopener\">green light for distribution\u003c/a> by the Food and Drug Administration, no lots of FluMist had cleared that hurdle as of Aug. 30.\u003c/p>\n\u003cp>It has been a rocky few years for FluMist, which once was deemed more effective in children than injectable flu vaccine. But just after ACIP gave FluMist a rare preferential recommendation in 2014, performance problems came into view. By the 2016-2017 flu season, the CDC’s vaccine advisers recommended it not be used in the U.S. ACIP retained that position for the following flu season as well.\u003c/p>\n\u003cp>The problem was vaccine effectiveness studies that are done every year showed FluMist had not been offering much if any protection against the influenza A virus family H1N1.\u003c/p>\n\u003cp>It wasn’t clear why the vaccine’s performance was so poor in the U.S. during the 2013-2014 and 2015-2016 seasons. To make matters more confounding, other countries that use FluMist — Canada, Finland, and Britain among them — did not see the puzzling lack of effectiveness.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Unlike injectable flu vaccine, FluMist contains live viruses. The viruses in the vaccine, which is puffed up a nostril of the recipient, initiate the infection process, thereby activating an immune response. But the viruses in the vaccine are weakened and don’t induce illness.\u003c/p>\n\u003cp>In response to its U.S. performance problems, AstraZeneca reformulated the H1N1 portion of the vaccine. There is some evidence that suggests the updated vaccine may be more effective — although the company hasn’t been able to do studies in children to confirm that. H3N2 viruses have dominated in the last two flu seasons here.\u003c/p>\n\u003cp>“They provided some evidence that appeared promising that the new virus that’s going to go into the vaccine this season in the U.S. is a bit more fit,” said Grohskopf. “It is promising evidence that what is at least believed to be the root cause of the problem has been fixed.”\u003c/p>\n\u003cp>Bernstein said the AAP was not as convinced by the data as the CDC. He voted against recommending FluMist for the 2018-2019 season at the February ACIP meeting.\u003c/p>\n\u003cp>Another place the CDC and AAP advice diverges slightly relates to when children should be vaccinated.\u003c/p>\n\u003cp>The AAP recommendations, published Monday in the journal Pediatrics, suggest pediatricians should start urging parents to vaccinate their children as soon as flu vaccine becomes available. That can be as early as late July or August, which — depending on when flu activity picks up — is often months ahead of when children will face a flu threat. Flu season often peaks in January or February, and influenza B viruses, which are particularly hard on children, often circulate late in the winter.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>There are some studies that have shown protection from flu vaccine starts to wear off as the season wears on.\u003c/p>\n\u003cp>The CDC’s recommendations, published Aug. 24, suggested people should be vaccinated by the end of October, when flu activity can start to tick up.\u003c/p>\n\u003cp>Grohskopf acknowledged the variability and unpredictability of influenza makes it tough to know when to advise people to get the vaccine. “What we can say is the best time to get vaccinated is probably a couple of weeks before flu starts circulating where you are. But we can never really tell people when that is,” she admitted.\u003c/p>\n\u003cp>One thing is clear though, she said. Parents of young children should start the vaccination process earlier. That’s because children under 8 years old who haven’t had at least two flu vaccines in their life need two doses of vaccine given at least four weeks apart. The second shot should be by the end of October, the CDC guidance said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2018/09/03/flumist-vaccine-recommendations/\" target=\"_blank\" rel=\"noopener\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444271/pediatrics-group-says-avoid-popular-flumist","authors":["byline_futureofyou_444271"],"categories":["futureofyou_1060","futureofyou_73"],"tags":["futureofyou_491","futureofyou_662","futureofyou_61","futureofyou_1217","futureofyou_1488"],"collections":["futureofyou_1093"],"featImg":"futureofyou_444273","label":"futureofyou_1093"},"futureofyou_439851":{"type":"posts","id":"futureofyou_439851","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439851","score":null,"sort":[1519931987000]},"guestAuthors":[],"slug":"opinion-children-with-toxic-stress-are-being-misdiagnosed","title":"Opinion: Children With Toxic Stress Are Being Misdiagnosed","publishDate":1519931987,"format":"aside","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"581\" height=\"326\" src=\"https://www.youtube.com/embed/yiglpsqv5ik\" frameborder=\"0\" allow=\"autoplay; encrypted-media\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Ten years ago at my pediatric clinic in San Francisco, teachers, social workers and parents were bringing me child after child with concerns of ADHD.\u003c/p>\n\u003cp>As I examined my patients, I noticed that the highest rate of behavioral problems was occurring in the kids whose parents had drug addictions or mental illness, or those who were subject to violence at home.\u003c/p>\n\u003cp>When I dug into the science, what I found was that for most of these kids, the problem wasn’t run of the mill ADHD. For most of my kids the real problem is what the American Academy of Pediatrics now recognizes as “toxic stress.”[contextly_sidebar id=\"PYT3p5XM48uhTDQbk48cJ0IOP5aQaQuB\"]\u003c/p>\n\u003cp>Toxic stress affects white kids, black and brown kids, rich, poor, urban, rural … it can affect anyone and it can happen anywhere.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ultimately, it all boils down to our flight-or-fight response – what happens in our bodies when we experience something scary. But, when activated too often – like with repeated abuse, neglect or parental addiction – it can change the structure and function of children’s developing brains.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Only 4 percent of pediatricians in the U.S. are screening for toxic stress.'\u003c/aside>\n\u003cp>It can affect hormones, the immune system, even the way DNA is read and transcribed. And it dramatically increases the risk of both behavioral and health problems in childhood and in adulthood.\u003c/p>\n\u003cp>But right now, only 4 percent of pediatricians in the U.S. are screening for toxic stress. Most haven’t received any training on how to identify kids who are at risk.