Emily Miller MD MS FAAP
@emilymillermd.bsky.social
Neonatologist / Dir of Perinatal Health Equity, Advocacy, Policy @CincyChildrens | #HPSP | Alum @UofLpeds @uoflmedschool | Mom x 4 (she/her) | #tweetiatrician | Opinions mine
Additional factors associated with lower rates of nirsevimab receipt in US include:
-Older age (OR 0.60; CI 0.58–0.62)
-Black race (OR 0.53; CI 0.43–0.65)
-Very low Child Opportunity Index (OR 0.70; CI 0.54–0.91)
-Public insurance (OR 0.79; CI 0.67–0.92)
-Older age (OR 0.60; CI 0.58–0.62)
-Black race (OR 0.53; CI 0.43–0.65)
-Very low Child Opportunity Index (OR 0.70; CI 0.54–0.91)
-Public insurance (OR 0.79; CI 0.67–0.92)
November 1, 2025 at 12:15 AM
Additional factors associated with lower rates of nirsevimab receipt in US include:
-Older age (OR 0.60; CI 0.58–0.62)
-Black race (OR 0.53; CI 0.43–0.65)
-Very low Child Opportunity Index (OR 0.70; CI 0.54–0.91)
-Public insurance (OR 0.79; CI 0.67–0.92)
-Older age (OR 0.60; CI 0.58–0.62)
-Black race (OR 0.53; CI 0.43–0.65)
-Very low Child Opportunity Index (OR 0.70; CI 0.54–0.91)
-Public insurance (OR 0.79; CI 0.67–0.92)
Nirsevimab is available in the US, but there are still gaps that put infants at risk:
1. Sometimes reserved for high risk infants (preterm, NICU) at the delivery hospital.
2. Not available at all pediatric practices.
3. Adults and older kids who are not eligible for mab or vaccination.
1. Sometimes reserved for high risk infants (preterm, NICU) at the delivery hospital.
2. Not available at all pediatric practices.
3. Adults and older kids who are not eligible for mab or vaccination.
November 1, 2025 at 12:03 AM
Nirsevimab is available in the US, but there are still gaps that put infants at risk:
1. Sometimes reserved for high risk infants (preterm, NICU) at the delivery hospital.
2. Not available at all pediatric practices.
3. Adults and older kids who are not eligible for mab or vaccination.
1. Sometimes reserved for high risk infants (preterm, NICU) at the delivery hospital.
2. Not available at all pediatric practices.
3. Adults and older kids who are not eligible for mab or vaccination.
Numerous additional benefits found in other studies:
Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index:
doi.org/10.3390/nu13...
Childhood Obesity:
doi.org/10.1542/peds...
Blood Pressure Outcomes Among Youth:
doi.org/10.1001/jama...
Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index:
doi.org/10.3390/nu13...
Childhood Obesity:
doi.org/10.1542/peds...
Blood Pressure Outcomes Among Youth:
doi.org/10.1001/jama...
School Provision of Universal Free Meals and Blood Pressure Outcomes Among Youths
This cohort study assesses whether school-level adoption of the Community Eligibility Provision was associated with childhood blood pressure outcomes among students in low-income public and charter sc...
jamanetwork.com
October 14, 2025 at 2:29 PM
Numerous additional benefits found in other studies:
Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index:
doi.org/10.3390/nu13...
Childhood Obesity:
doi.org/10.1542/peds...
Blood Pressure Outcomes Among Youth:
doi.org/10.1001/jama...
Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index:
doi.org/10.3390/nu13...
Childhood Obesity:
doi.org/10.1542/peds...
Blood Pressure Outcomes Among Youth:
doi.org/10.1001/jama...
Future studies are needed to investigate potential drivers of inequities in referral patterns (transportation, childcare, language access, receipt of appropriate anticipatory guidance, and mistrust of the healthcare system) and further explore the quality of the consultation provided.
4/4
4/4
August 21, 2025 at 3:02 PM
Future studies are needed to investigate potential drivers of inequities in referral patterns (transportation, childcare, language access, receipt of appropriate anticipatory guidance, and mistrust of the healthcare system) and further explore the quality of the consultation provided.
4/4
4/4
In the periviable cohort, access to care appeared to be a contributing factor.
Pregnant people who did not receive consultation were more likely to:
-have inadequate prenatal care (39.1% v 8.1%)
-shorter time from admission to delivery (<1h v 70h)
3/4
Pregnant people who did not receive consultation were more likely to:
-have inadequate prenatal care (39.1% v 8.1%)
-shorter time from admission to delivery (<1h v 70h)
3/4
August 21, 2025 at 3:02 PM
In the periviable cohort, access to care appeared to be a contributing factor.
Pregnant people who did not receive consultation were more likely to:
-have inadequate prenatal care (39.1% v 8.1%)
-shorter time from admission to delivery (<1h v 70h)
3/4
Pregnant people who did not receive consultation were more likely to:
-have inadequate prenatal care (39.1% v 8.1%)
-shorter time from admission to delivery (<1h v 70h)
3/4
Among periviable cohort (22-24 weeks), prenatal NICU consultation ⬇️
Black v White (81% v 94%)
Hispanic v non (50% v 89.2%)
Medicaid v commercial insurance (82% v 96%)
Among severe congenital anomaly cohort, prenatal NICU consultation ⬇️
non-English v English speaking (44% v 81%)
2/4
Black v White (81% v 94%)
Hispanic v non (50% v 89.2%)
Medicaid v commercial insurance (82% v 96%)
Among severe congenital anomaly cohort, prenatal NICU consultation ⬇️
non-English v English speaking (44% v 81%)
2/4
August 21, 2025 at 3:02 PM
Among periviable cohort (22-24 weeks), prenatal NICU consultation ⬇️
Black v White (81% v 94%)
Hispanic v non (50% v 89.2%)
Medicaid v commercial insurance (82% v 96%)
Among severe congenital anomaly cohort, prenatal NICU consultation ⬇️
non-English v English speaking (44% v 81%)
2/4
Black v White (81% v 94%)
Hispanic v non (50% v 89.2%)
Medicaid v commercial insurance (82% v 96%)
Among severe congenital anomaly cohort, prenatal NICU consultation ⬇️
non-English v English speaking (44% v 81%)
2/4