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E-Newsletter Update
August 2006
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* AAP Private Payer Advocacy Update, July 2006
* AAP Immunization Initiatives Newsletter, July 2006
* AAP Immunization Initiatives Newsletter, August 2006
* NATIONAL IMMUNIZATION AWARENESS MONTH: August is National Immunization Awareness Month, a campaign of the Centers for Disease Control and Prevention's National Immunization Program. As parents and children prepare for the return to school, and the medical community begins preparations for the upcoming flu season, August is the perfect time to remind people of all ages of the importance of immunization. Vaccines have eradicated smallpox, eliminated poliovirus in the U.S. and significantly reduced the number of cases of measles, diphtheria, rubella, pertussis and other diseases. But despite these efforts, people in the U.S. still die from theses and other vaccine-preventable diseases.
* CHILDHOOD OBESITY: Kaiser Permanente, the University of California, San Francisco and the University of California, Los Angeles have partnered to produce this 24-page supplement. It is full of tips to help kids reach and stay at a healthy weight.
* AAP Offers Free Trial of PREP® Audio - Immunization Now & Into the Future
Upcoming CME Events
CME LOGO

Free Obesity Prevention, Physician Champion Training Session
Physicians for Healthy Communities - An Initiative of the California Medical Association Foundation. This training will equip physicians, residents, medical students and health professionals to spread messages about healthy eating and physical activity to schools and community groups in their areas in an effort to curb the growing obesity epidemic.
Date: Saturday, August 12, 2006
Time: 10:00 am - 4:00 pm
Location: Los Angeles Athletic Club, 431 West Seventh Street, Los Angeles, CA
For more information... Click on "Los Angeles" for a registration form.

Quarterly BREAKFAST Meeting, " A Practical and Powerful Program of Positive Parenting for Pediatric Practitioners" and Implementing Connected Kids in Orange County Workshop
Date: Saturday, September 9, 2006
Time: 7:30 am - 1:00 pm
Location: The Beckman Center, University of California Irvine
Quarterly Meeting Registration Form...
Connected Kids Implementation Workshop Registration Form...

AAP National Conference and Exhibition
Dates: October 7-10, 2006
Location: Atlanta, Georgia
For more information...

Current Advances in Pediatrics
Dates: October 20-22, 2006
Location: Irvine Marriott Hotel, Irvine, California
Registration Form...

28th Annual Las Vegas Seminar, Pediatric Update
Sponsored by California Chapters 1,2,3 and 4
Dates: November 16-19, 2006
Location: Venetian Hotel, Las Vegas, Nevada
Registration Form...

New Health Officer: The Orange County Board of Supervisors recently appointed Erick Handler, MD MPH, as the County Health Officer, effective August 1, 2006. Dr. Handler has had extensive experience in clinical and academic medicine as well as public health. Most recently, Dr. Handler served as Chief Medical Officer for the Boston Regional Office of the Centers for Medicare and Medicaid Services. He also served as the Deputy Secretary for Children's Medical Services in the Florida Department of Health from 1996-2000 and as the Chief Medical Officer for the Florida Department of Children and Families from 2000-2003. Originally from Los Angeles, Dr. Handler completed a Pediatrics internship and residency at L.A. County-U.S.C. Hospital and a Pediatric Rehabilitation fellowship at Rancho Los Amigos Hospital. He received his Masters in Public Health from UCLA in 1985 and is a Fellow of the American Academy of Pediatrics.

West Nile Virus (WNV): A mosquito pool has tested positive for WNV in Orange County this year. The presence of positive mosquitoes and birds indicate that human cases may occur at any time.

WNV testing is recommended for the following individuals:
  • All hospitalized patients with encephalitis
  • All hospitalized patients with aseptic meningitis (consider enterovirus first in children; CSF enterovirus PCR is available thorough reference laboratories)
  • All hospitalized patients with acute flaccid paralysis
  • Patients with prolonged febrile illness (> 7 days) and symptoms compatible with West Nile infection who are seen by a healthcare provider

  • Diagnosis is best made by serology (IgM and IgG) for WNV. WNV IgM may be negative early in the course of the disease and repeat serology may be indicated if initial testing was done in the first 10 days after onset of symptoms. A positive WNV IgG alone (in the absence of IgM) may represent prior infection with WNV or other cross-reacting flaviviruses (dengue, St. Louis Encephalitis, or yellow fever, including yellow fever vaccine), but does NOT rule out acute or recent infection with WNV if done in the 10 days after onset.

    West Nile (WN) Virus infection, WN Fever, WN Neuroinvasive Disease, aseptic meningitis and encephalitis are all reportable within one working day to OC Epidemiology at 714-834-8180 or fax 714-834- 8196.

    To receive the Orange County West Nile Virus activity newsletter, the West Nile File, please contact OC Epidemiology at 714-834-8180 or epi@ochca.com.