\u003c/p>\n\u003cp>This has to change.\u003c/p>\n\u003cp>Too many children with behavioral symptoms of toxic stress are being labeled with ADHD and given stimulants without any identification of the root cause. Many kids show no behavioral symptoms at all. Yet they are still more than twice as likely to go on to develop asthma, autoimmune disease, heart disease and cancer – and their life expectancy can be cut short by decades.[contextly_sidebar id=\"XCU75OyFv9SQgCGmJSKjDF77OmW3l8Yr\"]\u003c/p>\n\u003cp>More than 34 million American children have had at least one adverse childhood experience like abuse or neglect — we need every medical professional in this country to be equipped with the right tools for universal screening.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When identified early, doctors, educators and caregivers can help reverse the biological effects of childhood trauma. Together, we can give every child a shot at a healthy life.\u003c/p>\n\n","blocks":[],"excerpt":"When identified early, caregivers can help reverse the biological effects of childhood trauma.","status":"publish","parent":0,"modified":1519931987,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":402},"headData":{"title":"Opinion: Children With Toxic Stress Are Being Misdiagnosed | KQED","description":"When identified early, caregivers can help reverse the biological effects of childhood trauma.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Opinion: Children With Toxic Stress Are Being Misdiagnosed","datePublished":"2018-03-01T19:19:47.000Z","dateModified":"2018-03-01T19:19:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439851 https://ww2.kqed.org/futureofyou/?p=439851","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/01/opinion-children-with-toxic-stress-are-being-misdiagnosed/","disqusTitle":"Opinion: Children With Toxic Stress Are Being Misdiagnosed","nprByline":"Dr. Nadine Burke Harris\u003cbr />PBS Health","path":"/futureofyou/439851/opinion-children-with-toxic-stress-are-being-misdiagnosed","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"581\" height=\"326\" src=\"https://www.youtube.com/embed/yiglpsqv5ik\" frameborder=\"0\" allow=\"autoplay; encrypted-media\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Ten years ago at my pediatric clinic in San Francisco, teachers, social workers and parents were bringing me child after child with concerns of ADHD.\u003c/p>\n\u003cp>As I examined my patients, I noticed that the highest rate of behavioral problems was occurring in the kids whose parents had drug addictions or mental illness, or those who were subject to violence at home.\u003c/p>\n\u003cp>When I dug into the science, what I found was that for most of these kids, the problem wasn’t run of the mill ADHD. For most of my kids the real problem is what the American Academy of Pediatrics now recognizes as “toxic stress.”\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Toxic stress affects white kids, black and brown kids, rich, poor, urban, rural … it can affect anyone and it can happen anywhere.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ultimately, it all boils down to our flight-or-fight response – what happens in our bodies when we experience something scary. But, when activated too often – like with repeated abuse, neglect or parental addiction – it can change the structure and function of children’s developing brains.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Only 4 percent of pediatricians in the U.S. are screening for toxic stress.'\u003c/aside>\n\u003cp>It can affect hormones, the immune system, even the way DNA is read and transcribed. And it dramatically increases the risk of both behavioral and health problems in childhood and in adulthood.\u003c/p>\n\u003cp>But right now, only 4 percent of pediatricians in the U.S. are screening for toxic stress. Most haven’t received any training on how to identify kids who are at risk.\u003c/p>\n\u003cp>This has to change.\u003c/p>\n\u003cp>Too many children with behavioral symptoms of toxic stress are being labeled with ADHD and given stimulants without any identification of the root cause. Many kids show no behavioral symptoms at all. Yet they are still more than twice as likely to go on to develop asthma, autoimmune disease, heart disease and cancer – and their life expectancy can be cut short by decades.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>More than 34 million American children have had at least one adverse childhood experience like abuse or neglect — we need every medical professional in this country to be equipped with the right tools for universal screening.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When identified early, doctors, educators and caregivers can help reverse the biological effects of childhood trauma. Together, we can give every child a shot at a healthy life.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439851/opinion-children-with-toxic-stress-are-being-misdiagnosed","authors":["byline_futureofyou_439851"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_161","futureofyou_491","futureofyou_141","futureofyou_61","futureofyou_1217","futureofyou_912"],"collections":["futureofyou_1093"],"featImg":"futureofyou_439854","label":"futureofyou_1093"},"futureofyou_411017":{"type":"posts","id":"futureofyou_411017","meta":{"index":"posts_1591205157","site":"futureofyou","id":"411017","score":null,"sort":[1498053860000]},"guestAuthors":[],"slug":"baby-box-skeptics-say-more-testing-needed","title":"Baby Box Skeptics Say More Testing Needed","publishDate":1498053860,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>When Maisha Watson heard about baby boxes, her first reaction was: \"Why would I want to put my baby in a box?\"\u003c/p>\n\u003cp>She was talking with Marcia Virgil — \"Miss Marcia\" to her clients — a family support worker with the \u003ca href=\"http://www.snjpc.org/\">Southern New Jersey Perinatal Cooperative\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned.'\u003c/aside>\n\u003cp>True, it's a cardboard box, Miss Marcia told her. But it's also a safe place for a baby to sleep: It comes with a firm mattress and a snug sheet, in line with \u003ca href=\"https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-safe-sleep-recommendations-to-protect-against-sids.aspx\">American Academy of Pediatrics recommendations\u003c/a> meant to protect against sleep-related deaths, including sudden infant death syndrome, or SIDS.