Pediatric Academic Societies and American Academy of Pediatrics Joint Meeting May 12-16, 2000 Hynes Convention Center, Boston

Friday, May 12

1:00 pm - 4:00 pm - WORKSHOPS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

WS04 Academic General Pediatrics: An International Perspective
Despite similarities in the clinical and public health problems facing children in most industrialized countries, wide differences are found in the goals and challenges facing academic pediatric generalists from one country to another. Approaches vary with respect to training of residents for primary care vs consultant practice, interaction with diverse health care systems (fee-for-service, capitation, universal insurance, managed care), funding for research and research training, and faculty salary arrangements.

This workshop will compare and contrast the perspectives of academic general pediatrics in the U.S., Canada, the U.K., and Australia. Generalists from each of the four countries will briefly outline the distinctive features of their respective approaches, emphasizing advantages and disadvantages vis à vis other approaches. The moderator will then facilitate debate and discussion among the presenters, as well as with workshop attendees. The objective is not only to foster greater understanding among academic pediatric generalists working in different countries, but also to learn about advantageous features in each setting that may be adoptable or adaptable in others.

M.S. Kramer, Department of Pediatrics, McGill U., Montreal, R.C. Wasserman, Department of Pediatrics, U. of Vermont, Burlington, M. Blair, Department of Child Health, Imperial College, Harrow, and F. Oberklaid, Centre for Community Child Health, U. of Melbourne

WS06 After Arrival: Caring For New Immigrant Children
At least 500,000 new immigrant children (refugees, adoptees, children traveling with or to visit family) arrive in the United States annually. Most pediatric practices in the United States work with these patients, who often have unique medical concerns.

The goal of this workshop is to increase providers’ knowledge about caring for new immigrant children. Using a case-based discussion format in three parts, we will: 1) Discuss medical issues common to immigrant children, such as health screening, immunizations and interpretation of tuberculin skin tests; 2) Provide strategies for working with interpreters, addressing families from diverse cultures and preparing immigrant children for optimal learning in school and 3) Describe legal considerations for these children, including benefits and entitlements available to some new arrivals, and INS regulations governing medical screening for visas and immigration status.

This workshop is intended for primary care providers who work with new immigrant children. This workshop will enable participants to: 1) Recognize medical issues specific to immigrant children; 2) Improve their skills working with interpreters, across cultures and with school systems; and 3) Identify legal considerations for immigrant children. We will distribute written resources useful to clinicians working with new immigrants.

L.M.H. Albers, E.D. Barnett, J. Ciborowski, P.L. Geltman, P.E. Klass, J. Zotter, Children’s Hospital & Boston Medical Center, Boston, MA Department of Public Health.

4:15 pm - 6:15 pm - POSTER SESSION I AND OPENING RECEPTION

Saturday, May 13

8:00 am - 10:00 am - TOPIC SYMPOSIUM

¨Computers in Medicine: From the Health Center to the Home to the Genome
Chair: Gary Fleisher, Children’s Hospital, Harvard Medical School, Boston

From molecular biology to clinical care, computers will play a decisive role in pediatrics in the next millennium. This symposium will address the technological solutions for the storage and dissemination of medical information. The translation of basic scientific discoveries into clinical practice and issues related to social concerns, access, privacy, and security will be discussed.

Information Infrastructure for the Next Generation Medicine
Isaac S. Kohane, Harvard Medical School, Boston

Health Applications on the Web: Access, Privacy, and Safety
Kenneth D. Mandl, Children's Hospital, Boston

Bioinformatics in Support of Molecular Medicine
Russ B. Altman, Stanford University, Stanford

8:00 am - 10:00 am - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Infectious Diseases I: Viral Diseases (Platform)

10:15 am - 12:15 pm - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Infectious Diseases II: Viral Diseases (Platform)

1:30 pm - 2:30 pm - APS PRESIDENTIAL PLENARY - HOWLAND AWARD
Presidential Address - Rebecca H. Buckley, Duke University School of Medicine
John Howland Award Presentation - Samuel A. Katz

2:30 pm - 3:00 pm - JOSEPH W. ST. GEME, JR. LEADERSHIP AWARD
Joseph W. St. Geme, Jr. Award Presentation - Evan Charney, Dept. of Pediatrics, University of Massachusetts Medical Center, Shrewsbury
St. Geme Awardee Introduced by: Kenneth B. Roberts, Professor of Pediatrics, University of North Carolina School of Medicine, Greensboro

