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Cashews cause
worse reactions
than peanuts
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For inner city adults,
asthma not worsened
by indoor allergens
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| August 15, 2007 |
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2006 ACAAI Annual Meeting CD-ROM
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International Food Allergy Symposium
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• Annals of
Allergy, Asthma and Immunology
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Calendar |
AUGUST
Tennessee Society of Allergy, Asthma & Immunology
Pending ACAAI Joint Sponsorship
Aug. 18-20, Nashville, Tenn.
Tel: 865-342-7057
E-mail
The Alabama Society of Allergy, Asthma and Immunology 28th Annual Postgraduate Course
Aug. 10-12, Destin, Fla.
Contact: Richard Carson
Tel: 334-954-2577
E-mail
SEPTEMBER
The Long Island Allergy & Asthma Society
Pending ACAAI Joint
Sponsorship
Sept. 7-9, Gurney’s Inn Montauk, N.Y.
Tel: 516-731-5740
E-mail
New York Allergy and Asthma
Society
Pending ACAAI Joint Sponsorship
Sept. 19, New York, N.Y.
Tel: 212-288-2278
E-mail
Ohio Society of Asthma, Allergy and Immunology
Pending ACAAI Joint Sponsorship
Sept. 28-30, Hendersonville, Nev.
Tel: 973-431-0721
E-mail
OCTOBER
Meadowbrook Med Ed Research Foundation at NUMC
Pending ACAAI Joint Sponsorship
Oct. 4, East Meadow, N.Y.
Tel: 516-572-3214
E-mail
1st International Congress on Exacerbations of Airway
Disease (ICEAD)
The Macrae Group
Oct. 4-7, San Juan, Puerto Rico
Tel: (+1) 212.988.7732
E-mail
Link
II Immunotherapy Course: The Insights of Effective
Vaccine for Allergy
Mexican College of Pediatric Allergy & Immunology
Recognized by ACAAI
Oct. 12-13, Mexico City
Tel: +52-55-9000-2008
E-mail
Link
Oregon Society of Allergy, Asthma & Immunology
Pending ACAAI Joint Sponsorship
Oct. 13-14, Portland, Ore.
Tel: 360-708-9555
E-mail
New York Allergy & Asthma Society
Pending ACAAI Joint Sponsorship
Oct. 26, Brooklyn, N.Y.
Tel: 718-377-0011
E-mail
NOVEMBER
ACAAI Healthy Indoor Environment Conference
Nov. 8, Dallas, Texas
ACAAI Annual Scientific Meeting
Nov. 9-14, Dallas, Texas
Tel: 847-427-1200
E-mail
Link
DECEMBER
World Allergy Congress
World Allergy Organization (WAO)
Dec. 2-6, Bangkok, Thailand
Link
ONGOING
World Allergy Organization Society Meetings
ACAAI CME Website
Contact: Mary Campbell
Tel: 847-427-1200
E-mail
Sponsored
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Top
Stories |
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Cashews trigger more
severe allergic reactions than peanuts
Cashews appear to trigger more severe allergic
reactions than peanuts in children, according to a study in Allergy. British scientists at Addenbrookes Hospital
in Cambridge and Queen Elizabeth Hospital in Norfolk,
studied 141 children — 47 children with cashew allergy and
94 children with peanut allergy. The subjects with cashew
reactions were eight times more likely to wheeze and almost
14 times more likely to have potentially severe
cardiovascular symptoms, such as irregular heartbeat or
lowered blood pressure. Among all the subjects, 10 with
cashew allergies had a severe reaction, defined as extreme
difficulty breathing and/or loss of consciousness, compared
with one subject with peanut allergy.
Study: Indoor allergens don’t worsen asthma in inner-city
adults
Sensitization to indoor allergens doesn’t appear to
increase the severity of asthma among inner-city adults,
according to a study in the Journal of Allergy and
Clinical Immunology. Researchers at Mount Sinai School
of Medicine in New York evaluated 245 inner-city adults with
persistent asthma, testing them for sensitization to
cockroaches, dust mites, cats, mold and mice, and then
assessing asthma control via a standardized questionnaire.
About 62 percent were positive for at least one of the
allergens, but the asthma control scores were not
significantly worse among patients sensitized to indoor
allergens.
Immunotherapy may help prevent asthma development
Specific immunotherapy may prevent children with
allergic rhino conjunctivitis from developing asthma,
according to a study in Allergy. Scientists from
ALK-Abello, Horsholm, a Denmark-based company that develops
allergy vaccines, investigated 147 subjects from 16 to 25,
10 years after they participated in the Preventive Allergy
Treatment (PAT) study. Among 117 children who did not have
asthma at the beginning of the study, those who received
immunotherapy were 4.6 times more likely than those treated
with placebo to remain without asthma 10 years later. In
addition, those who received immunotherapy continued to have
significant improvements in rhinoconjunctivitis and
conjunctival sensitivity at the 10-year follow-up. |
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A
message from James E. Mallette, Jr., speaker, House of
Delegates
Call for resolutions
One of the major purposes of the House of Delegates (HOD)
is the dissemination of information. This can be
accomplished through resolutions and agenda items for
discussion. We are particularly interested in messages
pertaining to health-care reform.
