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One-third of kids who outgrow asthma relapse as adults.


Children with sickle cell prone to asthma.

 
  
March 16, 2005
  
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Of readers responding, 68 percent favor the formation of the Allergy, Asthma and Immunology Coalition among ACAAI, AAAAI and lay organizations.

Are the ACAAI Annual Meeting evaluation results helpful to you, especially in planning a meeting?

Is it important to you to have joint sponsorship of local, state and regional meetings available through the College?

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
 
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
 
Kids who witness violence have higher asthma rates
Children who witness violence in their community or at home have a higher risk of both emotional and physical illness — including allergies and asthma — according to a study in Journal of Pediatrics. Scientists at the University of Michigan interviewed the mothers and teachers of 160 children from low-income, single-mother families, who were enrolled in two counties’ Head Start programs. Of the 160, 65 percent of the 4- to 6-year-old subjects had witnessed at least one violent incident, including chases, beatings, rapes, shootings and stabbings. Forty-seven percent had witnessed violence within their own families. Of the children exposed to violence, nearly a third had allergies, asthma or ADHD.
    
One-third of asthma-free kids relapse as adults
One-third of children who outgrow their asthma by age 18 develop it again by age 26, according to a study in Chest. Researchers at McMaster University in Hamilton, Ontario, Canada, followed 1,037 children born during 1972–1973 in New Zealand. Subjects answered questions and received respiration tests at 9, 11, 13, 15, 18, 21, and 26 years old. They also received lung function and allergen skin-prick testing at certain ages. When 868 subjects were evaluated at 18 years old, 176 had experienced asthma during childhood, but 68 no longer suffered symptoms. By 26 years old, however, 24 of those recovered patients had relapsed. 

Asthma common among sickle cell disease children
Children with sickle cell disease may be prone to asthma, according to a study in Thorax. Scientists at the Sickle Cell Clinic at the University of the West Indies in Kingston, Jamaica, studied 160 children — 80 with sickle cell disease and 80 ethnically matched control subjects. Parents answered a modified asthma questionnaire. Subjects underwent exercise/bronchodilator challenge and skin-prick tests. Asthma was more common in the children with sickle cell disease than in the controls, 48 percent vs. 22 percent. Bronchial hyperreactivity also was more common. 
  

A word from President Myron Zitt, M.D.

It’s that time of year when the College, under the guidance of this year’s Program Chair, William Dolen, M.D., is actively planning our November 2005 annual meeting in Anaheim, Calif. As you are aware, a needs assessment is essential in determining the topics and speakers for the upcoming meeting. A significant amount of information in this regard is obtained from the evaluation forms completed by attendees during our meeting. As this data is helpful not only for those who are planning the College annual meeting, but also for representatives of our Local, State and Regional (LSR) organizations who are planning their own CME events, I believe it would be appropriate to share our analysis of the Boston congress with you.

The 2004 ACAAI Annual Meeting attracted a record high attendance of 4,515 total registrants, including 1,871 physicians. Success of the meeting is underscored by the following analysis of attendees’ evaluations.

The Immunotherapy Collegium II preceded the meeting with a strong attendance of 469 and an excellent overall session rating. Of those who completed the evaluation, 78 percent said the program resulted in changes to their practice. The highest rated speakers were John J. Oppenheimer, M.D., and Harold Nelson, M.D.

The Literature Review Course once again won acclaim as one of the most useful features of the convention. It attracted 491 attendees, and of those who completed the evaluation, 70 percent (morning session) and 77 percent (afternoon session) said the program resulted in changes to their practice. Attendees rated Mark D. O’Hallaren, M.D., the most popular speaker, followed by Anthony Montanaro, M.D., Harold S. Nelson, M.D., and John M. Kelso, M.D.

Derm Fest concluded the meeting with an attendance of 423 for the first session, and featured two of the highest rated symposia — We’ve Only Scratched the Surface: Advances in the Management of Chronic Urticaria, supported by an educational grant from sanofi-aventis; and Emerging Therapies for Hereditary Angioedema, supported by an educational grant from Genzyme Corporation/Dyax Corp. The Walk Through the Parameters on Atopic Dermatitis held at the Boston Science Museum received an excellent rating and top marks for speakers, the highest being Vincent A. Beltrani, M.D., and Mark Boguniewicz, M.D.

Over 22 hours of cutting-edge Plenary Sessions were featured during the meeting. Presented in various formats, including a debate and point/counter point, they received high marks from attendees. The most highly rated programs were:
Controlling the Indoor Environment
With 675 attendees, it was rated the top score.
The Great Asthma Raft Debate
The highest Plenary in attendance, with 1,275 participants, praised for its creativity and novel approach.
Food Allergy: Prevention, Sensitization and Treatment – What Do We Do Now
With attendance of 700, it received an excellent overall rating.
Anaphylaxis: A Look at the Oldest of Allergic Problems
Attracting an audience of 1,188, it received a high score.

Plenary speakers that received the highest ratings were: Dennis R. Ownby, M.D., for his presentation on Primary Prevention is Not Available; Philip L. Lieberman, M.D., The Frequency and Significance of the LPR in Anaphylaxis; Hugh A. Sampson, M.D., Food-Related Dermatitis; and F. Estelle Simons, M.D., Epinephrine – Past, Present and Future.

