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Introducing cereal
after 6 months
ups wheat allergy risk.


FDA warns manufacturers
 of unapproved drugs to comply.

 
  
June 21, 2006
  
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2005 ACAAI ANNUAL MEETING
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Nov. 4-9, Anaheim
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2004 ACAAI ANNUAL MEETING
• Symposia Online
Nov. 12-17, Boston
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2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans
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Calendar

JULY
Sports and Asthma
Hispanic American Allergy Asthma Immunology Association
July 7-8, Los Angeles
Tel: 310-823-6766
Email

7th Annual TN Society Symposium
Tennessee Society of Allergy, Asthma & Immunology
July 21-23, Chattanooga, Tenn.
Tel: 865-450-9904
Email

24th Annual Aspen Allergy Conference
Jointly sponsored by ACAAI
July 26-29, Aspen, Colo.
Contact: Kathleen Goldy
Tel: 303-282-0491
E-mail
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AUGUST
Association of Asthma Educators Annual Conference:
Asthma and Our Nation's Health
August 4-6, Atlanta
Tel: 888-988-7747
E-mail
Link

AAE's National Asthma Educator Certification Review Course
Association of Asthma Educators
August 6-7, Atlanta
Tel: 888-988-7747
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SEPTEMBER
ACAAI-HSACI Joint Allergy Symposium
Allergy Update in Greece
Sept. 6-9, Athens, Greece
Tel: 011 30 210 7499300, Ext. 354
E-mail
Link

OCTOBER
12th Biennial Allergy Abroad Program
Washington University School of Medicine in St. Louis
October 19-28
Switzerland & Germany
Tel: 314-362-6891
E-mail
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ONGOING
World Allergy Organization Society Meetings

 

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Top Stories
 
Introducing grains later increases wheat allergy risk
Delaying the introduction of cereal grains until after 6 months old increases the risk of wheat allergy, according to a study in the June issue of Pediatrics. Researchers at the University of Colorado, Boulder, enrolled 1,612 infants at birth between 1993 and 2004, following them through about age 4. Among the subjects, one percent developed wheat allergies. But children who were first exposed to cereals (wheat, barley, rye, and oats) after six months were 3.8 times more likely to have developed an allergy than those who first ate cereals earlier. Wheat allergy risk also increased by 1.6 times if the child was exposed to rice cereal after 6 months of age and by nearly four times if a parent or sibling had asthma, eczema, or hives. The American Academy of Pediatrics recommends introducing cereal grains between 4 and 6 months of age.

Inhaled corticosteroids may boost cataract risk in elderly
Elderly asthma or COPD patients who take inhaled corticosteroids may be more likely to develop cataracts, according to a study in the European Respiratory Journal. Researchers at McGill University Health Centre, Montreal, studied data compiled for 14 years from a provincial health database, involving more than 100,000 patients with asthma or COPD. Subjects who took an inhaled corticosteroid each day, had a 24 percent higher risk of developing cataracts than patients who did not use inhaled corticosteroids. 

FDA to crack down on unapproved prescription drugs
The Food and Drug Administration recently gave manufacturers of medicines containing the antihistamine carbinoxamine 30 to 90 days to stop making the drugs, because of safety concerns regarding their use among children under 2 years old. The FDA estimates that there are 26 manufacturers marketing 120 such medicines today without FDA approval. The agency also issued guidelines outlining its approach to addressing other medicines that are marketed without FDA approval, underscoring the agency’s intent to deal more aggressively with the issue. Under the guidelines, the FDA encourages companies to comply with the drug approval process and seek approval for their products. There is one FDA-approved carbinoxamine tablet drug product, and one FDA-approved carbinoxamine oral solution drug product, both of which are manufactured by Mikart, Inc.  
 
A word from Dr. William Dolen, president

Joint Meeting of the Boards of the College, the AAAAI

This weekend, the Board of Regents of the College and the Board of Directors of the AAAAI will have their second-ever joint meeting in Chicago. Important matters for discussion include the new AAAAI workforce report, a draft of the College’s White Paper on GME funding, the joint board review courses, and a report from the Joint Task Force on Quality Measures.

AAAAI President Tom Platts-Mills and I have allocated the largest time block to the crucial issue of GME funding and workforce issues. The College’s GME Committee — Drs. John Moffitt (Chair), Susan Rudd Bailey, Gailen Marshall, William D. McClendon, Jay M. Portnoy and Richard Weber — have done yeoman’s work in assembling the White Paper, and I congratulate them on their excellent report. The White Paper will be made public once it gets into a final form, although I suspect that it will continue to evolve after publication.

The two boards will also have separate meetings. The major agenda item for the College will be the hearing and discussion of reports of the working groups on strategic planning. More on this will follow. Also, the College will announce the recipients of five new ACORN grant awards of $100,000 each to allergy-immunology training programs for the 2007-2009 academic years. Great oak trees grow from little acorns; I hope that the efforts of the College, the AAAAI, and other organizations will some day result in these grants no longer being necessary because of full funding of allergy-immunology training from other sources.

Dr. William Dolen
ACAAI president
 
Don’t miss the opportunity to visit Greece and earn CME credits
The Joint Allergy Symposium of the ACAAI and Hellenic Society of Allergy & Clinical Immunology (HSACI), Sept. 6-9, 2006, offers a unique opportunity to combine a state-of-the-art scientific program, Allergy Update in Greece, with a visit to the enchanting city of Athens.

