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Proximity to major road
affects respiratory health


More than a third
of urban toddlers
overweight, obese

 
  
Jan. 3, 2007
  
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Who should take the lead in advocacy issues affecting allergists in Washington, D.C.?

Which of the following should be the top lobbying priority?

Distance Learning
2005 Board/Recertification Review Course:
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ACAAI Tape Store
Complete Listing
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2005 ACAAI ANNUAL MEETING
• Symposia Online
Nov. 4-9, Anaheim
Link

2004 ACAAI ANNUAL MEETING
• Symposia Online
Nov. 12-17, Boston
Link

2003 ACAAI ANNUAL MEETING
Nov. 7-12, 2003, New Orleans
• Two Symposia Online
Link

• Plenary Sessions CD-ROM and DVD
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Patient-Centered Allergy Practice
Endorsed by ACAAI, Sponsored by Physicians Practice
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Calendar

JANUARY
New York Allergy Society
Jan. 10
Tel: 212-355-1005
E-mail

WSAAI 45th Annual Scientific Session
Jan. 14-18, Wailea Maui, Hawaii
Tel: 623-266-9148
E-mail


FEBRUARY
2007 Meeting of the Allergy, Asthma & Immunology Society of Georgia
Feb. 2-3, Greensboro, GA
Tel: 770-534-0534
E-mail

2007 AAAAI Annual Meeting
Feb. 23-27, San Diego
Tel: 888-869-0189 (US/Canada)
Tel: 415-979-2277 (International/Local)
Link


MARCH

IX International Symposium on Respiratory Viral Infections
The Macrae Group
March 3 - 6, Causeway Bay, Hong Kong
Tel: (+1) 212.988.7732
E-mail
Link

APRIL
2007 World Immune Regulation Meeting
April 11-15, 2007
Davos, Switzerland
Email
Link

International Conference on Asthma
Impacts of Air Pollution

South Cost Air Quality Management District
April 26-27, Anaheim, CA
Tel: 909-396-2432
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
 
Living near major street affects respiratory health
The closer a person lives to a major road, the more likely he or she is to suffer from respiratory problems, such as breathlessness and wheezing, according to a study in the American Journal of Epidemiology. Scientists at the University of Basel, Switzerland, studied 9,651 randomly selected men and women from 18 to 60 years old who enrolled in a 1991 study. Of those subjects, 8,047 re-enrolled for the second phase of the study in 2002. The subjects’ risk of attacks of breathlessness increased by 13 percent for every 500-meter portions of a major street located within 200 meters of their homes. Subjects whose homes were within 20 meters of a busy road were 15 percent more likely to regularly have phlegm in their breathing passages, while they were 34 percent more likely to have wheezing with breathing problems. However, the respiratory effects from traffic were stronger for men and people who had never smoked.

Study: No association between low serum IgE, rhinosinusitis
Despite previous studies suggesting a relationship between low-IgE and chronic rhinosinusitis, very low serum IgE levels were not associated with chronic rhinosinusitis, according to a study involving pregnant women in the Annals of Allergy, Asthma & Immunology. Researchers from the Medical College of Georgia, Augusta, looked at the clinical history of respiratory illness in 626 pregnant women (who were participating in a study about allergies in offspring) in relation to serum IgE concentrations. Of those women, 21 had serum IgE levels below 2.0 IU/mL. Of the 19 participants with low IgE levels for whom clinical data were available, none reported physician-diagnosed sinusitis. In addition, more women (15.8 percent) with normal IgE than with low IgE (5.3 percent) had physician-diagnosed hay fever.

More than a third of poor, urban toddlers overweight
More than one-third of low-income, urban toddlers are overweight or obese, according to a 20-city study in American Journal of Public Health. And Hispanic children were twice as likely as either black or white children to be overweight or obese. Researchers at the University of Wisconsin at Madison studied nearly 2,000 children using survey, in-home observation, and interview data collected at birth, 1 year, and 3 years. Of all the children in the study, 35 percent were overweight or obese. Of Hispanics, 44 percent were obese. 
 
