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Screening Children for Anxiety

Screening Children for Anxiety

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After a systematic review of 39 studies to evaluate the benefits and harms of screening for anxiety disorders in children and adolescents aged 8 to 18, the U.S. Preventive Services Task Force (USPSTF), a group of disease prevention and medical experts assembled by the U.S. Department of Health and Human Services, now recommends that primary care physicians perform such screenings, even if there are no signs or symptoms of anxiety. 


A common mental health condition in the U.S., anxiety disorder involves excessive fear or worry that manifests as emotional and physical symptoms. In children and adolescents, it is associated with impaired functioning, educational underachievement and an increased likelihood of a future anxiety disorder or depression. The 2018-2019 National Survey of Children’s Health found that 7.8 percent of children and adolescents aged 3 to 17 had a current anxiety disorder.


USPSTF recommended using screening questionnaires to identify children at risk, noting that studies show that children with anxiety benefit from treatments that may include cognitive behavioral therapy or psychotherapy. They also concluded that there is insufficient evidence to assess children 7 years old or younger.

Tick Talk

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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