\u003c/p>\n\u003cp>Watson learned more, and now the mother of 1-month-old Solomon is a big fan. Solomon has slept in a baby box ever since he came home from the hospital.\u003c/p>\n\u003cp>That's because he's living with his mom and dad in a cramped motel room outside Atlantic City, N.J. Watson has lived here for about a year, after a bad car accident made it hard for her to work and stay in school.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There's no space for a crib or a bassinet. And Watson knows it's dangerous for a baby to sleep on a bed.\u003c/p>\n\u003cp>The box they're using is one of roughly 20,000 that New Jersey has given away since January as part of the first program to provide a box to every newborn in the state. Since then, Ohio, Alabama and Texas have started similar programs, with more on the way.\u003c/p>\n\u003cp>The idea is borrowed from Finland, where for decades, in exchange for a prenatal checkup, the government has given expectant mothers a \u003ca href=\"http://www.kela.fi/web/en/maternitypackage\">maternity package that includes a box that doubles as a crib\u003c/a>. With the new state-sponsored programs in the U.S., anyone who watches a series of online videos focused mainly on safe sleep — and then passes a short quiz — can get a box.\u003c/p>\n\u003cp>Supporters say the free, cheerfully decorated box is just a cool hook, and that the heart of the program is to teach all parents about simple, proven ways to help keep their babies safe while sleeping. Moms like Watson are already finding the boxes useful.\u003c/p>\n\u003cp>But skeptics say there haven't been enough studies or enough testing done on the boxes to prove whether they're safe or effective at preventing infant deaths.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Child-Death-Review/Pages/Safe-Sleep.aspx\">American Academy of Pediatrics notes\u003c/a>: \"Currently, there is insufficient data on the role cardboard boxes play in reducing infant mortality.\"\u003c/p>\n\u003cp>Moreover, there are unanswered questions about the boxes' safety, says Dr. Thomas Heygi, medical director of the \u003ca href=\"http://www.rwjms.rutgers.edu/sids/\">SIDS Center of New Jersey\u003c/a>.\u003c/p>\n\u003cp>For instance, he says, will bacterial growth increase if the cardboard gets wet? Or are there glues or emissions that could cause dermatitis or that babies could inhale?\u003c/p>\n\u003cp>Hegyi says enthusiasm for the boxes has outpaced the science. And that worries him, because there are many things that sounded like a good idea for newborns but ended up being dangerous, he says, citing \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/25/457285189/to-reduce-infant-deaths-doctors-call-for-a-ban-of-crib-bumpers\">crib bumpers as one example\u003c/a>.\u003c/p>\n\u003cp>\"We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned,\" he says.\u003c/p>\n\u003cp>There is work underway to address safety and testing concerns. A task group of the independent standards organization ASTM International is looking at expanding the standards for bassinets to cover baby boxes.\u003c/p>\n\u003cp>The current ASTM bassinet standard already addresses issues such as sharp edges, small parts, finger entrapment and mattress suffocation hazards. The task group, which next meets later this month, is considering the development of requirements for additional hazards associated with baby boxes. In addition to the questions raised by Hegyi, the task group is considering issues such as the boxes' stability, handle strength and product integrity, among others.\u003c/p>\n\u003cp>But it will likely take at least a year before they're finalized and formally adopted.\u003c/p>\n\u003cp>In the meantime, the California-based Baby Box Company, which produces the boxes and videos used in the program, says it has tested the boxes against relevant bassinet standards and has posted \u003ca href=\"https://www.dropbox.com/sh/yzksxb53j4cdqoi/AABfbt0Vc-LXlJl96bsle3l9a?dl=0\">documentation of its voluntary safety testing\u003c/a> on its website.\u003c/p>\n\u003cp>Dr. Kathie McCans is chair of the New Jersey Child Fatality and Near Fatality Review Board, which is using a $40,000 federal grant to partner with the Baby Box Company for the state program.\u003c/p>\n\u003cp>McCans agrees that standards, regulations and more testing are needed. But she says the benefits of the baby box program's educational component outweigh potential risks.\u003c/p>\n\u003cp>\"How many babies should die while we wait for the Consumer Product Safety Commission to do testing?\" she says. \"The reality is, babies have died in bassinets, babies have died in cribs.\"\u003c/p>\n\u003cp>Proponents point to the long track record of Finland, which started distributing baby boxes in 1938, at a time when \u003ca href=\"http://www.stat.fi/til/ksyyt/2010/ksyyt_2010_2011-12-16_kat_007_en.html\">nearly one out of every 10 children\u003c/a> in the country died before age 1.\u003c/p>\n\u003cp>Finland now has one of the world's lowest infant mortality rates, but many say that's a result of improved medical care and social safety nets, not use of baby boxes. In fact, \u003ca href=\"https://www.nytimes.com/2017/05/24/well/family/put-your-baby-in-a-box-experts-advise-caution.html\">a recent survey\u003c/a> found that the majority of Finnish parents these days don't use the box as a crib.\u003c/p>\n\u003cp>But the Finnish government notes clearly that \u003ca href=\"http://www.kela.fi/web/en/maternity-package-2017/-/blogs/box-can-be-used-as-a-crib-\">the box can be used that way\u003c/a> — and was used that way more frequently in the past, when Finland was a less wealthy country.\u003c/p>\n\u003cp>Ultimately, McCans and other supporters say you can take or leave the baby box — just be sure to take the knowledge.\u003c/p>\n\u003cp>\"My hope is that we will not have people making the errors of putting a baby in a sleep surface that has blankets and pillows and crib bumpers, that everyone will know that every baby needs to be put to sleep on their back each and every time,\" she says.\u003c/p>\n\u003cp>In New Jersey, most sudden unexpected infant deaths are related to sleep — a baby sharing a bed with an adult, or being suffocated by a blanket.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Parents can do a lot to reduce the risk of SIDS, McCans says, and the goal is to spread that message — using a cute, free baby box as the incentive.