A message from Dr. J. Allen Meadows, Board of Regents, 2003–2006

College activities on Capitol Hill, future opportunities for members
Greetings from the sunny south. Our president, Dr. Daniel Ein, asked me to update you about our legislative activities and an exciting new opportunity for College members. For the last three years, the Board of Regents has been meeting in the spring with our congressmen and senators, advocating for a number of issues important to allergists. At its November meeting, the Board voted to extend an invitation to the general membership to join in our advocacy activities on Capitol Hill. Before I explain how you can help, let’s examine our current activity and accomplishments:

First and foremost, as Dr. Ein discussed in his last ACAAI eNews column, Congressional action taken before the end of 2006 has stopped the forecasted 5-percent, across-the-board cut in physician payments scheduled for 2007. Your ACAAI Board, working with others including the AMA, has made fixing the Medicare payment crisis a priority during each of our visits to Capitol Hill. Although getting the legislation passed and stopping the cuts was critically important, it was only a temporary reprieve. The bill did not provide a permanent fix to the flawed Sustainable Growth Rate (SGR) formula, which means that unless further action is taken in 2007, cuts will be on the horizon for 2008.

The legislation also established a Medicare Physician Quality Reporting program beginning in July 2007. There is a great deal of ambiguity in the bill’s language as to how the reporting will be implemented, but it appears that physicians who agree to submit data on at least three quality measures will be paid a bonus of 1.5 percent. It is unclear if the bonus will be paid for all claims submitted by the reporting physician or only those claims for which the data has been reported.

The Boards of the College and AMA expect that much work will be needed with the new Congress to improve the quality-reporting framework and to find a permanent fix to the Medicare payment formula. Our membership can help with this goal.

In addition, working with Nancy Sander and AANMA as the primary sponsor, legislation was passed allowing children to carry albuterol at school. We also were encouraged to learn that one of our own, Rep-elect. Steve Kagen (D-Wis.), a practicing allergist from Appleton, Wis., was elected to the U.S. Congress this fall. We are hopeful that the Family Asthma Act will move forward in the new legislative session.

Perhaps most important is the GME issue of diminishing federal support for allergy training programs. I will not repeat in this column the past discussions so eloquently outlined by Dr. William Dolen (Dec. 7, 2005  and Dec. 21, 2005), and in the GME White Paper written by the committee chaired by Dr. John Moffitt, but this appears to be an issue threatening the core of our specialty. The White Paper leads us to an inescapable conclusion about the source of funds (the federal government) needed for allergy GME.

Other specialties have many members attend a legislative day annually in Washington D.C. In my home state of Alabama, more than 150 doctors make an annual trip to Capitol Hill. In March 2006, an estimated 450 ENTs made calls on their congressmen, making them the primary voice for clinical allergy in Washington. Your Board of Regents has decided to expand the activities of allergists on the Hill.

In 2007, the Board is issuing an open invitation for a limited number of members to join us at their own expense (travel and hotel) on Thursday, May 3, to meet with their congressional representatives and their staffs. We are particularly interested in having former and potential future Regents join us, as well as anyone who wants to be more involved. While experience visiting legislators is helpful, it is not required. We are planning an educational session on Thursday morning before our visits to the Hill to help prepare us and to give us materials about the issues we will be addressing. Activities will include role-playing, a presentation by our ACAAI lobbying firm, and a presentation by our AMA lobbyist.

In 2008, we are planning a more extensive meeting, granting CME credit for the educational activities preparing you to go to the Hill. Both meetings will be held in conjunction with AANMA’s Asthma Awareness Day on Capitol Hill, May 2. If you are interested in attending, contact Rick Slawny (rickslawny@acaai.org) for more details.

Voice your opinions by voting in the poll.
 
Association News
 

Annual Meeting programs are now available as video podcasts
Utilizing the latest information delivery technology, the College has launched a new initiative to electronically deliver scientific presentations from this year’s Annual Meeting directly to its members as video podcasts, or vodcasts.

You can retrieve the files manually from the College Web site, or subscribe (at no cost) to an RSS family of Web feed formats, which will automatically send an alert when a new presentation is posted.

Members can view streaming bi-weekly, 30-minute vodcasts of key sessions on their computer or download them as a file directly to a portable media player.