    Mumps: The mumps outbreak in the Midwest appears to be subsiding but cases can still occur in our area through travel. Please continue to report cases of suspect mumps (defined as unilateral or bilateral swelling of parotid or other salivary glands) to us at 714-834-8180 or fax 714- 834-8196 and review the immune status of your patients and staff. For information about testing, reporting, and updated vaccination recommendations. To view CDC recommendations for summer camps.

    Avian and Pandemic Influenza: Birds infected with avian influenza H5N1 continue to reported in areas of Asia, Africa, and Eastern Europe. Additional human cases have occurred in Thailand after several months of no cases. Clinicians should maintain a high index of suspicion for influenza A (H5N1) in patients with fever and respiratory symptoms arriving or returning from H5N1 affected countries. Please consult Orange County Epidemiology at 714-834-8180 for diagnostic and infection control recommendations. For an up-to-date list of areas with H5N1 in birds or humans or our Questions and Answers-Avian Influenza and Pandemic Influenza. For our newsletter, contact us at 714-834-8180 or epi@ochca.com.

    For more information on any of the above topics, please call Epidemiology at 714-834-8180.
ROR Logo
Barry S. Zuckerman, MD, Board Chair, Reach Out and Read
Perri Klass, MD, Medical Director, Reach Out and Read

For nearly two decades, pediatricians participating in Reach Out and Read (ROR) have made giving advice to parents about the importance of reading aloud accompanied by a developmentally and culturally appropriate books a standard part of care. As a result, more than 16 million new books have found their way into the homes of children, many of them living in poverty. At the same time, we have learned from many studies that this program is effective, not only in increasing the number of books in the home, but in increasing language skills.

Reach Out and Read has been endorsed by the AAP since 1998. More recently, ROR has been collaborating with the Division of Chapter and District Relations to enhance collaboration between chapters and existing and new ROR programs.

In Orange County we are excited to embark on a new relationship with California Chapter 4 and we are especially indebted to the leadership of Dr. Lynn Hunt. With the help of Nancy Donnelly, the newly hired ROR coordinator housed within the Chapter, we are looking forward to growing ROR throughout Orange County. In Orange County there are currently 21 ROR programs at hospitals, health centers and private pediatric practices reaching more than 20,279 children, ages 6 months to 5 years. Collectively you have donated thousands of hours by dedicating a piece of every check-up to books and literacy guidance. Because you do this, your patients are hearing more stories and seeing more pictures and growing up with a better chance of being ready for school and learning to read on time. We thank you for incorporating ROR into your practice and for making books and reading part of a healthy childhood.

List of programs since June 30, 2006:
  • Kaiser Permanente Orange County, Mission Viejo
  • Kaiser Permanente Orange County, Harbor/MacArthur
  • Kaiser Permanente Orange County, San Juan Capistrano
  • Kaiser Permanente Orange County, Yorba Linda
  • Kaiser Permanente Orange County, Irvine
  • Kaiser Permanente Orange County, Lakeview
  • CHOC, Ambulatory Care Clinic
  • UCI Family Health Center, Santa Ana
  • UCI Medical Center Pediatric Pavilion
  • Fountain Valley Talbert Medical Group
  • Tustin Talbert Medical Group
  • Anaheim Talbert Medical Group
  • Talbert Medical Group, Huntington Beach
  • Santa Ana Talbert Medical Group
  • Kaiser Permanente Anaheim/Orange County Medical Center, La Palma Medical Office
  • Kaiser Permanente Anaheim/Orange County Medical Center, Tustin-Santa Ana Medical Office
  • Kaiser Permanente Anaheim/Orange County Medical Center, Garden Grove
  • Kaiser Permanente Orange County, Brea
  • Kaiser Permanente Orange County, Euclid
  • Kaiser Permanente Orange County, Huntington Beach

  • You can help put books into the hands of children growing up in poverty. Please contact the Chapter office, 714/971-0695.

The following committees have member vacancies beginning July 1, 2007:
  • Adolescence
  • Access to Care
  • Communications
  • Environmental Health
  • Fetus and Newborn
  • Genetics
  • Infectious Diseases
  • Injury, Violence, and Poison Prevention
  • Medical Liability and Risk Management
  • Pediatric AIDS
  • Psychosocial Aspects of Child and Family Health
  • Pediatric Research
  • Substance Abuse
  • Quality Improvement and Management

  • Please contact the Chapter office, 714/971-0695, if you are interested in being nominated.
This electronic newsletter has a focus on children with special health care needs in California. It is being produced and distributed by the USC University Center for Excellence in Disabilities at Children's Hospital of Los Angeles in collaboration with partners from a health Resources and Services Administration grant aimed at improving the system of care for children and youth with special needs in California.
An AAP letter to the national carriers urging timely benefits coverage and adequate payment for new vaccines (such as Rotateq and HPV vaccines) and any carrier responses are posted on the AAP Member Center, private payer advocacy page.

For additional information on AAP private payer advocacy, please contact Louis Terranova at lterranova@aap.org or 800/433-9016 ext 7633.

Deborah Monfea
California Chapter 4, American Academy of Pediatrics

phone: 714/971-0695