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March 31, 2004 |
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Welcome to ACAAI eNews — a bi-weekly aggregated news service
from the American College of Allergy, Asthma & Immunology. To be
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Drugs and Devices |
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Clinical
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Regulatory Updates |
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Distance Learning |
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Association
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Fellows-in-Training |
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Readers were nearly equally split about whether John Kerry’s
medical malpractice reform plan will lead to lower costs for
physicians.
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Distance Learning |
From the 2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans
• Two Symposia Online
Link
• Plenary Sessions CD-ROM and DVD
Link
• XI International Food Allergy Symposium,
General Sessions & Symposia
Audio CD & Audio Tape
Link
From the 2002 ACAAI ANNUAL MEETING
Nov. 15-20, San Antonio
• Five Symposia Online
Link |
Calendar |
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• APRIL
Steps to a Healthier U.S. National Prevention Summit
April 29–30, Baltimore, Md.
Tel.: at (303) 996-6176
E-mail:
vwilson@
unbridledsolutions.com
Link
•
MAY
Drug Hypersensitivity Conference
May 5-8, Bern, Switzerland
Link
Eastern Allergy Conference and Allergy & Asthma Proceedings
Combined National Conference
May 6-9, Key Biscayne, Fla.
Phone: (401) 331-2510
E-mail:
ginnyloiselle@easternallergy
conference.org
American Thoracic Society 100th International Conference
May 21-29, Orlando, Fla.
Link
•
JUNE
Florida Allergy, Asthma & Immunology Society
June 11-13, Naples, Fla.
Link
XXIII European Academy of Allergology and Clinical
Immunology (EAACI)
June 12-16, 2004
Amsterdam, Netherlands
Link
•
JULY
Aspen Allergy Conference
July 27-31, Aspen
Link
A Return to Ancestral Lands:
Allergy Update in Poland
Jointly Sponsored: ACAAI and Polish Society of Allergology
July 31-Aug. 3, Krakow, Poland
Organizing Secretariat: Dr. Chris Stepka
Tel: (0 11 48) 22 851 52 08
Fax: (0 11 48) 22 851 52 10
E-mail:
medbs@poczta.onet.pl
12th International Congress of Immunology and 4th Annual
Conference of FOCIS
July 18-23, Montreal, Canada
Link
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NOVEMBER
2004 ACAAI Annual Meeting
Nov. 12-17, Boston
Tel: 847-427-1200
Fax: 847-427-1294
E-mail: meetings@acaai.org
Link
• ONGOING
New Concepts in IgE-Mediated Asthma Disease Management
Immunology Educational Institute of New England
Jointly Sponsored by ACAAI
April 20 through June 17
One-day programs held in cities throughout the United States
E-mail: IEINE2@aol.com
WORLD ALLERGY ORGANIZATION SOCIETY MEETINGS
Link
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Top
Stories |
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Nasal flu vaccine may have infant asthma link
Despite being generally safe, questions remain about the use
of nasal influenza vaccine in children under 3 years old,
according to a study in the Pediatric Infectious Disease
Journal. Scientists at Kaiser Permanente Vaccine Study
Center in Oakland, Calif., evaluated 9,689 children from 1 and
17 years old who received at least one dose of vaccine or
placebo. Children 8 years and younger got a second dose 28 to 42
days later. Researchers followed the children for 42 days after
vaccination. They noted a four-fold increased risk of reactive
airway disease in the children 18 to 35 months old.

Study: Obesity, asthma not linked in
kids
Obesity is not linked to asthma in children 4 to 11 years
old, according to a study in The Journal of Pediatrics.
Researchers analyzed 11,199 children in Canada, looking at
asthma status, height and weight, as reported by the children’s
biological mothers. Obesity was defined as a body mass index at
or above the 85th percentile. Nearly 10 percent of the children
overall had asthma. Risk factors included a mother with asthma
as well as being a female only child with a depressed mother.
However, obesity was not associated with asthma among boys or
girls.

