Pediatric and Adolescent Health Care

It is our goal to enable a liaison person to coordinate services for children- birth to 18 years of age, in the following areas:

Work with the Louisville Board of Education and schools to keep children in school by assisting with Head lice and Immunization concerns. A vast resurgence of head lice since the 1970s has placed head lice infestation as the largest and most exasperating health problem in schools today. The biggest problem is with lice reinfestation, especially when siblings share the same bed or when friends sleep over. For more information about the treatment of Head Lice, see Lice Advice.

Most people think of immunizations as “baby shots” or “school shots”.  Although this is a substantial part of the population who get immunizations, everyone at one time or another, needs an immunization or two. Immunizations (sometimes called vaccinations or vaccines) stimulate the human body to produce antibodies against specific diseases, thus we protect ourselves from disease.

We assist parents and families with the grieving process after the death of a child. You may feel uncomfortable if you cannot readily answer a child's questions. Children seem to expect adults to be all-knowing. But death, the one certainty in life, is also life's greatest mystery.

It is important to remember that children need responses to their questions. And sometimes, simple responses to the issues a child is raising are important. Sometimes just repeating the question will elicit an even more specific concern from the child. As you know, children learn through repetition, so you may want to stimulate the same questions over and over, and provide the same answers. For more information, contact Beverly Hoover at (502) 574-6558.

We help in notification of parents about newborn testing and the results follow up.
Routine screening tests fall short. Fewer than 10 states currently provide comprehensive newborn screening for the more 50 disorders presently detectable. Early diagnosis allows babies with most of these disorders to live normal, healthy lives. However, without early diagnosis and treatment babies are at risk of mental retardation, physical disability, and even death. Treatment usually consists of dietary (eating) restrictions, special formulas, medication, and/or dietary supplements such as vitamins. It is estimated that 1 in every 1,500 babies will have a disorder detectable through comprehensive newborn screening.

PPOR (Perinatal Periods of Risk) Analysis
is an approach promoted by CityMatCH in partnership with CDC (Centers for Disease Control and Prevention), HRSA/ Maternal and Child Health Bureau and March of Dimes to monitor and investigate fetal-infant mortality.

The approach divides fetal-infant mortality into four strategic prevention areas: maternal health/prematurity, maternal care, newborn care, and infant health. PPOR mapping of fetal-infant mortality enables communities to identify and further investigate areas in which there are the greatest opportunities for local impact. 

The Louisville Metro Department of Public Health and Wellness is using this approach to mobilize and focus fand Welfare fetal and infant mortality to prioritize prevention efforts. The PPOR is being used in concert with other proven tools that are already in place (e.g., Healthy Start initiatives, Child Death Review).  Using linked birth-death files combined with fetal death data, communities can identify in which “periods of risk” there are greatest disparities.

The Fetal Infant Mortality Review (FIMR)
is implemented in a community to research the causes of fetal loss and infant death in the community. In FIMR, after nurse interviews families and abstracts information from medical records, a team composed of medical providers discuss findings. Summary and trend information is provided to a community action team to address appropriate prevention and intervention strategies. FIMR will enhance the PPOR approach to decrease the disparities observed in infant mortality.  Click here for information on safe sleeping for infants to reduce the risk of Sudden Infant Death Syndrome (SIDS).

Photo of child with mother and doctor