Local, state and regional allergy societies are
encouraged to submit resolutions for consideration of
the House at its Nov. 9 meeting. To be eligible for
consideration, resolutions must be received in the ACAAI
office no later than Monday, Sept. 24, so they can be
distributed to all Delegates and Alternate Delegates for
review prior to the House of Delegates meeting. NOTE:
Only ACAAI Fellows can submit and present resolutions to
the House of Delegates.
Request for HOD nominations
The ACAAI HOD invites you to submit nominations for the
Speaker of the House of Delegates, Vice Speaker and
Recording Secretary. Deadline for receipt of nominations
is Friday, Sept. 28.
The Nominating Committee (which does not include the
current officers) will consider all nominees from
various local, state and regional allergy societies and
decide on two candidates for each of the three
positions.
The nominees will be distributed to the delegates with
the formal agenda of the House of Delegates meeting. On
Friday, Nov. 9, in Dallas, the election of officers will
take place.
Please send your nominations to Dianne K. Kubis,
Associate Executive Director, ACAAI. Any potential
nominee who wants a copy of the House of Delegates
“Rules of Order” may obtain it from the HOD page on the ACAAI Web site.
I hope to see you at the House of Delegates meeting in
Dallas. All are welcome.
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Association
News |
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Dynamic
and motivational Annual Meeting
scientific programs you won’t want to miss
The ACAAI Annual Meeting in Dallas, Nov. 8-14, is chock full
of practical scientific programs you and your patients can
implement immediately. Here’s a peek at the dynamic duo
brought back by popular demand, and a new theatrical program
you won’t want to miss – each with the goal of improving
patient care and guaranteed to elicit thunderous applause:
The Great Asthma Raft Debate: Saturday, Nov.
10 – Experts involved in asthma management are adrift in a
life raft. There’s enough food and water in the raft for
only one to survive, and the surrounding waters are teeming
with sharks. Each expert has exactly 15 minutes to make his
case about what causes asthma. Come and see who gets tossed
to the sharks!
Practitioner’s Edge: Sunday, Nov. 11 – Learn
about the new asthma treatment guidelines in a new innovative, case-based interactive symposium that provides
attendees with cutting-edge medical education in a
peer-to-peer discussion format. The program engages the
practicing physician by linking discussion of the latest
scientific data with its application in the clinical
setting.
Medical Crossfire: Monday, Nov. 12 – Through
debate and authoritative peer-exchange, this Medical
Crossfire will confront issues related to optimal
management of seasonal and perennial rhinitis. This session
will include an interactive exchange during which panel
members will share clinical data and insights about the
impact and action plan for the use of OTC and prescription
agents.
Online registration for the ACAAI Annual Meeting is
fast and easy. You can also view the preliminary program
online and select from a variety of Workshops and Meet the
Professor Breakfasts tailored to your needs.
Remember to register for the Annual Meeting Fundraising
Dinner and performance by world-renowned vocalist and
entertainer Wynonna Judd on Sunday evening, Nov. 11. Net
proceeds from the event will be donated to the ACAAI
Foundation to support The Consortium on Children’s Asthma
Camps, Scholars Return Programs and Young Faculty Support
Awards. The event is supported in part by grants from Alcon
Laboratories, Inc., AstraZeneca LP, Sepracor Inc., and Teva
Specialty Pharmaceuticals.

Dr. Harold S. Nelson (center) won
The Great Asthma Raft Debate 2006: Controller Therapy for
Asthma. Pictured with moderators Drs. Bryan L. Martin (left)
and William K. Dolen.
Hungary faces epidemic of allergic diseases, undertakes
ragweed eradication
ACAAI President Dr. Daniel Ein and International Committee
European Section Chair Dr. Lawrence DuBuske spoke at the
Hungarian Allergy Society meeting in May. Hungarian
allergists are facing an epidemic of allergic diseases,
which has been compounded by a lack of allergy specialists.
“There are few allergy training programs in Hungary,” noted
Dr. DuBuske in his report to the College. “Most care for
asthma patients is provided by primary care physicians. At
least 20 percent of Hungary’s 10 million population have
allergic rhinitis, and 200,000 people have been diagnosed
with asthma.”
Ragweed was first introduced to Hungary as a contaminant of
grain shipped from the United States at the turn of the last
century. It now covers more than 80 percent of the territory
of Hungary and has become the dominant aeroallergen in
pollen counts. Dr. DuBuske noted that current practices
aimed at eradicating ragweed plants seem to be stabilizing
or reducing the ragweed pollen counts in areas where these
initiatives have been successful.