The College scheduled 20 industry-sponsored Symposia at the Boston meeting. They were all very well received. The most highly rated presentations were:
Understanding Disease Consequences in Allergic Rhinitis, supported by an educational grant from GlaxoSmithKline
Prescriptions for Better Asthma Control, supported by an educational grant from sanofi-aventis and ALTANA Pharma
Childhood Asthma in America: Findings of the Children and Asthma in America Survey, supported by an educational grant from GlaxoSmithKline

Highest marks for symposium presentations were received by Curtis Schreiber, M.D., David B. Granet, M.D., John J. Oppenheimer, M.D., William W. Busse, M.D., and Joann Blessing-Moore, M.D.

The College has worked diligently to prevent commercial bias at our Pharmaceutical Symposia. Programs and speakers were chosen entirely by our organization, without industry interference, and were selected based on needs assessment information. Program moderators reviewed the outline, text and/or PowerPoint presentations of each speaker to assure fair balance and prevent duplication or commercialism. The discussion of any therapeutic or diagnostic modality that might be considered “off-label” was disclosed, while generic rather than brand names were employed except when multiple agents were evenly represented. Every effort was made to ensure speaker disclosure.

As a result, I am pleased to report that in assessing the Symposia, neither attendees nor CME Committee auditors reported significant bias or commercialism that would interfere with program credibility.

As I noted in one of my earlier e-news columns, both the ACAAI and the LSR organizations with which we joint sponsor educational programs will have to be more vigilant than ever in conforming to updated 2005 CME guidelines. Speakers will not be able to present unless disclosure is provided. However, ACCME has backed off to some degree, in that lecturers with potential conflicts who, for example, may have conducted research or participated as consultants or on speakers bureaus for industry will be allowed to present, provided the sponsor is able “resolve” apparent conflicts. Our CME/CPD Committee Chair Lyndon Mansfield, M.D., assures me that the ACAAI has developed a satisfactory system for addressing this problem and will be able to assist our Program Committee and our joint sponsoring LSRs in meeting planning.

With needs assessment information based on the evaluations from previous congresses and the guidance of our CME/CPD Committee, nobody conducts better meetings than the allergist.

Myron Zitt, M.D.
President, ACAAI
    
Drugs and Devices
 
FDA approves long-acting Clarinex-D
The U.S. Food and Drug Administration (FDA) recently approved desloratadine 5 mg plus pseudoephedrine sulfate 240 mg extended-release tablets for the relief of seasonal allergic rhinitis symptoms in patients 12 years and older.
 
 
Association News
 

House of Delegates gets Web page
The ACAAI House of Delegates now has its own page on the College’s Web site. Dr. Rose Marie Young, speaker of the House of Delegates, announced the site in a recent broadcast e-mail to ACAAI members.

The page will be used for posting actions of the House and follow-up information and activities. Members of the House of Delegates and others are welcome to send comments and questions.

To access the House of Delegates page, browse to the Home Page at www.acaai.org and click on MEMBER INFORMATION. Then click on the HOUSE OF DELEGATES navigational link on the left-hand side of the page.

Foundation awards grant to the Consortium of Children’s Asthma Camps
The Foundation of ACAAI awarded a two-year $50,000 grant to the Consortium of Children’s Asthma Camps. The Consortium supports asthma camps nationwide in successfully teaching children how to manage their asthma, while increasing their involvement in recreational and social activities to build their social skills and self-confidence.

“The Foundation of ACAAI assists the Consortium in providing programs and services that benefit 15,000 young asthma patients attending 150 camps around the country through its Annual Fundraising Dinner,” said Dr. Emil J. Bardana, Jr., M.D., president of the Foundation.

“The Consortium Web site  offers a wealth of information and resource tools to College members as well as asthma camp directors, camp staff and the public – particularly parents of children with asthma. The Consortium’s online national Camp Directory includes a cross-section of camps. All camps are invited to register, including those affiliated with universities, hospitals, lay organizations and even private organizations,” Dr. Bardana said.

Children participate in a variety of asthma camp settings – day camps, week-long outdoor camps, school-based programs – and learn methods for living with asthma that work best for them. The Consortium is committed to developing creative ways to link the asthma camp experience to a year-round program effort.

“The ACAAI Foundation funding will support Web site enhancements and continued research through the new Universal Health History Form (UHH) that evaluates the impact of camps on children with asthma in terms of asthma management and control, function status, and quality of life,” Dr. Bardana said.

The Consortium on Children’s Asthma Camps was founded in 1988 by six sponsoring organizations including the College, which has increased its financial support. The College's representatives on its Board of Directors are Sherwin A. Gillman, M.D., Mario Cruz-Rivera, Ph.D., M.P.H., and Margaret F. Guill, M.D. Dr. Gillman also chairs the ACAAI Ad Hoc Committee to Advise Asthma Camps.

Allergy Practice Tip: Smart Scheduling
Advice from The Patient-Centered Allergy Practice

Save patients a phone call and improve compliance by scheduling follow-up appointments – even six months or a year out – before the patient leaves the office. Too often, staff members tell patients to call in later to schedule their next appointment. That makes for lots of phone calls and lots of appointments that never get scheduled. Of course, be sure to get appointment reminders to these patients to prevent no-shows. They are unlikely to remember the appointment six months from now.

These tips are drawn from The Patient-Centered Allergy Practice, a CME Series in Practice Management, endorsed by the American College of Allergy, Asthma & Immunology.

For more advice on scheduling, visit www.PatientCenteredAllergyPractice.com

 
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 40 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 and Karla Lowe.

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

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