Chapter Information

2011-2013
Executive Committee

President
Lynn Hunt, M.D.

Vice-President
Sudeep Kukreja, M.D.

Secretary
Margaret Zimmerman, M.D.

Treasurer
Angela Dangvu, M.D.

Past President
Phyllis Agran, M.D.

Young Physicians Rep.
Dean Jacobs, M.D.

Members at Large
Peri Gunay, M.D.
Farrokh Shadab, M.D

Executive Director
Dian Milton, R.N.
dmilton@aapca4.org

California Chapter 4
American Academy of Pediatrics

17320 Red Hill, Ste 120
Irvine, CA 92614
Phone: 949-752-2787
Fax: 949-752-2788

Please visit our website for more information
www.aapca4.org

Join our Mailing List!

A Message From the Chapter

Recently, a tragic event took place at one of our local hospitals where a young child was dropped from a parking structure and suffered fatal injuries. This tragic event brings to light the importance of identifying mothers with post partum depression, which in this situation, was what the mother was experiencing. This event also focuses on how the health care community can provide assessments, evaluations and potential resources for individuals suffering from post partum mood and anxiety disorders. Dr. Vinayak Shanbhag has provided a short article this month on one program in the county that is available to treat this devastating mood disorder. I hope you will take advantage of Dr. Shanbhag's expertise and contact him with any questions you may have.

Thank you,
Dian Milton
Executive Director

Post Partum Mood & Anxiety Disorders

For some women, childbirth is not a happy or joyful event. Nearly 10 to 15 percent of mothers suffer from post partum mood and anxiety disorders. Unfortunately a small percentage go on to develop post partum psychosis, a true medical emergency which if untreated can lead to serious consequences such as suicide and infanticide.

Most mothers do not readily come forward and seek help because lack of knowledge, shame, guilt or fear that their newborns will be removed by child protective service. If properly diagnosed and treated, these mothers can improve significantly with minimal long term mental health impact on the babies.

Screening mothers is the first step towards diagnosing post partum mood disorders. EPDS (Edinburgh Post Natal Depression Scale) is a well recognized screening test which takes less than five minutes to complete. Pediatricians are vital in identifying these mothers due to frequent and regular access to them. Most of the post partum episodes occur within a month of childbirth. However, the first episode can occur up to a year after delivery.

It takes a multidisciplinary approach including primary care physicians, obstetricians, pediatricians, psychiatrist and other mental health provders to both identify and treat post partum mental health problems.

Please contact the St. Joseph Hospital Maternal Depression Project for more information. (714) 771-8101

Vinayak Shanbhag, MD

Chapter Survey

The chapter is undertaking a new project to identify how we can meet our members needs more effectively. Please watch for an electronic survey that will be distributed in the next few days that we hope you will take the time to complete to assist us in identifying how the Chapter can meet your needs as a member and what steps we can undertake to improve our effectiveness in meeting these needs.

Thanks,

Dian Milton

Executive Director

28th Annual Current Advances in Pediatrics Conference

Don't miss this opportunity to register for this excellent conference.

October 21-23, 2011

The Fairmont Hotel

Newport Beach, CA

2011 Faculty

Angela Anderson, M.D., Pediatric Emergency Room

Marsha Anderson, M.D., Infectious Disease

Anthony Mancini, M.D., Dermatology

Jeff Prince, M.D. Child & Adolescent Psychiatry

Jennifer Weiss, M.D. Pediatric & Sports Orthopedics

Basil Zitelli, M.D. Visual Diagnosis

Category I CME: 10-15 hours

Don't forget to register by Sept. 23rd to take advantage of early registration rates! Early registration assures attendance to the workshop of your choice and a discounted rate for the conference.

Click here to register online now!

AAP Mental Health Conference

Last week the Chapter sponsored a very successful conference at the Doubletree Hotel in Orange on the topic of Mental Health Access to Care in Orange County. Dr. Penny Knapp, Medical Director of the California Department of Mental Health and Dr. Genrich, a Pediatrician in Adolescent Medicine, were the keynote speakers. Several community organizations, including CalOptima, the OC Health Care Agency, the OC Psychiatric Society, and Help Me Grow provided brief updates on resources available to physicians when assessing children with mental health concerns. If you were able to join us for this event, we will be placings these resources on our web site very soon to be downloaded for use in your practices. This event was made possible by an educational grant funded by CalOptima and the Chapter appreciates their support in providing this valuable information to the participants of this conference.

Keeping Kids Safe Request for Application

Would you like materials for your office or for a community event?

The Chapter's Injury and Violence Prevention Program has an ongoing mini-grant request for application (RFA) for our Keeping Kids Safe and Connected Kids: Safe Strong Secure injury and violence prevention program materials. The Keeping Kids Safe materials are designed to be used for anticipatory injury prevention guidance in health settings by physicians and other health care providers, as well as community based organizations serving children ages 0-5 years in Orange County. Connected Kids: Safe, Strong, Secure is a national AAP program which offers a comprehensive, asset-based approach to anticipatory guidance, focusing on helping parents and families raise resilient children.

