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Maternal diet
might influence
baby’s allergy odds.


CDC: Flu vaccine
rates still too low
among asthmatic kids.

 
  
Mar. 14, 2007
  
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How many of your asthma patients have made the transition to HFA MDIs?

Have your patients commented about the difference between CFC and HFA albuterol?

Did you use the transition as an opportunity to reassess your patients' treatment program?

Distance Learning
ACAAI Podcast/Vodcast Library
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2006 ACAAI Annual Meeting CD-ROM
Plenary Sessions
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International Food Allergy Symposium
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Periodicals
Annals of Allergy, Asthma and Immunology
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Calendar

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

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

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

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
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Link 

Asthma & Allergy Society of Virginia Annual Meeting
June 15-17, Winchester, VA
Tel: 757-481-4383
E-mail

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
E-mail 
Link

25th Annual Aspen Allergy Conference
July 24-28, Aspen, CO
Conference Coordinator: Jill Hibbeln
Tel: 720-384-5917
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Link


ONGOING
World Allergy Organization Society Meetings

ACAAI CME Website
Contact: Mary Campbell
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Top Stories
 
Mom’s pregnancy diet tied to baby’s allergic disease risk
What a mother eats while pregnant may affect her child’s risk of allergic disease, according to a study in American Journal of Clinical Nutrition. Scientists at GSF-Institute of Epidemiology, Neuherberg, Germany, analyzed data from 2,641 children, examining associations between maternal diet during the last four weeks of pregnancy and offspring allergic disease and eczema at two years. High maternal intake of margarine and vegetable oils during the period were linked to eczema during the first two years. High fish intake seemed to offer protection against eczema.

Flu vaccine rates still low among kids with asthma
Influenza vaccination coverage remains low among children with asthma, although their coverage is three times higher than among their peers without asthma, according to a study in Morbidity and Mortality Weekly Report. Researchers at the Centers for Disease Control and Prevention analyzed National Health Interview Survey data for 5,124 children from 2 to 17 years old during the 2004–2005 influenza season. The coverage rate among children with asthma was 29 percent, compared with 10.3 percent among children without asthma.
 
A message from ACAAI Past
President Dr. Ira Finegold

Even though the final date set by the FDA after which albuterol CFC can no longer be sold is Dec. 31, 2008, the transition is here and now, well at hand.

As most of you know, this transition is mediated by an international agreement, the Montreal Protocol. The initial agreement in 1987 was a response to the information that the hole in the ozone layer of the stratosphere was increasing. The ozone layer acts as a protective barrier between the earth’s surface and the sun. Ozone depletion has been linked to increased levels of harmful UV radiation reaching the earth’s surface. This, in turn, leads to health risks, such as melanoma, which would increase because of this ozone disappearance.

The depletion of ozone has been attributed to manmade chemicals, especially chlorofluorocarbons (CFCs). The CFC propellants rise to the stratosphere where they break down liberating chlorine, which acts as a catalyst converting ozone to oxygen. So the propellant needed to be changed in metered dose inhalers (MDIs). Ultimately, after considerable expense and trials, hydrofluroalkanes (HFAs) were developed. In the development of these products, it turned out that just introducing HFA propellants into the CFC devices led to malfunction. An all-new delivery system needed to be designed, and these second-generation inhalers actually deliver better products. Some of these are in solution, while others remain in suspension. HFA is not as cold as CFC as it enters the respiratory tract, and the propellant emerges at a lower velocity than CFC propellants.

Since 1995, I have been the ACAAI representative to the U.S. Stakeholders’ Group on MDI Transition, a coalition of medical professional societies and patient organizations interested in this transition. The group was always concerned about transition to these new aerosols, as well as ensuring an adequate supply so that all patients would be served. So far, HFA products include HFA albuterol, HFA Ipratropium, HFA levalbuterol, HFA beclomethasone, and HFA fluticasone alone and with salmeterol. In addition, other HFA products will be available in the near future, such as HFA budesonide with formeterol, and HFA ciclesonide.

