$Account.OrganizationName
E-Newsletter Update
June 2006
In This Issue
Sign Up
JUNE EVENTS
1) ASK DAY - June 21, the first day of summer marks ASK Day, an annual national day of focus on the Asking Saves Kids (ASK) Campaign. The ASK Campaign is a public education collaboration between the AAP and PAX - an organization offering solutions to gun violence - that urges parents to ask about guns where their children play. ASK Day comes as summer approaches and children will be out of school spending more time playing at friends homes. It's estimated that 40 percent of homes with children have guns, and many of those are stored unlocked or loaded. For more information on ASK Day activities, including obtaining ASK brochures and safety advisories, please contact PAX.
2) 2006 National Safety Month activities will address safety risks and injury prevention tips applicable to the workplace, driving, and the home and community.
3) Summer Safety Tips - Part I
4) Summer Safety Tips - Part II
5) AAP ELECTION INFORMATION - The national AAP election will conclude at 2:00 pm CDT on June 1, 2006. CLICK HERE TO VOTE in this important election.
Congratulations to the Chapter

1) The District Vice Chairpersons (DVCs) selected the chapters that will receive funding for programs that address the goal of eliminating health disparities within specific Healthy People 2010 injury and violence prevention objectives. The committee is happy to announce that the following chapters will receive $20,000 each to develop and implement their programs:

  • Arkansas
  • California Chapter 4 - "Connected Kids" Goes to School: Bringing the message of violence prevention to schools and communities.
  • Massachusetts
  • Washington
  • Wisconsin

2) The American Academy of Pediatrics and the Center for Health Care Quality at Cincinnati Children's Hospital Medical Center are pleased to announce that California Chapter 4 has been selected as one of the chapters to participate in the Partnerships for Quality Leadership Workshop. The workshop will highlight national trends in quality improvement and measurement as well as provide strategies and support at the local level.

Mumps: The mumps outbreak in the Midwest continues with over 4,000 suspected or confirmed cases reported this year. To prevent mumps and reduce mumps transmission, the ACIP has redefined evidence of immunity to include:
  • Documentation of physician-diagnosed mumps OR
  • Laboratory evidence of immunity (positive mumps IgG) OR
  • Birth before 1957* OR
  • Documentation of appropriate mumps-containing vaccination** for age and risk category (defined below):

  •      Preschool children and infants >12 months: 1 dose
         Children in grades K-12: 2 doses
         Adults at high risk (i.e. persons who work in health-care      facilities, international travelers, and students at post-high      school educational institutions): 2 doses (this includes      pediatricians and their staff!!)
         Adults not at high risk: 1 dose

* Unvaccinated health-care workers born before 1957 should consider receiving at least 1 dose of mumps-containing vaccine in a non-outbreak setting (currently); in a mumps outbreak, 2 doses is recommended.

** MMR vaccine should generally be used; MMRV can be considered for children aged 1-12 years if varicella vaccine is indicated.

Please review your immunity status as well as that of your staff and your patients. The close interaction in residential summer camps and/or college campuses may augment transmission and you may have the opportunity in the upcoming months to address these students in their pre-camp or pre-matriculation physicals.

Please continue to report any possible mumps cases within one working day to 714-834-8180 or fax 714- 834-8196. For more information about laboratory testing, see our mumps advisory dated 4/25/06. For more information about vaccination recommendations for health-care workers (HCW) and evaluation/exclusion of exposed HCW, see " Preventing Mumps Transmission in Healthcare Settings" dated 5/25/06.

Avian and Pandemic Influenza: The WHO is investigating a family cluster of human avian influenza cases in Indonesia with possible human- human transmission; sequencing of the virus from this cluster has NOT shown any significant mutation. Ten countries have now reported confirmed human cases of H5N1, the most recent being Djibouti. 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.

Pertussis: Please report all suspect and confirmed pertussis cases to OC Epidemiology at 714-834-8180 (fax 714-834-8196) within 1 working day so we may investigate cases and contacts and decrease transmission in the community. This includes clinical cases without laboratory confirmation or who may have negative testing. If laboratory testing is done, culture and polymerase chain reaction (PCR) from a nasopharyngeal specimen (wash or aspirate) are the most reliable. Direct fluorescent antibody (DFA) testing for pertussis is neither sensitive nor specific and serology is not standardized and difficult to interpret. For treatment or prophylaxis regimens.

West Nile Virus: Additional birds in Orange County have tested positive for WNV this season. Testing for WNV (WNV IgM and IgG) is recommended for all patients with encephalitis, aseptic meningitis (after considering enterovirus), acute flaccid paralysis or atypical Guillain Barre Syndrome, and febrile illness lasting at least 7 days. 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.