While the economic conditions for practicing allergists in
Hungary have improved greatly in the past 10 years, there is
still a need for more governmental support for allergy
services. Some allergy practitioners who were living on less
than $500 per month 10 years ago are now earning between
$1,000 and $2,000 monthly.
“The College’s International Affiliate Membership, which
includes online access to Annals, AllergyWatch and ACAAI eNews, provides a valuable resource to
allergists with limited incomes in countries like Hungary,”
said Dr. DuBuske, who discussed College membership benefits
in his presentation to 300 attendees.

Faculty at the Hungarian Allergy
Society meeting included Past President Professor Dr. Marek
Kowalski, Polish Society of Allergology; ACAAI President Dr.
Daniel Ein; ACAAI International Committee European Section
Chair Dr. Lawrence DuBuske; Immediate Past President Dr.
Kristof L. Nekam, Hungarian Allergy Society; and Secretary
General Dr. Laslo Soti, Hungarian Allergy Society.
View the new Literature Review Course vodcasts
Presentations from the popular Literature Review Course, Everything You Should Have Read Last Year, But Didn’t,
at 2006 ACAAI Annual Meeting, are vodcast weekly.
The new vodcasts include:
• Food Allergy and Additives – Dr. Sami L. Bahna, (Aug.
15-21)
• Anaphylaxis, Drug Allergy and Stinging Insect
Hypersensitivity – Dr. Anthony Montanaro (Aug. 22-28)
Previous vodcasts from the Literature Review Course, the
International Food Allergy Symposium and the “Asthma
Control: How Are We Doing?” symposium are archived for
continued viewing.
Each vodcast contains the original audio and presentation
slides and can be viewed from a computer or downloaded to a
portable media player (like an iPod). The ACAAI vodcast
program is sponsored by an unrestricted educational grant
from GlaxoSmithKline. |
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AMA
Corner |
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Welcome to the AMA Corner
prepared by Dr. Alnoor A. Malick, ACAAI Delegate to the AMA
House of Delegates, to keep you abreast of important AMA
news and developments impacting allergy-immunology.
AMA to Congress: Stop unfair business practices by health
insurers
In Aug.1 testimony to a U.S. House subcommittee, the AMA
urged lawmakers to prevent health insurers from using unfair
business practices to evade prompt-payment laws. The AMA
called for legislation that would establish a strong federal
prompt-pay standard and protect more robust state prompt-pay
laws, strengthen penalties to keep health plans from
considering fines and other financial sanctions as merely
the cost of doing business, protect physicians from
retaliation by insurers if they pursue remedies under
prompt-pay laws and expand protections to address other
insurer tactics to delay or decrease payments.
Work force study confirms physician scarcity in
Massachusetts
The latest physician work force study released by the
Massachusetts Medical Society (MMS) found physician
shortages in primary care--family practice and internal
medicine--psychiatry and vascular surgery for the second
consecutive year. Anesthesiology, cardiology,
gastroenterology, and neurosurgery remain in short supply.
“Massachusetts may be leading the nation in health care
reform,” MMS President Dr. B. Dale Magee, said, “but we're
falling behind in a critical aspect of patient care, and
that's the supply of physicians.” 
Ethics in brief: Once a doctor, always a doctor
The U.S. Surgeon General's role, as a high-profile official
who is appointed by the President of the United States, may
present conflicts with his or her role as a physician.
Testimony before Congress by several former surgeons general
has brought to light many problems faced by physicians who
are pressured to make decisions that are influenced by those
without the same medical training and judgment, and whose
goals may be quite different from their own.
Whether the case involves politics for public servants,
financial concerns for those in health-related industries or
any other non-medical considerations, physicians are still
obligated to act ethically when making decisions that rely
on their medical training. Recent policy adopted by the AMA
House of Delegates makes this clear: “The ethical
obligations of physicians are not suspended when a physician
assumes a position that does not directly involve patient
care.”  |
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Fellows-in-Training |
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| The
ACAAI “Committee of 200” provides travel grants for
fellows-in-training attending the 2007 Annual Meeting in Dallas.
Grants include airfare and cash awards up to $599. Some 200
travel grants are awarded per year. Travel grant applications are due August 31. |
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Board Review Corner
Welcome to the Board Review Corner prepared by Soo Kim-Delio,
M.D., 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 7 of Pediatric Allergy: Principles & Practices, edited by Donald Y.M.
Leung, et al. Review questions were written by Drs. Bret Haymore
and Soo Hee Kim-Delio, Walter Reed Army Medical Center.  |
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Copyright
© 2007 American College of Allergy, Asthma & Immunology. All
rights reserved.
E-newsletter services provided by the medical editors at Ascend
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