 |
|||
|
|||
 |
|
|
|
|||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
|
||||
|
E. coli O157:H7 Outbreak asssociated with
Spinach: On September 14, 2006, the Centers
for Disease Control & Prevention (CDC) and the Food
and Drug Administration (FDA) released alerts about
human cases of E. coli O157:H7 associated
with bagged spinach. As of 9/28/06, 187 persons
from 26 states have been reported with outbreak
strain of E. coli O157:H7. Approximately 50%
were hospitalized and 16% developed hemolytic
uremic syndrome (HUS). Ten percent of the cases
were in children under 5 years of age. Twenty-nine
percent of the cases <18 years of age developed
HUS.
For updated information about the outbreak and
information for consumers. For a fact sheet about E. coli
O157:H7. Please report any suspect or
confirmed cases of E. coli O157:H7, shiga-
toxin producing E. coli, or hemolytic uremic
syndrome immediately to Orange County Public
Health at 714-834-8180.
E. coli O157:H7 Outbreak associated with
Raw Milk: Four cases of E. coli O157:H7
have been reported in children who consumed raw
milk or raw colustrum from Organic Pastures Dairy in
California. The California Department of Food and
Agriculture (CDFA) issued a recall and quarantine
order for all raw dairy products (except aged cheese)
from Organic Pastures Dairy on 9/22/06. For a fact sheet about E. coli
O157:H7. Please report any suspect or
confirmed cases of E. coli O157:H7, shiga-
toxin producing E. coli, or hemolytic uremic
syndrome immediately to Orange County Public
Health at 714-834-8180.
Paragonimiasis (Lung Fluke Infection): We
continue to identify cases of locally-acquired
paragonimiasis associated with consumption of raw
imported freshwater crab. As of 9/29/06, we have
16 confirmed cases, many of whom had not been
treated or evaluated for their symptoms. Of the
patients who had been evaluated, eosinophilia was
often a prominent finding. On 8/29, we sent out
another alert advising clinicians seeing patients with
unexplained eosinophilia to inquire about raw or
undercooked freshwater crab ingestion. For more information. A fact sheet for
patients is also available at that website.
Please note: If you did not receive the
paragonimiasis alert we sent out by blast fax on
8/29/06, contact us at epi@ochca.com or 714-834-
8180 so we may update your contact information.
Blast fax is one of our methods for urgent
communication and we would like to be able to reach
as many physicians as possible.
West Nile Virus (WNV): Two additional
cases of West Nile Virus infection were recently
confirmed in Orange County; thus far, we have
reported 3 cases of West Nile Neuroinvasive Disease,
2 cases of West Nile Fever, and 1 asymptomatic
blood donor this year. Evidence of WNV has been
found widely in the County and State.
WNV testing (WNV IgM and IgG) is recommended
for the following individuals:
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.
Avian and Pandemic Influenza: Birds
infected with avian influenza H5N1 continue to
reported in areas of Asia, Africa, and Eastern
Europe. 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 ń
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.
|
||||
|
||||
|
||
|
As you may know, pediatrician involvement and
chapter partnership are important parts of Healthy
Tomorrows projects. Application guidance strongly
encourages applicants to develop relationships with
their local AAP Chapter during the application
process. Applicants are also required to demonstrate
pediatrician involvement in their project. For these
reasons, applicants may look to chapter leadership
for guidance and assistance. We have developed
Healthy Tomorrows Supplemental Materials to help
applicants and chapters with the application process.
Topics covered in the materials include:
An electronic version is available.
If you would like additional information about the grant cycle. You may also contact Healthy Tomorrows Program staff directly at: Nicole Miller - nmiller@aap.org; 847/434-7082 Karla Palmer - kpalmer@aap.org; 847/434-4279 |
||
|
|
||
|
The American Academy of Pediatrics (AAP) has
issued a new
policy statement opposing the use of Retail-Based
Clinics (RBCs) -
limited, lower-cost services at walk-in facilities
located in
supermarkets, pharmacies and large retail stores - as
a source for
medical care of infants, children and adolescents.
These clinics do
not
support the AAP's commitment to the medical home
model that provides
accessible, family-centered, comprehensive,
continuous, coordinated,
compassionate and culturally effective care for which
the pediatrician
shares responsibility with the family.
