News -> February, 1999 News

February Update Coalition for Sinus and Allergy

The Coalition was initiated early last year as a joint effort by the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS), the American Academy of Otolaryngic Allergy (AAOA) and the American Rhinologic Society (ARS). The charter was "to promote public and physician education and to further quality medical care of sinusitis, allergic rhinitis and related disorders on which otolaryngologists have unique expertise". Group members included Drs. Jim Denneny, Jack Anon, Ivor Emanuel, Jim Hadley, Michael Benninger, Vijay Anand and I. Plans were to increase the general visibility of otolaryngologists among the public and primary care physicians, and to, point-for-point, blunt the "Sinusitis Initiative" of the American Academy of Allergy, Asthma and Immunology that has been funded with over $2 million in pharmaceutical grants. I have, in prior columns, detailed the Allergy/Immunology campaign, which recently has shifted from a public information website, #800 number and the like approach to a primary care physician lecture series ("Outcomes in Allergic Rhinitis and Sinusitis") and literature releases, such as "Parameters for the Diagnosis and Management of Sinusitis" (J All Clin Immunol 102:5106-144, 1998). In the latter, it is interesting that rhinolaryngoscopy, nasal biopsies, sinus radiography interpretation and the like were discussed, without indicating the differences in training between those of allergy/immunology and of otolaryngology backgrounds.

The Coalition is making remarkable progress, and the 3 constituent organizations have exhibited close cooperation at the highest levels. For instance, last month the AAO-HNS President, Dr. Rick Pillsbury, sent a detailed protest letter to the allergy/immunology "Task Force on Allergic Disorders: Promoting Best Practice" regarding a proposed publication which places the otolaryngologist in a secondary position to the allergist with regards to the managements of allergic rhinitis and of rhinosinusitis. The Coalition has raised about $1 million in pharmaceutical grants for its 1999 efforts, and hired a full-time employee plus the public relations firm of Widmeyer Baker to staff an #800 number and fax-on-demand services, to coordinate an "Allergy and Sinus Month", to design a local advocacy campaign and to train the otolaryngologist participants in such. Schering/Key has funded an "Otolaryngology Outreach" effort and much of the Widmeyer Baker effort. GlaxoWellcome has funded a "Distinguished Lecture Series" on rhinosinusitis and/or allergic rhinitis to be offered gratis for the national meetings of all major primary care organizations as well as the state medical societies. Bristol Meyers Squibb has funded a demonstration program to promulgate our views on rhinosinusitis to primary care physicians in the New York area. Bayer, through their public relations arm MCI Vision, has distributed over 2,200 slide sets on allergic rhinitis and rhinosinusitis to otolaryngologists to use as a "canned lecture" for local medical associations. Ortho McNeil is reassembling the Rhinosinusitis Task Force, and is adding allergic rhinitis guidelines to that project. SmithKline Beecham has underwritten the costs of a multi-specialty panel (internists, pediatricians, family practitioners, otolaryngologists) to assemble consensus guidelines on rhinosinusitis. Negotiations continue with other pharmaceutical companies for support of various aspects of the Coalition's goals.

A "Sinus Pain Awareness Month" of the AAO-HNS is scheduled for February. Otolaryngologists with rhinosinusitis and/or allergic rhinitis interests are encouraged to contact the AAO-HNS Governor who represents their state/region for more information. Information on "Coalition" activities in general can be obtained by contacting the Executive Director, Jami Lucas, or her Coalition employee at the AAOA (#301-588-1800 or fax #301-588-2454). In the not-too-distant future, we hope to have a web site for you to access such information, leave e-mails and the like.

J. David Osguthorpe, M.D.
AAO-HNS Representative to the Coalition



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