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FDA OKs drug for skin infections from smallpox vaccine.


Expression via writing doesn’t improve asthma.

 
  
March 2, 2005
  
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Seventy-one percent of readers responding are concerned that Section D of Sen. Clinton's proposed Family Asthma Act bill, supporting the training of non-specialists to treat asthma, could lead to suboptimal patient care.

Do you favor the formation of the Allergy, Asthma and Immunology Coalition?

What topic should be a priority for the Coalition?

Distance Learning
2004 ACAAI ANNUAL MEETING
Nov. 12-17, Boston
Link

From the 2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans

• Two Symposia Online
Link

• Plenary Sessions CD-ROM and DVD
Link

• Five Symposia Online
Link

 
Calendar

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

April
63rd Annual Course in Allergy & Clinical Immunology
University of Minnesota
April 8
Minneapolis
Tel: 612-626-7600
Link


JUNE
World Allergy Congress
June 26 – July 1
Munich, Germany
Link

JULY
23rd Annual Aspen Allergy Conference
July 27-30
Aspen, Colo.
Contact: Kathleen Goldy
Tel: 303-282-0491
E-mail
Link


ONGOING
World Allergy Organization Society Meetings

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Top Stories
 
FDA approves drug to treat infections from smallpox vaccine
The U.S. Food and Drug Administration recently approved Vaccinia Immune Globulin Intravenous (VIGIV), a product derived from blood plasma that treats rare skin infections caused by the smallpox vaccine. According to the FDA, VIGIV is made from the plasma of donors who received booster immunizations against skin infections caused by the virus used to make the vaccine.
    
ALA: better manage asthma, don’t relocate
In response to a recent report ranking livable areas based on the prevalence of asthma, the American Lung Association published an article, advising patients to manage their asthma better through things they can control, such as indoor air and appropriate medical therapy, regardless of where they live. Further, data gathered on a state-by-state basis can’t accurately reflect asthma prevalence for individual cities, as the survey suggests, the ALA says.


Expressing feelings in writing doesn’t improve asthma
Expressing emotions through writing may be beneficial to a patient’s health, but a study in Psychosomatic Medicine says it does little to ease asthma symptoms. Scientists at the Department of Veteran Affairs Health Care System and Stanford University in California randomly assigned 114 adults with asthma to write for 20 minutes for three weeks about either stressful, positive or neutral experiences. Researchers found that people writing about stressful experiences showed no lung function improvements, compared with people who wrote about positive or neutral events.
  

A word from President Myron Zitt, M.D.

As I stressed in my inaugural speech, the major motivation for the ACAAI is and will always be the welfare of our patients. Because optimal outcomes for the care of patients with asthma and allergic diseases have been achieved by our specialty, we have been staunch supporters of legislation that will maintain patient access to allergists and to the therapeutic modalities we recommend.

It is crucial that we develop strong bonds with our lay organizations to help us with public education and with the delivery of our messages to governmental and managed care agencies. I am pleased to report that, to this end, the College has worked closely with our major lay organizations, AAFA, AANMA and FAAN in supporting extremely successful projects related to public education, research and legislative issues. As an example, one of our most recent collaborative efforts resulted in the passage of legislation to provide incentives to states for allowing students to carry metered dose bronchodilators and Epi-Pens in school.

With the ACAAI and AAAAI participating in an increasing number of productive joint activities, the Academy suggested that we meet with our leading lay organizations to explore the feasibility of developing a formal coalition. Both medical societies agreed that the formation of a coalition with the lay groups could be of benefit to improve communication and facilitate the expression of a unified message with regard to issues pertinent to our specialty. An additional Academy objective that was not shared by the College was to:
A) Address economic issues, whereby medical societies would coordinate such activities as the joint allocation of funds from specialty societies to lay groups.
B) Supervise the fund-raising efforts by lay groups for the purpose of supporting allergy training programs. Because each of our patient advocate groups do not necessarily have the same goals or objectives, or focus on the same issues, the College also favored maintaining the autonomy of lay organizations and/or their functions.

In spite of some differences in objectives, in order to determine whether to proceed with the formation of a coalition, a two-day “Strategic Planning Retreat,” sponsored by the AAAAI and the ACAAI, and directed by an independent facilitator, was convened in Washington, D.C., at the end of January. ACAAI Past President Michael Blaiss, M.D., and Associate Executive Director Alan Leahigh joined representatives of the AAAAI, AAFA, AANMA, FAAN, IDF and ALAA and agreed to create the “Allergy, Asthma and Immunology Coalition” for the purpose of working on behalf of patients with allergic and immunologic diseases to promote better health. While the group did not feel that issues related to fund allocation or fund raising fell under the purview of the coalition, the following goals were approved.

