CA4AAP
California Chapter 4, American Academy of Pediatrics
Quarterly Newsletter
October, 2007
In This Issue
Physician Hours of Service
AAP Safer Healthcare for Kids February Webinar
Orange County Public Health Update from Epidemiology, October 18, 2007
National Children's Study Announcement
CA Chapter 4 Reports Monthly, MD Hours of Service to the Children of OC for the Month of October
 
Physician Hours of Service
 

AAP Chapter 4  has collaborated with The Children's and Families Commission of Orange County, working to forward our shared vision for healthier children in Orange County. As part of this collaboration, The Commission is helping us offset some of our expenses in return for service hours performed by our community pediatricians. The attached form is to be used to help you document those hours. This can include any volunteer hours you perform to help better the lives of Orange County children. Examples include, but are not limited to:  participation in community fairs or carnivals, presenting talks to parents, teachers or students, teaching residents or medical students in your office, participating in one of the existing AAP programs, advocating for children's healthcare (letters or calls to legislators), volunteering in O.C. community clinics, or any other activity that helps children in O.C.

 

If you are not sure if an activity qualifies, please contact us at the AAP office. We appreciate your assistance in this very important endeavor.

 
   Micheal Weiss, D.O.
   President, AAP Chapter 4
 
 
  Please fax or email a copy of your monthly hours of service for AAP to:

 

   Dian Milton

   (714) 971-0652 Fax

   dianmilton@sbcglobal.net

AAP Safer Healthcare for Kids February Webinar

 

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Patient safety is the freedom from accidental injury due to medical care or from medical error and is recognized as an important issue in health care, particularly for our most vulnerable population -- children. The conclusions drawn by recent studies on the incidence of medical errors in pediatrics, including medication and non-medication errors, are disturbing and might lead you to wonder what you can do to ensure the delivery of safe health care to your patients.

 

The Safer Health Care for Kids program is designed to serve as a comprehensive resource for physicians, allied health professionals, administrators, parents, and caregivers, who share this commitment. 

 

A series of one-hour Web-based seminars, or "Webinars," is available on various topics within pediatric patient safety.  There is no fee to register, and you can participate from the comfort of your office or home, and learn new strategies that you can immediately put into practice to prevent medical errors.

 
 

Mark your calendar now to participate in the next live Webinar:

 

Racial/Ethnic Disparities and Patient Safety

Thursday, November 15, 2007

12:00 - 1:00 p.m. Eastern Time

 

This activity has been approved for AMA PRA Category 1 Credit ™.

 

Hurry!  Registration deadline is November 14.

 

For more information, and to register for this Webinar, Click Here

 

Also, be sure to visit the Safer Health Care for Kids website at http://www.aap.org/saferhealthcare to view our full archive of past Webinars.

 

Please direct any questions about this Webinar or the Safer Health Care for Kids program to saferhealthcare@aaporg.

 

Orange County Public Health Update from Epidemiology, October 18, 2007

 

Meningitis in cochlear implant recipients

Two recent deaths from meningitis in children with cochlear implants remind us of the increased risk of bacterial meningitis in these patients and the importance of fully immunizing them.  Recommendations for health care providers caring for children with cochlear implants are available at http://www.fda.gov/cdrh/safety/101007-cochlear.html.  Information for parents and caregivers of children with cochlear implants is available at http://www.fda.gov/cdrh/medicaldevicesafety/atp/101007-cochlear.html.

 

Influenza season 2007-2008:  Influenza season is starting.  All patients who present to a healthcare setting with fever and respiratory symptoms should be managed according to CDC's recommendations for Respiratory Hygiene and Cough Etiquette, available at www.cdc.gov/flu/professionals/infectioncontrol/resphygiene.htm.

 

We encourage you to become a sentinel provider and participate in influenza surveillance, which just takes a few minutes a week.  In return, you will receive specimen kits for viral isolation, rapid test kits, weekly summaries of local influenza activity, and subscriptions to MMWR and Emerging Infectious Diseases journals.  The most consistent reporters also receive medical handbooks.  For more information, contact Michele Cheung, MD MPH at mcheung@ochca.com or 714-834-7729.

 

To receive our influenza newsletter, Eye on Influenza, email epi@ochca.com or call 714-834-8180.  Issues are also posted at www.ochealthinfo.com/epi/flu/surveillance.htm.

 

Endemic typhus:  Recent pediatric cases of endemic typhus acquired in Orange County remind us to consider this flea-borne rickettsial disease in patients with fever, headache, myalgia, and/or rash.  For more information on typhus, see our CD Connection newsletter, August 13, 2007 edition, available at http://www.ochealthinfo.com/epi/cd_news/index.htm.

 

To receive the CD Connection newsletter, which includes updates on emerging diseases and communicable diseases, please contact Epidemiology at 714-834-8180 or epi@ochca.com.

 

Infant with constipation, weakness (poor suck, gag, or cry), and loss of tone?  Consider infant botulism in your differential diagnosis.  Six infants have been confirmed with infant botulism in Orange County since 2006.  Prompt treatment with BabyBIGÆ (botulism immune globulin) significantly reduces the length of hospital stay and associated hospital costs in patients with infant botulism.  For more information on the disease, testing, and treatment, see the California Department of Public Health (CDPH) Infant Botulism Treatment and Prevention Program website at http://www.infantbotulism.org/.  A physician is available 24-7 at (510) 231-7600 to assist with prompt treatment of suspect cases of infant botulism.