For more information on any of the above topics, please call Epidemiology at 714-834-8180.
Prevention of Hepatitis A Through Active or Passive Immunization These are the official CDC recommendations for Hepatitis A vaccination. American Academy of Pediatrics recommendations are expected to be released shortly.

Limited Supply of Meningococcal Conjugate Vaccine, Recommendation to Defer Vaccination of Persons Aged 11-12 Years Sanofi Pasteur currently anticipates that MCV4 demand will outpace supply at least through summer 2006. Therefore, CDC recommends that providers continue to vaccinate adolescents at high school entry who have not previously received MCV4 and college freshmen living in dormitories, but defer vaccination of persons aged 11--12 years until the supply improves.
For the 13th consecutive year, the American Academy of Pediatrics is offering pediatricians an opportunity to put their ideas into action by taking advantage of the funding available through the CATCH Program. The CATCH mission and the focus of the Planning Funds grants are to enable pediatricians to plan innovative community-based child health initiatives that increase access to medical homes or specific health services not otherwise available. A pediatrician or pediatric resident must lead the project and be involved in the proposal development and project activities.

CATCH Planning Funds grants are awarded in amounts from $2,500 to $10,000 on a competitive basis for planning activities such as needs assessments and community asset mapping, feasibility studies, community coalition/collaboration meetings, focus groups, and development of grant proposals for project implementation after the planning phase is complete. Priority is given to projects that will be serving communities with the greatest health disparities. For more information or to apply.

CATCH Resident Funds grants are limited to a maximum of $3,000. Resident grant projects must include planning activities, but also may include some implementation activities. A pediatric resident must lead the project and be involved in the proposal development and project activities. More information and an online application.

The deadline for submission is July 14. Note: Applications will be available online only.

Join more than 750 pediatricians who, through their CATCH projects, have learned that local child health problems can be solved locally, often using local resources.

One pediatrician can make a difference!
May 2006
  1. AAP objects to HealthNet vaccine payment policy
  2. AAP strategies to address vaccine financing issues
  3. AAP and specialty societies oppose Anthem blended rates program in southern Ohio
  4. AMA issues report on Competition in Health Insurance
  5. AAP News article on Messenger Model PPO
Read on....

April 2006
  1. Vaccine addendum to payer contracts now available on-line
  2. Aetna paying for two E/M codes using Modifier-25 and physicians can resubmit denied claims
  3. Participating providers can access Aetna code combinations
  4. Pediatric practice in KY successful in enhancing immunization administration payments
  5. Colorado Senate passes uniform health plan contract bill
  6. AAP News article on retail based clinics
  7. Access to Private Payer Advocacy page is enhanced
Read on....
As summer is approaching, remember that drowning is the leading cause of death among Orange County children age 1-4 years. Last year there were 8 toddler drowning deaths and 16 near drownings in Orange County. National data reveals 280 children less than age 5 years drown and an estimated 2,100 are treated in emergency departments each year. Most occur in residential swimming pools. For about 70% of the deaths, the child was last seen in or nearby the house.

While adult supervision is essential to prevent drowning, inevitable lapses in supervision render this strategy insufficient alone. Therefore, the best prevention strategy is a barrier ñ a 4-sided fence, at least 4 feet high.

Remind parents and child care providers: Swimming lessons for toddlers is not a drowning prevention strategy. See our web site for parent materials and poster. We can also provide posters and parent materials for our office. Contact Annelee Gallegos at 714 971-0695.

The Consumer Product Safety Commission reported an increase in drowning deaths in portable/inflatable pools. The same drowning prevention strategies should be recommended for these pools. It is preferable to empty them after each time they are used.
CME LOGO
Quarterly Dinner Meeting: June 20, 2006
Pediatric Oral Health for Primary Care Providers
Read on......

Quarterly BREAKFAST Meeting: September 9, 2006
A Practical and Powerful Program of Positive Parenting for Pediatric Practitioners
Robert Sege, M.D. and Karen Miller, M.D.
WATCH FOR FURTHER DETAILS - SATURDAY MORNING BREAKFAST MEETING

Current Advances in Pediatrics: October 20- 22, 2006
  • Francine Kaufman, M.D., Keynote Speaker - Endocrinology
  • Lance Brown, M.D. - Emergency Medicine
  • Margaret Fisher, M.D. - Infectious Diseases
  • Timothy Fong, M.D. - Adolescent Medicine
  • Brandie Metz, M.D. - Dermatology
  • Harold Slavkin, D.D.S. - Oral Health
  • Joseph Spahn, M.D. - Allergy and Immunology
  • Joseph Zenel, M.D. - Visual Interactive Pediatrics

  • 28th Annual Las Vegas Seminar - Pediatric Update: November 16-19, 2006
    Read on....

    Deborah Monfea
    California Chapter 4, American Academy of Pediatrics

    phone: 714/971-0695