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Hold off on feeding wheat
to babies with celiac
disease risk.



Asthmatics twice as likely to contract pneumococcal
disease.

 
  
May 25, 2005
  
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Patients should own and control interactive personal health records, say 63 percent of readers responding.

  
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

Patient-Centered Allergy Practice
Endorsed by ACAAI, Sponsored by Physicians Practice
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


AUGUST
Hong Kong Allergy Convention
Jointly sponsored by ACAAI
Aug. 6-7, Hong Kong Convention & Exhibition Centre
Tel: 852-2559-5888
Fax: 852-2559-6910
E-mail


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
 
Family history of celiac disease? Wait to give wheat.
Parents of babies with a family history of either celiac disease or type 1 diabetes (a risk factor for celiac disease) should introduce wheat between 4 and 6 months, says a study in the Journal of the American Medical Association. Researchers at University of Colorado at Denver and Health Sciences Center identified 1,560 newborns at increased risk of celiac disease in the Denver area from 1994 to 2004, tracking their health outcomes for an average of five years, using parent interviews, blood tests and diet monitoring. Of the 1,560, 51 developed celiac disease during the study. Children fed gluten before 3 months had a fivefold increase in risk for celiac disease, while children first fed gluten at 7 months or later were at a marginally increased risk of the disease, compared with babies first fed gluten between 4 and 6 months.

Asthma more than doubles pneumococcal disease risk
People with asthma are twice as likely to contract invasive pneumococcal disease than people without asthma, according to a study in the New England Journal of Medicine. Researchers at Vanderbilt University, in Nashville, Tenn., used the CDC and TennCare Medicaid program databases to identify 635 patients from 2 to 49 with invasive pneumococcal disease, matching each subject with 10 age-matched controls. Risk of pneumococcal infection was 2.4 times higher for people with asthma. Those with more serious asthma were 2.6 times more likely to contract invasive pneumococcal disease, compared to 1.7 times higher for patients with less severe asthma.  

Effective spring cleaning may ease allergy symptoms
As part of National Asthma and Allergy Awareness Month, the Asthma and Allergy Foundation of America is promoting the importance of appropriate and effective cleaning methods to reduce common indoor allergy triggers, such as dust mites and pet dander. Some AAFA tips:
• Maintain home humidity below 50 percent.
• Vacuum regularly using two bags or a HEPA filter.
• Encase mattresses and pillows in allergen-proof covers.
• Wash bed linens weekly in hot water.
• Keep pets off furniture.
• Bathe cats and dogs weekly.  
  

A word from President Myron Zitt, M.D.

As we did in 2004, members of the ACAAI Board of Regents held meetings on Capitol Hill with their states’ lawmakers in the House and Senate on May 5 to lobby for issues important to our allergy practices and, most important, to our patients.

Prior to our meetings at the Capitol, we heard remarks by Richard A. Deem, Vice President of Government Affairs for the American Medical Association and Debra Havens, president of Capitol Associates Inc., to help prepare for our meetings with our senators and representatives.

An important focus of our morning together was Sen. Hillary Rodham Clinton’s (D-N.Y.) proposed bill, the “Family Asthma Act.” In discussions with Ann Gavaghan, legislative aide to Sen. Clinton, the College indicated support for the bill, while urging modification of the legislation to recognize allergens as major trigger factors for asthma, and allergists as the experts in disease diagnosis and management.

In my meeting with Rep. Steve Israel (D-N.Y.) and Deborah Darcy, his health legislative assistant, we discussed these needs:
a) to fix the Medicare physician fee schedule
b) to institute medical liability reform
c) to support legislative initiatives to improve asthma care
d) to address the shortfall in allergists anticipated over the next 10 years by obtaining increased funding for allergy/immunology training programs.

Mr. Israel told me that I was “preaching to the choir” in that he fully supported the position of the ACAAI.

The Medicare physician payment formula is a critical issue. Unless Congress acts this year, the first in a series of cuts will go into effect next January that will amount to a 4.3-percent cut in physician payments in 2006 and a projected 26-percent cut in Medicare payment rates from 2006 through 2011. We are asking Congress to stop the cut from taking effect in 2006 and to permanently fix the payment formula so that it more accurately reflects medical practice costs in future years.

Action also is needed now on medical liability reforms, with the medical malpractice insurance crisis threatening healthcare affordability and access to care. The Senate failed in the 108th Congress three times to move and pass a medical liability bill. In the 108th, the House of Representatives passed a comprehensive medical malpractice bill (HR5), but it went no further. We are asking Congress to support, cosponsor and vote for a comprehensive medical malpractice insurance reform bill.