Subscribers can consume content on-demand and don't need keyboard or mouse interfaces to choose channels and items. New episodes show up automatically, so the technology is ideal for on-the-go portable media players and mobile phones.

This new and exciting service is sponsored by an education grant from GlaxoSmithKline.

The first vodcasts contain the slides and audio from the 2006 XII International Food Allergy Symposium. Future vodcasts will feature the symposia “Asthma Control: How Are We Doing?” and the Literature Review Course. Other key scientific sessions and non-meeting related material also will be broadcast throughout the year.

The College invites Fellows to apply for leadership positions
The ACAAI is accepting applications for Vice President for 2007-2008, Treasurer for 2007-2008, and for a position on its Board of Regents for 2007-2010.

All interested Fellows are encouraged to submit a standardized questionnaire with a cover letter and curriculum vitae to ACAAI no later than Feb. 15, 2007. Applicants for the position of vice president must have previously served a three-year term on the ACAAI Board of Regents.

“The College’s application submission process gives everyone the opportunity to express his or her interest in being on the Board of Regents or on track to the presidency,” said ACAAI Past President and Nominating Committee Chair Dr. Myron J. Zitt. “The standardized Nominating Form allows the Nominating Committee to fairly evaluate each candidate’s potential.

“Priority is given to Fellows who have actively participated on College committees or programs. Qualified individuals who applied last year are strongly encouraged to apply again,” Dr. Zitt said.

The Nominating Form will be mailed to all members and is now available online.

Job Source offers job seekers free personalized services
The “Job Source” on the ACAAI Web site has several features to make job searches and career advancements easier than ever.

Easy-to-use Resume Builder allows job seekers to:
Build a professional resume with template content
Customize a resume with fonts, colors, and content
Upload an existing resume and maintain its formatting
Store multiple resumes
Post a resume online so that employers can find you (confidentially, if desired)
Create and send a cover letter along with a resume.
 
My Site section allows you to:
Easily create and maintain your own password-protected career Web site
Include a home page with an introduction
Upload a photo or image of your choice
Post your resume
List your references
Upload or link to articles you’ve written or published
Provide your unique Web site URL to anyone you wish, including potential employers

All features are free to job seekers and easy to use with simple instructions and templates. Visit www.acaai.org/Member and select JOB SOURCE to learn more and get started today. If you have any questions about the ACAAI Job Source, contact our customer care team at 888-884-8242 or infor@healthecareers.com.

A.L.E.R.T. releases third edition of Emergency Medical Services:
Guidelines for the Care of the Latex-Allergic Patient

The American Latex Allergy Association (A.L.E.R.T., Inc.) has released its third edition of Emergency Medical Services: Guidelines for the Care of the Latex-Allergic Patient. This 84-page manual contains resources to educate and assist Emergency Medical Service (EMS) personnel as they strive to create a latex-safe patient care environment. New to this edition is a section detailing each state's epinephrine policies.

Epinephrine is the treatment of choice for anaphylactic allergic reactions, and state policies vary widely as to which EMS personnel are allowed to carry and administer epinephrine. The state policies outlined in the updated manual will be of help to people who wish to determine the level of care in their area, as well as to those who are working toward policy and/or legislative changes in their states.

The manual has been partially funded by Dey Pharmaceuticals, and is now available from the American Latex Allergy Association (A.L.E.R.T., Inc.) for $45.

 
Fellows-in-Training
 

Immunology 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 “Archive” link in the left column.

We are looking forward to yet another productive year and we need your continued participation and infusion of new ideas. Please send your questions, ideas, and comments to your regional representative,
Dr. Bret Haymore, Junior Representative to the BOR, at bret.haymore@cen.amedd.army.mil or myself at drsooheekim@yahoo.com.

The review column will soon be finishing out the clinical chapters from Middleton’s Allergy Principles and Practice, 6th edition. We will be selecting a new text to review, so if you have any suggestions, please contact us.

Immunology Review Corner: Chapter 85 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 Haymore, Walter Reed Army Medical Center; Soo Kim-Delio, Walter Reed Army Medical Center; and Nana Mireku, Children’s Hospital of Michigan.


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