Maine Chapter American Academy of Pediatrics (en-US)



COVID-19 and Women and ChildrenMaine CDC (Dr. Sears), DHHS (Drs. Belisle and Carmack), MAAP (Drs. Hagler, Blaisdell), MMC Peds (Dr. Ottolini, Picarillo, McCarthy), EMMC/NL Peds (Dr. Hagerty), ?ACOG, MMC MFM (Dr. Litton), MMC OB (Dr. Erekson)Fridays from 12-1; Moving to Biweekly after 5/15- next 5/29 US : Thankyou Meeting ID: 871 527 860This call is off the record and is intended for health care personnel. Media should not be on this call. Please do not talk about specific cases at your hospitals and do not share PHI. We will talk about cases at the statewide level.Please be aware that guidance is changing daily. This is the best information we have as of 5/15/2020.This is an opportunity to review national guidance as it becomes available, brainstorm with the group around issues that are arising, and to understand support that is needed. Information and guidance changes daily. Please send questions by 3 pm on Wed to Amy.Agenda12-12:15: General Updates (CDC)12:15-12:30: Child Health Updates (OCFS, MCDC MCH, MAAP MMC Peds, NL Peds)12:30-12:45: Maternity and Newborn (MMC NICU, NL NICU, MMC OB, MFM, ACOG)12:45-1: QuestionsGeneral UpdatesContact Information: CDC: Stephen.sears@DHHS Child Health: Amy.belisle@ DHHS OCFS-Child Welfare, Behavioral Health, Daycare: Adrienne.w.carmack@ (note new email address!)MAAP: Deb Hagler: debhaglermd@; Laura Blaisdell: laurablaisdell@; Dee Kerry - Maine AAP: Dee Kerry dee.kerry@Scheduled Maine CDC webinars. ?Maine CDC is hosting regular interactive (Zoom) webinars for the following groups: Note several new zoom numbers and some groups are currently in the process of adding passcodes. Some are also moving to biweekly calls.General briefing:? Mondays 1-2PM: Long Term Care Medical Director Call: Tuesdays 11A-12P: Meeting ID: 621 843 4986; Password: 338847 One tap mobile: +13126266799,,6218434986#,,#,338847# IDD Stakeholder Call with OADS: Tuesdays 3-4 PM: ID: 955 532 303l Password: 281546; +19292056099,,955532303# US (New York)Long-Term Care: Wednesdays 1-1:30PM: :? Thursdays 12:30 – 1PM: leaders and health centers:? Fridays 11:30AM – 12PM: and Child health providers: Fridays 12 – 1PM: (Changing to biweekly calls after May 15th) -Next is May 29th passcode: Thankyou (12-12:15: General Updates; 12:15-12:30: Pediatrics; 12:30-12:45: Maternity and Women’s Health; 12:45-1: Questions); Behavioral Health, including Children’s Behavioral Health and OCFS:? Fridays 1-2PM; Biweekly starting 5/15. Sign up via listerv to get weekly call-in info at OBH.TownHall@. They are no longer holding separate Thurs at 11 calls with OCFS.Hospital staff: Fridays 1:30-2PM: NETRC is offering Telehealth Virtual Office Hours ??Tuesdays at 8AM virtual: in: +1 646 558 8656,,,869 834 403# Thursdays at 12PM virtual: in: +1 646 558 8656,,,477 247 220#Keep up to date with COVID information from key state agencies and patient populations:Governor Mills has revamped her webpage on COVID-19 response in Maine. Maine DHHS: dhhs/coronavirus-resources.shtmlMaineCare: dhhs/oms/COVID-19.shtmlOffice of Behavioral Health (formerly SAMHS): dhhs/samhs/coronavirus.shtmlChildren’s Behavioral Health (OCFS): dhhs/ocfs/COVID-19-response.shtmlMaine CDC COVID-19 testing criteria & recent HAN health advisories:? dhhs/mecdc/all-health-advisories.shtmlMaine Children’s Cabinet website:? State of Maine Disaster Behavioral Health websites has two new sub-sections to include COVID-19 resources. Go to:? State Reopening- Guidance for Healthcare Overview: : (2019-nCoV)MaineMEP link as a possible source of PPE: of Economic and Community Development - Maine is working on Maine COVID-19 Prevention Checklists: HYPERLINK "" AAP News' coverage on COVID-19 here. CDC offers information here.National CDC COCA Clinical Consultation- available 24 hours for clinical questions -1-770-488-7100State Updates:5/15 Update Numbers: COVID cases 1603 - Hospitalized 211, Deaths - 69, Recovered -993. Healthcare workers 354. Confirmed 1437, Probable 166.Expect MCDC HAN next week on testingPedi ID Update- Carol McCarthy5/11 MCDC HAN - Federal CDC HAN on Pediatric Multi-System Inflammatory Disease/COVID: 5/14: CDC Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C)An individual aged <21 years presenting with fever, laboratory evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (>2) organ involvement (cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological); ANDNo alternative plausible diagnoses; ANDPositive for current or recent SARS-CoV-2 infection by RT-PCR, serology, or antigen test; or COVID-19 exposure within the 4 weeks prior to the onset of symptomsFever >38.0°C for ≥24 hours, or report of subjective fever lasting ≥24 hoursIncluding, but not limited