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FDA issues final rule on inhalers using CFCs.


A woman’s allergy risk lower with each child.

 
  
April 13, 2005
  
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What FAAN education program is most beneficial to your patients?

Do you agree with the FDA final rule banning CFC-propelled MDIs by 2009?

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

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

JULY
Association of Asthma Educators (AAE) Annual Conference
July 22-24, Las Vegas
Tel: 888-988-7747
E-mail 
Link
 
AAE's National Asthma Educator Certification Review Course
July 24-25, Las Vegas
Tel: 888-988-7747
E-mail
Link

23rd Annual Aspen Allergy Conference

July 27-30
Aspen, Colo.
Contact: Kathleen Goldy
Tel: 303-282-0491
E-mail
Link


8th Annual Scientific Session of the Intermountain West
Allergy Association
July 28-30, Coeur d’Alene, Idaho
Link


October
New Trends & Recent Applications in Allergy, Immunology and Infectious Diseases
Oct. 6-8, Taormina, Sicily
E-mail:jbella007@aol.com
 or IRConsult@aol.com
Link


ONGOING
World Allergy Organization Society Meetings

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Top Stories
 
FDA final rule: Phase out CFCs by 2009
The Food and Drug Administration recently announced that albuterol metered-dose inhalers using chlorofluorocarbon propellants may no longer be produced, marketed or sold in the United States after Dec. 31, 2008. In a final rule, the group said sufficient supplies of two approved, environmentally friendly albuterol inhalers will exist by Dec. 31, 2008, to allow the phasing out of similar, less environmentally friendly versions.  & (PDF)
    
Probiotic bacteria may improve infant eczema
Giving allergic infants with eczema the probiotic bacteria Lactobacillus GG (LGG) may reduce symptoms, says a study in Allergy. Scientists at the University of Helsinki in Finland assessed symptoms in 230 infants with eczema, suspecting cow's milk allergy. For four weeks, the children's food was mixed either with capsules containing LGG alone, LGG plus three other probiotics, or a placebo. After the four-week period, doctors performed milk exposure testing and diagnosed cow's milk allergy in 120 of the infants. Overall, allergy symptoms dropped by 65 percent during the study, but no differences were observed among the groups. However, when the analysis was confined to subjects sensitized by IgE, the LGG alone appeared to reduce symptoms, compared with LGG mixed with other probiotics and placebo.
 


More kids may mean less allergies for women
The more children a woman has, the less likely she is to suffer from allergic rhinitis or allergic conjunctivitis, an Italian study in Allergy suggests. Researchers in Rome studied 1,755 nonsmoking women from 35 to 74 years old, who lived in four regions of north central Italy. Researchers reviewed allergy symptoms, self reports and medical records. Allergic rhinitis was found in 30 percent of women with no or one child. It dropped to 16 percent among women with four or more children, the study says. Allergic conjunctivitis results were similar, dropping from 36 percent to 17 percent between the two groups.  
  

A word from President Myron Zitt, M.D.

FAAN and ACAAI Working Together

As you know from my previous columns, I believe that a strong relationship with our lay organizations, including open communication and frequent collaboration, is essential to the well-being of our patients. I recently spoke with Anne Munoz-Furlong, founder and CEO of The Food Allergy and Anaphylaxis Network (FAAN) and was pleased to hear that she shares my enthusiasm regarding “the strong partnership between our organizations,” which she believes will benefit everyone — patients, FAAN, and the ACAAI.

She believes allergy specialists play a critical role in the proper diagnosis, treatment and follow-up care for patients with food allergies or a history of severe allergic reactions. To that end, she reports that every one of FAAN's educational materials and press releases mentions the ACAAI and provides contact information for finding an allergist.

In support of their excellent work in teaching and raising public awareness about food allergies and anaphylaxis, the ACAAI awards FAAN with an annual educational grant. The following is Munoz-Furlong’s overview of how the 2005 grant will benefit food allergic patients:

A) Public Awareness
To obtain a proper diagnosis and treatment of food allergy, the public must be educated about signs and symptoms of food allergy and the need to seek professional help if a reaction occurs. This year, FAAN will celebrate the 8th annual Food Allergy Awareness Week from May 8 to 14.

The organization plans to address food allergy awareness on several fronts:
a) a media campaign for print and television reporters
b) FAAN's Web site
c) local health fairs, schools, and restaurants

Proper diagnosis by an allergist is one of the key messages that will be emphasized throughout the campaign.

B) Public Education
With regard to childhood food allergy, parent education is the cornerstone of proper diagnosis and management. FAAN's 12th annual Food Allergy Conferences will be held in the spring in Baltimore, Chicago and Tarrytown, N.Y. The conferences provide an opportunity for parents of food-allergic children to be surrounded by hundreds of people who also are raising children with food allergies. The one-day meeting provides a number of opportunities for networking.

The program includes topics such as:
a) Scientific bases of food allergy and anaphylaxis
b) Latest advances in food allergy research
c) Considerations regarding diet and nutrition
d) Dining out and the daily management of food allergies

Break out sessions will be available for teens, their parents, nurses, and
registered dietitians. For copies of the registration brochures for your patients, contact FAAN at 800-929-4040 or faan@foodallergy.org.

C) Dietician Education
Currently, no information is widely available for hospital food service staff regarding managing food allergies. With the help of ACAAI funding, FAAN will adapt their Food Allergy Training Guide for Restaurants and Food Services so it is suitable for use by hospital and food-service-based dietitians. Information will include tips and strategies to ensure that food-allergic patients do not receive the food to which they are allergic. FAAN plans to work with health professionals and registered dietitians in the field to ensure accuracy and relevancy. Free copies of this program will be available to dietitians during their annual meeting this fall.

