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      Real-Life Goosebumps: What Scares R.L. Stine, a Master of Fear?

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      This essay is part of a series called The Big Ideas, in which writers respond to a single question: What do we fear? You can read more by visiting The Big Ideas series page.It’s not common for someone’s career goals to include conjuring fear. But you could say that the definition of my life’s work as a writer of scary books has been to bring more fear into the world. I must admit I’m proud of the generations of people I’ve managed to frighten, providing a shiver, a chill, or perhaps a disturbing nightmare.As a result, people constantly ask me: What scares you? What are you afraid of?I don’t often talk about what scares me. But I’m going to tell you the two scariest moments of my life. (These are actual events, not fantasies from my “Goosebumps” series.)The first terrifying moment involves my son, Matt. When he was a little guy, maybe 4 or 5, I took him to the New York International Auto Show at the Javits Convention Center. There were thousands of people and hundreds of cars.And I lost him.I froze. Matt had vanished. I still remember my intense panic — something I’d never experienced. I spun around, staring from aisle to aisle. Finally, I spotted him standing beside a car. My heart pounding, I ran over to him. I shouted, “Matt! Matt! Are you OK?”And he said, “Where were you, Dad? I was about to call the manager!”I’d forgotten he was a New York City kid. I didn’t have to worry about him. If he had a problem, he’d call the manager.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Hilary Cass Says U.S. Doctors Are ‘Out of Date’ on Youth Gender Medicine

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      Dr. Hilary Cass published a landmark report that led to restrictions on youth gender care in Britain. U.S. health groups said it did not change their support of the care.After 30 years as one of England’s top pediatricians, Dr. Hilary Cass was hoping to begin her retirement by learning to play the saxophone.Instead, she took on a project that would throw her into an international fire: reviewing England’s treatment guidelines for the rapidly rising number of children with gender distress, known as dysphoria.At the time, in 2020, England’s sole youth gender clinic was in disarray. The waiting list had swelled, leaving many young patients waiting years for an appointment. Staff members who said they felt pressure to approve children for puberty-blocking drugs had filed whistle-blower complaints that had spilled into public view. And a former patient had sued the clinic, claiming that she had transitioned as a teenager “after a series of superficial conversations with social workers.”The National Health Service asked Dr. Cass, who had never treated children with gender dysphoria but had served as the president of the Royal College of Pediatrics and Child Health, to independently evaluate how the agency should proceed.Over the next four years, Dr. Cass commissioned systematic reviews of scientific studies on youth gender treatments and international guidelines of care. She also met with young patients and their families, transgender adults, people who had detransitioned, advocacy groups and clinicians.Her final report, published last month, concluded that the evidence supporting the use of puberty-blocking drugs and other hormonal medications in adolescents was “remarkably weak.” On her recommendation, the N.H.S. will no longer prescribe puberty blockers outside of clinical trials. Dr. Cass also recommended that testosterone and estrogen, which allow young people to develop the physical characteristics of the opposite sex, be prescribed with “extreme caution.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      4 Children From Gaza Arrive in U.S. for Medical Treatment

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      The children, who were injured or suffered malnutrition, were greeted at Kennedy Airport with toys and balloons. “These are their first memories here,” one supporter said.The four children had survived horrors in Gaza.But on Sunday morning, they reached the end of an arduous journey out of the conflict zone and into American hospitals to receive urgent medical care. They flew from Cairo to Kennedy Airport, where they were greeted with much fanfare by a crowd of about 50 people carrying plush toys, flowers and bobbing balloons.Among the children was Fadi Alzant, 6, a gaunt boy with pale skin and strawberry blond hair who appeared dazed as the crowd rushed around his wheelchair. An airport employee grew agitated and shouted at people to disperse and to put away their cameras.Fadi, who has cystic fibrosis and weighs about 25 pounds, is suffering from severe malnourishment caused by famine, according to the Palestine Children’s Relief Fund, which coordinated the children’s journeys with assistance from the World Health Organization.He will be treated at Cohen Children’s Medical Center in Queens. Paramedics lifted the tiny, wide-eyed child out of his wheelchair and onto a gurney that dwarfed him even further. Then, they carried him to an ambulance bound for the hospital.Supporters from various aid organizations waited to greet the children.Anna Watts for The New York Times“We love you!” said a woman in the crowd, who was dabbing her eyes.“Let’s not overwhelm them, guys,” someone else said. “Did they get water?”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

