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Nut allergy passed
via donated plasma

plasma


Illegal drug maker
to halt production

medication

 
  
May 9 , 2007
  
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New treatments for diseases are what 86 percent of readers responding most want to acquire at the Annual Meeting.

 
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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
Email

Link 

XXVI EAACI Congress
June 9-13, Göteborg, Sweden
Tel: +46 8 459 66 00
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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
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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
Intermountain West Allergy Association
Pending ACAAI Joint Sponsorship
July 19-23, Spokane, WA
Tel: 509-924-9722
E-mail 

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

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

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Top Stories
 

Woman receives nut allergy with blood transfusion
Two days after receiving fresh frozen plasma for minor surgery from a donor with a severe nut allergy, an 80-year-old woman (who had never had an allergic reaction to peanuts before) suffered a life-threatening reaction after eating a muffin with peanut butter. This may be the first recorded case of a severe food allergy being passed from one person to another through donated blood, according to an article in the Archives of Internal Medicine. She received aerosolized racemic epinephrine and intravenous corticosteroids, and her symptoms resolved within hours. 

Unapproved drug manufacturer agrees to halt production
The U.S. Food and Drug Administration recently announced the entry of a Consent Decree of Permanent Injunction against a drug manufacturer to stop the illegal manufacture and distribution of prescription and over-the-counter drug products lacking FDA approval. PharmaFab Inc., its subsidiary, PFab LP, and two company officials, Mark Tengler, PharmaFab president, and Russ McMahen, Pfab vice president of scientific affairs, are named in the injunction. Consumers should consult their physicians if they have products manufactured by PharmaFab, such as:

  • De-Congestine Sustained Release Capsules
  • GFN 1200/DM 60/PSE 60 Extended-Release Tablets
  • Rhinacon A Tablets
  • Sudal 12 Chewable Tablets
  • Histex PD 12 Suspension
  • Atuss HX CIII
  • Ergotrate Tablets
  • Hyoscyamine Sulfate Time-Release Capsules



Online asthma program helps urban teens control symptoms
A Web-based asthma management program was effective in helping low-income, mostly minority high school students manage their asthma, according to a study in the American Journal of Respiratory and Critical Care Medicine. Researchers at the Henry Ford Health System in Detroit studied the “Puff City” program, which taught students how to better manage their asthma by focusing on three core behaviors: controller medication adherence, rescue inhaler availability, and quitting or reducing smoking. The 314 mostly black students were randomized into two groups: to receive the Puff City program (treatment) or to access generic asthma Web sites (control) made available on school computers. The treatment group reported slightly fewer nights with symptoms, less missed school, and fewer days of restrictive activity than the control group.

 

John MoffittA message from Dr. John E. Moffitt, chair of the ACAAI GME/Workforce Committee

The ACAAI GME/Workforce Committee concluded that America Faces an Allergy/Asthma Crisis.

Last year, the Committee analyzed trends in allergic and immunologic diseases, estimated the future demand for allergist/immunologists and reviewed data from the two A/I workforce surveys conducted by the American Academy of Allergy, Asthma and Immunology (AAAAI). The findings reveal a very serious problem that will impact the future needs of our patients.

There is a growing shortage of allergists in the United States. Although the shortage does not affect all geographic locations, it is widespread and getting worse. Without intervention, it is estimated that the number of full-time equivalent (FTE) allergist/immunologists will decline about 7 percent by 2020. Meanwhile, demand for these physicians is projected to increase by 35 percent over the same period. New and larger residency programs are needed in allergy and immunology to meet growing patient demand. Our specialty is not unique in this situation, as there are increasing calls for general expansion of the physician workforce, but the shortage in A/I is particularly pronounced.

Asthma and other allergic diseases have become much more common in the United States in the last 40 years. They affect 50 million Americans and are the sixth leading cause of chronic disease. Asthma alone affects 22 million Americans. The annual direct and indirect health care costs for treating asthma in the United States exceed $16.1 billion.