to, one or more of the following: an elevated C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), fibrinogen, procalcitonin, d-dimer, ferritin, lactic acid dehydrogenase (LDH), or interleukin 6 (IL-6), elevated neutrophils, reduced lymphocytes and low albuminAdditional commentsSome individuals may fulfill full or partial criteria for Kawasaki disease but should be reported if they meet the case definition for MIS-CConsider MIS-C in any pediatric death with evidence of SARS-CoV-2 infection5/22- Save the Date: MMC/BBCH will host a zoom call from 8-9 am on Multisystem Inflammatory Syndrome in Children (MIS-C) Presenter: Kevin Friedman, MD, Assistant Professor of Pediatrics, Division of Cardiology, Boston Children’s HospitalUpdate on immunization rates- Maine data and MMWR article-Tonya Philbrick, Maine Immunization ProgramMarch distribution decreased by 6,532 doses which resulted in a 28% decreaseApril distribution decreased by 14,705 doses which resulted in a ?45% decreaseMIP should have additional data in the next several weeks around immunization ratesMIP is reaching out to practices to see how they can assist them with immunizationsMIP has sent two communications to providers regarding ways to continue to promoting vaccines. Below is a link to the May 2020 newsletter 5/8/2020 MMWR Article on Pediatric Immunizations: “The substantial reduction in VFC-funded pediatric vaccine ordering after the COVID-19 emergency declaration is consistent with changes in vaccine administration among children in the VSD population receiving care through eight large U.S. health care organizations. The smaller decline in measles-containing vaccine administration among children aged ≤24 months suggests that system-level strategies to prioritize well child care and immunization for this age group are being implemented. Increases in vaccine administration to children aged ≤24 months beginning in late March might reflect early success of strategies implemented by VSD health care organizations to promote childhood vaccinations in the context of the pandemic, including outreach to patients overdue for vaccinations and changing office workflows to minimize contact between patients (4). Assessment of state and local vaccination coverage is needed to quantify the impact among U.S. children of all ages and prioritize areas for intervention.” UpdatesF/U Visit Coverage: DEPARTMENT OF HEALTH AND HUMAN SERVICES 10-144 C.M.R. Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER I SECTION 5 COVID-19 PUBLIC HEALTH EMERGENCY SERVICES ESTABLISHED: 3/20/2020 EMERGENCY RULE #2 EFFECTIVE: 5/13/2020 5.08 EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPSDT) The Department, under Bright Futures Health Assessment Visits under Chapter II, Section 94.06-1, will allow for one additional health assessment visit per member within a year following an initial assessment via Telehealth for each age shown on the MaineCare Bright Futures periodic health assessment schedule (MBM, Ch. II, Section 96, Appendix 1).* for rules and related rulemaking documents. *The Department shall seek and anticipates receiving approval of these changes from CMS retroactive to March 18, 2020. Pending approval, these changes are effective upon adoption.COVID-19 Testing: Maine residents who are uninsured are entitled to receive coverage for testing and diagnosis of COVID-19 at no cost, with coverage to be administered through the MaineCare program. Coverage includes testing for the COVID-19 diagnosis as well as limited related services, such as office visits and evaluations and telehealth triage and screening, but it does not include coverage for services for the treatment of COVID-19.We are asking our providers to help us get the word out by informing your patients who are uninsured about this temporary coverage option and how to apply. Please review this guidance to learn more about this option and how your patients can access the coverage. Also, please consider printing this short, special application to have on hand for patients who may not have internet access so that they can complete it at the time of their COVID-19 testing appointment. Specific details on submitting COVID-19 testing claims to MaineCare for uninsured individuals will be forthcoming later this monthQuestionsWho is working on return to school issues? DOE has a large task force related to returning to school. They are utilizing an existing, ongoing, partnership with the teachers’ association (MEA), principals (MPA), superintendents (MSSA), school boards (MSBA), special education directors (MADSEC), and curriculum leaders (MCLA).? Each of those organizations involve their executive director and current president.? There is also a representative of