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Popularity+Of+Baby+Boxes+Grows%2C+Skeptics+Say+More+Testing+Is+Needed&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"New mom Maisha Watson uses one of the 20,000 cardboard boxes given out so far in New Jersey. She's glad to have a safe spot for her son to sleep. But some question the boxes' safety and effectiveness.","status":"publish","parent":0,"modified":1498054020,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1061},"headData":{"title":"Baby Box Skeptics Say More Testing Needed | KQED","description":"New mom Maisha Watson uses one of the 20,000 cardboard boxes given out so far in New Jersey. She's glad to have a safe spot for her son to sleep. But some question the boxes' safety and effectiveness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Baby Box Skeptics Say More Testing Needed","datePublished":"2017-06-21T14:04:20.000Z","dateModified":"2017-06-21T14:07:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"411017 https://ww2.kqed.org/futureofyou/?p=411017","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/06/21/baby-box-skeptics-say-more-testing-needed/","disqusTitle":"Baby Box Skeptics Say More Testing Needed","source":"KQED Future of You","nprByline":"Maureen Pao\u003cbr />NPR Shots","nprImageAgency":"Rebecca Davis/NPR","nprStoryId":"532132906","nprApiLink":"http://api.npr.org/query?id=532132906&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/06/12/532132906/as-popularity-of-baby-boxes-grows-skeptics-say-more-testing-is-needed?ft=nprml&f=532132906","nprRetrievedStory":"1","nprPubDate":"Mon, 12 Jun 2017 08:35:00 -0400","nprStoryDate":"Mon, 12 Jun 2017 04:41:00 -0400","nprLastModifiedDate":"Mon, 12 Jun 2017 05:38:12 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/06/20170612_me_as_popularity_of_baby_boxes_grows_skeptics_say_more_testing_is_needed.mp3?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","nprAudioM3u":"http://api.npr.org/m3u/1532557171-6297c9.m3u?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","path":"/futureofyou/411017/baby-box-skeptics-say-more-testing-needed","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/06/20170612_me_as_popularity_of_baby_boxes_grows_skeptics_say_more_testing_is_needed.mp3?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Maisha Watson heard about baby boxes, her first reaction was: \"Why would I want to put my baby in a box?\"\u003c/p>\n\u003cp>She was talking with Marcia Virgil — \"Miss Marcia\" to her clients — a family support worker with the \u003ca href=\"http://www.snjpc.org/\">Southern New Jersey Perinatal Cooperative\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned.'\u003c/aside>\n\u003cp>True, it's a cardboard box, Miss Marcia told her. But it's also a safe place for a baby to sleep: It comes with a firm mattress and a snug sheet, in line with \u003ca href=\"https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-safe-sleep-recommendations-to-protect-against-sids.aspx\">American Academy of Pediatrics recommendations\u003c/a> meant to protect against sleep-related deaths, including sudden infant death syndrome, or SIDS.\u003c/p>\n\u003cp>Watson learned more, and now the mother of 1-month-old Solomon is a big fan. Solomon has slept in a baby box ever since he came home from the hospital.\u003c/p>\n\u003cp>That's because he's living with his mom and dad in a cramped motel room outside Atlantic City, N.J. Watson has lived here for about a year, after a bad car accident made it hard for her to work and stay in school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There's no space for a crib or a bassinet. And Watson knows it's dangerous for a baby to sleep on a bed.\u003c/p>\n\u003cp>The box they're using is one of roughly 20,000 that New Jersey has given away since January as part of the first program to provide a box to every newborn in the state. Since then, Ohio, Alabama and Texas have started similar programs, with more on the way.\u003c/p>\n\u003cp>The idea is borrowed from Finland, where for decades, in exchange for a prenatal checkup, the government has given expectant mothers a \u003ca href=\"http://www.kela.fi/web/en/maternitypackage\">maternity package that includes a box that doubles as a crib\u003c/a>. With the new state-sponsored programs in the U.S., anyone who watches a series of online videos focused mainly on safe sleep — and then passes a short quiz — can get a box.\u003c/p>\n\u003cp>Supporters say the free, cheerfully decorated box is just a cool hook, and that the heart of the program is to teach all parents about simple, proven ways to help keep their babies safe while sleeping. Moms like Watson are already finding the boxes useful.\u003c/p>\n\u003cp>But skeptics say there haven't been enough studies or enough testing done on the boxes to prove whether they're safe or effective at preventing infant deaths.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Child-Death-Review/Pages/Safe-Sleep.aspx\">American Academy of Pediatrics notes\u003c/a>: \"Currently, there is insufficient data on the role cardboard boxes play in reducing infant mortality.\"\u003c/p>\n\u003cp>Moreover, there are unanswered questions about the boxes' safety, says Dr. Thomas Heygi, medical director of the \u003ca href=\"http://www.rwjms.rutgers.edu/sids/\">SIDS Center of New Jersey\u003c/a>.\u003c/p>\n\u003cp>For instance, he says, will bacterial growth increase if the cardboard gets wet? Or are there glues or emissions that could cause dermatitis or that babies could inhale?\u003c/p>\n\u003cp>Hegyi says enthusiasm for the boxes has outpaced the science. And that worries him, because there are many things that sounded like a good idea for newborns but ended up being dangerous, he says, citing \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/25/457285189/to-reduce-infant-deaths-doctors-call-for-a-ban-of-crib-bumpers\">crib bumpers as one example\u003c/a>.\u003c/p>\n\u003cp>\"We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned,\" he says.\u003c/p>\n\u003cp>There is work underway to address safety and testing concerns. A task group of the independent standards organization ASTM International is looking at expanding the standards for bassinets to cover baby boxes.\u003c/p>\n\u003cp>The current ASTM bassinet standard already addresses issues such as sharp edges, small parts, finger entrapment and mattress suffocation hazards. The task group, which next meets later this month, is considering the development of requirements for additional hazards associated with baby boxes. In addition to the questions raised by Hegyi, the task group is considering issues such as the boxes' stability, handle strength and product integrity, among others.\u003c/p>\n\u003cp>But it will likely take at least a year before they're finalized and formally adopted.