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Allergic disease
doesn’t affect
women’s fertility


All-time high
flu vaccine doses
expected next season

 
  
Apr. 25, 2007
  
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pay-for-performance and USP 797 should be top priorities for JCAAI.

 
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APRIL
Allergy and Clinical Immunology (65th Annual Course)
University of Minnesota
April 20, Minneapolis, Minn.
Tel: 612-626-7600 or 800-776-8636
E-mail
Link

International Conference on Asthma Impacts of Air Pollution

South Coast Air Quality Management District
April 26-27, Anaheim, CA
Tel: 909-396-2432
Link

MAY

New York Allergy and Asthma Society
Pending ACAAI Joint Sponsorship
May 16, New York, N.Y.
Tel: 212-288-2278
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JUNE

2007 Annual Meeting of the Florida Allergy, Asthma & Immunology Society
June 8-10, Sarasota, Fla.
Tel: 904-765-7702
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Link 

2nd World Congress on Work-Related and Environmental Allergy / 6th International Symposium on Irritant Contact Dermatitis
June 13-16, Weimar, Germany
Tel: 49-0-3641-35-330
Email
Link 

Asthma & Allergy Society of Virginia Annual Meeting
Pending ACAAI Joint Sponsorship
June 15-17, Winchester, VA
Tel: 757-481-4383
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The Pennsylvania Allergy and Asthma Association Annual Scientific Meeting
June 22-24, Hershey, PA
Tel: 888-633-5784
Link

JULY
2007 International Congress on Respiratory Viruses
The Macrae Group
July 20-22, Colorado Springs, Colo.
Tel: 212-988-7732
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Link

Intermountain West Allergy Association
Pending ACAAI Joint Sponsorship
July 19-23, Spokane, WA
Tel: 509-924-9722
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25th Annual Aspen Allergy Conference
Pending ACAAI Joint Sponsorship
July 24-28, Aspen, CO
Conference Coordinator: Jill Hibbeln
Tel: 720-384-5917
E-mail
Link

AUGUST

Tennessee Society of Allergy, Asthma & Immunology
Pending ACAAI Joint Sponsorship
Aug. 18-20, Knoxville, TN
Tel: 865-342-7057
E-mail


ONGOING
World Allergy Organization Society Meetings

ACAAI CME Website
Contact: Mary Campbell
Tel: 847-427-1200
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Top Stories
 
Women’s allergic conditions don't affect their fertility
Women with asthma, eczema or hay fever are not less fertile than women without the conditions, according to a study in the American Journal of Epidemiology. Researchers at the University of Nottingham, in the United Kingdom, say women with these allergic diseases may even be slightly more likely to have children. They compared fertility rates among 491,516 women who were 15 to 44 years old during a 10-year period. Among the women, 13 percent had asthma, 14 percent had eczema, and 12 percent had hay fever. However, researchers found no significant difference in fertility rates between women with and without asthma, eczema or hay fever. And, 20-something women with asthma actually had slightly higher fertility rates than the same age group without asthma. 

Record number of U.S. doses ready for next flu season
Flu vaccine manufacturers say they will have a record 132 million doses ready for the United States’ 2007-2008 flu season, and potentially more if a fifth company obtains U.S. approval, according to officials at the U.S. Centers for Disease Control and Prevention. CDC guidelines, which have recently expanded to cover more age groups, call for 218 million Americans to get vaccinated, so the estimated supply will still fall short. The estimates were announced at a recent gathering of flu vaccine manufacturers, health care providers, and public health officials.

Chitin enzyme may explain some asthma flares
Chitin, the compound that gives shellfish their protective shell and invertebrates their inner frame, may be what triggers some patient’s asthma, according to a study in Nature. Scientists at the University of California, San Francisco, built on previous animal studies that linked asthma symptoms and chitin reactions. In mice, they discovered chitin triggered an allergic inflammatory response in the lungs, as well as increased chitinase, an enzyme produced by cells in the lungs that fights chitin. The researchers are currently trying to determine the effectiveness at breaking down chitin among the different versions of chitinase that humans have due to genetic differences.
 
A message from ACAAI President-Elect Dr. Jay M. Portnoy

In 2001, the Institute of Medicine (IOM) published its report, “Crossing the Quality Chasm,” in which numerous problems with the American healthcare system were described. This title was chosen for the report because the difference between health care that we receive now and the type of care that we should receive is not a gap; rather, it is a chasm. Though many organizations have emphasized the flaws in our system, they often overlook the recommended solutions. The quality chasm report recommended that the new health care delivery system should meet the following aims if we are to indeed cross the quality chasm. These aims include: safety, effectiveness, patient centeredness, timeliness, efficiency, and equity.

In recent annual meetings of the American College of Allergy, Asthma and Immunology, sessions have been planned that were designed to help the practicing allergist achieve many of these aims. We all have heard that “allergists do it better,” “we've only just begun,” and that by participating in College events, we are “following the leader into the future.” Now it is time for us to join hands and together cross that quality chasm. What we need is a clear vision of what allergy care would consist of if we were practicing in an ideal health care system. This will require us to think differently about how we work with our patients, how we get paid, and the types of illnesses and procedures we deal with as allergy specialists. The coming changes may be uncomfortable for some, which is why attendance at the College’s annual meeting is so important.