private high schools that serve public school students.? Additionally, they have asked a number of staff to reach out (in the form of focus groups) to collection ideas and questions from a number of niche groups (Adult Education, career and technical education, etc.). Emily Poland is the school nurse clinical consultant. Who is working on summer camp issues? Summer camp guidance is being done by DECD. Anticipate more guidance next week.Any information on sports physicals? Maine Principals Association guidance on sports physicals for the fall season. ??"Recommend that for a one-year period districts consider revising their policy regarding pre-participation physical exams.??Currently, the recommendation is that athletes have a physical exam every two years.??There have been concerns raised that there may be difficulty in scheduling a wellness physical in doctor’s offices prior to the start of the fall season.??The Sports Medicine Committee recommends that the policy be revised to allow those athletes that have been involved in competitive athletics previously, as long as they don’t have any pre-existing medical conditions, to complete the comprehensive health history questionnaire that is often used during the years between physicals.??It is also recommended that these questionnaires be reviewed by a school healthcare professional (school physician, school nurse, athletic trainer) prior to the athlete competing.??Those athletes that are new to competitive athletics should still be required to have a complete physical exam.?"Are you aware of any guidelines for asthma in the office or ED setting in the Covid -19 era?1) Should all these kids be swabbed for Covid? I’m thinking yes to guide PPE, but interested in your thoughts.Pedi Pulm at MMC-We decided to use the wt based mdi albuterol scale on CHOPs pedi Ed asthma pathway.?2) There is encouragement to use albuterol MDIs versus nebulizers to reduce aerosolization in the acute exacerbation, is there an accepted MDI protocol?For mod exacerbations:< 10 kg 4 puffs per use q 20 min x310-20 kg 6 puffs ditto>20 kg 8 puffs ditto3) How are you screening asthmatics for COVID?All asthmatics will get screen for COVID in neg pressure room and then downscaled if negativeNewborn Updates and Questions:Dr. Picarillo update on newborn registry- Data- Now testing ALL mothers who present for delivery. These are asymptomatic women. 5/1-511 we tested 41 women. All were negative and 1 refused. Please feel free to share with the group.Kelley Bowden has a document with information from different hospitals on child birth classes (attached)Maternity Updates and QuestionsAJOG_MFM published 4 papers this week related to COVID19. Not being peer reviewed at this time. AttachedThe best paper is the “Clinical Course of Severe and Critical COVID19 in hospitalized pregnancies” which encompasses 64 pregnancies at 12 hospitals in New York City, Philadelphia, Cincinnati, New Jersey and Pennsylvania.? Delivery was required in about 50% of pregnant mothers in this cohort (85% of critically ill mothers required delivery).? There have been no mortalities.? 19 women required intubation.The modeling paper from Cleveland predicts only 860,000 COVID19 cases in the general US population (seems low) but predicts 16,000 maternal deaths through December 2020 (seems high) which is an excess maternal mortality of about 19 per 100,000 live births in the United States.Question: Do hospitals have in place recommendations that a pregnant HCW not work after 37weeks gestation? Can you share the policy? Do you have the references? to support?MaineHealth has allowed all pregnant HCW to request exemption to working with PUIs, COVID19+ patients.? This is supported by ACOG and CDC.They also have decided to allow all pregnant HCW to stop work at 37weeks.? As all types of employment are different (per diem, part time, full time, salaried, hourly, etc.) the MaineHealth employee needs to contact EH.? This was a health system decision and other employers will need to review their policies.Per Dr. Erekson- Invited commentary published by Drs. Spratt and Bauschbaum on the hypercoagulopathy issue with COVID-19. Summary of recommendations are:In women (cis- or transgender) taking estrogen therapy such as COC’sIf hospitalized for COVID-19, discontinue estrogen therapy (unless discontinuation involves significant risk) and follow the current protocol for your hospital with respect to VTE prophylaxis with LMWH or UFHIn outpatient settings use a shared decision-making process to consider these recommendations with the patientsIn women (cis- or transgender) taking estrogen preparations who have a positive novel coronavirus test and are either symptomatic or asymptomatic, discontinue the