2018 - July/August Summer Edition
Alice Kuo, MD, PhD, MBA, FAAP   President, AAP-CA2    2018 - 2020 
This summer we have been facing a humanitarian crisis when it comes to children in our country. As you have probably heard, as a result of our current federal administration's brief policy of separating children from their parents at our borders, about 3,000 children were separated during the six weeks that this policy was in effect. Although some have been reunited, many have not for various reasons.
The American Academy of Pediatrics has been recognized as a leading voice on behalf of children during this crisis. I have been personally thanked by non-physician child advocates on behalf of the Academy for its leadership during this time. Each one of you should feel proud to be part of the AAP's efforts to support children through these difficult times.
Tomás and I have attended several meetings regarding the separated children who were originally sent to one of the four Office of Refugee Resettlement (ORR) shelters in our area, as well as previously separated children who are expected to reunify with an adult in our chapter. About 100 children were sent to these shelters but will be reunified with adults not in California, i.e., they will be sent out of our area. However, we are expecting about 1,500 recently separated children to come to the Greater Los Angeles area as they await removal proceedings.
On behalf of the chapter, we are identifying resources for these children and families to receive health care when they arrive. As a result of SB 75 that went into effect in 2016, all children under the age of 19 (including undocumented children) in California are eligible for full-scope Medi-Cal. We are working with the LA County Office of Immigrant Affairs to develop a system of care to support these children and families as they enter our communities. The LA County-USC Wellness Center and the Asylum Clinic at Olive View-UCLA Medical Center have verified that they are able and willing to care for these children; we hope to identify a few more sites in the next few weeks. Please see the article on the Sanctuary status of all Los Angeles County sites here that assures that all county staff have or will undergo training that will not allow the sharing of identifying information with federal agents without a court injunction. We will also be gathering information about the other counties in our chapter and their efforts to address these issues.
We have also met with some of the immigration lawyers on the front line working with these children and families on their asylum applications. As we have heard in the media, it is becoming increasingly difficult for children and families to be granted refugee status, despite the often horrifying conditions they are fleeing from their native countries. Thanks so much to the two dozen chapter members who have volunteered to perform forensic examinations for these cases to strengthen their legal applications. UCLA will be holding a training for those physicians interested in learning how to perform asylum examinations-more information can be found here.
If you encounter any child in your practice who has been traumatized by immigration-related actions or activities and you need a curbside consultation or just have questions about clinical signs, symptoms or potential referrals, please review the AAP Immigrant Child Health Toolkit, which can be accessed here. You can also contact our Immigrant Health Committee, which is a vibrant community of chapter members passionate about these issues who have been meeting regularly for the past 18 months. Please access information about the Immigrant Health Committee here, and you can contact Tomas if you have any clinical questions you would like help with. Our chapter Immigrant Health Committee is partnering with the LA County Office of Immigrant Affairs to organize a Town Hall meeting in mid-November with pediatricians, lawyers and other child advocates to address the issues surrounding immigration in our chapter. Please stay tuned for more information in next month's newsletter.
In other chapter news, we are continuing our strong partnership with First 5 commissions both locally and at the state level to support the early identification and referral of young children with developmental problems. Our chapter has been a leading player (thanks to Past-President Ed Curry's efforts) in this area, and we are helping First 5 and others address systems-level issues to make it easier for children and families to connect to needed resources such as diagnostic and early intervention services. We are also developing a partnership with the LA County Department of Public Health in creating guidelines that will help our members in their practices. For example, we have heard many of you ask for guidelines about appropriate medical exemptions for vaccines, and we are hoping to work with DPH to develop these guidelines this upcoming year.
Please look through the rest of this newsletter for reports from the Joint District Meeting that occurred in July, and recognition of individual chapter members accomplishments in their local communities. Finally, please save the date for our Annual Symposium, which will be at the Sheraton Universal on Saturday, March 2, 2019. I hope to see you all there!

Thanks for all that you do on behalf of children in our communities!
Alice Kuo, MD, PhD, MBA, FAAP
Chapter President
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Los Angeles County Sanctuary Sites    
The Los Angeles County Board of Supervisors has  approved, adopted and    made public the "Adoption o f Sensitive Locations Policy". In this document, all county properties are des ignated as Sensitive Locations where resources may NOT be used for activities related to immigration enforcement or immigration investigation, except when associated with a Judicial Warrant (court order). This policy constitutes every LA County facility as a Sanctuary Site, and enforcement applies to non-public areas within each facility. The purpose of this policy is primarily to instill trust in the immigrant community seeking health care services in Los Angeles County.  