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      New research finds that the death rate among Black youths soared by 37 percent, and among Native American youths by 22 percent, between 2014 and 2020, compared with less than 5 percent for white youths.The NewsThanks to advancements in medicine and insurance, mortality rates for children in the United States had been shrinking for decades. But last year, researchers uncovered a worrisome reversal: The child death rate was rising.Now, they have taken their analysis a step further. A new study, published Saturday in The Journal of the American Medical Association, revealed growing disparities in child death rates across racial and ethnic groups. Black and Native American youths ages 1 to 19 died at significantly higher rates than white youths — predominantly from injuries such as car accidents, homicides and suicides.Dr. Coleen Cunningham, chair of pediatrics at the University of California, Irvine, and the pediatrician in chief at Children’s Hospital of Orange County, who was not involved in the study, said the detailed analysis of the disparities documented “a sad and growing American tragedy.”“Almost all are preventable,” she said, “if we make it a priority.”Flowers for Karon Blake, 13, who was shot and killed in Washington, D.C., in January 2023. Gun-related deaths were two to four times higher among Black and Native American youth than among white youth.Carolyn Kaster/Associated PressSome Context: A frightening trend examined more closely.Researchers at Virginia Commonwealth University and Children’s Hospital of Richmond had previously revealed that mortality rates among children and adolescents had risen by 18 percent between 2019 and 2021. Deaths related to injuries had grown so dramatically that they eclipsed all public health gains.The group, seeking to drill deeper into the worrying trend, obtained death certificate data from the Centers for Disease Control and Prevention’s public WONDER database and stratified it by race, ethnicity and cause for children ages 1 to 19. They found that Black and American Indian/Alaska Native children were not only dying at significantly higher rates than white children but that the disparities — which had been improving until 2013 — were widening.The data also revealed that while the mortality rates for children overall took a turn for the worse around 2020, the rates for Black, Native American and Hispanic children had begun increasing much earlier, around 2014.Between 2014 and 2020, the death rates for Black children and teenagers rose by about 37 percent, and for Native American youths by about by about 22 percent — compared with less than 5 percent for white youths.“We knew we would find disparities, but certainly not this large,” said Dr. Steven Woolf, a professor of family medicine at the V.C.U. School of Medicine, who worked on the research. “We were shocked.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      The Prevalence of Standing Ovations

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      More from our inbox:China, America and the Climate ChallengeKids’ Reactions to the ‘Cringe-Worthy’ News TodayDebate Conditions Pablo DelcanTo the Editor:Re “Bravo! Hurray! Wahoo! (Meh.),” by John McWhorter (Opinion, April 16):The currency of the standing ovation is indeed seriously debased. The impulse to stand up during the ovation following a performance may in some cases represent a kind of unconscious one-upmanship. “I’m more sensitized than most people to the sublimity of what we all have just witnessed, and it is imperative that I separate myself from the underappreciative herd.”Needless to say, if other audience members follow suit by rising from their seats, then you can raise the ante by hoisting your clapping hands up from the standard mid-torso level to over your head — signifying that the artistry one is acknowledging is not just merely great, but really most sincerely great.I confess that although I invariably applaud performances, I usually “sit out” the competitive appreciation derby, and haul myself to my feet only if I feel particularly inspired. I avoid the over-the-head clapping mode at all times. Maybe this marks me as a philistine; I’ve been called worse.David EnglishActon, Mass.To the Editor:I admit that I’m often among the first to give a standing ovation. I always wondered why the holdouts would deny something so simple to these hardworking actors.You have to walk out of the theater a few minutes later anyway, so why not stretch your legs and participate with your fellow theatergoers in the shared joy of theater? Perhaps it’s generational, cultural or regional, or maybe it’s a combination.Jumping to my feet in appreciation of the actors’ hard work is my way of giving back, and it feels really good! I’m sure the actors like to feel the good will as well.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      A New Battery Warns Parents if Their Child Has Swallowed It

