CA 2


AAP-CA  State Government Affairs Committee- August 2012


You can follow this link to the District's website to see the latest information.


AAP-CA Priority Issues





Documentary Screening from the AAP Global Immunization Initiative

The Shot Felt "Round the World"

September 9, 2012

2 - 5 pm

1151 Oxford Road

San Marino, CA 91108

Contact Terell Carter at for more info



Ventura Town Hall


September 10

6:30 - 9 PM

St Johns Hospital

Oxnard, CA


  Visit our events page for flyer and more information




Webinar slides from AAP-CA Vaccine presentation 

can be found Here




Check out our new website on Wild Apricot!  


AAP-CA2 wants YOU to help us test out our new and improved website with added features. It is still under construction, but please click through the site and give us your feedback! 
A Members-Only section will be added, exclusively for Chapter Members.  


Fit to Play & Learn is launching its 2nd year in LAUSD!


AAP-CA2 has partnered with the Los Angeles Unified School District (LAUSD) School Nurses Act to Prevent Obesity (SNAPO) to champion a childhood obesity prevention program,
Fit to Play & Learn. The brand new program is teaching low-income 4th and 5th graders and their parents ways to integrate healthy food, healthy drinks choices, and physical activities into their daily lives.


We are currently taking donations to fund this program. Thank you for your support!

Make a Donation

Contact us!
Like us on Facebook 


American Academy of Pediatrics, California - Chapter 2             
August 2012 E-Newsletter

Dear Dr.   ,



As the new Chapter officers begin assuming their new roles, please allow me to introduce myself. You may know me as your PROS chapter coordinator. Now, also as Secretary, I will be working with Danielle Kilchenstein, our Chapter Executive Director to keep you up to date on the activities of the Chapter. We aim to pack these monthly E-Newsletters with upcoming events and relevant, cogent articles. If you would like something to be included in this E-News, such as an upcoming special event, or highlight a new member or service, or if you would like to see an article on a topic of interest to you, please let us know. You can email me at: or Danielle at:

We are also interested in happenings in your community and resources that may be of interest to our patients to allow for sharing of information between pediatricians.


We look forward to getting many emails and requests from you! And don't forget our website


Heide Woo, MD, FAAP


AAP - California, Chapter 2


Like us on Facebook  
Follow us on Twitter @AAPCA2



School has already begun for many of our patients, and the rest will be starting soon. So, too has the flu season begun, and some of our practices have started receiving the influenza vaccines.


As recommended by the ACIP, pediatricians should begin offering flu vaccines as soon as they are available, especially for those infants and children requiring a booster dose a month later. Complete recommendations for the influenza vaccine administration from the CDC (including detailed information for administration for the 6 month to 8 years olds) is available at:


Answers to Frequently Asked Questions about the influenza vaccine is available in "Ask the Experts" section of the website,

And this year's influenza vaccine information sheets (VIS) are here:   

VIS Flu_Inactive

VIS Flu_Live 


You can find additional information and resources from the Immunization Action Coalition


The CDC has also sent a health advisory regarding a new swine flu circulating in some of the other states. Although this strain has not been detected in California, the Health Department advises being vigilant and has recommendations for testing if a patient has been in contact with pigs, either at a farm or fair, and presents with flu like symptoms. 


August is National Immunization Awareness Month (NIAM). The goal of NIAM is to increase awareness about immunizations across the lifespan, from infants to the elderly. August is an ideal time to make sure everyone is up-to-date on vaccines before heading back to school and to plan ahead to receive the flu vaccine.

World Breastfeeding Week falls during NIAM, from August 1-7. Breastfeeding is "baby's first immunization"- mothers pass some immunity to their babies through breastmilk.


Learn more about AAP's efforts and find resources at

FDA Cautions About Codeine After Tonsillectomy, Adenoidectomy

The Food and Drug Administration (FDA) is warning pediatricians and others about the risks of using codeine in children, especially after tonsillectomy and/or adenoidectomy for obstructive sleep apnea syndrome. Three children have died and one suffered respiratory depression after taking codeine for pain relief.


All three cases have been reported in the medical literature, and were noted to be "ultra-rapid metabolizers" of codeine.  The children who

died, ages 2 to 5 years, had evidence of a genetic ability to convert codeine into life-threatening or fatal amounts of morphine in the body. All had received acceptable doses of codeine.


According to the FDA, when codeine is ingested, it is converted to morphine in the liver by an enzyme called cytochrome P450 2D6 (CYP2D6). Some people have DNA variations that make this enzyme more active, causing codeine to be converted to morphine faster and more completely than in other people. These "ultra-rapid metabolizers" are more likely to have higher than normal amounts of morphine in their blood after taking codeine. In its Aug. 15 drug safety communication, the FDA noted it is reviewing whether there are additional cases of inadvertent overdose or death in children taking codeine connected to treatment of other kinds of pain such as postoperative pain following other types of surgeries or procedures.


If prescribing codeine-containing drugs, use the lowest effective dose for the shortest period of time, and only on an as-needed basis. In addition, pediatricians are urged to advise parents and caregivers who observe unusual sleepiness, confusion, or difficult or noisy breathing in their child to seek medical attention immediately.  


High levels of morphine can result in breathing difficulty, which may be fatal. Taking codeine after tonsillectomy and/or adenoidectomy may increase the risk for breathing problems and death in children who are ultra-rapid metabolizers. See the FDA drug safety communication here for more information, including a data table. 


For a related story on codeine use in children in AAP news see this link 

Funding Opportunities 
The CATCH Program is a national program of the American Academy of Pediatrics that increases children's access to medical homes or specific health services supporting pediatricians and communities who are involved in community-based efforts for children. The CATCH program offers a variety of funding opportunities for pediatricians. The 2013 Cycle 2 CATCH Implementation and Resident Call for Proposals will open 11/1/2012. The application deadline is 1/31/2013 at 2 pm CST. 
Feel free to contact your Chapter CATCH Liaisons Alice Kuo, MD, FAAP at and Elisa Nicholas, MD, FAAP at
Find out more information here