“The College is pleased to offer the opportunity for members to earn CME credits while visiting one of the most exciting cities in the world,” said ACAAI Past President Dr. Michael S. Blaiss, program co-chair. “Those who have participated in previous jointly sponsored meetings held in Hong Kong, Poland, Italy and throughout Latin America have enriched their practice while broadening their cultural experience.

“More than ever, our practice is greatly influenced by global advances. I encourage you to take advantage of this CME opportunity that brings together many of the finest researchers and clinicians to present cutting edge lectures on the clinical practice of allergy and immunology while participating in the unique, vibrant culture of Greece,” he said.

The modern Athens Ledra Marriott Hotel is the perfect venue for this meeting, with its spacious conference center and view of the Acropolis.

The American College of Allergy, Asthma & Immunology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The ACAAI takes responsibility for the content, quality, and scientific integrity of this CME activity.

ACAAI designates this educational activity for a maximum of 7 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.
 
Association News
 

Contact Dermatitis Practice Parameter accepted for publication
The Joint Task Force on Practice Parameters would like to announce that its latest practice parameter on Contact Dermatitis (CD) has been accepted for publication in the Annals of Allergy, Asthma and Immunology. Contact dermatitis involves adverse cutaneous reactions resulting from the direct contact of certain substances to the surface of the skin or mucous membranes. The most common types of CD involve exposure to certain metals such as nickel and to plants such as poison ivy.

Several recent surveys sponsored by both allergy and dermatology national societies revealed that 57 percent and 53 percent of AAAAI and ACAAI fellows, respectively, perform patch testing, as compared to 83 percent of dermatologists in a separate survey. A noteworthy aspect of the ACAAI survey was that fellowship- or contact workshop-trained allergists not only performed patch testing more frequently than physicians without CD training, but also were more confident about the clinical relevance of such testing, especially in the differential diagnosis of the common eczematous diseases. The emergent professional role of the allergist/clinical immunologist in the diagnosis and treatment of CD was a major impetus for the development of this Practice Parameter on Contact Dermatitis.

Joint Task Force report on Electronic Medical Records available online
In response to the need for technological approaches to medical information management and the limitations of currently available systems, a joint report on electronic medical records (EMRs) was issued by the College and the Academy. The Joint Task Force report is available on the ACAAI member Web site, www.acaai.org.

Authors report that on May 1 the Certification Commission for Health Information Technology (CCHIT) published its initial criteria and processes to certify ambulatory care electronic medical records systems. The group accepted applications from May 3 through May 12, and is expected to publish a list of CCHIT-certified products and their developers by July at www.cchit.org.

The Task Force consisted of Drs. William K. Dolen, Bobby Q. Lanier, Charles J. Jaffe, David J. Shulan, Dana V. Wallace, Richard L. Wasserman (chair), and John M. Weiler.

Deadline for abstract submission is July 16
The deadline for online submission of clinical and research findings for consideration by the ACAAI Annual Meeting Abstract Review Committee is Sunday, July 16.

Only electronic submissions will be accepted on the ACAAI Web site.
On-screen prompts will take you through the submission process.

If you have already begun to enter an abstract in the system—but did not actually hit the "submit" button—you must go back into the system and submit. After the abstract is submitted, you will receive an e-mail confirmation. Abstracts not officially submitted cannot be considered.

The Alliance of the ACAAI invites fellows-in-training to submit abstracts for consideration for the Clemens von Pirquet Award. Three awards will be given for the best papers on any aspect of allergy/immunology or related fields. In addition to appropriate certificates and $500 travel grants to attend the Annual Meeting in Anaheim, Calif., winners will receive cash awards from $2,500 to $5,000. Award applications are due July 16. For more information, contact diannekubis@acaai.org.

Asthma Screening Program receives $100,000 at PGA Tour event
ACAAI President Dr. William K. Dolen accepted a $100,000 check for the Nationwide Asthma Screening Program from the AstraZeneca Charity Challenge in Memphis, Tenn. The donation was made in the name of the golfers in firstplace entering the final round of the FedEx St. Jude Classic in Memphis, Tim Herron and Tom Pernice Jr.

The Charity Challenge is a season-long competition that recognizes the tournament leader entering the final round at 35 PGA TOUR events. Through the sponsorship, AstraZeneca will donate $3.5 million this year to designated health care charities and will have donated a three-year total of $9.7 million by the conclusion of the 2006 PGA TOUR season.
  Dr. Dolen with golfer Tom Pernice Jr. and Sheila Frame, AstraZeneca.

Capitol Hill focuses on illegal pharmacy manufacturing of nebulizer medications
On May 3, the College participated in the ninth annual Asthma Awareness Day Capitol Hill sponsored by the Allergy and Asthma Network Mothers of Asthmatics (AANMA).

“This year we highlighted the issue of illegal pharmacy manufacturing of nebulizer medications, and conducted meetings with members of Congress during and after the event,” said AANMA Founder and President Nancy Sander.

“We’ve met with more than 70 congressional offices, and now Congress especially wants to hear from ACAAI members who understand the serious health risks to patients and the physician liability issues as a result of this illegal activity,” said Ms. Sander.

ACAAI is a member of the Consumer Health Alliance for Safe Medication (CHASM), convened by AANMA in 2004 to address this issue.

Please let your congressional representatives know you are concerned about the safety of nebulizer medications. Make an appointment to see your representatives either in their neighborhood office or in Washington, D.C. For contact information and a sample letter, visit AANMA’s online Advocacy Center at www.breatherville.org/cityhall.
 

 
Fellows-in-Training
 

Immunology Review Corner
Welcome to the Board Review Corner, prepared by Dr. Karla R. Davis, senior 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 71 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by Dr. Karla R. Davis, Walter Reed Medical Center.


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