While allergic diseases have grown dramatically, the number of allergist/immunologists is projected to fall because the number and size of training programs have decreased. There is also a growing shortage of primary care and other physicians who also provide care for people with allergic diseases.

In 1994, there were 85 allergy and immunology training programs in the United States. Now, there are just 71. Limited funding is cited as the primary reason for these reductions, which are projected to continue unless action is taken. To keep pace with the growing demand for allergist/immunologists, training programs will need to increase the number of specialists trained by an additional 120 per year.

Attempts to solve the problem – which have fallen short of addressing the need – include self-funding (no salary); support from practicing allergists; pharmaceutical industry funding; local endowment funds; funding by national allergy-immunology organizations; hospital funding and local, state and federal funding. Despite these innovative funding mechanisms, policy changes are required at the national level to provide additional support for Graduate Medical Education (GME) programs in allergy and immunology. We at ACAAI are eager to participate in efforts to find solutions for this problem. It calls for immediate action. On May 4, the ACAAI Board of Regents met with their congressmen and senators in Washington, D.C., to address GME and other issues, which you will be hearing more about in future columns.

The Committee's full report, Allergist Report: America Faces Allergy/Asthma Crises, provides details about our specialty's shortage and examines what is currently being done and what needs to be done now and in the future. A copy of the report has been mailed to all members and also is available on the College Web site: We encourage you to help us by taking our message to your congressman and senators in person or by letter. Contact information for congressmen and senators is available at: http://clerk.house.gov and http://www.senate.gov, respectively.

Patients with allergic diseases deserve the highest quality of care – and nobody does it better than the allergist. Ask your patients to write their congressmen or senators about this pressing issue that affects families and individuals living with asthma and allergies. Ten copies of our new patient brochure were sent to all members. Additional copies can be downloaded from the member Web site.

We will keep you informed about the progress of this important initiative.

Please take a minute to help us determine whether shortages are occurring in your area by completing the Poll survey questions.

 
Drugs and Devices
 

FDA OKs Singulair for adult exercise-induced asthma
The U.S. Food and Drug Administration recently approved montelukast sodium (brand name Singulair) for patients 15 and older who experience exercise-induced bronchoconstriction. According to manufacturer Merck, during clinical testing involving 160 people, patients who took a 10-milligram dose of Singulair two hours before exercise showed a significant reduction in symptoms compared with the control group.

Veramyst approved for seasonal, perennial allergy symptoms
The FDA also recently approved fluticasone furoate (brand name Veramyst) for the treatment of seasonal and perennial allergy symptoms in patients 2 years and older. The manufacturer, GlaxoSmithKline, said the corticosteroid spray — when evaluated in clinical trials involving more than 2,900 adults and children — was effective in reducing itchy, watery eyes, and nasal symptoms, such as congestion, sneezing, and itchy and runny nose. Veramyst is expected to be available throughout the United States by the end of May. more

 
Association News
 

Annual Meeting program on asthma control now available as vodcast
View the newly released video podcast (vodcast) “Asthma Control: How Are We Doing?” as presented at the 2006 ACAAI Annual Meeting. The vodcast lectures include:

  • “How Should We Measure Asthma Control?” – Dr. Allan T. Luskin (May 9-22)
  • “How to Search and Interpret the Medical Literature” – Dr. Lyndon E. Mansfield (May 23-June 5)
  • “Asthma Management to Achieve Control” – Dr. Stephen A. Tilles (June 6-19)

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).

The College will begin posting weekly 30-minute vodcasts featuring the popular Literature Review Course beginning June 20. Previous vodcasts of the International Food Allergy Symposium are archived for continued viewing.

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

Board Review Course attracts 382 attendees
The ACAAI/AAAAI Certification/Maintenance of Certification Board Review Course attracted 382 attendees. The course, held April 19-22 at the Renaissance Hotel in Chicago, featured 35 speakers and 27.5 hours of CME credit.