estrogen if possible (and use an alternative treatment if appropriate) for 2 months to allow the infection to resolve; if discontinuation of a COC is not a reasonable option, use aCOC with a progestin that appears to be less thrombogenic such as those containing levonorgestrel or norgestrelIn women who have been directly exposed to someone with known COVID-19 and who do not have symptoms suggestive of COVID-19 but have not been tested, discontinuation of estrogen preparations is not necessary at presentIn pregnant womenIf admitted to the hospital and found to have a positive test for novel coronavirus (symptomatic or asymptomatic), follow the current protocol for your hospital with respect to VTE prophylaxis with LMWH or UHF for COVID-19 patients.If found to have a positive test for novel coronavirus as an outpatient (symptomatic or asymptomatic), therapy with LMWH heparin therapy is not recommended at this time but emerging information is being monitored.Resources:New This WeekBoston Children’s Info COVID-19 and a serious inflammatory syndrome in children: Unpacking recent warnings on: on the Developing Child: In the fourth episode from a special COVID-19 series of The Brain Architects podcast, host Sally Pfitzer speaks with Dr. Tien Ung, Program Director for Impact and Learning at FUTURES without Violence, to discuss practical steps those at home can take to keep themselves and their children safe, as well as strategies others can use if they think someone they know may be experiencing domestic violence. Tien also highlights the importance of maintaining social connections during periods of physical distancing.Listen to "The Brain Architects COVID-19 Special Edition: Domestic Violence and Shelter-In-PlaceFrom Deb Hagler, MAAPICU experience of Children in US and Canada with COVIDShekerdemian LS, Mahmood NR, Wolfe KK, et al. Characteristics and Outcomes of Children With Coronavirus Disease 2019 (COVID-19) Infection Admitted to US and Canadian Pediatric Intensive Care Units. JAMA Pediatr. Published online May 11, 2020. doi:10.1001/jamapediatrics.2020.1948- for Youth Involved in the Criminal Justice System Effects of Covid-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration- United States 2020 outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study (20)31103-X/fulltextContact TracingTrainings-Association of State and Territorial Health Officials (ASTHO) and National Coalition of STD Directors (NCSD) announced the launch of a free, on-demand training for entry-level COVID-19 contact tracers: Making Contact: A Training for COVID-19 Contact Tracers ; Bloomberg/John Hopkins training, 6 hours: has online resources: 4th Child Welfare Conference in Bangor is postponed until 2021. They will offer a FREE 90-minute webinar that same day. Stay tuned to your email or follow us on Facebook (@MaineChildWelfareConference) or Twitter (@M_C_W_C)2020 Governor’s Opioid Response Summit in Bangor on July 23, 2020- will do small (50 person or less gathering in Bangor) and offer the meeting virtually to statewide audience. Keynote speaker is President Obama’s Surgeon General Vivek Murthy, M.D. who is the author of, Together, The Healing Power of Human Connection in a Sometimes Lonely World. 26th Lactation Conference moved to September 17-18, 2020 in Portland, MaineLet’s Go Annual Meeting: Sept 24 and Sept 25th in PortlandMAAP Meeting moved from May to Sept 26 and 27, 2020, “Shining a Light: Hidden Circumstances Affecting the Health and Wellbeing of Children and Families” in FreeportCDC MCH SEI CONFERENCE- moved from May to Sept 29-30th in LewistonResources from Previous Weeks:Provider ResiliencyMaineHealth’s Resiliency ECHO Sessions: This Resiliency ECHO will focus on sustaining well-being and resilience in trauma-exposed health care teams. Experts from MaineHealth, Maine Medical Partners, and Maine Behavioral Healthcare are leading sessions focused on taking care of your emotional health during the coming months to help you sustain your well-being and enable you to better react to urgent needs. The Resiliency ECHO will take place on every Wednesday from 12:00pm-12:50pm and will offer free CMEs. Clinical Lead: Steve DiGiovanni, MD’ Expert Faculty: Dory Hacker, LCSW; Location: (Free Zoom Conference Call) Open to providers statewideProviders can sign up for the "Maine Responds" Emergency Health Volunteer System. Register for Maine Responds online.Support Other Health Care Providers – Maine FrontLine WarmLine: Launched on Monday, April 20th (8A-8P) 1-866-367-4440 or 207-221-8196 The "warm line" provides emotional support for medical providers and first responders during this high-stress time. Those interested in volunteering for this service can contact Dianna Poulin dpoulin@ and then will need to sign up for Maine Responds for liability coverage. Last Week’s Resources:National AAP ?has Regular updates and information?at??on key COVID-19 related topics. The Maine AAP also has a collection of resources available on our website which include Maine specific recommendations, in addition to National ones.? American Academy of Pediatrics in partnership with Boston University has launched a new ECHO (Extension for Community Healthcare Outcomes) project, titled?