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Cashews cause
worse reactions
than peanuts

For inner city adults,
asthma not worsened
by indoor allergens

 
  
August 15, 2007
  
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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

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Top Stories
 

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.

 

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.

 
Association News
 
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.
 
AMA Corner
 
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.” 
 
Fellows-in-Training
 
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.
 

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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