To design this year’s scientific program, the Program Committee reviewed the needs assessment that each College member completed, and attempted to meet each of those needs. Each of the sessions and speakers were chosen as a result of specific needs mentioned by College members. Though it is impossible to address all of the requests, we attempted to accommodate as many as possible.

Thursday, Nov. 8: This year's annual program will begin on Thursday with an all-day session geared toward enhancing our knowledge and skills of environmental assessment. Most of us have been involved in this at least to some extent. We know that environmental exposures have a significant impact on our patients. It is now time to learn how to measure this impact, how to interpret the results of environmental assessment, and what recommendations we should be making to our patients. This program, chaired by Dr. James M. Selzer, Dr. James L. Sublett, and Kevin Kennedy, will include talks by policy leaders from the EPA, the NIEHS, and experts in the field with scientific as well as practical expertise. The noon session will feature an address by Jeff May, author of My House is Killing Me and This Mold is Killing Me, among others.

Friday, Nov. 9: The College meeting would not be complete without the annual Literature Review Course to update us on the latest literature related to our field that we may not have had time to read for ourselves. The course, chaired by Dr. Mark T. O’Hollaren, continues to be one of the highest-rated meeting programs.

Saturday, Nov. 10: The Saturday session will begin with an address by Dr. Donald W. Aaronson on the first IOM aim, safety. He will tell us how to deal with black box warnings and how to stay out of trouble. In “The World According to Hal,” Dr. Harold S. Nelson will share his vision of the future of our specialty and tell us what he thinks we need to know. Even I don’t know what he is going to talk about, but since it is Hal Nelson, I am certain that it will be worth hearing. Following that, Drs. J. Andrew Grant and Chitra Dinakar have developed an excellent session on immunodeficiency that will be followed by another episode of the Great Raft Debate.

Sunday, Nov. 11: As we cross the quality chasm we must learn to use our diagnostic and treatment methods as effectively and efficiently as possible, accomplishing two more IOM aims in the process. In a sense, allergy testing and immunotherapy define what allergists do. For that reason, the Sunday session will be completely devoted to a discussion of diagnostic testing, including a debate on the pros and cons of skin testing versus in vitro testing, and we will take a closer look at immunotherapy, including the long anticipated sublingual immunotherapy, or SLIT.

Monday, Nov. 12: The Monday session will start with several controversial areas, including whether latex allergy has actually resolved, and if so, why; how to manage patients with drug allergy without PrePen; and what we should do for patients with stinging insect allergy given recent questions about diagnostic testing. Also on Monday is a session planned by Drs. Bradley E. Chipps and Charles Siegel about what determines the response to therapy in moderate-severe persistent asthma and how this applies to our practice.

Tuesday, Nov. 13: The Tuesday Bela Schick address will be given by the Honorable Steve Kagan, who was elected to Congress last year from the state of Wisconsin. As one of our own, Dr. Kagan will provide his unique insights into where our health care system is going. This will be followed by a series of sessions chaired by Drs. Michael B. Foggs and Richard G. Gower addressing socioeconomic issues, such as pay for performance, adherence and pharmacoeconomics.

Wednesday, Nov. 14: I strongly recommend that everyone remain at the meeting for the Wednesday food allergy sessions chaired by Drs. Richard J. Morris and Sami L. Bahna.

Throughout the meeting a series of clinical symposia, workshops, and breakfast symposia will offer each College member an opportunity to learn about the latest information about allergic and immunologic disorders that they are interested in.

Yes, the annual meeting promises to have a lot of something for everyone. But perhaps the most important feature of the meeting that keeps members like me coming back year after year is the knowledge that I will again see old friends, meet new friends, and connect with members of a professional organization that has become like a second family. I know that the approaching changes in medicine sound scary, but I also believe that if we work together we could be entering a golden age for our profession. I hope to see all of you in November, and together we will indeed cross the quality chasm.
 
Drugs and Devices
 
FDA OKs new generic hydrocortisone 5- and 10-mg tablets
The FDA recently approved first-time generic formulations for hydrocortisone 5- and 10-mg tablets to be produced by Stiefel Laboratories, Inc. Pfizer, Inc. produces the brand name tablets, Cortef. Previously approved generic formulations of the 5- and 10-mg strength tablets have been discontinued by other manufacturers. 
 
Association News
 

America faces an allergy/asthma crisis: You can help!
To call attention to the critical shortage of qualified allergists/immunologists determined in a recent study by the ACAAI GME/Workforce Committee, the College is widely distributing copies of a paper titled Allergist Report: America Faces Allergy/Asthma Crises, and a companion brochure to patients.

