Child Health Notes

Child Health Notes is a publication promoting early identification and partnerships between families, primary health care providers & the community. Contributors: Washington Department of Health and the University of Washington Children with Special Health Care Needs.


  • Formula for Full-Term Infants.  Providers sometimes inadvertently prescribe infant formulas that are more expensive and more complex than an infant needs. The formula is often not covered by insurance or WIC*, and the family ends up paying too much for a formula that is hard to get and possibly not the right product for the child. This CHN was written to demystify the process of deciding which formula is best for which baby.


  • Adverse Childhood Experiences. ACEs are significant incidents during childhood which can result in harm to social, cognitive and emotional functioning. Resulting changes in brain development can affect a child’s learning  ability and social skills, as well as impact long-term adult health outcomes and quality of life. Research at the Centers for Disease Control (CDC) finds, worst case, that childhood trauma can take as many as 20 years off life expectancy. The CDC views ACEs as one of the major health issues of the 21st century. While not guaranteeing bad outcomes, ACEs increase the odds. And they are largely preventable!
  • What is Autism Now?  The new Diagnostic and Statistical Manual-5 (DSM-5) was published in May 2013. Asperger disorder, Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS), and autism were replaced by the term, “autism spectrum disorder.”


  • Early Brain and Child Development. Parents want to know what they can do to enhance brain development in their children during pregnancy and after birth. This Child Health Note is designed to bring you a sampling of the latest robust findings in brain science as it relates to children from the prenatal period to age 5.
  • Growth Charts.  Accurate assessment of growth in childhood is an essential part of well child care.  Pediatric providers need to be familiar with the standard growth charts that are available, how they are meant to be used, and how they have changed, over the last few years.