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November 2024

Think Horses First

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Teens’ mental health
The graphic reads, “4 in 10 U.S. high school students report feeling sad or hopeless. Parents and caregivers can help support teens’ mental health: Promote 8 hours of sleep nightly; Encourage social connections at school; Support participation in team sports; Know where they’re going and who they’re with; Meet their basic needs.”

Read more about teens’ mental health

ADHD among adults
Graphic showing a healthcare provider holding a patient’s hand. Text reads: “More than 1 in 20 U.S. adults have ADHD. Approximately half were diagnosed in adulthood. 1 in 3 took stimulant medication. Medication shortages affected most of these patients.”

Read more about ADHD among adults

Don’t Forget Zebras

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Burkholderia infections associated with hospital ice machines

B. multivorans is found in water, can be antibiotic-resistant, and lead to severe infections, especially among immunocompromised and critically ill patients. During 2020–2024, 46 cases of health care-associated infections from four hospitals were linked to contaminated ice and water from the same brand of ice machines. To limit spread of water-related organisms, health care facilities should devise and implement a water management program. During water-related outbreaks, health care personnel should consider avoiding the use of tap water, including ice and water from ice machines, for patient care.

Read more about Burkholderia infections associated with hospital ice machines

Opportunities to Improve Clinical Outcomes

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COVID-19 antivirals
The Graphic shows a bar chart representing the percentage of people who received COVID-19 antivirals by age group. Text reads, “Use of lifesaving COVID-19 treatment declines with increasing age. Older adults are at higher risk for hospitalization and death from COVID-19. Early antivirals reduce risk.”

Read more about use of COVID-19 antivirals

Vaccine coverage among kindergarteners

Nationwide, vaccine (MMR, DTaP, polio, varicella) coverage among children in kindergarten decreased from 95% in the 2019–20 school year to <93% in 2023-24. The exemption rate increased to 3.3% in 2023–24 from 3.0% the year before and exceeded 5% in 14 jurisdictions. Decreasing vaccination coverage and increasing exemptions increase the risk for disease outbreaks. Clinicians can educate parents about the safety and effectiveness of vaccinations required for school entry, and the risks of delayed, incomplete or no vaccination to children, family members, classmates, and the community.

Read more about vaccine coverage in kindergarten

Did you know? Medscape & MMWR have FREE CME activities

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Continuing medical education credits are available from Medscape on select MMWRs.

Learn more about FREE CME

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