\u003c/p>\n\u003cp>In the meantime, the California-based Baby Box Company, which produces the boxes and videos used in the program, says it has tested the boxes against relevant bassinet standards and has posted \u003ca href=\"https://www.dropbox.com/sh/yzksxb53j4cdqoi/AABfbt0Vc-LXlJl96bsle3l9a?dl=0\">documentation of its voluntary safety testing\u003c/a> on its website.\u003c/p>\n\u003cp>Dr. Kathie McCans is chair of the New Jersey Child Fatality and Near Fatality Review Board, which is using a $40,000 federal grant to partner with the Baby Box Company for the state program.\u003c/p>\n\u003cp>McCans agrees that standards, regulations and more testing are needed. But she says the benefits of the baby box program's educational component outweigh potential risks.\u003c/p>\n\u003cp>\"How many babies should die while we wait for the Consumer Product Safety Commission to do testing?\" she says. \"The reality is, babies have died in bassinets, babies have died in cribs.\"\u003c/p>\n\u003cp>Proponents point to the long track record of Finland, which started distributing baby boxes in 1938, at a time when \u003ca href=\"http://www.stat.fi/til/ksyyt/2010/ksyyt_2010_2011-12-16_kat_007_en.html\">nearly one out of every 10 children\u003c/a> in the country died before age 1.\u003c/p>\n\u003cp>Finland now has one of the world's lowest infant mortality rates, but many say that's a result of improved medical care and social safety nets, not use of baby boxes. In fact, \u003ca href=\"https://www.nytimes.com/2017/05/24/well/family/put-your-baby-in-a-box-experts-advise-caution.html\">a recent survey\u003c/a> found that the majority of Finnish parents these days don't use the box as a crib.\u003c/p>\n\u003cp>But the Finnish government notes clearly that \u003ca href=\"http://www.kela.fi/web/en/maternity-package-2017/-/blogs/box-can-be-used-as-a-crib-\">the box can be used that way\u003c/a> — and was used that way more frequently in the past, when Finland was a less wealthy country.\u003c/p>\n\u003cp>Ultimately, McCans and other supporters say you can take or leave the baby box — just be sure to take the knowledge.\u003c/p>\n\u003cp>\"My hope is that we will not have people making the errors of putting a baby in a sleep surface that has blankets and pillows and crib bumpers, that everyone will know that every baby needs to be put to sleep on their back each and every time,\" she says.\u003c/p>\n\u003cp>In New Jersey, most sudden unexpected infant deaths are related to sleep — a baby sharing a bed with an adult, or being suffocated by a blanket.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parents can do a lot to reduce the risk of SIDS, McCans says, and the goal is to spread that message — using a cute, free baby box as the incentive.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Popularity+Of+Baby+Boxes+Grows%2C+Skeptics+Say+More+Testing+Is+Needed&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/411017/baby-box-skeptics-say-more-testing-needed","authors":["byline_futureofyou_411017"],"categories":["futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1215","futureofyou_1217"],"featImg":"futureofyou_411019","label":"source_futureofyou_411017"},"futureofyou_395560":{"type":"posts","id":"futureofyou_395560","meta":{"index":"posts_1591205157","site":"futureofyou","id":"395560","score":null,"sort":[1495467698000]},"guestAuthors":[],"slug":"limit-fruit-juice-for-children-says-pediatrics-groups","title":"Limit Fruit Juice for Children, Says Pediatrics Group","publishDate":1495467698,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Kids under the age of 1 should avoid fruit juice, older kids should drink it only sparingly and all children should focus, instead, on eating whole fruit, according to the American Academy of Pediatrics.\u003c/p>\n\u003cp>The pediatricians' group previously advised against giving fruit juice to infants under 6 months, but expanded that recommendation given evidence linking juice consumption to tooth decay and to gaining too much or too little weight.\u003c/p>\n\u003cp>For older kids who are at a healthy weight, 100 percent juice is fine in moderation, but should make up less than half of the recommended fruit servings per day, the AAP says.\u003c/p>\n\u003cp>\"We want to reinforce that the most recent evidence supports that fruit juice should be a limited part of the diet of children,\" says \u003ca href=\"https://dellmed.utexas.edu/team-profile/steven-abrams\">Steven Abrams\u003c/a>, a professor of pediatrics at Dell Medical School at the University of Texas at Austin, and an author of the guidelines, which were published Monday in \u003cem>Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Whole fruit is a much better way to get all the vitamins and nutrients of fruit, the guidelines say. Whole fruit contains fiber, which slows the absorption of sugar by the body, and it also makes you feel fuller than juice, which can prevent overeating.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2014/p0805-fruits-vegetables.html\">According to data from the Centers for Disease Control and Prevention\u003c/a>, between 2003 and 2010 kids ate an increasing amount of whole fruit and drank less juice. But 60 percent of kids were still not getting their recommended servings of fruit, which is 1 to 2 cups, depending on age, gender and level of activity.\u003c/p>\n\u003cp>\"I think there's still a prevailing notion among some parents that juice is a reasonable substitute for fruit,\" says \u003ca href=\"https://research.med.virginia.edu/chrc/current-projects/mark-deboer-m-d/\">Mark DeBoer\u003c/a>, an associate professor of pediatric endocrinology at the University of Virginia School of Medicine, who was not involved in the report.\u003c/p>\n\u003cp>Kids who do drink juice should cap their consumption at 4 ounces per day for toddlers, 4 to 6 ounces for kids 4 to 6 years old and 8 ounces for children from 7 to 18, the guidelines say. The best ways to meet a child's fluid needs are water and low-fat milk, says Abrams.\u003c/p>\n\u003cp>DeBoer says he would prefer that kids meet their fruit requirements entirely through whole fruit, especially those who are above a healthy weight. His \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/26110996\">research suggests an association\u003c/a> between consistent juice consumption at age 2 and higher odds of becoming overweight by age 4.\u003c/p>\n\u003cp>Of course, correlation doesn't mean causation, and childhood obesity is unlikely to be caused – or prevented — by a single factor.