Immigrant Health Initiative   -  IHI  
Advocating for Immigrant Children: Join the AAP-CA2 Immigrant Health Initiative!
Join the AAP-CA2 chapter Immigrant Health Initiative (IHI)! The IHI will be a dynamic local network for advocacy, education and mentorship for chapter members caring for our diverse immigrant children. We will also partner with the national AAP Immigrant Health Special Interest Group to engage in national advocacy campaigns and share resources for promoting immigrant health.
Click here to join the IHI!
Member Spotlight   -  Watch The Video 

San Bernardino County Medical Society  
Nicholas P. Krikes, M.D. Award for Outstanding Contribution to the Medical Society  

AAP-CA2 State Government Affairs Committee Representative Marti Baum, MD, FAAP received the Nicholas P. Krikes, MD Award for Outstanding Contribution to the Medical Society on June 20, 2018 at the San Bernardino County Medical Society Installation and Awards ceremony this past June 20, 2018. The award was presented for her leadership in protecting and advancing the mission of organized medicine. Dr. Baum is the Medical Director at the Community Health Development for Loma Linda University Medical Center (LLUMC) and Director of Outreach for "K"ommunity KIDS (O.K. KIDS), Department of Pediatrics, since 2002.
Dr. Baum's professional involvement has been in the area of community advocacy in the underserved populations of San Bernardino County. Click to View Award

Watch the video

Childhood Food Allergy Prevention - CME Activity

In an effort to raise awareness about recent developments in childhood food allergy prevention research, St. John's Health Center invited Dr. Katie Marks-Cogan, board certified pediatric and adult allergist, to give a CME lecture last month. Topics included:
  • Our current understanding of the increase in food allergy prevalence
  • Recent studies on the science behind early and sustained allergen exposure
  • Methodology of clinical trials demonstrating a 67-80% reduction in childhood food allergy
  • Changes to national guidelines on allergen introduction and their impact for your practice
This lecture is brought to you by Ready, Set, Food! - the only system that follows the dosing of the LEAP, EAT, and PETIT trials and helps make early and sustained allergen exposure gentle and easy for families. 
Learn more about the 80+ pediatricians who recommend Ready, Set, Food! to their patients starting at age 4 months. Request samples for your office here .
The lecture is now available on-demand and offers 1.0 CME (AMA PRA Category 1 Credit TM )
Register for the free lecture here or email kyle@readysetfood.com for additional information.

In The Community  

June 20 San Bernardino County Medical Society  
Installation of Officers 

AAP-CA2 Vice President and San Bernardino/High Desert Area Representative Damodara Rajasekhar, MD, FAAP was installed as the 126th President of The San Bernardino County Medical Society (SBCMS) this past June 20, 2018 during their officer installation and presentation of outstanding awards event at the Sierra Lakes Gold Club in Fontana, CA. In attendance were also AAP-CA2 San Bernardino Representative

Image on left: (From Left)  
Incoming President-Elect of the California Medical Association (CMA) David Aizuss, MD,  
newly installed SBCMS President Damodara Rajasekhar, MD, FAAP, and  
newly installed SBCMS President-Elect Mark Bai, MD.

Image on right: (From left)
AAP-CA2 State Government Affairs Representative Marti F. Baum, MD, FAAP;
AAP-CA2 San Bernardino Area Representative Mitchell Goldstein, MD, FAAP,
AAP-CA2 Past President (2014-16) Paula Whiteman, MD, FACEP, FAAP; and Dr. Rajasekhar.

Dr. Rajasekhar is a pediatrician in solo practice providing primary care for children in Apple Valley, as well as ICU care at Victor Valley Global Medical Center, in Victorville. Dr. Rajasekhar believes that the physician-patient relationship is a key factor in providing quality health care for patients. He is also a proponent of the importance of physician leadership in advocating for top quality patient care. He is passionate about promoting payment models that will sustain physician practices, which in turn will increase access to care.

The first SBCMS president was installed in 1878.

June 30, 2018 Families Belong Together Rally     
Downtown Los Angeles   

With over 700 marches nationwide, over 14,000 rallied in front of the City of Los Angeles City Hall to protest against the separation of immigrant children who are being held at Federal Detention Centers. Among the numerous speakers were Los Angeles Mayor Eric Garcetti, Senator Kamala Harris, and Lt. Governor Gavin Newsom, along with several television celebrities and recording artists. AAP-CA2 Immigrant Health Initiative members joined the #whitecoatsforfamiliesbelongtogether movement to protest family separation.

"Immigrant families' lives are not dispensable or less worthy. I chose this sign after hearing government officials state that children should be grateful for their shelter. Family separations cause serious short and long term health damage to children (and their parents), and as our current AAP President said, it's " nothing less than government-sanctioned child abuse." If we do not stand up to this injustice, we are also responsible for this suffering.  We are better than this".
               Adrian Castro, MD, FAAP   

"The government has yet to reunite all of the children and continues to push family detention despite clear evidence of the psychological trauma and long term harmful mental health consequences of these actions. For as long as children are kept apart from their parents or are held in family detention, we will continue to raise our voices as pediatricians on behalf of these children".