The program was coordinated by the ACAAI, in conjunction with the AAAAI.

The purpose of the intensive course – made possible by a generous educational grant from Teva Specialty Pharmaceuticals – was to help allergists prepare for the ABAI Certification Exam and the Maintenance of Certification Exam on Oct. 9-13.

Program co-chairs were Drs. Emil J. Bardana Jr., representing the College, and Dennis Ledford, representing the Academy. Opening remarks were made by Dr. Bardana.

Program Co-chairsThe College initiated the ABAI Board Review Course in 1985 to assist fellows-in-training and other physicians in preparing for the certification and recertification exams. It has continually been held in conjunction with the ABAI Exam.

Program co-chairs (from left) Drs. Emil J. Bardana Jr., Dennis Ledford, and Greg Lund, Teva Specialty Pharmaceuticals.

Unable to attend the ABAI review? Course materials now available
If you were unable to attend the ACAAI/AAAAI Certification/Maintenance of Certification Board Review Course held April 19-22, you can take the course from the convenience of your home or office.

The Review Course DVDs, Audio CDs and MP3s are available for purchase at the ACAAI Online Store. Plus, the syllabus is still available for $110 by e-mailing Dianne Kubis at diannekubis@acaai.org. The 2005 and 2006 Question & Answer booklets are also available for $20.

Is your voice fully represented in the AMA House of Delegates?
The College is once again in danger of losing its AMA representation. This happened several years ago but was averted because of a concerted campaign to ensure that those College members, who also were AMA members, designated the ACAAI as the organization for which they were affiliated.

This is your opportunity to help shape health care policy and the positions of medicine’s most influential organization. Make your voice – and the voice of your specialty – as strong as it can be. Making your selection takes just a few moments. If you are a member, but have not chosen an organization to represent you, or if you wish to change your representation, please go to the Members Only page of the AMA Website. After you log in, go to “Specialty Society Balloting” and designate ACAAI as your representative organization.

Dr. William Dolen presents the Scanlon Memorial Lectureship
ACAAI Past President Dr. William K. Dolen delivered the 13th Annual Robert T. Scanlon, M.D., Memorial Lectureship on May 4 at Georgetown University Medical Center, Washington.

AwardThe College has supported the annual lectureship honoring Dr. Scanlon, past president of ACAAI (1993-94), since his death in 1995. The Board of Regents attended the dinner in honor of Dr. Dolen and Mrs. Pat Scanlon, widow of Dr. Scanlon.

Dr. Joseph A. Bellanti presents the Memorial Lectureship Award to Dr. William K. Dolen.

CNN features Nationwide Asthma Screening Program
On May 6, CNN’s “House Call with Dr. Sanjay Gupta” featured the College’s Nationwide Asthma Screening Program. The telecast directed consumers to the ACAAI Web site, showing a full screen shot of its home page. Dr. Gupta interviewed ACAAI Fellow Dr. Kathleen A. Sheerin, Atlanta.

The screening program also is featured in the May issues of Family Circle, Ladies’ Home Journal, Parenting, Self and Weight Watchers magazines and has been highlighted in the Chicago Tribune, AAP News and Internal Medicine News.

 
Fellows-in-Training
 

Board Review Corner
Welcome to the Board Review Corner prepared by Dr. Soo Hee 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.

Beginning with the May 23 issue of ACAAI eNews, the Board Review Corner will feature questions from Pediatric Allergy Principles and Practice edited by Donald Y.M. Leung, et al. We believe a Pediatrics text will add to the depth of information already provided by Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al, and Cellular and Molecular Immunology, edited by Abul K. Abbas and Andrew H. Lichtman, which have been reviewed in the past.

To refer to a previous Board Review Corner, click the “FIT Archive” link in the left column.

Review Questions: Chapter 93 of the Sixth edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al. Review questions were written by Dr. Soo Hee Kim-Delio, Walter Reed Army Medical Center, Washington;


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