Please click here to download the RFA, or visit ockeepkidssafe.org

Infectious Disease Updates

Orange County Public Health
Update from Epidemiology, Sept. 7, 2011

West Nile Virus (WNV) update:

The first human WNV case in Orange County for 2011 was reported last month. Mosquitoes and dead birds continue to test positive for West Nile Virus (WNV) each week and we anticipate additional human cases in Orange County this season.

Typhus update:

Five cases of flea-borne typhus have been reported in Orange County in the past three months.Signs and symptoms of typhus may include fever, headache, myalgia, rash, aseptic meningitis, transaminitis, thrombocytopenia, and/or leukopenia. Empiric therapy with doxycycline should be started in suspect cases pending laboratory confirmation as testing turnaround may take several days and early treatment can prevent severe and fatal infections.

For more information on WNV or typhus, see our 8/26/2011 issue of CD Connection, posted at www.ochealthinfo.com/epi/cd, or see www.ochealthinfo.com/epi. To receive CD Connection issues by email, sign up for influenza updates (Eye on Influenza), and/or receive alerts from public health, email epi@ochca.com or call 714-834-8180.

Health Advisory on Pneumococcal

The California Department of Public Health has received a report of young child who died in 2011 from invasive pneumococcal disease (IPD). This child died from IPD caused by Streptococcus pneumoniae serotype 19A, one of six serotypes that are protected against by the13-valent pneumococcal conjugate vaccine (PCV13) but not by 7-valent pneumococcal conjugate vaccine (PCV7). In addition, at least 29 other California children have developed nonfatal vaccine-preventable IPD since PCV13 became available.

CDPH reminds healthcare providers to protect pediatric patients who have completed an age-appropriate series of PCV7 with one additional dose of PCV 13, including:

· All children 14 through 59 months of age

· Children 60 through 71 months of age with specified underlying medical conditions

Click here to see additional information from CHPH.

Tdap School Law Update

Stop pertussis from coming back to school --Immunize with Tdap now to protect your patients

Pertussis is widespread in California, with its seasonal incidence highest during summer and fall. Hundreds of thousands of adolescents in California may not yet have received a dose of Tdap booster vaccine, leaving them vulnerable to catching pertussis now and, whether from illness or the new school law, missing classes in the fall.

To assist understaffed schools with their recordkeeping, a recent amendment to the law gives schools the option to extend the deadline for students to show proof of vaccination for up to 30 days beyond the first day of school - check with your local schools on whether they are using this option. Regardless of any extensions, protect your unimmunized patients by giving them Tdap as soon as possible.

Please take the following steps to help your adolescent patients:

1) Be prepared for a rush of last-minute Tdap appointments.

· Apply seasonal flu vaccine strategies to Tdap: e.g. drop-in visits, special clinic hours.

2) Repeatedly remind patients about Tdap by mail, telephone, emails and clinic displays.

3) Keep track of which patients have and haven't received Tdap.

4) Immunize your patients with Tdap NOW if they haven't had it yet.

5) Provide clear documentation of Tdap immunization that your patients can bring to school.

· See http://shotsforschool.org/documents/IMM-1034.pdf

6) Ensure that you have adequate vaccine supplies and proper storage for them.

For additional resources for clinicians about the new Tdap school law, please visit www.shotsforschool.org/providerinfo.html.

Vaccine Update on TIV and PCV13

Febrile Seizures Associated with TIV & PCV13 in Young Children

The 2011-2012 inactivated influenza vaccine VIS states that, "young children who get inactivated flu vaccine and pneumococcal vaccine (PCV13) at the same time appear to be at increased risk for seizures caused by fever."

Visit the link for the interim provider notice from the CDC: http://www.cdc.gov/vaccines/pubs/vis/tiv-pcv-note.htm

PURPLE is Our Favorite Color

California Chapter 4 wishes to thank Ronald McDonald House Charities of Southern California for their generous support of the Period of PURPLE Crying® Program in Orange County. The program provides education and support to families of newborns regarding the normalcy of infant crying and the dangers of shaking a baby. This funding is providing program kits to St. Joseph Hospital, Mother-Baby Assessment Center.

Phyllis Agran, MD receives generous donation to the Chapter from Peter Horner, President of Ronald McDonald Charities of Southern CA

For more information about the Period of PURPLE Crying® and how you can implement the program in your practice, please contact Jamie McDonald at jmcdonald@aapca4.org or (949) 752-2787.

Educational Opportunities

2011 Children and Youth Summit

Join Orange County Fifth District for a morning focused on building Healthy Families and Healthy Futures

Friday, September 30, 2011

9:00AM to 11:30AM

Bell Tower Community Center

22232 El Paseo

Rancho Santa Margarita, CA 92688

Click here for the event flyer!