\u003c/p>\n\u003cp>These new guidelines don't apply to fruit drinks, which contain less than 100 percent juice and have added sweeteners. Those fall into the \u003ca href=\"https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html\">category of sugar-sweetened beverages\u003c/a>, along with soda, sports drinks and energy drinks, and frequent consumption is associated with poor health outcomes, according to the CDC. An exception is that sports drinks may be useful for child or teen athletes who are exercising heavily, the \u003ca href=\"http://www.npr.org/sections/health-shots/2011/05/31/136722667/pediatricians-warn-against-energy-and-sports-drinks-for-kids\">AAP said in a 2011 clinical report\u003c/a>.\u003c/p>\n\u003cp>Smoothies, too, fall into the \"treat\" category, says Abrams.\u003c/p>\n\u003cp>The guidelines also strongly discourage unpasteurized juice products, which can carry pathogens such as E. coli.\u003c/p>\n\u003cp>There is \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/23234248\">some evidence\u003c/a> that 100 percent orange juice is associated with better health outcomes in adults, but it's not known if there's a comparable benefit for kids and teens.\u003c/p>\n\u003cp>And what about kids who won't eat fruit? \"It's fundamentally sweet,\" says Abrams. \"There aren't too many kids who can't find a fruit they like.\" It may take many exposures, though – \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0195666302001356\">one 2003 study found\u003c/a> that, at least with vegetables, daily tastes over two weeks improved kids' acceptance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Katherine Hobson is a freelance health and science writer based in Brooklyn, N.Y. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/katherinehobson\">\u003cem>@katherinehobson\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Advise+No+Fruit+Juice+Until+Kids+Are+1&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Older kids should limit the amount of juice they drink too. Whole fruit is better than juice because it contains fiber, which slows the absorption of sugar and fills you up the way juice doesn't.","status":"publish","parent":0,"modified":1495467743,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":640},"headData":{"title":"Limit Fruit Juice for Children, Says Pediatrics Group | KQED","description":"Older kids should limit the amount of juice they drink too. Whole fruit is better than juice because it contains fiber, which slows the absorption of sugar and fills you up the way juice doesn't.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Limit Fruit Juice for Children, Says Pediatrics Group","datePublished":"2017-05-22T15:41:38.000Z","dateModified":"2017-05-22T15:42:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"395560 https://ww2.kqed.org/futureofyou/?p=395560","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/05/22/limit-fruit-juice-for-children-says-pediatrics-groups/","disqusTitle":"Limit Fruit Juice for Children, Says Pediatrics Group","nprImageCredit":"KathyDewar","nprByline":"Katherine Hobson\u003cbr />NPR Shots","nprImageAgency":"Getty Images","nprStoryId":"528970924","nprApiLink":"http://api.npr.org/query?id=528970924&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/05/22/528970924/pediatricians-advise-no-fruit-juice-until-kids-are-1?ft=nprml&f=528970924","nprRetrievedStory":"1","nprPubDate":"Mon, 22 May 2017 00:02:00 -0400","nprStoryDate":"Mon, 22 May 2017 00:02:01 -0400","nprLastModifiedDate":"Mon, 22 May 2017 00:02:01 -0400","path":"/futureofyou/395560/limit-fruit-juice-for-children-says-pediatrics-groups","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kids under the age of 1 should avoid fruit juice, older kids should drink it only sparingly and all children should focus, instead, on eating whole fruit, according to the American Academy of Pediatrics.\u003c/p>\n\u003cp>The pediatricians' group previously advised against giving fruit juice to infants under 6 months, but expanded that recommendation given evidence linking juice consumption to tooth decay and to gaining too much or too little weight.\u003c/p>\n\u003cp>For older kids who are at a healthy weight, 100 percent juice is fine in moderation, but should make up less than half of the recommended fruit servings per day, the AAP says.\u003c/p>\n\u003cp>\"We want to reinforce that the most recent evidence supports that fruit juice should be a limited part of the diet of children,\" says \u003ca href=\"https://dellmed.utexas.edu/team-profile/steven-abrams\">Steven Abrams\u003c/a>, a professor of pediatrics at Dell Medical School at the University of Texas at Austin, and an author of the guidelines, which were published Monday in \u003cem>Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Whole fruit is a much better way to get all the vitamins and nutrients of fruit, the guidelines say. Whole fruit contains fiber, which slows the absorption of sugar by the body, and it also makes you feel fuller than juice, which can prevent overeating.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2014/p0805-fruits-vegetables.html\">According to data from the Centers for Disease Control and Prevention\u003c/a>, between 2003 and 2010 kids ate an increasing amount of whole fruit and drank less juice. But 60 percent of kids were still not getting their recommended servings of fruit, which is 1 to 2 cups, depending on age, gender and level of activity.\u003c/p>\n\u003cp>\"I think there's still a prevailing notion among some parents that juice is a reasonable substitute for fruit,\" says \u003ca href=\"https://research.med.virginia.edu/chrc/current-projects/mark-deboer-m-d/\">Mark DeBoer\u003c/a>, an associate professor of pediatric endocrinology at the University of Virginia School of Medicine, who was not involved in the report.\u003c/p>\n\u003cp>Kids who do drink juice should cap their consumption at 4 ounces per day for toddlers, 4 to 6 ounces for kids 4 to 6 years old and 8 ounces for children from 7 to 18, the guidelines say. The best ways to meet a child's fluid needs are water and low-fat milk, says Abrams.\u003c/p>\n\u003cp>DeBoer says he would prefer that kids meet their fruit requirements entirely through whole fruit, especially those who are above a healthy weight. His \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/26110996\">research suggests an association\u003c/a> between consistent juice consumption at age 2 and higher odds of becoming overweight by age 4.\u003c/p>\n\u003cp>Of course, correlation doesn't mean causation, and childhood obesity is unlikely to be caused – or prevented — by a single factor.