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Student seated at a classroom desk working in a notebook during class.

ADHD Signs in Kids: What to Look For and What Comes Next

An estimated 7 million children in the United States have an ADHD diagnosis, according to the latest data collected in 2024 from HRSA’s National Survey of Children’s Health and reported by the Centers for Disease Control and Prevention (CDC). If your child has been referred for an ADHD evaluation — or you’ve wondered whether some of their behaviors might be explained by ADHD — you probably have questions. This guide walks parents through what ADHD is, how it’s diagnosed, what treatment options look like, and how pediatricians, families, and schools can work together to support your child. What is ADHD?    ADHD stands for attention-deficit / hyperactivity disorder. ADHD affects how the brain manages attention, impulse control, and activity level. ADHD symptoms usually appear in early childhood (before age 12), though they may be recognized much later, especially in bright or quiet kids who learn to mask their struggles with attention, self-control, […]

Child sneezing while standing among flowering plants outdoors during fall allergy season.

Helping Your Child Through Fall Allergy Season

Fall 2026 is shaping up to be a tough allergy season. Warmer temperatures and a later first frost are giving ragweed and other weeds a longer window to grow and release pollen, while damp autumn conditions and fallen leaves keep mold spores in the air. With weed pollen arriving right on schedule in August and counts predicted to spike through September and October, parents need to plan ahead to minimize seasonal allergy suffering. By taking action before the pollen hits, your child can enjoy autumn’s colors instead of its allergens. The best way to care for allergies in kids is to track what’s happening outside, get ready for pollen season inside, and see the doctor (if needed) to manage allergies early. Can you get allergies in the fall? Yes. Seasonal allergies — also called “hay fever” — can flare up any time of year, but fall has its own set […]

Medical professional using a brain model to explain brain anatomy to a child and caregiver during an office visit.

Understanding a Chiari Malformation Diagnosis

A Chiari malformation is a condition in which the lower part of the brain — called the cerebellum — extends into the spinal canal, where it doesn’t belong. Chiari (kee-AH-ree) malformations are more common than previously known, affecting approximately 1 in every 1,000 people. Due to advances in MRI technology, they’re being identified more frequently and earlier than ever. Here’s what families should know. What is Chiari malformation?  Chiari malformations are congenital (present at birth) in nearly all cases. The issue typically develops while a fetus is growing but, depending on the Chiari type, a person may not experience symptoms until later in childhood, adulthood, or possibly never. The condition is named for German pathologist Professor Hans Chiari, who described it in the 1890s and established the Chiari Types I through IV classification still used today. One important distinction is that Chiari Type II (Arnold-Chiari malformation) is always associated with […]

Healthcare professional placing a bandage on a young child’s upper arm after an immunization while the child sits on an examination table in a medical office.

Childhood Vaccines: What’s Changed in 2026

The story of childhood vaccines is, at its heart, one of the great triumphs of modern medicine. For the better part of a century, parents have walked through the doors of pediatricians’ offices across the country and emerged with children protected against diseases that once claimed young lives by the thousands. Polio, measles, diphtheria — names that once inspired terror in households — have been pushed to the margins of American life largely because of the commitment clinicians and families have made to following evidence-based immunization schedules. And smallpox has been eradicated from the world. That legacy deserves to be honored and celebrated. In 2026, however, parents and pediatric healthcare providers are navigating a landscape that looks more complicated than it has in generations. Here’s what parents need to know about what’s affecting the landscape, the importance of vaccines, and how to make informed decisions. What’s different about the childhood […]

Three school aged children hold watermelon slices up in front of them as they smile for a portrait.

The Hidden Ways Summer Break Impacts Children’s Health

Summer is often viewed as a break from school and a chance to relax. But as the leader of a pediatric health system, I see summer as a stress test for the systems that support children’s health. When the structure of the school year falls away, we gain a clearer view of the factors that shape a child’s well-being: access to nutritious food, safe places to play, nurturing adults, learning opportunities, and stable family support. These conditions matter because medical care is only one component of health. Research consistently shows that the vast majority of health outcomes—around 85%—are shaped by the circumstances of daily life. Over the summer, dependable school breakfast and lunch give way to whatever a family can piece together. Built-in recess and physical education give way to unstructured hours, often leaving children to look for community spaces to play. The network of trusted teachers, counselors, and coaches […]

Child sits at a table in front of fresh vegetables with a thinking expression wondering if she should eat it.

Your Salad Made the News. Now What?