The AAP is particularly concerned with the following
aspects of RBC
care:
While the AAP is opposed to the use of RBCs, it does
acknowledge that
these clinics will likely continue to exist. To help
ensure the best
care possible through these outlets, the AAP has
issued the following
guidelines:
In addition, the AAP is opposed to waiving or
lowering co-pays or
offering financial incentives for visits to RBCs in lieu of
pediatricians or primary care providers. These types
of incentives
would further promote the fragmentation of care.
|
||
|
|
||
|
California Chapter 4, American Academy of Pediatrics
Injury Prevention Program is pleased to announce the
launching of the newly designed injury prevention
mini-guide for anticipatory guidance. The Keeping
Your Child Safe Mini-Guide is a comprehensive injury
prevention tool for pediatricians and other health
care professionals. This accordion-style, miniature
guide is designed to be kept in a pocket for quick
reference to help you provide anticipatory injury
prevention guidance during patient visits. All SCIPP
sites will be receiving mini-guides shortly. If you are
not a SCIPP site, please contact Valerie Quintana at
(714) 971-0695 or via e-mail at
vmqaap@sbcglobal.net to request a free copy.
|
||
|
|
||
|
The Bridges for Newborns Network in collaboration
with the Children and Families Commission of Orange
County, the Hospital Association of Southern
California, and California Chapter 4, AAP has created
a
communication tool to help avoid duplication of
services, as well as service gaps for Orange County
families. The goal is to improve communication and
care between non-profit health programs funded by
the Children and Families Commission and the
pediatricians.
This diary is being initiated in the Anaheim area
starting in October and will be initially distributed
through the ten major birthing hospitals when a
newborn is delivered in Orange County. The Child
Health Diary will be presented to Pediatricians by the
families and the goal is for all children to have a diary
that will provide valuable information on the care
they are receiving. Components of the Child Life
Diary include well-child visits, specialists and service
provider information and anticipatory guidelines (car
seat safety, feeding, injury prevention, nutrition,
sleep patterns, daily care, activities, medical, dental,
and developmental follow through).
The Child Health Diary will be rolled out to the rest of
Orange County after the first of the year and after
evaluation of the diary and its value in assisting
physicians. Copies of the Child Health Diary can be
obtained from HASC by calling (714) 750-0788.
|
||
|
|
||
|
Please join the California Chapter 4, American
Academy of Pediatrics in their new ADOPT A
RESIDENT Program.
The Chapter would like to appeal to the generosity of
our chapter membership to request assistance in
shouldering part of the financial cost for the annual
AAP Resident dues. As you all know, the Chapter
has always paid for the annual resident dues of the
almost 100 CHOC and UCI Pediatric Residents. We
firmly believe that if we involve and engage the
residents as Chapter members, they would be more
likely to participate in AAP-sponsored advocacy and
community activities during their future practice.
However, recently the dues have increased this
academic year from $55 to $88 per resident. This
has brought about some hardship on the chapter
being a not-for-profit organization, and relying mainly
on membership dues and grant-sponsored activities
for its finances.
We, therefore, invite you to donate $44 per
resident (tax deductible), which is half of the
annual
dues, for this academic year (July 06 to June 07).
You may sponsor one or more of our residents, whom
we will assign randomly as your adoptee/s. We hope
this will be an exciting venture for you to establish a
relationship with this resident/s especially during our
CME activities and possibly be his/her mentor. We
hope to acknowledge and thank you for your
contribution in our monthly E-Newsletter. Please
contact the Chapter Executive Director, Debbie
Monfea at 714-971-0695 for any questions.
Chapter 4 members who have contributed thus
far:
Phyllis Agran, MD, FAAP (sponsored 2 residents) Quynh Kieu, MD, FAAP (sponsored 1 resident) Maria Minon, MD, FAAP (sponsored 3 residents) Maria Tupas, MD, FAAP (sponsored 2 residents) |
||
|
|
||
|
Welcome New Chapter Members as of June 2006:
Alladdin Abosaida, MD, Jeffrey Armstrong, M.D., Hua Bai, MD, Eric Ball, MD, Maria Chuang, MD, Jon Conti, MD, Gwendolyn Gore, MD, Svetlana Gorodetski, MD, Eric Handler, MD, Rebecca Hicks, MD, Lena Hillenburg, MD, Saowaluck Leelaluckanakul-Tran, DO, Christina Hsin-Chieh Lin, DDS, Penny Murrata, MD, Carla Nelson, MD, Quang-Tuyen Thuy Nguyen, MD, Tien Nguyen, MD, Toral Patel, MD, Jennifer Linfoot Piehl, MD, Ravi Raj Singh, MD, Susan Sobczak, DO, Amy Stenback, MD, Angela Sun, MD, Paweena Thoophom, MD, Taylor Tran, MD, Patrick Walsh, MD, and Taryn Winkle, MD |
||
|
|
|
|
Deborah Monfea
California Chapter 4, American Academy of Pediatrics
email:
ca4aap@sbcglobal.net
phone:
714/971-0695
website:
http://www.aapca4.org
|
|