D) International Outreach
In order to help patients around the world, FAAN created the Food Allergy & Anaphylaxis Alliance (FAAA), comprised of like-minded organizations from other countries. Their 4th annual meeting, scheduled for the fall, will continue to give international patient education organizations their only chance to exchange information, form partnerships, and advance key issues of importance to those with food allergy and anaphylaxis. Currently, organizations representing the following countries participate in the FAAA: Australia, Canada (including a separate organization representing French Canada), New Zealand, the Netherlands, the United Kingdom, Japan, Italy and the United States. FAAN will continue to look to expand their outreach internationally and extend invitations to other organizations from other countries to join the FAAA, as they are identified.

Last month, FAAN initiated and worked with leadership of the College and the Academy to develop a joint letter to the FDA on the Allergy Labeling of Food Products Consumer Preference Survey and the Experimental Study on Allergen Labeling of Food Products. The letter included a request that food allergy experts within the three groups be involved with the projects prior to their implementation. After receiving the letter, the FDA submitted a Draft Study Protocol to distribute for expert review.

In conclusion, to quote Munoz-Furlong, “Thanks to your support, FAAN will continue to provide much needed educational services and programs for patients in the U.S. and around the world. The ACAAI's support will be cited on these programs. We couldn't do it without your help! Thanks for your continued partnership on behalf of our patients.”

As a result of our close collaboration with our lay organizations, “nobody does it better than the allergist.”

Myron Zitt, M.D.
President, ACAAI
    
Drugs and Devices
 
FDA issues Norvir, Kaletra interaction notice
The Food and Drug Administration recently issued a notice on drug interactions involving Norvir (ritonavir) and Kaletra (lopinavir/ritonavir). "Norvir and Kaletra can each, if used concomitantly with fluticasone, potentiate plasma levels of the latter, resulting in adrenal suppression, decreased serum cortisol levels and the increased potential for corticosteroid-induced side effects,” says ACAAI President Myron J. Zitt, M.D. “Although the announcement discusses that fluticasone is the drug found in the intranasal steroid Flonase, it would appear logical that the same interaction would be observed with Flovent and Advair." All questions or comments may be directed to the RCC Safety Information Center at 301-897-1708 or via email ric@tech-res.com.  


FDA OKs Asmanex inhaler
The FDA recently approved Schering-Plough Corp.’s asthma inhaler Asmanex, following a lengthy regulatory delay. Asmanex, which contains a dry-powder formulation of mometasone furoate, had been awaiting FDA approval since 1998. Mometasone furoate also is used in nasal allergy spray Nasonex. Asmanex is approved as a first-line preventive therapy for asthma patients 12 and older, and as a once-daily treatment for those who have previously taken inhaled corticosteroids or used bronchodilators.
 
Association News
 

Members eligible for free benefits, services from the Medem network
Through ACAAI’s relationship with Medem, as a founding member, you are able to utilize all of its services with no annual subscription fees! This is a $195-per-year value that is free as part of your College membership. These services include:
• Customizable practice Web site
Secure Messaging and Online Consultation
• Links to many health plans’ online provider directories
• Secure payment
• Other exciting new services to be launched soon!

Improve patient satisfaction by making services and information more convenient and available after-hours for patients. Through your practice Web site, your patients can request appointments, look up peer-reviewed health care information, request an Online Consultation, or prepare for an office visit, even at night or on weekends. All of these services can improve practice office efficiencies, as well.

Online Consultation allows you to be paid for your time consulting your patients online. Recent surveys indicate that 40 percent of patients are willing to pay for electronic access to their physician. A growing number of employers and health plans are reimbursing physicians for Online Consultations because of the time and cost-saving benefits.

Gain access to new insured patients from most major health plans (United, Aetna, CIGNA, Blues plans, and others) representing nearly 60 million covered lives, through links from their online provider directories to your Medem Web site. Currently, there are nearly 600,000 visits per month to Medem physician practice Web sites by insured patients looking for a physician, and this number grows significantly each month.

eRisk Compliance brings your practice in sync with guidelines set by medical malpractice liability carriers and state medical boards. All of Medem's services are HIPAA compliant.

Not taking advantage of this valuable, yet free, member benefit? Register your practice or for more information, please contact Medem’s Member Service Department at info@medem.com or 1-877-926-3336.

World Asthma Day 2005: The Unmet Needs of Asthma
World Asthma Day is an annual event organized by the Global Initiative for Asthma (GINA) to improve asthma awareness and care around the world. The theme of World Asthma Day 2005, which will take place on May 3, is “The Unmet Needs of Asthma.”

The theme calls attention of doctors and patients alike to the need for better asthma treatment and control, and builds on last year’s World Asthma Day theme of “The Burden of Asthma.” By recognizing and meeting the unmet needs of asthma, we can begin to reduce the burden of this disease.

GINA resources this year will draw on information in the Global Burden of Asthma Report to indicate some of the unmet needs of asthma around the world. Visit the new GINA Web site for information about World Asthma Day 2005. You can report your activities, download press materials or subscribe to the World Asthma Day eNewsletter.

Allergy Practice Tip: Picking an EMR
Advice from The Patient-Centered Allergy Practice

Frustrated by the EMR selection process? There are no shortcuts. Almost no vendors have EMRs specifically for allergy. You’ll have to understand your needs and be prepared to put some time into creating templates for your practice. For more advice on technology in the allergy practice, visit www.PatientCenteredAllergyPractice.com

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.

 
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 44 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 John Norvell.

Copyright © 2005 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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