Presented on behalf of the American Pediatric Society, American Academy of Pediatrics, American Board of Pediatrics, Ambulatory Pediatric Association, Association of Pediatric Program Directors, Association of Medical School Pediatric Department Chairman and Society for Pediatric Research

3:15 pm - 4:45 pm - STATE OF THE ART PLENARY

¨Pathogenesis of Viral Respiratory Infections
Chair: Mark R. Denison, Vanderbilt University Medical Center, Nashville

Viruses interact intimately with the host cell environment from the time of initial contact through assembly and release of new infectious virus particles. During infection viruses use preexisting host cell components, modify the intracellular environment, and use mechanisms to avoid host cell immunity in order facilitate their replication and survive to be transmitted to new hosts. The symposium will explore specific aspects of the pathogenesis of four respiratory viral pathogens; the coronaviruses, parainfluenza viruses, influenza virus, and respiratory syncytial virus. The symposium speakers will describe unique features of the replication, cell biology or immune response of each virus and how understanding of molecular mechanisms of pathogenesis provides critical information in efforts to prevent or treat viral respiratory infections.

Cellular Pathogenesis of Coronavirus Infections
Mark R. Denison, Vanderbilt University Medical Center, Nashville

Receptor Mediated Entry of Paramyxoviruses
Anne Moscona, Mount Sinai School of Medicine, New York

Molecular Determinants of Influenza Virus Virulence
Kanta Subbarao, Centers for Disease Control, Atlanta

Neonatal Immune Response to Respiratory Syncytial Virus
James E. Crowe, Jr., Vanderbilt University School of Medicine, Nashville

Supported by an educational grant from ICN Pharmaceuticals

5 pm - 7:15 pm - POSTER SESSION II

Sunday, May 14

8:00 am - 10:00 am - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Infectious Diseases III: Bacterial Diseases (Platform)

9:00 am - 12:00 noon - SPECIAL INTEREST GROUP

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

SG16 International Health
Chairs: David Shay and Anna Mandalakas

This SIG has combined forces with the International Health Section of the AAP to offer a program directed to those interested in or curious about international aspects of child health. This year’s program is specifically designed to help prepare pediatricians or other child health care workers who may be interested some day in volunteering in the developing world. All are welcome.

Subjects to be discussed will include:
1. preparing for international volunteerism
2. advances and challenges in pediatric tropical medicine
3. the state of the world’s children – where are we? (a presentation by Dr. Robert J. Haggerty)
4. dealing with complex humanitarian emergencies.

10:15 am - 12:00 noon - SPR PRESIDENTIAL PLENARY & AWARDS AND E. MEAD JOHNSON AWARD LECTURES

Presidential Address: Thomas Hazinski,Vanderbilt University Medical Center

Student Awards: Kyle Cowan, Aaron M. Milstone, Christine Siambani

House Officer Awards: Douglas D. Fraser, Paul J. Galardy, Matthew A. Saxonhouse

Fellow Basic Awards: Christopher E. Belcher, Elif Erkan, Syed Zaidi

Fellow Clinical Awards: Michael J. Ackerman, Okan Elidemir, Mika Ramet

David Nathan Award: Lisa Wang

Young Investigator Award Lecture:
Brendan Lee - Identification of Molecular Genetic Defect for Cleidocranial Dysplasia & Nail-patella Syndrome

E. Mead Johnson Award Lectures:
Mark Kay - Seminal Scientific Contributions to the Field of Hepatic Gene Therapy
Gregg Semenza - Molecular Response to Hypoxia

1:00 pm - 2:15 pm - MARCH OF DIMES PRIZE IN DEVELOPMENTAL BIOLOGY (Fifth Annual Lecture)
Presented by the March of Dimes

Genetic Control of Programmed Cell Death in C.elegans
H. Robert Horvitz, Professor of Biology, Howard Hughes Medical Institute Investigator, Massachusetts Institute of Technology, Cambridge, MA

1:15 pm - 2:00 pm - AAP PRESIDENTIAL PLENARY & JACOBI AWARD
Presidential Address: Donald E. Cook, American Academy of Pediatrics, Elk Grove Village
Jacobi Award: Catherine DeAngelis

2:00 pm - 5:00 pm - WORKSHOP

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

WS43 Working in International Child Health
Part 1: Children of the World 2000: An Overview
Ninety percent of children in 2000 will be born into the not-yet-industrialized parts of the world. This session will help child health professionals become aware of the difference in lifestyles and issues facing these children compared to those of children living in the western world. Participants will also gain awareness of how the health of all children impacts on all of the world’s people both now and into the 21st century.

