Sponsored By



GI tract bacteria and fungi levels may give clues to allergy sensitivity.


CDC expands priority list for flu vaccine.

 
  
January 5, 2005
  
Welcome to ACAAI eNews — a bi-weekly aggregated news service from the American College of Allergy, Asthma & Immunology. To be removed from this distribution list, please see instructions at bottom.
 
Top Stories
   
Regulatory Updates
 
Distance Learning
      
Association News
   
Fellows-in-Training
   
Calendar
   
Archive
FIT Archive
 Members: update 
 e-mail address here
  
 Non-members:
 subscribe here

 ACAAI Home
  

Eighty-eight percent of readers responding said the MOC process is cumbersome and will not adequately measure a physician’s competence to provide quality patient care.


Do you believe the potential decrease in workforce will affect the viability of the specialty?
 

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


E-mail: k.knauer@UHHS.com
 
Calendar

JANUARY
Conference on Sleep Disorders in Infancy and Childhood
Jan. 13-15, Rancho Mirage, Calif.
Tel.: 760-773-4594
Fax: 760-773-4513
E-mail

Link

Western Society of Allergy, Asthma & Immunology 43rd Annual Scientific Session
Jan. 23-27, Princeville, Hawaii
Jointly Sponsored by ACAAI
Tel: 623-266-9148

E-mail

MARCH
AAAAI Annual Meeting
March 18-22, San Antonio, Tex.
Tel: 414-272-6071
E-mail
Link


APRIL
ACAAI/AAAAI Conjoint Certification/Recertification Board
Review Course
April 14-17, Chicago
Tel: 847-427-1200
E-mail
Web site



ONGOING
World Allergy Organization Society Meetings

 Sponsored By

 
  
Top Stories
 
Bacteria, fungi levels in GI tract linked to allergy, asthma
The bacteria and fungi in a patient’s gastrointestinal tract may provide clues to allergen sensitivity, according to a study in Infection and Immunity. Researchers from the University of Michigan say changes in the normal levels of microflora, bacteria and fungi in the gastrointestinal tract can increase the immune system's reaction to allergens, such as pollen and animal dander, and increase allergy and asthma development risk. Reseachers suspect changes in gut microflora are caused by antibiotic use, as well as high-fat, high-sugar and low-fiber modern diets.
    
CDC updates flu vaccine priority list
The CDC is making the flu vaccine available to more people this month. According to the CDC, the flu vaccine can now be given to adults from 50 to 64 years old and people who are in close contact with those in high-risk groups, depending on state and local availability. People in the highest-risk groups are still to be given first priority. So far, the CDC reports a mild flu season, but warns that could change at any time.  

Near-fatal asthma linked to small airway abnormalities
Extensive small airway abnormalities may be associated with near-fatal asthma, suggests a study in Chest, but the abnormalities may be partially reversible after long-term intensive treatment. Researchers from Soonchunhyang University Hospital in Seoul, Korea, were studying the usefulness of high resolution CT in characterizing near-fatal and milder asthma. They measured bronchial wall thickness abnormalities and small airway thickness abnormalities on scans of 24 patients with less-severe asthma, 16 patients with near-fatal asthma, and 16 controls. They found prominence of centrilobular structures in 36 percent of patients with mild asthma, 70 percent of patients with moderate-to-severe asthma, and 100 percent of patients with near-fatal asthma.

Blocking protein reduces allergy symptoms in mice
Scientists from the Ludwig Institute for Cancer Research in London say they have identified a protein that could be crucial in developing new allergy treatments, according to a report in Nature. By blocking p110delta in mast cells, they substantially reduced allergy symptoms in tests on mice. While mice studies don’t always transfer well to humans, the researchers said the protein may have implications for how allergies and cancer are treated in the future.

Mice study gives researchers hope for psoriasis cure
In another mice study, scientists at The University of Texas M. D. Anderson Cancer Center say they may have discovered what causes psoriasis — the combination of a protein called STAT3 and an active immune system. Activated STAT3 is necessary for wound healing. When the healing process is finished, normal STAT3 returns to its inactive form. However, when it doesn’t become inactive, the wound healing process continues and skin cells proliferate — leading to psoriasis. During the study, researchers developed a skin cream that blocked the process that led to psoriasis in the mice.

  

A word from President Myron Zitt, M.D.

As has been tradition over the past several years, the president of the ACAAI has been invited to attend the AAAAI’s Training Program Directors (TPD) Committee meeting in January for the purpose of presenting a concise accounting of our educational activities. Of special interest are ACAAI activities that promote our allergy/immunology training programs and enhance the education of our Fellows-in-Training (FITs). As I am quite proud of our College activities, I thought it would be appropriate to briefly share them with you.

Some background: An AAAAI survey prepared by SUNY-Albany’s Center for Health Workforce Studies (A/I Physician Workforce Report, June 2000) indicated that the number of allergists in the United States is continually shrinking. The survey projects a fall from 3,768 or 1.39 allergists per 100,000 in 1999 to 2,623 or 0.85 per 100,000 in 2014. Our senior specialists are retiring at a pace that cannot be matched by the number of fellows being graduated from our training programs, with 37 percent expecting to retire within 10 years.