\u003c/p>\n\u003cp>These new guidelines don't apply to fruit drinks, which contain less than 100 percent juice and have added sweeteners. Those fall into the \u003ca href=\"https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html\">category of sugar-sweetened beverages\u003c/a>, along with soda, sports drinks and energy drinks, and frequent consumption is associated with poor health outcomes, according to the CDC. An exception is that sports drinks may be useful for child or teen athletes who are exercising heavily, the \u003ca href=\"http://www.npr.org/sections/health-shots/2011/05/31/136722667/pediatricians-warn-against-energy-and-sports-drinks-for-kids\">AAP said in a 2011 clinical report\u003c/a>.\u003c/p>\n\u003cp>Smoothies, too, fall into the \"treat\" category, says Abrams.\u003c/p>\n\u003cp>The guidelines also strongly discourage unpasteurized juice products, which can carry pathogens such as E. coli.\u003c/p>\n\u003cp>There is \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/23234248\">some evidence\u003c/a> that 100 percent orange juice is associated with better health outcomes in adults, but it's not known if there's a comparable benefit for kids and teens.\u003c/p>\n\u003cp>And what about kids who won't eat fruit? \"It's fundamentally sweet,\" says Abrams. \"There aren't too many kids who can't find a fruit they like.\" It may take many exposures, though – \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0195666302001356\">one 2003 study found\u003c/a> that, at least with vegetables, daily tastes over two weeks improved kids' acceptance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Katherine Hobson is a freelance health and science writer based in Brooklyn, N.Y. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/katherinehobson\">\u003cem>@katherinehobson\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Advise+No+Fruit+Juice+Until+Kids+Are+1&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/395560/limit-fruit-juice-for-children-says-pediatrics-groups","authors":["byline_futureofyou_395560"],"categories":["futureofyou_1"],"tags":["futureofyou_1276","futureofyou_1217"],"featImg":"futureofyou_395561","label":"futureofyou"},"futureofyou_354513":{"type":"posts","id":"futureofyou_354513","meta":{"index":"posts_1591205157","site":"futureofyou","id":"354513","score":null,"sort":[1490030185000]},"guestAuthors":[],"slug":"for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","title":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","publishDate":1490030185,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Cardboard boxes certainly aren't new technology. But when they're linked to a practice that started in Finland decades ago to help babies sleep safely, they're taking on a new purpose as so-called baby boxes make their way to the U.S.\u003c/p>\n\u003cp>Parents are beginning to take baby boxes home from hospitals along with their newborns. A Los Angeles-based company has partnered with health officials to give the boxes away for free and an online initiative offers advice aimed at reducing sudden unexpected infant deaths. New Jersey and Ohio were the first to participate statewide in the program.\u003c/p>\n\u003cp>\"To new moms: (SUID) was one of my biggest fears and then it happened,\" said 35-year-old Chauntia Williams, of Maple Heights, Ohio.\u003c/p>\n\u003cp>Williams is an advocate for safe sleeping and the boxes after she unexpectedly lost her 33-day-old daughter Aaliyah nine years ago. Williams said her daughter went to sleep in a crib with cushiony bumpers, stuffed animals and an added blanket beneath the fitted sheet and never woke up. She said the coroner determined the bedding caused the death.\u003c/p>\n\u003cp>She now uses a box with her son, Bryce, though he's getting a little too big for it. Her message to new parents: Educate yourselves on safe sleep habits.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Open your mouth and say I'm concerned about this so you can get the assistance,\" Williams said.\u003c/p>\n\u003cp>Sudden unexpected infant death is a broad category that includes sudden infant death syndrome and accidental suffocation and strangulation that could come from overcrowded bassinets or cribs. The boxes aren't the only option for safe sleeping, of course, but health officials say they're a useful part of a broader safe-sleep education program.\u003c/p>\n\u003cp>Ohio on Wednesday joined New Jersey in offering the cardboard boxes, which double as bassinets, for free. Each box comes filled with a mattress, fitted sheet, onesie and diapers.\u003c/p>\n\u003cp>The Baby Box Co. is also handing out the boxes in Minneapolis, Phoenix and San Francisco, with the goal of expanding to all 50 states. The for-profit company also operates in Canada, Ireland and the United Kingdom. Baby Box University, Baby Box Co.'s educational platform, maintains a website that coordinates the educational component of the program.\u003c/p>\n\u003cp>The idea for baby boxes started in Finland in the 1930s, and is tied to a sharp drop in sudden infant deaths, according to Dr. Kathryn McCans, a pediatrician who chairs New Jersey's Child Fatality and Near Fatality Review Board. The boxes provide a clutter-free sleep space that has been shown to reduce accidental and unexpected deaths, she said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the U.S. rate of sudden unexpected infant deaths has been declining since the 1990s when public health officials began recommending parents put infants to sleep on their backs. About 3,700 sudden unexpected infant deaths were reported in the country in 2015.\u003c/p>\n\u003cp>The boxes are a new idea for many Americans.\u003c/p>\n\u003cp>\"The thought of putting the baby in a box, I was like 'wow that's weird,'\" said Dolores Peterson, of Camden, New Jersey, who became a first-time mom recently and was among the first to bring home a box.\u003c/p>\n\u003cp>Peterson's daughter, Ariabella, just turned 3 months old. She said the program was eye-opening for how much information she learned about how to prevent sudden unexpected infant death.\u003c/p>\n\u003cp>McCans says the complimentary items like diapers and onesies are nice, but the more important objective behind the boxes is bringing down infant deaths and grounding parents on safe sleep practices: Place babies on their backs to sleep; Don't use bumpers in cribs; Keep stuffed animals and blankets out of infants' sleep spaces; Avoid sleeping in the same bed as infants.\u003c/p>\n\u003cp>\"No one brings their baby into bed with them because they want their baby to die,\" she said. \"They do it because they want to be nurturing and they are, but it's not safe.