In October 2006, the EPA recommended that CFCs no longer be allocated for use in albuterol MDIs. This was done to ensure that all patients transition in advance of the deadline, and to ensure that the HFA albuterol supply is adequate before CFC albuterol can no longer be sold. (CFCs will still be available for some products such as Combivent, which is anticipated to have an HFA product in 2010 or 2011.) This means that the transition is here and now. By the end of this year, there should be no CFC albuterol being sold. Supplies are adequate and there are various promotions by the manufacturers available for patients who may have hardships with the increased costs or co-pays. At this time, there are no generic HFA albuterols being sold. Note that this transition only applies to CFC-Albuterol at this time.

As physicians use this transition period to inform patients about this change, they also can take it as an opportunity to re-evaluate asthma control and medication usage.

Please take a moment to answer the three poll questions and also share your concerns about the CFC albuterol transition by using the poll’s comment feature.
 
Drugs and Devices
 
Accentia Biopharmaceuticals acquires license to Revimmune
Accentia Biopharmaceuticals Inc. recently acquired rights for Revimmune, a patent-pending pharmaceutical treatment in late-stage development for a variety of autoimmune diseases. Revimmune uses an ultra-high intensity, short-course of an intravenous formulation of cyclophosphamide. 
 
Association News
 

Register online for the Board Review Course, April 19-22
Online registration is fast and easy for the ACAAI/AAAAI Certification/Maintenance of Certification Board Review Course, April 19-22, 2007, at the Renaissance Hotel in Chicago. Online registration closes on Wednesday, April 11, at 11:59 p.m.

Whether you are preparing for the ABAI exam, working toward recertification or simply reviewing and strengthening your skills, this intensive Board Review Course will give you the winning edge.

The Board Review Course is developed and presented by a conjoint committee appointed by ACAAI and AAAAI. As ABAI is the certifying organization for the specialty — and separate from these educational organizations — ABAI directors responsible for preparing the 2007 ABAI examinations are not involved with the course presentations. Content outlines for the examination are available on the ABAI Web site.

The Conjoint Planning Committee includes Drs. Emil J. Bardana, Jr. (Co-Chair), Dennis Ledford (Co-Chair), Thomas A. Fleisher, David A. Khan, Phillip Lieberman, Kathleen R. May, Dennis R. Ownby and William T. Shearer.

The Board Review Course is sponsored by IVAX Laboratories, Inc., a member of TevaGroup.

Annual Meeting programs available on CD-ROM
All Plenary Sessions, the Literature Review Course and the International Food Allergy Symposium from the 2006 ACAAI Scientific Meeting are now available on CD-ROM.

The CD-ROMs may be purchased individually or as a set of three containing more than 20 hours of scientific presentations. PC- and Macintosh-compatible, the CDs include all slides and the original presenters’ audio narration.

The Annual Meeting CD-ROMs may be purchased through Blue Sky Broadcast by completing the Order Form available on the College Web site, or by calling (877) 925-8375 from 7 a.m. to 4 p.m. Pacific time.

You decide when and where to view
vodcasts of the Food Allergy Symposium

Every second week, the College posts a new 30-minute vodcast of a key scientific presentation. Each vodcast contains the original audio and presentation slides and can be viewed from a computer or downloaded to a portable media player (such as an iPod). Previous vodcasts are archived for continued viewing.

This month’s vodcasts from the 2006 Food Allergy Symposium feature:
• “Cross-Reactivity of Foods” – Amal H. Assa’ad, M.D., Cincinnati, Ohio (Archived: Feb. 28 – March 13)
• “How Hypoallergenic are ‘Hypoallergenic’ Formulas – Sami L. Bahna, M.D., Dr.Ph. Shreveport, La. (New: March 14-27)
• “Luisa Businco Memorial Lecture: Infant Weaning and Food Allergy – Alessandro Fiocchi, M.D., Milan, Italy (Coming: March 28 – April 10).

The ACAAI vodcast program is sponsored by an unrestricted educational grant from GlaxoSmithKline.

 
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 89 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 and Soo Kim-Delio from Walter Reed Army Medical Center.

Copyright © 2007 American College of Allergy, Asthma & Immunology. All rights reserved.

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