                    Sural Shah, MD, FAAP

July 12 - 15, Districts V and IX Joint Meeting - Itasca, IL
By Paula Whiteman, MD, FACEP, FAAP, AAP-CA2 Past President (2014-2016)
Each year, the AAP has joint district meetings combining two different districts to allow chapter leaders to meet and discuss important timely issues with many networking opportunities. Our district, composed of the four chapters in California, was joined by District V, representing Indiana, Michigan, Ohio, and Ontario, Canada. The meeting was held in the beautiful new American Academy of Pediatrics Headquarters in Itasca, Illinois. This 5 story building allows for the AAP to move forward with the latest in technology and the AAP staff to work the best that they can on behalf of its members. This time, I attended as candidate for District IX Vice Chair, along with the other candidate, Eric Ball, MD, FAAP from AAP-OC.  Also running from our chapter for the position of District IX Chair, is Immediate Past AAP-CA2 President Ed Curry, MD, FAAP against DVC Yasuko Fukuda, MD, FAAP. 
  • AAP-CA2 gets the 2017 Award of Chapter Excellence
  • Three Chapter 2 members receive Special Achievement Awards

Click to view the full report! 


July 31, 2018 Immigrant Health Initiative   
Meeting in Silverlake  

Seven members of the Immigrant Health Initiative (IHI) group met in Silverlake this past July 31 to discuss the latest developments related to the immigrant children who are still separated from their parents and held in local detention facilities. Those interested in contributing to this group locally may sign-up here, as well as join the AAP Council on Community Pediatrics to receive National updates. Please be sure to register for the half-day Conference to take place on November 15 in East LA. The Chapter's IHI leadership is planning this conference in conjunction with the Los Angeles Office of Immigration Affairs. Please see the details in the "Upcoming Events" section below.

(From Left) Adrian Castro, MD, FAAP; Shilpa Shahani, MD, FAAP; Smita Malhotra, MD, FAAP; Sylvia Swilley, MD, FAAP; IHI Chair Sural Shah, MD, FAAP; AAP-CA2 President Alice Kuo, MD, PhD, MBA, FAAP; and Dina Brent, MD, FAAP.
Developmental Pediatrics Conference in Anaheim
Developmental Behavioral Diagnosis and Management in Pediatrics
September 14, 2018 in Anaheim
SDBP and NAPNAP are teaming up to provide a full day symposium for  pediatric primary care providers and those working in DB Peds. There are two  4-hour cases that will cover autism versus global developmental delay in a younger child, and ADHD versus mood disorder or learning disability in a teen.
UCLA QI Project - Free CME/MOC 
Join Us for a 6-Month Primary Care Practice Quality Improvement Offering for Medical Providers
Receive Free CME & MOC Credit and Help Transform Oral Health for 
LA County Children

Over half of California's children experience tooth decay by kindergarten. You can help reduce that number and improve oral health for Medi-Cal children. More LA Smiles (a UCLA Dental Transformation Initiative funded by the California Department of Health Care Services) is offering a   6-Month Primary Care Practice Quality Improvement for Medical Providers to integrate oral health services into well-child visits for children ages 0-6.
Eligible Medical Providers can participate in free onsite or virtual training to receive 30-50 CME and 20-25 MOC credits with six months of support from a dedicated Quality Improvement Specialist. Providers learn to integrate preventive oral health services into their practice settings; these services include screening and risk assessment, fluoride varnish, and dental home referrals. This offering is open to Medical Providers, including pediatricians, family medicine physicians, nurse practitioners, physician assistants, and clinical support staff.
Please note: Free CME and MOC credits are available to Medical Providers only. Clinical staff who participate will receive a certificate of completion.
Get social with us:
Follow us on Twitter   Like us on Facebook   View our profile on LinkedIn  

