September 2019
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Approaches to Suicide Prevention in Children and Adolescents
Erik Loraas, MD
Program Director, Child and Adolescent Psychiatry Fellowship, Psychiatry Residency Spokane - Sacred Heart Children's Hospital
Medical Director, Providence RISE Program - Providence Holy Family Hospital

Adolescent suicide and suicidal behavior has increased significantly in the past decade and remains the second leading cause of death in adolescents.  From 2007 to 2015, the suicide rate in adolescents increased by 31% nationally, from 10.8 to 14.1 per 100,000. 

Neonatal Abstinence Syndrome: WCAAP Partners with ABC Law Group and F.I.R.S.T. Clinic

Medical-legal partnership will launch in Snohomish County

As opiate use disorder has increased nationwide, there has also been a rise in neonatal abstinence syndrome (NAS). NAS is seen in 60-80% of newborns with opiate exposure. The National Institutes of Health's National Institute on Drug Abuse cites a recent national study that showed a fivefold increase in the incidence of NAS between 2004 and 2014, from 1.5 cases per 1,000 hospital births to 8.0 cases per 1,000 hospital births. That is one baby born with NAS every 15 minutes in the United States.

2020 Advocacy Day Registration is Open! 

Join us on January 14, 2020! 

You work hard every day to provide the best possible care for each individual child you see in your practice. At WCAAP's Advocacy Day, you can make a difference in the lives of all kids in Washington.

Join us in Olympia on January 14, 2020 for a chance to connect with other pediatric health care providers around the state, hear from legislative champions for kids, and speak directly with lawmakers. All you need to bring is your commitment to kids - we'll handle the details of the day.

Asthma Day: Interdisciplinary Care for Improved Asthma Control in Low Income and Immigrant Children
Crystal Shen, MD, MPH, FAAP
Public Health Seattle-King County, Eastgate Clinic

Fun - and effective - half day of education and prevention

On July 31, 2019, Public Health Seattle-King County's Eastgate clinic held its third annual Asthma Day, a clinic event focused on asthma education and preventative care. Clinic staff worked together to design a half day filled with interdisciplinary care including physician visits, spirometry, medication/inhaler teaching, and asthma education.  Objectives included improving families' knowledge about asthma management and reducing asthma triggers, with a goal of improving asthma control and reducing exacerbations (and ultimately decreasing hospitalizations and emergency department visits).

Immunization Data

Washington State School Immunization Data 2018-2019
Washington state school immunization data for the 2018-2019 school year are now available on the Department of Health's online school immunizations dashboard. Schools in the state of Washington are required to report their students' immunization status by November of each year, and the department collects these data and makes them available to the public.

CDC National Immunization Survey Teen Data 2018
The Centers for Disease Control and Prevention (CDC) has released the 2018 National Immunization Survey (NIS) Teen data, including Washington's immunization rates. 2018 NIS-Teen results for selected vaccines (ages 13 to 17): 
Vaccine Measure
≥1 Tdap
≥1 Meningococcal ACWY
≥2 MMR
≥2 Varicella
≥1 HPV Females
HPV UTD Females
≥1 HPV Males
≥1 HPV All
                * indicates statistically significant (p<0.05) change from 2017 to 2018
You can view both national and statewide NIS-Teen results at the CDC's TeenVaxView. The article about the nationwide data is in the MMWR.

Member Spotlight: Ruth Conn, MD, FAAP

Ruth Conn, MD, FAAP describes herself as an "Army brat," living in Kansas, Virginia, New Mexico, Florida, New Jersey, New Hampshire, Hawaii, North Carolina, Washington, Germany and Okinawa. She attended Duke School of Nursing, and later received an MA in English before earning her MD at the University of Hawaii and completing her residency at Seattle Children's.


Congratulations New Fellows! 
Lorena Botero Calderon, MD, FAAP
Danielle Coleman, MD, FAAP
Lorin Hall, MD, FAAP
Jessica Meikle, MD, FAAP
Derrick Soong, MD, FAAP

If you missed WCAAP's July webinar with the Department of Health regarding the new MMR exemption law, you can now view a recording online

Join the AAP Mentorship Program to develop personal and professional relationships with others in the AAP who can help you learn and grow. Whether you're a mentor, a mentee, or both, you'll find mentoring to be a rewarding part of your experience as an AAP Member.
From TV to smartphones to social media, our lives are dominated by 24/7 media exposure. Despite this, many children and teens have few rules around their media use. through the AAP has made available a great resource for parents to help in setting media use plans in their homes.CLICK HERE to learn more.

WCAAP Resources: If you haven't explored our website lately, don't miss our Webinars page for free CME e-learning and our Toolkits page for resources and tools to help you in your practice! 

Save the Date: Influenza Webinar for Clinicians
Thursday, September 26, 2019 at 11:00am PT
The AAP is collaborating with the CDC to conduct a Clinician Outreach and Communication Activity (COCA) webinar that will discuss strategies that primary care providers and medical subspecialists can use to improve influenza prevention and control in children for the 2019-2020 flu season. Email to be added to a Save The Date calendar appointment.

The AAP National Conference & Exhibition takes place October 25-29, 2019, in New Orleans, LA. To secure the lowest rates, remember to register before the early registration deadline on September 13, 2019. WCAAP will be creating a guide to NCE highlighting speakers from Washington and sessions of interest. We are also planning a happy hour for Washington NCE attendees on Saturday evening - stay tuned for details!

Amritha Bhat, MD, MPH and Kelly Wurzel, MD are conducting a complimentary half day, CME-accredited workshop in Spokane focused on mental health screening and treatment during the perinatal period. This training is free and includes lunch. It will take place at Providence Auditorium (20 W 9th Ave, Spokane, WA 99202) on Thursday, October 3rd from 1:30 pm to 5:00 pm (lunch and check in are from 12:30 pm to 1:30 pm). If you would like to attend, please RSVP to 
The presentation is open to anyone who cares for pregnant women or new moms including but not limited to: obstetricians, midwives, registered nurses, pharmacists, pediatricians, psychiatrists, and other primary care and mental health providers. Download a flyer here

Coming Up: WCAAP Committee Meetings
Join us! Committees are a great way to meet other members and get involved with Chapter work! Watch this space for upcoming meeting dates and times for Chapter committees and interest groups. Most committees meet by phone for one hour. 

Health Care Transformation Committee 
September 17 - 8:00-9:00am
Meets monthly by telephone
Contact Mike Dudas or Francie Chalmers to learn more.

Legislative Affairs Committee
September 10, 7:00-8:00am
Meets weekly by phone during the legislative session & special session 
Meets monthly by phone during the interim
Contact Lelach Rave or Beth Ebel to learn more. 

Early Childhood Committee 
Meets periodically by phone, 2x/year in person
Contact Diane Liebe or Betsy Browder to learn more. 

Sustainability & Engagement Committee 
September 24 - 12:00-1:00pm
Meets monthly by telephone
Contact Kim Hauff or Wei-Jen Hsieh to learn more. 
Vaccine Committee
Meets periodically by telephone
Contact John Dunn to learn more. 

News & Events
What's Happening? 
We bring education and networking events to providers all over Washington. Find all of our latest upcoming events plus offerings from our partners around the state on our website's Events page! 
Thank you to our sponsors: 
WA Chapter AAP | WA Chapter of the AAP |

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WA Chapter of the AAP, 4616 25th Ave NE, #594, Seattle, WA 98105
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