 
 
 
 
 

UCI Department of Pediatrics Recieves a total of 26 million to Study The Effects of Environmental and Genetic Factors
in Child and Human Health

 

The National Children's Study announced today that it awarded contracts in late September to 22 new study centers to manage participant recruitment and data collection in 26 additional communities across the United States. Funding for the new study centers and the study's initial phase is a result of a $69 million appropriation from Congress in fiscal year 2007.

The National Children's Study is the largest study to be conducted on the effects of environmental and genetic factors on child and human health in the United States. The study will follow a representative sample of 100,000 children from before birth to age 21, seeking information to prevent and treat some of the nation's most pressing health problems, including autism, birth defects, diabetes, heart disease, and obesity.

"The National Children's Study is poised to identify the early antecedents of a broad array of diseases that affect both children and adults," said Elias A. Zerhouni, M.D., Director of the National Institutes of Health. "Such insights will lead to the means to successfully treat and even prevent conditions that to date have defied our best efforts."

"Today's announcement represents a milestone for the National Children's Study," said Duane Alexander, M.D., Director of the NIH's National Institute of Child Health and Human Development, at today's briefing. "The addition of new study centers will move the study closer to its goal of recruiting more than 100,000 children representative of the entire population of American children."

"Study researchers will examine not only what children are eating and drinking, but what's in the air they breathe, what's in the dust in their homes, and their possible exposures to chemicals from materials used to construct their homes and schools," Alexander said. "The researchers also will analyze blood and other biological samples from study participants to test for exposure to environmental factors and examine whether those factors might influence their health."

The study centers will manage the study in 20 states. There are study locations in both urban and rural areas. Fifteen locations are in the Eastern part of the country, and 11 are in the West. (See page 3 for a complete list of Centers and the locations they will manage).

The National Children's Study began in response to the Children's Health Act of 2000, when Congress directed the NICHD and other federal agencies to undertake a national, long-term study of children's health and development in relation to environmental exposures. (See: Section 1004, <
http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=106_cong_bills&docid=f:h4365enr.txt>.) Today's announcement of new study centers follows earlier study milestones, including the 2004 announcement of the 105 study locations and the establishment of the Vanguard centers (the first seven centers, established in 2005).

The study is a collaborative effort between the U.S. Department of Health and Human Services (including the National Institute of Child Health and Human Development, the National Institute of Environmental Health Sciences at the NIH, and the Centers for Disease Control and Prevention) and the U.S. Environmental Protection Agency. In total, the study is planned to be conducted in 105 previously designated study locations across the US, including the new sites.

 
Additional information about the National Children's Study is available from <http://www.nationalchildrensstudy.gov>.
 
 

National Children's Study Centers


Brown University with National Opinion Research Center and Women and Infants Hospital for Providence County, Rhode Island


Children's Hospital of Philadelphia with Drexel University, Philadelphia Health Management Corporation, University of Pennsylvania, Pennsylvania State University, Schuylkill County Commissioners, Pottsville Hospital/Warne Clinic, University of Delaware Christiana Care, and A.I. DuPont Institute Hospital for Children for Schuylkill County, Pennsylvania and New Castle County, Delaware


Emory University with Morehouse School of Medicine and Battelle Memorial Institute for DeKalb County, Georgiaand Fayette County, Georgia


Johns Hopkins University with Drexel University, Battelle Memorial Institute, and Children's National

Medical Center for Baltimore County, Maryland


Michigan State University with Henry Ford Health System, University of Michigan, Wayne State University, and Michigan Department of Community Health for WayneCounty, Michigan


Mount Sinai School of Medicine with Columbia University College of Physicians and Surgeons and School of Public Health, University of Medicine and Dentistry of New Jersey, Environmental and Occupational Health Sciences Institute, and Battelle Memorial Institute for Nassau County, New York


… Northwestern University with University of Chicago, University of Illinois at Chicago, National Opinion Research Center, and Children's Memorial Hospital for Cook County, Illinois


… St. Louis University with Southern Illinois University (Schools of Medicine, Dentistry, and Nursing), Washington University School of Medicine, and local office of Battelle Memorial Institute for Macoupin

County, Illinois and St. Louis, Missouri


… University of California, Davis with Sacramento Department of Health and Human Services and Battelle Memorial Institute for Sacramento County, California


… University of California, Irvine with San Diego State University; University of California, San Diego; California State University, San Bernardino; Loma Linda University, and California State University,

Bakersfield for San Diego County, California


… University of Hawaii at Manoa with Kaiser Permanente; Johns Hopkins University; and University of California, Irvine for Honolulu County, Hawaii


… University of Massachusetts with Clark University, National Opinion Research Center, and Harvard University for Worcester County, Massachusetts


… University of Minnesota with National Opinion Research Center, Health Partners Research Foundation, and St. Paul-Ramsey County Department of Health for Ramsey County, Minnesota


… University of Mississippi with Tougaloo College, Jackson State University, Mississippi Department of Health, and Community Outreach for Health Awareness for Hinds County, Mississippi


University of New Mexico for Valencia County, New Mexico


University of North Carolina at Chapel Hill with Duke University, Battelle Memorial Institute, and McMillan and Moss Research for Rockingham County, North Carolina


… University of Pittsburgh with National Opinion Research Center, Pennsylvania State University, and University of West Virginia for MarionCounty, West Virginia and Westmoreland County, Pennsylvania


University of Texas Health Science Center at San Antonio for Bexar County, Texas


University of Utah with Utah State University for Cache County, Utah


University of California, Los Angeles with RTI International; Cedars Sinai Medical Center; and University of Southern California for Los Angeles County, California


… University of Washington with Fred Hutchinson Cancer Research Center and Seattle/King County Public Health Department for King County, Washington


Yale University for New Haven County, Connecticut