Needed: Board certified pediatricians to perform case management conferences for CCS patients in the medical therapy units in Los Angeles County. Required: 5 year's experience with children/youth with special health care needs. Part time (4-8 hr shifts). Flexible days (Mon. through Fri.). Training provided.
Compensation: $123.75/hr + mileage
Contact: Mary Doyle, MD, FAAP, Associate Medical Director, LA Co. CCS @ (626) 569-6484 or madoyle@ph.lacounty.gov
Upcoming AAP-CA2 Events
August 14, 2018 in Westlake Village -  Town Hall / Dinner 
Ken Saul, MD, FAAP Member-At-Large 
Please join AAP-CA2 Member-At-Large Ken Saul, MD, FAAP for an evening of professional development and networking.
This event is at Tuscany il Ristorante. Space is limited. RSVP early to attend
TOPIC: Clinical applications of Psychiatric Pharmacogenomics.
SPEAKER:  Jennie Depatie Ph.D.
DATE: August 14 at 6:30 PM
LOCATION: Tuscany Il Ristorante
968 S Westlake Blvd #4, Westlake Village, CA 91361
RSVP:   lgrodin@assurexhealth.com or 805-680-2957
October 10, 2018 in Woodland Hills -  Town Hall / Dinner 
Ken Saul, MD, FAAP Member-At-Large 
Please join AAP-CA2 Member-At-Large Ken Saul, MD, FAAP for an evening of professional development and networking.
This event is at Maggiano's.
TOPIC: Vaccine Update 
DATE: October 10, 2018 at 6:30 PM
LOCATION: Maggiano's Little Italy 
6100 Topanga Canyon Blvd, Woodland Hills, CA 91367
RSVP: Please email Dr. Saul at docksaul@aol.com 
November 15, 2018 in Los Angeles   
Addressing the Health Needs of Immigrant Children
Half-Day Conference 
Please join the AAP-CA2 Immigrant Health Initiative group and the Los  Angeles County Office of Immigrant Affairs for an afternoon of discussion, collaboration, and networking on the topic of immigrant children separated from their families, their needs and ways to help them. Also in attendance will be representatives from various law firms sub-contracted by LA County to represent these children. Please join us!
TOPIC: Addressing the Health Needs of Immigrant Children 
DATE: November 15, 2018
TIME: 12 - 4 PM
LOCATION: East Los Angeles 
Specific location TBA. 
Save The Date -  2019
March 2, 2019
Saturday, March 2, 2019 at the Sheraton Universal Hotel
Other Events -  Webinar
Screening Reimbursements and Care Coordination
  • Shorten the developmental screening process.
  • Receive reimbursement for performing screenings.
  • Introduce 211LA's Care Coordination system.
Patricia Herrera, M.S. is a trained social worker and mental health professional with a career dedicated to the development of cost-effective models of care coordination to improve the health outcomes for children with special care needs. Dr. Jin Lee is an Oxford-trained child psychologist and the founder and CEO of BabyNoggin, a digital health platform that helps pediatricians follow AAP guidelines through an easy developmental screening process.

Join us Thursday August 9th at 12:00PM PST for our webinar, "From Screenings to Better Outcomes: An End-to-End Child Health Platform in LA"

UC Irvine Requesting Participation in HPV Research Survey - 5 Min to Complete
Practice patterns of general pediatricians regarding counseling for Human Papillomavirus (HPV) and HPV vaccination - SURVEY
As you know, HPV is a major risk factor for head and neck cancers, particularly of the oropharynx. Younger, healthier patients are increasingly being diagnosed with oropharyngeal cancers because of the rising incidence of HPV. With the availability of the HPV vaccine and the increasing knowledge of HPV in relation to head and neck cancer, we feel it would be very interesting and a great value to the medical field to understand the extent of HPV counseling and vaccination currently being provided to pediatric patients. 
Thank you in advance for your participation.
Michael Berger, MD - resident physician in the Department of Otolaryngology at the University of California Irvine Medical Center
AAP-CA  Statewide Advocacy
LA-HPAC: Sac Capitol office
Have you visited the AAP-CA website lately?
Advocacy efforts on behalf of the four California Chapters is conducted from the office of AAP-CA CEO, Kris Calvin.

Advocacy Priorities
Universal ACCESS to quality, comprehensive pediatric care in a medical home, including access to vaccines and behavioral and mental health treatment for every child in California, including vulnerable populations such as children with special health care needs, foster children, children of immigrant families, LGBTQ youth and the list goes on.

Please visit AAP-CA.org/Advocacy to learn more about the current Advocacy Priorities and the list of High Priority Bills.
AAP-CA2 Video: We Are The AAP-CA Chapter 2 -  2017

CDC Updates & LAHAN Alerts
Join the CDC Listserv
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Join the LAHAN Listserv  
To receive communications from the Health Alert Network, Sign-up here.
It takes less than two minutes to sign up.  
Visit the LAHAN website.

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AAP-CA2 is a 501(c)(3) non-profit organization. Please consider a tax-deductible charitable donation to one of our many programs
  • The Medicine-Biological Sciences Scholarship Program, which awards scholarships to exceptional high school students each year.
  • The Committee on Service, Education, and Mentoring, which awards scholarships to pediatric residents for outstanding research projects. 
  • The S. Michael Marcy Memorial Lecture, which helps sponsor a portion of our annual Advances in Pediatrics Conference in his honor.

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