“COVID-19 and Children with Medical Complexity (CMC) ECHO.”?This?tele-mentoring program leverages video conferencing technology to increase clinician knowledge and support in caring for CMC during the COVID-19 pandemic by connecting clinicians with experts in infectious disease, emergency preparedness, primary care, subspecialty care, and family-centered care. This platform provides a space for participants to discuss topics that impact children with medical complexity during the COVID-19 pandemic, such as telehealth, home care supports, mental/behavioral health needs, health care financing, emergency planning, special education considerations, and more. The AAP COVID-19 and CMC ECHO will meet twice per month on a recurring date/time; flexible opportunities to participate are also available.??If you are interested in participating, please contact?aapecho@??or?complete the project application?by May 11.? ????AAP section on Derm Case of the Week: Rash on The Feet ( May 1st)AAP SOD Collaboration SiteSchool returning Children with Covid In Italien ERs reports of Kawasaki-like syndrome rarely associated with Covid. In Children resource Guide for Children with Special Health Care Needs from National Child Traumatic Stress NetworkCOVID-19 Resources for Parents of Children with Intellectual or Other Developmental DisabilitiesCrowd Sourced Library of lots of Info regarding Covid ( on Hopkins Resource) Lots of curated info by the tech universe Foster Care ResourcesThe National Child Traumatic Stress Network? STRYDD Center (Supporting Trauma Recovery for Youth with Developmental Disabilities) Long Island Jewish Medical Center, Northwell Health has created resources to help parents support their child with special needs during this COVID-19 pandemic.? Some resources address all children, while some were developed specifically for children with I/DD and/or Autism.? The set of resources is available at ? COVID-19 Resources for Parents of Children with Intellectual or Other Developmental Disabilities. Resources include:An Overview Guide, Expert Advice and General Resources, Tools for Helping Children Cope, Access to Internet, Health, Education and Other Special Needs Services, Tools for Maintaining Skills and Behavior,?Activities for Learning and FunMy Hero Is You Storybook The making of “My Hero is You”This book was a project developed by the Inter-Agency Standing Committee Reference Group on Mental Health and Psychosocial Support in Emergency Settings (IASC MHPSS RG). The project was supported by global, regional and country based experts from Member Agencies of the IASC MHPSS RG, in addition to parents, caregivers, teachers and children in 104 countries. A global survey was distributed in Arabic, English, Italian, French and Spanish to assess children’s mental health and psychosocial needs during the COVID-19 outbreak.MCH- Safe Sleep- The Maine Department of Health and Human Services is working to reduce preventable infant mortality. One of those strategies includes providing education to caregivers and providers about safe sleep environments and how to ensure a baby is safe while sleeping. New materials include: window clings, magnets, books, and printed materials. Materials are free at the Maine Prevention Store: .MAAP has a grant from the National AAP:?Addressing Social Health and Early childhood Wellness (ASHEW) learning collaborative convened via grant funding from the JPB Foundation. In collaboration with AAP chapters selected through this request for application (RFA), the ASHEW project will employ quality improvement techniques and clinical education and training to identify and manage social determinants of health in pediatric practices using the Institute for Healthcare Improvement’s (IHI) Model for Breakthrough Improvement. Plan-Do-Study-Act (PDSA) cycles will create quality improvement changes to address social determinants of health (SDOH) through practice and systems transformation.??Opportunity for 12 practices to participate. Will have MOC credit. FMI: Email Dee Kerry - Maine AAP:dkerry2014@AAP OPEN ACCESS COVID-19 Pediatric Collection has launched. To find continually added research as it is published, please bookmark and share this link?cc/covid-19. Health Literacy: Medical School students and staff have created online education modules about COVID-19 for elementary, middle school, and high school/college students. There is free access to these materials online at:? and would love for you to share them with?your administrators, teachers, and students.? We are also asking users to fill out the?online guest book?and?feedback forms?so that we can see how these materials are being used and continue to improve them for children everywhere. If you have resources that you would like to share with us to link on our site, or would like to discuss points of collaboration, please email?rachel_reardon@hms.harvard.edu. COVID 19: Lessons on Children from Italy Guide NCTSN: read-aloud group on Facebook featuring Raising Readers books read by Maine authors/illustrators and our clinical advisors. ? Blog Post of local and national online resources for parents and caregivers of babies and toddlers (birth - 5) sheltered at home. ? Medical Center Childbirth Education classes and support groups currently free of charge and offered with a live instructors remotely mmcfamilybirth. (for prenatal classes and postpartum groupsIn addition to some in-person outpatient Lactation appointments at MMP Pediatrics on 1577 Congress St., we also have telehealth (with video) outpatient consults available through MMC Lactation for established patients. ?Contact Lactation 662-4555 for an appointment.? This is in addition to the remote weekly breastfeeding support group. We continue to offer the Breastfeeding Basics and Baby Basics class remotely as well.? mmcfamilybirth. to register.Virtual Family Birth Center tour: familybirthcenter The March of Dimes has a comprehensive article for parents that includes pregnancy, temporary separation, what to do if baby is in NICU, breastfeeding/pumping, social distancing at home etc.? Breast feeding resources: Pritzker Center at UCLA is doing a speaker series discussing urgent issues for children and families? during the Covid-19 pandemic. directly to the series:?? Futures for Tele- Physical exams launched a Planning and Clinical Management of Perinatal COVID-19 Case on April 9th-Thursdays at noon: This course offers obstetric and pediatric providers, nurses, lactation consultants and other team members up-to-date information and support on the COVID-19 pandemic. A multidisciplinary panel of specialists will share latest developments and guidelines, discuss management of patient cases presented by participants and answer questions during the hour-long sessions. Target Audience:?Maine, Vermont & New Hampshire Perinatal Care Teams; Registration link:? has resource links: is setting up a newborn registry (as part of Jacksonville)-see halfway down the page: also has a maternal registry PRIORITY (Pregnancy CoRonavIrus Outcomes RegIsTrY) is a nationwide study of pregnant or recently pregnant women who are either under investigation for Coronavirus infection (COVID-19) or have been confirmed to have COVID-19. This study is being done to help patients and doctors better understand how COVID-19 impacts pregnant women and their newborns. Patients can join directly or be may be referred from providers. If you have patients whom you would like to refer, or have additional questions, please visit the PRIORITY website at: American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have developed an?algorithm?to aid practitioners in assessing and managing pregnant women with suspected or confirmed COVID-19.?View the algorithm.Society of Maternal Fetal Medicine: has new app developed with the CDC around screening questions: News: Coronavirus disease outbreak coverage ?AAP Red Book Online: 2019 Novel Coronavirus (COVID-19) InfectionsSesame Street and COVID: Offers Families Important Health Updates During COVID-19 is on the leading edge of informative parent-facing articles in response to the evolving COVID-19 pandemic. These resources are available on the COVID-19 hub page, and include:?Coping with a New Baby During COVID-19?Positive Parenting & COVID-19: 10 Tips to Help Keep the Calm at Home?Social Distancing: Why Keeping Your Distance Helps Keep Others Safe??Working and Learning from Home During the COVID-19 Outbreak ?Hand Washing: A Powerful Antidote to Illness?Talking to Children About Tragedies & Other News EventsAsk the Pediatrician: Are there shortages of infant formula due to COVID-19?COVID-19: Information for Families of Children and Youth with Special Health Care Needs.COVID-19 Resources for Pediatric Surgeons & UrologistsCOCA websiteAAP printable patient education: Coronavirus: through Coronavirus. These are excellentWHO parenting through Coronavirus-19: ................
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