The Puerto Rico Chapter of the AmericanAcademy of Pediatric continues to actively promote the major goals and objectives that have been outlined in our annual report.

Various activities are highlighted:

1.An open forum about childhood violence was held during January 27, 2007 where we discussed how violence has affected our society.Prestigious members of our community, leaders of Puerto Rico Pediatric Organizations and other organizations dealing with mental health and child abuse, as well as high governmental officials, attended the activity.

2.To strengthen the relationship between the AAP and the other pediatric societies, there was ample participation by our chapter in the Pediatric Society Convention held on February 2007. The AAP-PR Chapter sponsored for the first time a 3 hrs. seminar where the pediatric residents from the different teaching hospitals of the Island made oral and poster abstract presentations. Dr. Olga Rodríguez and Dr. Luisa Alvaradocoordinated the activity and acted as moderators. Medical students and residents also helped to manage the booth of the AAP-PR Chapter promoting breastfeeding, accident prevention, oral health and AAP membership.

3.In order to maintain an open forum and to improve the communication net among pediatricians,our executive director has revised , expanded and promoted major dissemination of our Web site and our newsletter at :

http://aap.prped.googlepages.com/.

4.Advocacy and Chapter activities:

a.In our efforts to motivate all Pediatricians to become advocates in all issues which affect the physical, emotional and intellectual welfare of the Pediatric population, the leadership group of our chapter has been actively involved in multiple national coalitions and workforces such as:

¨Organization of a symposium in April for preschool teachers and primary care providers directed to emphasize the importance of play in child development.The main theme was organized following the recommendation of an AAP report bythe Committee on Communication and the Committee on Psychosocial Aspects of Child and Family Health:The Importance of Play in Promoting Healthy Child Development and Maintaining Strong Parent-Child Bonds by Kenneth R. Ginsburg, MD.This was a national collaborative effort, with the governors office, the sports and recreation department, United way and Headstart. Dr. Rosario Gonzalez (past chapter president) was the main speaker.

¨Dr Cindy Calderon is collaborating in a government interagency effort to develop a campaign to prevent Childhood obesity. She was also a main speaker in “Cumbre Niños y Adolescentes en Forma: Creando Salud en Puerto Rico.” Various members from the chapter participated in this work group on June 29 with a coalition of professionals from the state and private sector to develop guidelines for the prevention of childhood obesity and type II Diabetes.

¨Dr. Olga Rodríguez participates with the Puerto Rico Ombudsperson in a series of projects triggered to facilitate healthcare access to infants and children and to incentive the healthcare system to achieve this.Dr. Rosario González and Dr. Olga Rodríguez are involved in a project with the Ombudsperson office to develop a curriculum to educate general physicians working in Emergency Departments, about the evaluation and management of Pediatric Emergencies.

b.Two members of our chapter were awarded a grant to participate in the Legislative Advocacy training program in June and are in the process of developing a Legislative Advocacy Curriculum for AAP-PR members and Pediatric Training Programs in Puerto Rico.

c.Members of the Chapter participated and provided feedback for the development of a legislative project directed to improving the wellbeing of early childhood.The project is in its final stages going through legislative evaluation for what the chapter has provided full support. A Senate bill was introduced in June 8.

d.The Chapter has also provided feedback on issues relating to neonatal hyperbilirubnemia and kernicterus which have guided legislators in the development of future projects. Members of our chapter have published press releases on themes relating to pediatric well being, such as harmful environmental pollutioneffect on child health.

e.The Puerto Rico Chapter participated in the FESTIVAL de la Niñez Temprana (Early Childhood Festival), offering accident prevention orientation, nutritional advice, information on breastfeeding promotion and other AAP activities where our members oriented attendants that visited our booth.This Festival is very popular and is sponsored by local teacher associations.Over 2000 families attended the activity. The Festival achieved STRONG COMMUNITY involvement in its organization and implementation.

f.Our elected vice-president, Dr. José Cordero, chairs a Premature Birth Task Force, with the active participation of various chapter members, March of Dimes and other professionals in the evaluation of risk factors for premature birth and the development of preventive interventions.They have monthly meetings, and are working towards a strategic plan for the prevention of premature births.

g.Dr Milagros Martin, organized a Symposium on Pediatric Medical Emergencies offered to our members, other pediatricians and healthcare professionals working in Emergency situations in the Island.Among the speakers were Dr.Gilberto Puig, Dr. Denise Rivera and Dr. Nerian Ortiz also members of our chapter.

h.Dr. Luisa Alvarado, the chapter secretary, is working in a Developmental Screening Task Force, were she will be training, with the participation of members of the Puerto Rico Health Department and Medicaid program, in the ABCD initiative. The main goal is for them to develop a developmental screening method, to teach and implement in Puerto Rico with adequate payment for services to pediatricians.

i.Dra Luisa Alvarado, Chapter secretary, was also appointed to the AAP Pediatric Workforce Committee.

j.Recruitment campaign: During these months letters were sent to members dropped for nonpayment urging them to return to the chapter, letter to eligible candidates were sent urging them to join the AAP, and letters to members of the National AAP to join the local chapter.A review of member e-mails was done to improve electronic communications and to identify incorrect e-mails.

5.Participation in ALF 2007: The following members of our board participated in the ALF held during March 2007:

¨Dr. Lillian Gonzalez de Pijem: District X representative and member of the Leadership Forum Management Committee (2006-2009).

¨Dr. Olga Rodriguez, Chapter President

¨Dr. Yvette Piovanetti, Chapter Vice President

¨Dr. Cindy Calderon, Chapter Executive Director

Our chapter was directly involved in two resolutions accepted in the ALF:

¨Resolution # 20: Breastfeeding during Emergencies and in Times of Disasters

¨Resolution # 80 Different AAP Dues Structure for Puerto Rico

During this activity the PR Chapter was nominated for the best small chapter award.

6.Two or our residents were awarded CATCH Grants:Dr. Mariel Silva and Dr. Sonia Figueroa.These are residents of the Program of the Hospital Episcopal San Lucas-Ponce School of Medicine.

7.Dr. Pedro Mayol, a senior member of the Chapter, is writing the history of the PR-AAP chapter.

8.The AAP-PR chapter is sponsoring a two day forum in August with our annual assembly for all of our members.In this forum we will be discussing health and pediatric practice issues of priority to our members such as: immunization, developmental screening, oral health, obesity prevention, legislative advocacy, among others topics.