Demand for allergists will increase 35 percent by 2020, while the supply of allergists is expected to decline each year. Although the shortage does not affect all geographic locations, it is widespread and becoming worse. The two publications provide details on our specialty's workforce shortage and examine what currently is being done and what needs to be done now and in the future.

Copies of the report and consumer brochure have been mailed to all members this week. Both publications can be downloaded and printed from the College Web site.

Help spread the word that nobody does it better than the allergist by:

• Taking the message to your representatives and senators in Congress, in person or by letter. Contact information is available at http://clerk.house.gov for the House and http://www.senate.gov for the Senate.

• Asking your patients to write their congressmen or senators about this pressing issue that affects families and individuals living with allergic diseases.

• Giving a talk on the looming allergist-immunologist shortage and GME/workforce issues using the PowerPoint presentation downloadable on the College Web site for use in grand rounds and similar events.

The GME/Workforce Committee includes Drs. John E. Moffitt, chair, Susan Rudd Bailey, Gailen D. Marshall, William D. McClendon, Jay M. Portnoy and Richard W. Weber.

The publications are made possible through unrestricted grants from Alcon Laboratories, Inc., Dey, L.P. and Teva Specialty Pharmaceuticals.

Call for Abstracts: Deadline is July 15
The deadline to electronically submit an abstract for the American College of Allergy, Asthma & Immunology's Nov. 9-14, Annual Meeting in Dallas is 11:59 p.m., Sunday, July 15. Only electronic submissions will be accepted.

To submit an abstract, go to the ACAAI Web site and click on the headline "2007 Annual Meeting Abstract Submission." On-screen prompts will take you through the submission process.

If you have already begun to enter an abstract into 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.

Register your children’s asthma camp in 2007 Directory
The Consortium on Children’s Asthma Camps is currently updating its 2007 Asthma Camp directory. Its goal is to include every asthma camp in the nation. If you sponsor, coordinate, volunteer at, or know about an asthma camp in your state, please check the Consortium's Web site camp locater and make sure it’s included in the directory. You can also update your camp’s information.

To add a camp, please e-mail asthmacamp@alamn.org for a password – or if you forgot your existing password.

The Consortium on Children’s Asthma Camps was founded in 1988 by six sponsoring organizations, including the College, which is recognized on the Consortium’s Web site for its ongoing support. ACAAI’s representatives on its Board of Directors are Drs. Sherwin A. Gillman, Mario Cruz-Rivera and Margaret F. Guill.

Memoriam to College and Alliance past presidents
It is with great sadness that we report the deaths of Dr. Orville C. Thomas, ACAAI past president (1977-1978), who died April 13 at his home in Lake Conroe, Texas, and Sandra B. Barkin, RN, past president of the Alliance (1995-1997), who died April 10. Mrs. Barkin, wife of Dr. Gilbert D. Barkin, ACAAI past president (1982-1983), resided in Potomac, Md.

Orville C. Thomas, MD
Dr. Thomas was born August 23, 1915, in Haynesville, La. He attended Tulane University and Tulane Medical School in New Orleans, where he received his medical degree in 1939 followed by a two-year internship at Charity Hospital in Louisiana. He served in the U.S. Army as a ship surgeon from 1942 to 1946.

He received his residency training in pediatrics at Children's Memorial Hospital of Chicago and was chief resident, 1948-1949, while teaching pediatrics at Northwestern University. Dr. Thomas practiced pediatrics in Shreveport, La., 1949-1961. He completed his training in allergy and immunology at Baylor College of Medicine in Houston under Dr. John P. McGovern. He joined the McGovern Allergy Clinic in 1965 and served as president of the clinic, 1983-1988, and retired in 1992.

Dr. Thomas was held in high esteem in the local, national and international medical communities. Dr. Thomas was president of the Houston Allergy Society, 1973-1974; chief of the Allergy Clinic and Allergy Service at Texas Children's Hospital from 1973-1978; chairman of the Allergy Section of the Southern Medical Association, 1970-1971; chairman of the Allergy Section of the Texas Medical Association in 1976-1977; president of the American Association of Certified Allergists, 1979; and served as U.S. representative on the Executive Committee of The International Association of Allergy and Clinical Immunology, 1979-1982.

Memorial contributions may be made in his name to the Texas Children's Hospital, P.O. Box 300630, MC 4-4483, Houston, Texas 77230-0630.

Sandra B. Barkin, RN
Sandra Barkin served as the 22nd Alliance president, after being an active member of the organization for 30 years.

Mrs. Barkin was instrumental in having the Alliance speak for the first time to the College’s Board of Regents. Her priority was to encourage young members to become involved, and she brought the organization’s historical photos up-to-date.

Memorial contributions may be made in her name to the Make-a-Wish Foundation or to the charity of your choice.

 
Fellows-in-Training
 
Board Review Corner
Welcome to the Board Review Corner prepared by Dr. Soo Kim-Delio, 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 “FIT Archive” link in the left column.

Review Questions: Chapter 92 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written  by Drs. Bret R. Haymore, Walter Reed Army Medical Center, and Jiun Yoon, Walter Reed Army Medical Center  

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