Part 2: How to Help Children in Disasters
More than half of all people affected by disasters are children. Many will have long-term physical and mental health consequences. Their special needs and interests are often overlooked. This session will help child health professionals to understand the magnitude of the problem, to recognize the special needs of children in disaster situations, and to know how to help these children.

Part 3: Recommendations for Pediatricians Who Want to Work in International Health
Child health professionals with both short and long term experience in working internationally will compare their learning and provide recommendations for colleagues interested in becoming similarly involved.

K. Olness, Rainbow Babies and Children’s Hospital, Cleveland; B. Duncan, University of Arizona, Department of Pediatrics, Tucson; R. Haggerty, University of Rochester, Department of Pediatrics, Rochester; J. Kennell, Rainbow Babies and Children’s Hospital, Cleveland; R. Meier, Shriners Hospital for Children, Lexington

2:00 pm - 5:00 pm - SPECIAL INTEREST GROUP

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

SG24 Nutrition
Chair: Robert Karp

Micronutrient supplementation: Why, when and for whom. 

These presentations were developed so as to familiarize pediatricians with contemporary uses of micronutients in clinical  practice with both well and sick children.  

1. A historical perspective of micronutrient supplementation  - Robert Karp
•recognizing the historical deficiency disease
•chemical isolation of micronutrients and the use of nutrients in prevention of ancient scourges
•the reappearance of concern for deficiency in families of poorer children — classic diseases and increased risk for modern ones.

2.  The Infant and Child — Mike Farrell
•breast and bottle feeding
•the prevention of iron deficiency
•concerns for degenerative diseases of contemporary society.

3.  The Adolescent Infancy and Early Childhood  - Sandy Hassink
•the nutrient needs of the adolescent
•preventing osteoporosis
•the dieting obese child as a special concern

4.   Medical Therapy and Micronutrients - Liz Sheppard
•medically necessary micronutrient supplementation
•examples: in type II diabetes, cystic fibrosis, and treatment with INH or Dilantin
•use of micronutrients in ‘alternative therapy’

A panel discussion with participants.

2:30 pm - 4:30 pm - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Immunizations in Underserved Populations (Platform)

4:45 pm - 6:45 pm - POSTER SESSION III

Monday, May 15

8:00 am - 10:00 am - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Clinical Research in Emerging Countries (Poster Symposia)

8:00 am - 10:00 am - RICHARD E. ROWE AWARD
Richard E. Rowe Award Presentation - Mark W. Russell:
In vivo Transactivation of the alphaB Crystallin Promoter by Cardiac Transcription Factors Involved in Early Heart Development

8:30 am - 12:30 pm - APA PRESIDENTIAL PLENARY & ARMSTRONG LECTURE
Presidential Address: Ellen F. Crain, Albert Einstein College of Medicine, Bronx
Armstrong Lecture: Greenpeace

10:15 am - 11:45 am - STATE OF THE ART PLENARY

¨Pediatrics in the New Millennium: Compelling Issues in Public Policy - 7th Annual Public Policy Plenary
Chair: Myron Genel, Yale University School of Medicine, New Haven

This is the 7th annual Public Policy Plenary Symposium organized and sponsored by the Public Policy Council, which coordinates public policy activities for the APS, SPR and AMSPDC, in collaboration with the APA Public Affairs Committee. The year 2000 program will look forward to the new millennium and broadly examine the outlook for children’s health in three vital areas: (1) access to health care (2) testing and access of children to drugs and devices and (3) the pipeline for pediatric physician-investigators and the future of academic pediatrics. We have set aside significant time at the conclusion of the speakers’ formal presentations to permit interactive dialogue between members of the panel and the audience.