Goal 1: Improve communication between lay organizations, and between lay organizations and the specialty societies

Objectives
 
A. Establish a council of lay organizations to better align initiatives and facilitate collaboration.
B. Facilitate more formalized interaction and clear lines of communication between lay organizations and specialty societies on shared goals, advocacy issues, and educational initiatives.
C. Improve and promote systems for educating patients on the benefits of lay organization membership.

Goal 2: Move toward a unified voice for the Allergy/Immunology Specialty

Objectives

A. Partner on advocacy issues related to allergy/immunology.
B. Partner on educational outreach to the public on the role of Allergy/Immunology specialty in caring for patients with allergic and immunologic diseases.
C. Align the lay organizations with various specialty society initiatives to impact health care financing (i.e., HHS, COGME, NIH).

The Coalition is to be composed of two representatives from each of the six separate lay organizations and one or two physicians from each of the specialty organizations. Two co-chairs, one from lay groups and one from the ACAAI or the AAAAI will be appointed to one-year terms with a rotating schedule to allow for fair representation. As the Coalition is not a governing body, decisions will be made by consensus, subject to parent organizational boards’ approval.

The Coalition plans to convene at the annual meetings of the AAAAI in March and the ACAAI in November and also will plan two conference calls during the year.

As each lay organization has distinct missions and objectives, each must be able to determine its own course of action, particularly as it relates to its economic and political well-being, without medical society interference. As the ACAAI enjoys an excellent relationship with its lay groups, and is pleased with the success of previous collaborative efforts, it will continue to work independently with each organization.

However, the College also will be an active participant in the Asthma and Immunology Coalition, and looks forward to the unification of organizations working on behalf of patients with allergic and immunologic diseases to promote better health.

With the help of its lay organizations, nobody does it better than the allergist.

Myron Zitt, M.D.
President, ACAAI

    
Regulatory Updates
 
Subcommittee begins debate about Medicare pay
The House Ways and Means health subcommittee recently held its first hearing about overhauling Medicare's physician payment formula. Physicians representing several groups warned that the projected 5.2-percent cut in Medicare reimbursements next year, as well as estimated cuts in subsequent years, could be devastating to patients’ access to care.
 
Association News
 

Register by March 15 for Nationwide Asthma Screening Program
ACAAI members who are interested in participating in the 2005 Nationwide Asthma Screening program must register by March 15. Registration forms are posted on the ACAAI member Web site at www.acaai.org and information is available by calling the Help Line at (312) 558-1175.

Allergists participating in the 2005 program will have help reaching Hispanics, the nation’s fastest-growing demographic group, representing about one in 10 Americans and a population at high-risk for asthma. New Spanish-language materials and brochures are available, along with tips on how to target Hispanics and other diverse ethnic and cultural groups and their media.

Once members complete a registration form, the College provides a Site Selection Checklist with information about choosing a site and securing equipment for a screening. A manual and kit of public education materials for conducting a program is provided after allergists report a screening program date and location.

Screenings are best scheduled for May, which is Asthma and Allergy Awareness Month and the month the College conducts national publicity about the screening program. More than 80,000 adults and children have participated in the national screening program since it was first launched in 1997, and half of those have had symptoms suggesting referral for a professional diagnosis.

Allergy Practice Tip: The Great Wait
Advice from The Patient-Centered Allergy Practice


Lots of allergy practices worry about wait time – how long a patient sits in the waiting room. But measuring cycle time – how long a patient spends in the practice altogether, from check-in to check-out – is equally important. Good patient care is efficient from start to end.

According to The Patient-Centered Allergy Practice, the median “cycle time” for an allergist is 35 minutes for established patients and 94 minutes for new patients getting skin tests.

These tips are drawn from The Patient-Centered Allergy Practice, a CME Series in Practice Management, provided by Physicians Practice, endorsed by the American College of Allergy, Asthma & Immunology, and supported through an education grant from sanofi-aventis.

 
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 38 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. John Norvell, Karla Lowe and Michael Rupp.

Copyright © 2005 American College of Allergy, Asthma & Immunology. All rights reserved.

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