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To get the boxes, prospective moms can register through babyboxuniversity.com, watch a handful of videos on sleep safety and pass a quiz. Parents can then take their digital or printed-out certificates to a participating hospital for their boxes. The boxes can also be sent in the mail, if a nearby hospital is not designated as a distribution center.\u003c/p>\n\n","blocks":[],"excerpt":"Parents are beginning to take baby boxes home from hospitals for their newborns to sleep in. The idea started in Finland in the 1930s and has been tied to a drop in sudden infant deaths.","status":"publish","parent":0,"modified":1490030185,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":726},"headData":{"title":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box | KQED","description":"Parents are beginning to take baby boxes home from hospitals for their newborns to sleep in. The idea started in Finland in the 1930s and has been tied to a drop in sudden infant deaths.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","datePublished":"2017-03-20T17:16:25.000Z","dateModified":"2017-03-20T17:16:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"354513 https://ww2.kqed.org/futureofyou/?p=354513","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/03/20/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box/","disqusTitle":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","nprByline":"Michael Catalini\u003cbr />Associated Press","path":"/futureofyou/354513/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cardboard boxes certainly aren't new technology. But when they're linked to a practice that started in Finland decades ago to help babies sleep safely, they're taking on a new purpose as so-called baby boxes make their way to the U.S.\u003c/p>\n\u003cp>Parents are beginning to take baby boxes home from hospitals along with their newborns. A Los Angeles-based company has partnered with health officials to give the boxes away for free and an online initiative offers advice aimed at reducing sudden unexpected infant deaths. New Jersey and Ohio were the first to participate statewide in the program.\u003c/p>\n\u003cp>\"To new moms: (SUID) was one of my biggest fears and then it happened,\" said 35-year-old Chauntia Williams, of Maple Heights, Ohio.\u003c/p>\n\u003cp>Williams is an advocate for safe sleeping and the boxes after she unexpectedly lost her 33-day-old daughter Aaliyah nine years ago. Williams said her daughter went to sleep in a crib with cushiony bumpers, stuffed animals and an added blanket beneath the fitted sheet and never woke up. She said the coroner determined the bedding caused the death.\u003c/p>\n\u003cp>She now uses a box with her son, Bryce, though he's getting a little too big for it. Her message to new parents: Educate yourselves on safe sleep habits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Open your mouth and say I'm concerned about this so you can get the assistance,\" Williams said.\u003c/p>\n\u003cp>Sudden unexpected infant death is a broad category that includes sudden infant death syndrome and accidental suffocation and strangulation that could come from overcrowded bassinets or cribs. The boxes aren't the only option for safe sleeping, of course, but health officials say they're a useful part of a broader safe-sleep education program.\u003c/p>\n\u003cp>Ohio on Wednesday joined New Jersey in offering the cardboard boxes, which double as bassinets, for free. Each box comes filled with a mattress, fitted sheet, onesie and diapers.\u003c/p>\n\u003cp>The Baby Box Co. is also handing out the boxes in Minneapolis, Phoenix and San Francisco, with the goal of expanding to all 50 states. The for-profit company also operates in Canada, Ireland and the United Kingdom. Baby Box University, Baby Box Co.'s educational platform, maintains a website that coordinates the educational component of the program.\u003c/p>\n\u003cp>The idea for baby boxes started in Finland in the 1930s, and is tied to a sharp drop in sudden infant deaths, according to Dr. Kathryn McCans, a pediatrician who chairs New Jersey's Child Fatality and Near Fatality Review Board. The boxes provide a clutter-free sleep space that has been shown to reduce accidental and unexpected deaths, she said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the U.S. rate of sudden unexpected infant deaths has been declining since the 1990s when public health officials began recommending parents put infants to sleep on their backs. About 3,700 sudden unexpected infant deaths were reported in the country in 2015.\u003c/p>\n\u003cp>The boxes are a new idea for many Americans.\u003c/p>\n\u003cp>\"The thought of putting the baby in a box, I was like 'wow that's weird,'\" said Dolores Peterson, of Camden, New Jersey, who became a first-time mom recently and was among the first to bring home a box.\u003c/p>\n\u003cp>Peterson's daughter, Ariabella, just turned 3 months old. She said the program was eye-opening for how much information she learned about how to prevent sudden unexpected infant death.\u003c/p>\n\u003cp>McCans says the complimentary items like diapers and onesies are nice, but the more important objective behind the boxes is bringing down infant deaths and grounding parents on safe sleep practices: Place babies on their backs to sleep; Don't use bumpers in cribs; Keep stuffed animals and blankets out of infants' sleep spaces; Avoid sleeping in the same bed as infants.\u003c/p>\n\u003cp>\"No one brings their baby into bed with them because they want their baby to die,\" she said. \"They do it because they want to be nurturing and they are, but it's not safe.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To get the boxes, prospective moms can register through babyboxuniversity.com, watch a handful of videos on sleep safety and pass a quiz. Parents can then take their digital or printed-out certificates to a participating hospital for their boxes. The boxes can also be sent in the mail, if a nearby hospital is not designated as a distribution center.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/354513/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","authors":["byline_futureofyou_354513"],"categories":["futureofyou_1"],"tags":["futureofyou_1215","futureofyou_1216","futureofyou_1217","futureofyou_1218"],"featImg":"futureofyou_357615","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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