With cutbacks in government spending to fund specialty fellowships, our number of A/I training programs has diminished from a high of about 100 to the present number of 72. If the decline in the supply of allergists reaches a critical point, our specialty will lose viability. Of greater concern would be the decreased accessibility to the public of specialists who have been proven to be most adept at caring for patients with allergy and asthma.

What are the ACAAI and its Foundation doing?

A) The ACORN Project: Provide funding for additional fellowship slots:
  • $1.5 million over three years to fund 15 A/I trainees. It is our hope that through the ACAAI Foundation funds will be raised to extend beyond three years.
• $100,000 Emergency fund to support two 2nd year fellows in danger of losing the funding necessary to complete their training.

B) Faculty Support: $150,000 for three young faculty members; and $6,000 for four one-week scholars-return grants ($500 to physicians; $1,000 to the academic center)

C) Recruitment:
  • Residents Mentorship Program: FITs and ACAAI members or fellows escort residents though activities at annual meeting and educate them regarding the specialty. Program developed in 2000. This year 22 out of 35 residents who attended the 2004 Annual Meeting program will strongly consider a career in A/I.
• High School Student Symposium on Allergy and Asthma: In conjunction with AAFA at Annual meeting (over 250 students accompanied by science teachers).

D) FIT activities:
  • $177,500 in 2004 for 230 Travel Grants and three Clemens Von Pirquet Awards to FITs for best research presentation
• Free of charge for FITs at 2004 Annual Meeting: (270 attendees) Meeting Registration; Four Workshops;Literature Review Course; Doctors’ Job Fair; Two Free Tickets for Boston Pops Fundraiser for each fellow. Also, Literature Review Course at a reduced rate.
• Annual Meeting Events for FITs: FIT Bowl (A tradition since 1992: 13 teams competed; Wilford Hall victorious); Welcome Reception; FIT and TPD Breakfast; and the FIT Annual Business Meeting
• FIT Participation: Board of Regents (Two FITs); Eight regional representatives (work with BOR FITs); Co-moderate abstract sessions; Committee membership; Column in e-news (Board Review biweekly); Column in printed newsletter (bimonthly)
• Patient Centered Allergy Practice: Four Audio-conferences targeted for FITs in 2005.

The ACAAI is admirably doing its part in joining the AAAAI in the common goal of growing and preserving our specialty. The College will continue to support our FITs and our A/I training programs and looks forward to increasing its relationship with TPDs. As a show of cooperation between our organizations, the Academy has, for the first time, invited the College to nominate a representative to the TPD Board. Richard Weber, M.D., who is the TPD at National Jewish Medical and Research Center, has been chosen to serve in this capacity. Our organizations must continue to work together to educate the public regarding cutbacks in funding of A/I fellowship programs, the projected shortfall in the supply of trained allergist/immunologists over the coming years and the need to preserve accessibility to our specialists for the treatment of asthma and allergies diseases. After all, nobody does it better than the allergist!

Sincerely,
Myron Zitt, M.D.

    
Regulatory Updates
 
AMA delegates support drug reimportation with conditions
Delegates at the American Medical Association’s Interim Meeting offered its conditional support for prescription drug reimportation for pharmacies and wholesalers “provided the system meets rigorous safety requirements.” The delegates continue to oppose “direct consumer importation of drugs via the Internet.” Acceptable systems include a closed distribution chain that allows the Food and Drug Administration to inspect and affirm drug authenticity and safety, according to the delegates.
 
Association News
 

Aid for humanitarian crisis in Southeast Asia
Many organizations are mobilizing to provide emergency assistance to victims of the earthquake and tsunami that has devastated parts of Southeast Asia. The American Institute of Philanthropy, a charity watchdog, rates nonprofit groups with a letter grade of A+ to F. Several of the relief organizations that are providing aid to victims in Southeast Asia have earned an “A” or “A+” grade, based on the portion of their budgets going to program services and their fundraising efficiency.

Post and search employment opportunities through Job Source
The ACAAI Job Source is a service for College members to post and search employment opportunities in the field of allergy, asthma and immunology.

The ACAAI Job Source works very much like classified ads in a newspaper, except they are interactive and immediately available.

Job candidates can access the ACAAI Job Source at no cost to search employment opportunities and to post their resumes for advertised positions.

• Employers can purchase ads for their available positions. They do this by credit card, invoice or purchase order online through the purchase of blocks of "units" that can be flexibly used. One unit equals one job posting for one day.

The power of the ACAAI Job Source is amplified through HEALTHeCAREERS, an integrated network of online job banks operated by other national health professional associations. This enables employers such as hospitals, medical centers and health care companies to enter through any participating association's Web site and list positions that can be accessed by ACAAI members, and College members can access listings in other health fields through the ACAAI Job Source portal.

Fellows-in-Training
 
Welcome to the Board Review Corner prepared by Thao Ngoc Tran, M.D., a representative of ACAAI’s fellows-in-training (FITs) to the Board of Regents. The Board Review Corner is your chance to test your Board preparedness.

To refer to a previous Board Review Corner, click the “Archive” link in the left column.

Immunology Review Corner: Chapter 34 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by fellows-in-training Drs. Thao Tran, Karla Lowe and Todd Levin.

Copyright © 2005 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
  
ACAAI eNews is sent as a membership benefit of the American College of Allergy, Asthma & Immunology. If you would prefer not to receive future issues and want to remove your name from our mailing list, please -click here-