Fresh fruits and vegetables usually have good publicity. They’re the foods pediatricians, dietitians and public health experts have spent decades encouraging families to eat more often. Parents are told to fill lunchboxes with berries, add vegetables to dinner plates, and keep healthy snacks within reach. That’s why produce-related outbreaks can feel especially unsettling. Over the past several weeks, headlines about a cyclosporiasis outbreak linked to fresh produce have left many families wondering whether the foods they’re trying to eat more of are suddenly the foods they should avoid. If you’ve found yourself looking at a salad a little differently lately, you’re not alone. But before you swear off fresh produce for the rest of the summer, it helps to understand why outbreaks like this happen — and why the answer isn’t as simple as “stop eating vegetables.” Why Produce Outbreaks Feel Different When a frozen food product is recalled, most […]

Adult reading a picture book with a young child on a couch, illustrating early literacy development through shared interaction

AI and Your Child’s Literacy: What Every Parent Needs to Know

Before your child can read a single word, they’re learning to read the world. Your gaze, your voice, the way you answer their coos and cries — all of these inputs wire their brain for a lifetime of learning. It’s an invisible curriculum, delivered in the ordinary moments of daily life, and it’s the foundation upon which all language and literacy are built. It’s also, quietly and without much public debate, under threat. Learning Starts Long Before Reading As a pediatric surgeon and social scientist, my entire career has revolved around one central question: What do children need from the adults in their lives in order to thrive? Again and again, the science points to the same thing: Nurturing human interaction, and a whole lot of it. Not “educational” videos. Not apps. Not YouTube. Your words, your songs, your eye contact. This is why I’ve spent the last 15 years […]

Adult sitting with a child on a couch, offering comfort and support at home

Navigating Pediatric Lupus: Essential Resources, Support, and Tips

A diagnosis of childhood lupus can feel overwhelming at first, for both children and the people who love and care for them. Because lupus can affect many parts of the body, and its symptoms may change over time, families often find themselves learning to navigate not only medical care, but also school, emotions, daily routines, and long-term uncertainty. The good news is that families do not have to face this journey alone. Whether you’re managing lupus symptoms, seeking lupus treatment, or still early in your child’s diagnosis and simply trying to understand what it means going forward, you need guidance. Along with support from their medical team, there are many organizations and communities that can offer practical help, trustworthy information, and meaningful connection. Connect With Support Groups Living with lupus can sometimes feel lonely, but families should know they are not alone. There’s a strong lupus community with many opportunities […]

What Is the Ginsburg Institute and Why It Matters for Families

There is a growing recognition across the country that children’s health cannot be separated from the communities in which they live, learn, and play. The Ginsburg Institute was founded on precisely that understanding — and it’s changing what pediatric health care looks like in practice. Centered on community impact and the relentless pursuit of breaking down silos, the Ginsburg Institute brings together leaders from community organizations, healthcare systems, public health, and education. These community health partners align efforts, share learning, and take coordinated action toward a shared Nemours vision: creating the healthiest generations of children. By fostering collaboration across traditionally separate sectors, the positive effects of this work manifest in programs and interventions that help children across the community thrive. The first in a series, this piece offers a closer look at the Ginsburg Institute: what it stands for, the remarkable opportunities it’s creating, and how its work is building […]

Tick hidden on a green leaf detail and little girl foots in sandals on a lawn outdoors.

Tick Bites and Lyme Disease: What to Know This Season

Warm-weather play brings more time outside — and more chances for tick bites. While most bites are harmless, some can transmit Lyme disease, the most common tickborne illness in the United States. With tick activity starting earlier and rising in 2026, it’s especially important for parents to stay alert. The good news: simple prevention habits, early detection, and prompt care can make a big difference in protecting your child’s health this season.

How Doctors Balance Care for Mom and Baby

Hearing that your healthy pregnancy is now considered high-risk can feel like the ground shifting beneath your feet. That moment when everything you imagined about this chapter of your life suddenly looks more complicated, and far more uncertain, than you expected. However, complex pregnancies are exactly what maternal-fetal medicine specialists — or MFMs — are trained for, and the care that surrounds your family in those moments is more thoughtful and more coordinated than you realize. In fact, it’s estimated that hundreds of thousands of families navigate this experience every year. So even when the stress is high, you aren’t going through it alone. Here are some things to know about the coordination and expertise that’s taking place within your maternal fetal health (MFH) care team to treat, support, and make decisions for both mother and baby. What should families understand about the decision-making process? One of the most remarkable […]

From Diagnosis to D.C.: Two Young Patients Advocate for Children’s Health

A middle-schooler who survived leukemia and a college student managing thyroid cancer traveled to Washington, D.C., to talk to members of Congress about the importance of pediatric healthcare that accounts for the whole child, and why federal support is essential.  When Leah Tomaszewski was 8 years old, climbing stairs and riding bikes started to become a struggle. She was getting bloody noses that would not stop, and at school she was falling asleep at her desk. Her parents, Jessica and Jeremy, recognized that something was not right and took her to her pediatrician at Nemours Children’s Health. After a few tests, her pediatrician recommended they head to the emergency room.   That night, the Tomaszewski family drove to Nemours Children’s Hospital, Delaware.  “I definitely remember not feeling myself,” Leah said. “I remember thinking something’s wrong.”  Her intuition was correct. Within days, she was diagnosed with B-cell acute lymphoblastic leukemia. She was in third grade.   Two years later and nearly a thousand miles away in Lakeland, Florida, 17-year-old Sunny Iskra was sitting at a coffee shop during her senior year of high school. Her mom, Liz, reached across the table and […]

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