Prevention and Management of Gastrointestinal Disorders

Speaker: Phyllis Agran, MD

Thursday, September 22nd, 2011

9:00AM to 11:00AM

480 S. Batavia Street

Orange, CA 92868

Click here for the event flyer and registration information.

CHOC Childhood Obesity Prevention Symposium

CHOC Children's will be hosting a childhood obesity prevention symposium: "Is it Weighing on You? Managing Childhood Obesity in the Primary Care Setting".

On November 2, 2011 from 8:00AM to 11:00AM

View the event flyer for details and registration information

33rd Annual Las Vegas Seminars

The American Academy of Pediatrics, California District presents the

33rd Annual Las Vegas Seminars

Pediatric Update / CME

November 17-20, 2011

at Caesars Palace, Las Vegas, Nevada

website: www.aap-ca.org

http://www.aap-ca.org/events/registrations/new/2011_las_vegas

or call 626-796-1632

National AAP News

Renew AAP Membership in Order to Vote

Message from AAP:

The national AAP election is now available to cast your vote. In order to vote, you must be a Fellow, Specialty Fellow, Retired Fellow, or Emeritus Fellow in good standing.

Voting members will receive an e-mail announcement from the AAP Election Coordinator containing your personalized link to the election ballot. The ballot link may also be accessed by logging on to the Member Center of the AAP Web site.

If a member is unable to access the ballot via either the e-mailed link or the Member Center, they should check their membership status at "My Account" or they may contact the Customer Service Center, M-F 7:00 a.m. to 5:30 p.m. Central Time at 866-THE-AAP1 (843-2271) or e-mail at csc@aap.org.

National AAP Election Candidate Videos

The National AAP Election Center has information on the two President-elect candidates, Drs Mary Brown and Tom McInerny, as well as individuals running for district office. Videos of their responses to the following questions have been posted to the National AAP Election Center on the AAP Member Center (http://www.aap.org/moc/vp/eleclink.htm ):

1. How do you propose to deal with the economic survival of practicing pediatricians, particularly in rural areas, and have the focus of the Academy on some of these conditions that are putting pediatricians out of business?

2. Given the complexity of issues around health care reform, and that pediatrics is clearly not the driver of the issues that are facing medical costs, and the fact that 17% of DGP is from medical costs, what strategies would you apply to ally our efforts with adult medicine - there has been a lot of discussion around life course, life span, and prevention - so how can we have partners that speak to the causes for pediatrics in adult medicine, and really not be at odds, but really in sync with them?

3. Can you share your ideas on how we might recruit our younger colleagues to become more involved in the Academy, and not just our younger colleagues, but also our ethnically diverse colleagues?

4. Considering our involvement with international pediatrics, with Helping Babies Breathe and other initiatives internationally, I would like to know, what should be the role of the AAP in international pediatrics, as far as things like Helping Babies Breathe, etc.?

Please check out all of the information on the candidates, and make an informed choice when you vote in the AAP election that begins September 1, 2011. Watch for an e-mail message from the AAP Election Coordinator in early September, which will contain your personalized link to the election ballot. If you have any questions or need more information, please contact Jan Page (jpage@aap.org).

AAP Chapter Adolescent Health Assessment Survey

The AAP Adolescent Health Partnership Project and the AAP Section on Adolescent Health (SOAH) would like to learn more about adolescent health activities occurring at the chapter level. Please complete a brief survey, at the following link (https://www.surveymonkey.com/s/9LDTCBT), addressing your chapter members' needs around adolescent health issues. The AAP SOAH plans to use this information to develop activities and/or resources to support chapters' adolescent health initiatives.

In addition, the results of this assessment and other current activities will be discussed at the Adolescent Health Networking Session on Sunday, October 16th, from 1:30 - 3:00 PM, at the 2011 National Conference and Exhibition.

If you have any questions, please contact Charlotte O. Zia, MPH, CHES, Program Manager, AAP Adolescent Health Partnership Project, at czia@aap.org or 800-433-9016, extension 7870.

Opportunity to Support the UCI Medical Students

Help from faculty and residents at UC Irvine Medical School is needed to teach UC Irvine medical students about pediatric topics for the 2^nd annual Pediatric Day on November 5, Saturday, 8 am - noon, Irvine Campus in the Medical Education Building. This is a mandatory session for the entire 2^nd year UC Irvine medical student class as part of their Clinical Foundations II (CFII) course. Faculty and residents are needed to teach the students as they rotate through the various stations in groups of about 6 students per group.

Last year's modules included the following:

Simulation Center (newborn, infant, and child models)

Apgar score

Heart murmur evaluation

BLS

Intubation

Vaccine/PPD administration

Clinical Skills Center (with real kids)

Developmental milestones in a toddler

Ear, abdominal, lung exam in school age child

HEADDSS interview in adolescent

Please save the date on your calendar and contact if you wish to support this event: