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Delaying solid foods may not affect allergy development.




Study finds no link between obesity, asthma in children.

 
  
March 31, 2004
  
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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.
 

Poll 1
The allergy organizations should be proactive in getting out the word that over-the-counter status for intranasal corticosteroids and beta agonists is medically inappropriate.
Yes, it is important to educate the public on this issue.
No, it will not affect what happens.

view results

 
Poll 2
Having a strategic retreat with our lay organizations is a good idea.
Yes, we need to build better relations with these groups.
No, the monies used for a retreat could be put to better use.

view results

 
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

• 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

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


 

 

 
  
Top Stories
 
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.
   
  

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.

    
 
Regulatory Updates
 
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.
 
Drugs and Devices
 
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.
 
Association News
 

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.

 
Fellows-in-Training
 
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.

Copyright © 2004 American College of Allergy, Asthma & Immunology. All rights reserved.

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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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