Allergies not reduced by delaying solid
foods, except among preemies
Delaying solid food introduction seems to have no effect
on reducing allergies unless children are born prematurely,
according to two reports in the Archives of Disease in
Childhood. In one, scientists from University Children's
Hospital in Munich, Germany, followed 642 children from one to
5-1/2 years old. At one, mothers reported food introduction.
Upon final follow-up, with the exception of eggs and milk, the
age when foods were introduced did not affect hypersensitivity.
In the other study, scientists at University of Surrey in
Guildford, United Kingdom, followed 257 premature infants. Among
the infants who had received four or more solid foods by 17
weeks old, the adjusted odds ratio for eczema at 12 months was
3.49 compared with fewer foods introduced by the same time.
and

Kentucky officials site statewide
asthma epidemic
Health officials in Kentucky, which has the highest adult
smoking rate in the United States, are launching a statewide
effort to fight asthma. Affecting more than 200,000 Kentucky
residents, one-third of whom are kids, asthma costs Kentucky
taxpayers nearly $400 million a year in Medicaid funds,
according to a report released by Health and Family Services
Cabinet Secretary James Holsinger, M.D.

Best cities for asthma doesn’t consider allergies, indoor
air
A recent report that ranks the most livable areas for
asthmatics doesn’t address indoor air quality, according to the
American Lung Association. Any location can be good or bad,
depending on indoor air pollution, the group says, and patients
should get their asthma under good management through factors
they can control, such as indoor air and good medical therapy,
regardless of their address.
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A
word from President Michael Blaiss, M.D.
Notes from the Academy Meeting
As I fly back to Memphis on board Northwest Flight 272
from San Francisco, I wanted to update you on activities
from the American Academy of Allergy, Asthma, and
Immunology Meeting. You might think as College President
that there would not be much for me to do at the Academy
meeting, but nothing could be farther from the truth. I
was involved in many important events that have an impact
on our membership.
First, there was the meeting of the American Board of
Allergy and Immunology’s Maintenance of Certificate (MOC)
Task Force. The stakeholder organizations, one being the
College, were updated on the continued development of MOC
for the allergists. MOC is presently being phased in.
As of January 2004, all diplomats of the ABAI with
time-limited certificates must obtain and keep records of
75 hours of Allergy/Immunology CME during each three-year
period from the their last certification or
recertification. Approved CME can be obtained from CME
offered by the ACAAI, AAAAI, A/I section of the American
Academy of Pediatrics, Clinical Immunology Society, and
American Thoracic Society.
In 2005, a patient and peer physician feedback process to
assess practice performance will begin. Also in 2005, both
the certification and recertification examinations will be
conducted yearly. The MOC Task Force next will be
convening at the College meeting in Boston. Dennis
Ledford, M.D., chair of the MOC Task Force, John Yunginger,
M.D., and Lynn Des Prez are to be congratulated for all
their hard work in this endeavor. If you need further
information, visit the ABAI website at www. abai.org.
The joint leadership of the College and Academy met
Saturday morning. We discussed our present partnership
activities and developed several new ones. One new
initiative is the addition of a College-nominated A/I
training program director to the Academy’s TPD Committee.
Richard Weber, M.D., from National Jewish Hospital in
Denver was recently elected to this post. This step will
help strengthen the ties between the College and Academy
in working together to ensure the future of our training
programs. Through the Acorn Project, the College is
committed to funding new A/I fellows.
We discussed the issue of OTC status of nasal
corticosteroids and beta agonists and feel strongly that
neither is in the best interest of our patients. We will
continue to follow this issue closely and will be
proactive in getting out the word about inappropriateness
for either class to be switched from prescription to OTC.
Two other important projects of the College/Academy are
the Managed Care Report Card and
Certification/Recertification Course. The Managed Care
Report Card under the leadership of Brad Chipps, M.D., and
Stan Goldstein, M.D., has developed a benchmark to assess
allergy coverage from managed care organizations. It is
now being piloted in Chicago and hopefully will be rolled
out for the rest of the country. Starting in 2005, the
College and Academy will combine their
Certification/Recertification Reviews into one course. It
is being developed by Richard Weber, M.D., from the
College and Richard Lockey, M.D., from the Academy. The
2005 course is scheduled for April 14-17 at the
Renaissance Hotel in Chicago.
Another issue discussed during the joint leadership
meeting was the development of a task force to examine
changes in the manner in which the National Council of
Quality Assurance surveys managed care organizations on
the use of appropriate medications for asthma patients.
Both the College and the Academy believe the questions
used are flawed, as shown in a recent study commissioned
by the College, and need to be altered. Both the College
and the Academy believe that closer ties are needed with
our lay organizations, such as Mothers of Asthmatics,
Allergy and Asthma Foundation of America, and Food Allergy
and Anaphylaxis Network. We voted to have a strategic
retreat with these groups to look at ways we can work
together to get the word out about atopic disorders.
On Sunday morning, the Joint Council of Allergy, Asthma,
and Immunology met. Many issues were discussed about which
you will be getting information in upcoming JCAAI
newsletters. I do want to mention one voted on at the
meeting. It was decided to poll the membership of the
College and Academy to determine if the JCAAI should
remain a separate entity or be a joint committee of the
College and Academy. There are many issues both for and
against changing the status. You will be given this
information to make an informed decision, which will help
guide the leadership of both organizations in deciding
whether to keep the JCAAI as it is or to change it.
I had several committee meetings of the World Allergy
Organization during my San Francisco stay. The next WAO
meeting will be June 26-July 1, 2005, in Munich, Germany,
in conjunction with the European Academy of Allergy and
Immunology Meeting. In the past, you received the
Allergy Clinical Immunology International/Journal of the
WAO through the College or Academy. Now, if you want
to get this journal, it will be on an individual
subscription. You will receive information in the mail
about subscribing to it shortly. Give it your
consideration. Allen Kaplan, M.D., has done a superb job
as editor increasing the stature of this journal. The WAO
continues to grow and spread the word about allergy
worldwide, and the College will remain an active partner
with it.
Lastly, I wanted to congratulate the Academy for an
outstanding meeting and especially want to thank Lanny
Rosenwasser, M.D., the outgoing president. I can’t say
enough about the close working relationship that Lanny had
with PastPresident Bill Berger, M.D., and me. Through his
leadership, the ties between the College and Academy have
grown stronger. I look forward to working with Mike
Schatz, M.D., the new Academy president. I wish him great
success. Cooperation between the two allergy organizations
will continue to harvest wonderful benefits for our
memberships and improve the specialty.
Michael S. Blaiss, M.D. |
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Regulatory Updates |
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Law could protect genetic privacy
Some lawmakers are pressing the House to vote on
legislation passed last year by the Senate aimed at preventing
the misuse of patient’s genetic information. Genetic testing can
provide a look at a patient’s future health, and could possibly
help with prevention and treatment regimens. But some fear that
health insurers and employers could use such information to
unfairly discriminate against patients and employees.
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Drugs and Devices |
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FDA approves chewable Zyrtec
The FDA approved this month a chewable formulation of
cetirizine hydrochloride (Zyrtec) for the treatment of seasonal
and chronic allergic rhinitis and chronic idiopathic urticaria
in children two years and older. Made by Pfizer, the chewable
formulation is aimed at children six to 12 years old who are too
young to swallow tablets. The tablets are grape flavored and
available in 5 mg and 10 mg doses.
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Association
News |
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Come to Poland this summer
for education and rejuvenation
The ACAAI – in partnership with the Polish Society of
Allergology – is giving you the opportunity to experience
Poland this summer and earn CME credits at a jointly sponsored
conference, Return to Ancestral Lands: Allergy Update in
Poland, July 31 to Aug. 3, 2004, in Krakow.
May 15 is the deadline for early registration. Program
information and registration forms mailed to members are
available online at:
www.pta.med.pl/krakow2004/index.php.
The scientific program entails state-of-the-art lectures on
the latest developments in allergic and non-allergic disease
management. The European Academy of Allergology and Immunology
and the American Association of Certified Allergists are
developing and sponsoring two of the scientific sessions. A
series of practical Allergy Workshops will be offered to
junior members.
Program chairs are William E. Berger, M.D., M.B.A., immediate
past-president of ACAAI, and Marek L. Kowalski, M.D., Ph.D.,
president of the Polish Society of Allergology. The Scientific
Committee includes Michael S. Blaiss, M.D., Pawel Gorski,
M.D., Bobby Q. Lanier, M.D., Ryszard Kurzawa, M.D., Andrzej
Szceklik, M.D., and Myron J. Zitt, M.D.
In addition to the CME program, the meeting provides ample
opportunities to experience the culturally diverse and
beautiful city of Krakow through social events and optional
tours. First-class accommodations are at the new deluxe
five-star Sheraton Krakow hotel on the banks of the Vistula
River near Krakow’s Old Town Center and the magnificent Wawel
Castle.
This activity has been planned and implemented in accordance
with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the
joint sponsorship of the American College of Allergy, Asthma &
Immunology and the Polish Society of Allergy. The American
College of Allergy, Asthma & Immunology is accredited by the
ACCME to provide continuing medical education for physicians.
The ACAAI designates this educational activity for a maximum
of 18.5 category 1 credits toward the AMA Physician's
Recognition Award. Each physician should claim only those
credits that he/she actively spent in the educational
activity.
Be part of a win-win program through Tithe-a-Talk
You can enhance the contribution you make to the medical
community by assigning an honorarium from a
pharmaceutical-sponsored talk to the ACAAI “Tithe-a-Talk”
program.
Tithe-a-Talk is a win-win program that allows:
• Allergists to make a donation of time that turns into help
for others without getting the honoraria reported as taxable
income to them;
• Companies to demonstrate their good will with a charitable
contribution or matching gift to the Foundation of the ACAAI
in partnership with College members.
The “Tithe-a-Talk” Contribution Form makes it easy for you to
donate honoraria from an upcoming speaking engagement. Simply
complete the form and present it to the association/company
that is sponsoring your talk.
For more information about the ACAAI “Tithe-a-Talk” program or
to request a contribution form, e-mail
rickslawny@acaai.org.
Allergy Practice Tip 6:
Low-tech contact tool
Advice from The Patient-Centered Allergy Practice
Need a simple tool for intra-practice communication? Try
text-messaging pagers. Their prices are dropping and they are
relatively easy to operate.
These tips are drawn from site visits in practices nationwide,
conducted as part of The Patient-Centered Allergy Practice,
a CME Series in Practice Management, supported through an
unrestricted educational grant from Aventis Pharmaceuticals
and endorsed by the American College of Allergy, Asthma &
Immunology.
Watch your mailbox for the April 2004 issue of The
Patient-Centered Allergy Practice Update, our newsletter
filled with management help. Call 800-251-4920 or e-mail
info@physicianspractice.com if you need an extra copy. |
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Fellows-in-Training |
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Prepared by Warner W. Carr, M.D., a representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents, this department features two sections. Ask An Expert is an occasional feature with a specialist in the field answering a series of FIT-oriented questions on topics of interest to allergists in training. The Board Review Corner is your chance to test your Board preparedness by answering questions drawn from the College’s Board Review Course.
To refer to Board Review Corner and Ask the Expert questions from previous issues, click the “Archive” link in the left column.
Immunology Review Corner: chapter reviews of the 5th
edition of Cellular and Molecular Immunology, edited by
Abul K. Abbas and Andrew H. Lichtman.
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Copyright
© 2004 American College of Allergy, Asthma & Immunology. All
rights reserved.
E-newsletter services provided by the medical editors at Ascend
Media, LLC.
Do you have news, responses or opinions to share with us? Please
e-mail the association office at
enews@acaai.org.
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