Charting Pediatrics

• Measles in the Modern World

  A highly contagious virus, once thought to be nearly eradicated, has made a comeback. Measles is affecting even our youngest patients in communities around the country and putting vulnerable populations at risk. Our primary care providers are on the frontlines of this resurgence. It’s crucial they feel prepared to vaccinate patients, educate families and respond effectively. To discuss the current state of measles, understand its return and discover how we can address it, we are joined by two experts, Sam Dominguez, MD, and Jessica Cataldi, MD. Dr. Dominguez is the Medical Director for the Clinical Microbiology Laboratory at Children’s Hospital Colorado. Drs. Dominguez and Cataldi both specialize in infectious disease and teach at the University of Colorado School of Medicine. This episode was recorded at the end of March 2025, and the first case of measles was reported in Colorado on March 31, 2025.  Some highlights from this episode include: A discussion on the current outbreak of measles, and its impact on our global community Steps primary care providers can take to identify and manage suspected cases The role of vaccination and how primary care providers can help vaccinate more members of the community Opportunities to help patients after exposure Some resources mentioned in the episode include: CDC measles guidance American Academy of Pediatrics measles guidance Children's Hospital Colorado resources; Contagious Comments Firstline: Measles, Evaluating Risk in Patients Presenting with Fever and Rash Firstline: Measles Vaccination and Post-Exposure Prophylaxis Continuing education - Spotting Measles Before it Spreads Continuing education - Measles: Connecting the Dots  For more information on Children’s Colorado, visit: childrenscolorado.org.

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• Stroke Strikes Early

  Most people believe that strokes only affect adults, but children can experience them too. Although rare, strokes in kids can lead to catastrophic outcomes if not treated properly. Seizure or migraines are often misdiagnosed in this population, making it crucial to have proper protocols in place. While many never think of stroke as something that can impact kids, it’s still in the top 10 causes of death in children.  To understand the scope of pediatric stroke and the strides being made to prevent and treat it, we are joined by two experts. Timothy Bernard, MD, is the Director of Education for the section of Child Neurology, and the Director of the Childhood Stroke Program here at Children’s Hospital Colorado. He is also a Professor of Pediatrics and Neurology at the University of Colorado School of Medicine. Ethan Rosenberg, MD, is the Director of Inpatient Childhood Stroke and Neurocritical Care. He is also an Assistant Professor of Pediatrics and Neurology.  Some highlights from this episode include:  Understanding diagnosis in this population  What causes stroke in kids  Why there are delays in recognizing stroke symptoms in younger children  The role of the primary care provider with stroke protocol   For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• Avian Flu in Flight

  It’s been a busy year for influenza cases, but it’s not what we’ve seen in our clinics and hospitals that has infectious disease experts most worried. They are concerned about avian flu, otherwise known as the H5N1 subtype of influenza A. Specifically, they are worried about stress what happens if H5N1 jumps to humans and potentially spreads. What is that risk for people and what challenges lie ahead? In this episode, we’ll explore our current standing and whether we are approaching public health crisis. From virology to epidemiology to infection control strategies, we’ll break down the science, the current data and practical considerations for clinicians on the front lines. To help us understand this ever-evolving virus and its threat, we are joined by two incredible infectious disease experts, Samuel Dominguez, MD, and Suchitra Rao, MD. They both specialize in infectious disease at Children’s Hospital Colorado. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory. Dr. Dominguez is a professor of pediatrics at the University of Colorado School of Medicine and Dr. Rao is an associate professor. Some highlights from this episode include:  Overview of the current flu season and why it stands out  H5N1 transmission of H5N1 and the factors making this season concerning alarming How humans have been infected this season  Assessing the current risk to kids Key actions primary care providers (PCPs) can take right now  For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• Safe and Secure Storage

  Firearms are the leading cause of death of kids in the United States, and in Colorado, there is at least one pediatric injury from a gun every day. In 2021, Colorado passed the safe storage bill which requires firearms to be safely stored when minors are present in the home. Despite this, many people don’t know how to provide the safest environment for children. Pediatricians can play a unique role in gun violence protection. That’s why the Colorado chapter of the American Academy of Pediatrics, alongside the Colorado Department of Public Health and Environment (CDPHE), have launched a new campaign called “Secure Their Future”. This new project aims to educate pediatric practices across the state on the importance discussing safe firearm storage with families  To learn more about this program and how other states can replicate its efforts, we are joined by one of the leaders of this project, Caitlin Jones-Bamman, MD. Dr. Jones-Bamman is a pediatrician at Pediatrics 5280 and has been at the forefront of this project. Some highlights from this episode include:  What “Secure Their Future” is and how the initiative secured funding.  Understanding the unique role pediatricians play in protecting children from firearm-related risks.  Learning how cable locks work.  How other practices can adopt this model.    For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• Immunity in Action

  One of humanity’s frailties is our tendency to view the world through the lens of what we’ve seen, lived through or experienced firsthand. That’s not to say we ignore things that happened in the past, but we may not give historical events equal weight or importance when compared to current events. In medicine, it’s important for us to recognize the vaccine preventable diseases we combatted in the past and apply those lessons to the future. In this episode, we reflect on the improvements and discuss how vaccine technology has improved global child heath over the last century. Many current doctors have never treated some of these diseases firsthand but our three experts for this episode have. Drs. Jim Todd and Mimi Glode worked for decades at Children’s Hospital Colorado in infectious diseases. Dr. Todd is professor emeritus, and Dr. Glode is professor emerita at the University of Colorado School of Medicine. Dr. Todd directed our department of epidemiology, and Dr. Glode directed our pediatrics residency program. Our third guest, Dr. Edwin Asturias, specializes in infectious diseases and is a professor of pediatrics. He helps direct our global health programs, has led many international vaccine research projects and currently serves as voting member of the advisory committee on immunization practices (ACIP). Some highlights from this episode include:  Their experiences treating patients with infections, such as chicken pox, meningitis and measles  Navigating current vaccine skepticism across the healthcare landscape  The changing attitudes of parents to toward pediatric vaccines over time   Learning how this history can help inform current infectious diseases  For more information on Children’s Colorado, visit: childrenscolorado.org. 

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