Children’s Access to Health Care - Removing the Financial Barrier
Joel J. Alpert, Immediate Past President of the American Academy of Pediatrics and Past President of the Ambulatory Pediatric Association, Boston University School of Medicine

Increasing Pediatric Access to Medical Therapies
Jane E. Henney, Commissioner, Food and Drug Administration, Rockville

The Pipeline of Physician-Scientist in Pediatrics
Leon E. Rosenberg, Princeton University; Lasker Trust/Funding First; and Former Dean, Yale University School of Medicine

Supported in part by an educational grant from the Columbus Children's Hospital, Columbus, Ohio

1:00 pm - 3:00 pm - TOPIC SYMPOSIUM

¨The Environment and Children’s Health
Chair: Ellen F. Crain, Albert Einstein College of Medicine, Bronx

Rates of childhood asthma, cancer, ADHD, and poor school performance are increasing, and there is growing evidence that environmental disruption plays an important role in these trends. Exposure to lead continues to affect children’s health, and exposure to pesticides and chemicals is increasing. Few pediatricians understand the extent of these threats to their patients’ health, and fewer still have incorporated environmental health into their practice or advocacy activities. The goals of this symposium are to provide an overview of what is known about several key environmental threats to children’s health and to introduce evidence that interaction with the natural environment may have a positive impact on children’s health.

Pesticides, PCB’s, and Endocrine Disruptors: What is the Evidence That They Threaten Children’s Health?
Philip J. Landrigan, Mount Sinai School of Medicine, New York

What is Known About Air Quality and Children’s Respiratory Health?
Jonathan Samet, Johns Hopkins University, School of Hygiene & Public Health, Baltimore

Play in the Natural Environment: Preliminary Evidence of its Contributions to Children’s Health
Robin C. Moore, North Carolina State University, School of Design, Raleigh

3:15 pm - 4:45 pm - STATE OF THE ART PLENARY

¨Achieving Good Health For the World’s Children
Chairs: Errol R. Alden, American Academy of Pediatrics, Elk Grove Village, and Jane Schaller, New England Medical Center, Boston

The health of the world’s children is important to the future of the world. This plenary session will explore basic principles of world health for children and suggest ways in which pediatricians all over the world can work together to achieve better and brighter futures for all of our children. The concept of a world community of pediatricians bearing a collective responsibility for the health of children will be explored. Existing standards will be discussed, including training and professional standards of our pediatric profession around the world, concepts of medical ethics which govern our behavior as physicians, and concepts of children’s rights which exist in international law and define world standards for the treatment of children. Adopting a broad definition of child health which includes physical, mental, and social health, the disease burdens of children around the world now and in the 21st century will be presented, along with some concepts of how these burdens might be lessened. Finally, the roles that pediatricians can play in humanitarian response to emergencies and disasters will be presented. Time will be allowed for discussion from members of the audience, who are encouraged to think about these issues in advance and be prepared to add their voices to the discussion.

World Community: Children and Pediatricians, A Collective Responsibility
Robert Haggerty, University of Rochester School of Medicine & Dentistry, Rochester

World Standards: Professional Standards, Medical Ethics, Children’s Rights
Jane G. Schaller, New England Medical Center, Boston

World Health: Disease Burdens for Children Now and in the 21st Century
Jerry Coovadia, University of Natal, South Africa

World Disasters: the Special Needs of Children
Karen Olness, Rainbow Babies and Children’s Hospital, Cleveland

Supported by an educational grant from Johnson & Johnson Pediatrics Institute

5:00 pm - 7:00 pm - POSTER SESSION IV

Tuesday, May 16

8:00 am - 10:00 am - SUBSPECIALTIES/THEMES (Original Science Abstract Programs)

• Childhood Asthma (Platform)
• Neonatal Infectious Diseases (Platform)

10:15 am - 12:15 pm - POSTER SESSION V

12:15 pm - 2:15 pm - HOT TOPIC

¨What’s New in the Red Book?
Chair: Jon S. Abramson, Wake Forest University School of Medicine, Winston-Salem

This session will highlight substantial changes and additions in the diagnosis, treatment and prevention of infectious diseases that have been made in the Year 2000 Red Book. Some of the topics that will be discussed include meningococcal vaccine, ibuprofen and risk of systemic group A strep infection, herpes simplex disseminated and CNS disease, hepatitis A vaccine, lyme disease, mercury in vaccines, polio, rotavirus and pneumococcal disease.

Jon S. Abramson, Wake Forest University School of Medicine, Winston-Salem

Carol J. Baker, Baylor College of Medicine, Houston

Margaret Rennels, University of Maryland School of Medicine, Baltimore

Larry Pickering, Eastern Virginia Medical School, Norfolk

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Last Modified: April 06, 2000