I was joined by Rose Marie Young, M.D., Speaker of the House of Delegates, and Tao N. Tran, M.D., Senior Fellow-in-Training Representative, both of who are Board members from New York, to discuss these same initiatives with Missy Rohrbach, health legislative assistant, from Sen. Charles E. Schumer’s (D-N.Y.) office. Later that day, our New York contingent again met with Ms. Gavaghan, to not only address these issues but to make specific recommendations for the modification of the Family Asthma Act. Although no promises were made, she seemed receptive to our suggestions.

Altogether, Board members had 19 House meetings and 38 Senate meetings, many of which built on the rapport established during our initial meetings last year. As medical lobbyists, nobody does it better than the allergist.

On a final note, I must tell you that I received quite a bit of feedback regarding the blast e-mail I sent to the membership providing information that the Embryonic Stem Cell Research bill (HR 810) sponsored by Rep. Michael N. Castle (R-Del.) and Rep. Diana DeGette (D-Colo.), will come to the House floor for a vote in the very near future. Needless to say, this legislation to expand the number of stem cell lines eligible for federally funded research is quite controversial.

It is important for our membership to understand that the ACAAI is not choosing sides on this issue, but it is simply recommending that those individuals who feel strongly either for or against the bill should contact their representatives in Congress to express their opinions.

I believe it is essential for the ACAAI to keep its members informed regarding all issues that affect our patients. When issues of medical importance arise, it is so often the trusted and respected allergist to whom the patient turns for advice.

Myron Zitt, M.D.
President, ACAAI
    
 
Association News
 

Jay Leno will entertain you at the ACAAI gala fundraiser
Jay Leno, host of Emmy Award-winning and top-rated The Tonight Show with Jay Leno, will headline the annual Fundraising Dinner on Sunday, Nov. 6, 2005, at the ACAAI Annual Meeting in Anaheim, Calif.

Leno has appeared in hundreds of comedy shows across the United States for the past 20 years and remains passionate about performing in front of live audiences. Striving not to offend, Leno offers non-racist, non-sexist, anti-drug humor. His focus is on ridiculing the mundane, the idiocies of social life. Despite his penchant for politically liberal jokes, Leno insists that his humor is non-ideological and thus apolitical.

The Tonight Show with Jay Leno, which airs weeknights at 11:35 Eastern time, has experienced numerous highlights during its reign, including winning two Emmy Awards. The first was in 1995 for Outstanding Comedy, Variety or Music Series, and the second in 1996 for Outstanding Technical Direction. In 1999 and 2000, The Tonight Show took home the trophy for Favorite Late Night Show in the annual TV Guide Awards. He received a star on Hollywood’s Walk of Fame and is the first person to drive the pace car at all major NASCAR events.

Register for ACAAI jointly sponsored symposium in Sicily by June 1
The ACAAI is partnering with four organizations to present an International Symposium: New Trends & Recent Applications in Allergy, Immunology & Infectious Diseases, Oct. 6-8, 2005. The conference will be held at the Russott Hotel, Giardini Naxos, Italy, near beautiful Taormina, Sicily.

The final program is available on the member section of the College Web site. The deadline for registration is June 1. Make your travel plans to arrive in Catania. Contact: Jacqueline Roberts at: jbella007@aol.com or IRConsult@aol.com for further details. Join your colleagues in sunny Sicily this fall.

World Allergy Day to be July 8, 2005
The first World Allergy Day will be July 8, 2005. Associated with the biennial World Allergy Congress, WAO hopes this initiative will contribute to increasing the visibility of allergy among the public, health care authorities, and other related specialties.

Join ACAAI and other sponsoring allergy societies from around the world to recognize World Allergy Day. Click here to access the World Allergy Day kit and join in the New Online Discussion Forum.

Allergy Practice Tip: Answer The Call
Advice from The Patient-Centered Allergy Practice
Most allergy practices get phone calls in sudden spurts. Calls typically peak three times a day: When the practice opens, after lunch and just before close. But no practice can hire a receptionist just for those hours.

Instead, cross-train staff so that anyone — nurses, billers, whoever — can grab a phone when it’s ringing. Or, hire very flexible, part-time help who can answer phones at peak times on peak days. Students, retirees and new moms may welcome the short hours. Click here for more advice on phone management in the allergy practice.

These tips are drawn from The Patient-Centered Allergy Practice, a CME Series in Practice Management, supported through an educational grant from sanofi-aventis Group and 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 48 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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