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      The new battery by Energizer, with “color alert technology,” comes nearly two years after a report warned that more children were swallowing batteries.Almost two years after a report warned that children were swallowing batteries at an alarming rate, Energizer is releasing a new battery designed to alert parents if their child has swallowed one.The new coin lithium battery features more secure packaging, a nontoxic bitter coating to discourage swallowing and “color alert technology” that activates a blue dye when the battery comes into contact with moisture, like saliva, so parents and caregivers know that medical attention could be required.The new battery was announced in a video last week by Energizer and Trista Hamsmith, whose 18-month-old daughter died after swallowing a button battery from a remote control.Ms. Hamsmith founded a nonprofit organization focused on children’s safety, successfully advocated for legislation, known as Reese’s Law, that requires a secure compartment of the batteries in products that use them as well as stronger warning labels on all packaging, and is now working to make the batteries themselves safer.Ingested coin or button batteries result in thousands of emergency hospital visits each year, according to the U.S. Consumer Product Safety Commission, which notes that “the consequences of a child swallowing a battery can be immediate, devastating and deadly.”“A button cell battery can burn through a child’s throat or esophagus in as little as two hours if swallowed,” according to the agency.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Millions of Girls in Africa Will Miss HPV Shots After Merck Production Problem

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      The company has told countries that it can supply only 18.8 million of the 29.6 million doses it was contracted to deliver this year.Nearly 1.5 million teenage girls in some of the world’s poorest countries will miss the chance to be protected from cervical cancer because the drugmaker Merck has said it will not be able to deliver millions of promised doses of the HPV vaccine this year.Merck has notified Gavi, the international organization that helps low- and middle-income countries deliver lifesaving immunizations, and UNICEF, which procures the vaccines, that it will deliver only 18.8 million of the 29.6 million doses it was contracted to deliver in 2024, Gavi said.That means that more than 10 million girls will not receive their expected HPV shots this year — and 1.5 million of them most likely will never get them because they will be too old to qualify for the vaccine in subsequent years.Patrick Ryan, a spokesman for Merck, said the company “experienced a manufacturing disruption” that required it to hold and reinspect many doses by hand. He declined to give further details about the cause of the delay.“We are acting with urgency and rigor to deploy additional personnel and resources to resolve this matter as soon as possible,” he said.Mr. Ryan said that Merck would deliver the delayed doses in 2025. He also said the company would ship 30 million doses of the vaccine to Gavi-supported countries this year. However, about a third of these are doses that were supposed to have been sent in 2023, leaving Gavi with the 10.7 million dose shortfall.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      ‘Eldest Daughter Syndrome’ and Sibling Birth Order: Does it Matter?

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      “Eldest daughter syndrome” assumes that birth order shapes who we are and how we interact. Does it?In a TikTok video that has been watched more than 6 million times, Kati Morton, a licensed marriage and family therapist in Santa Monica, Calif., lists signs that she says can be indicative of “eldest daughter syndrome.”Among them: an intense feeling of familial responsibility, people-pleasing tendencies and resentment toward your siblings and parents.On X, a viral post asks: “are u happy or are u the oldest sibling and also a girl”?Firstborn daughters are having a moment in the spotlight, at least online, with memes and think pieces offering a sense of gratification to responsible, put-upon big sisters everywhere. But even mental health professionals like Ms. Morton — herself the youngest in her family — caution against putting too much stock in the psychology of sibling birth order, and the idea that it shapes personality or long term outcomes.“People will say, ‘It means everything!’ Other people will say, ‘There’s no proof,’” she said, noting that eldest daughter syndrome (which isn’t an actual mental health diagnosis) may have as much to do with gender norms as it does with birth order. “Everybody’s seeking to understand themselves, and to feel understood. And this is just another page in that book.”What the research says about birth orderThe stereotypes are familiar to many of us: Firstborn children are reliable and high-achieving; middle children are sociable and rebellious (and overlooked); and youngest children are charming and manipulative.Studies have indeed found ties between a person’s role in the family lineup and various outcomes, including educational attainment and I.Q. (though those scores are not necessarily reliable measures of intelligence), financial risk tolerance and even participation in dangerous sports. But many studies have focused on a single point in time, cautioned Rodica Damian, a social-personality psychologist at the University of Houston. That means older siblings may have appeared more responsible or even more intelligent simply because they were more mature than their siblings, she said, adding that the sample sizes in most birth order studies have also been relatively small.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More