Wasn't it just a few weeks ago that legislators were decrying the lack of local control of our hospitals, and complaining about the millions of dollars in profits that go from Nevada to out of state hospital corporations? This time, we are going to go one better; Las Vegas Mayor Oscar Goodman wants to bring the University of Pittsburg to Las Vegas. Here's the deal; the state will provide planning and design funds, and the citizens of Las Vegas will underwrite construction bonds, to help bring a brand new $250 million academic medical center to downtown Las Vegas. The University of Pittsburgh will provide clinical services (for which it will bill), paying nominal rent and returning its profits to Pittsburgh to support its home institution. A sucker bet if ever I heard one.

Is there a better alternative? Certainly. With the hundreds of millions of public and privately raised dollars that Mayor Goodman wishes to spend to bring the University of Pittsburgh to Las Vegas, we could endow the University of Nevada School of Medicine (UNSOM) with the funds to recruit top-notch physicians and scientists to create world class clinical and research programs in our own academic medical center.

Those faculty would build the reputation and strength of our school, rather than an East Coast school that will rotate its faculty out here on Las Vegas junkets. Their loyalty would be to our state and they would improve the intellectual climate and economic diversity of Southern Nevada. They would be Nevadans and would train Nevada's medical and surgical specialists to follow in their footsteps.

Every state medical school with a national reputation started as a small school that was supported by its state for many years as it slowly built the strong foundations upon which to establish its leading clinical and research programs. No state has ever tried to recruit and subsidize an out of state medical school to come to town to compete directly with its own state institutions.

Elected officials in other states would be quickly turned out of office (and run out of town) for failing to support their local institutions. It is unfortunately characteristic of the rapid growth of our state, with many people still not feeling that Nevada is truly their home, that our mayor opts for the quick fix by subsidizing an out-of-state institution rather than investing that money in a long-term relationship with his own state's institution.

The University of Pittsburgh (or any other institution for that matter) should be, and is, free to come into our community to compete and improve medical care by virtue of that competition. But it must enter on a playing field level with those of our other hospitals and health care providers, not one subsidized by the citizens of Las Vegas. Only state public institutions, such as the medical school and University of Medical Center; deserve taxpayer support, because as public institutions, they are under local control and obligated to work for the betterment of the communities that fund them.

If we as taxpayers choose to support our state medical school in order to provide professional educational opportunities and cutting-edge medical care for our citizens, that is a choice we can make, similar to the choices citizens in Arizona, Utah, and New Mexico and other states have made. But we should not choose to subsidize an out-of-state institution so it can repatriate those funds to its home institution 2000 miles away.

Mayor Goodman should be commended for endeavoring to improve the excellent medical care available here in Las Vegas. As a longtime resident of our state, however, he should use his exceptional leadership skills to support and improve our permanent state medical institutions. If there has been a perception that Las Vegas physicians have not communicated sufficiently with our mayor, let this serve as formal notice that the doors of communication have been and always will be open.

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Clark County District Court Medical Malpractice Filings Against Health Care Providers, Jan 2001 – June 2005

2001 2002 2003 2004 2005

Jan 39 33 108 61 41

Feb 20 14 98 72 63

Mar 35 30 169 123 64

Apr 37 34 111 81 70

May 37 35 126 65 14

Jun 27 24 103 90 65

Jul 19 100 114 45

Aug 54 51 76 67

Sep 20 65 105 79

Oct 37 83 110 59

Nov 38 184 59 78

Dec 9 170 67 47

Sum 372 823 1246 867

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New Members

Congratulations and Welcome to the Clark County Medical Society New Members – June 2005

Daniel D Lee, MD – Orthopaedic Surgery
Suresh K Makhija, MD – Nephrology

Aurangzeb (Aury) Nagy, MD – Neurological Surgery
David J Snell, MD – Internal Medicine

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Applicants To Go Before Credentialing Committee

If you have any pertinent information about the following membership candidates, please contact:

Clark County Medical Society, 2590 E. Russell Rd., Las Vegas, NV 89120

Waldo C Feng, MD – Pediatric Urology

James C Plaire, MD – Pediatric Urology

Lawrence K Sands, DO - Preventive Med/Public Health

Scott L Selco, MD - Neurology

Michael J Wile, MD – Anatomic/Clinical Pathology

Christian Yi, MD – Diagnostic Radiology

For information on becoming a member of the Clark County Medical Society,

call Marlaina Burns at 739-9989.

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AMA Update

By Robert Lynn Horne, MD

CCMS was represented at the AMA Annual Meeting in Chicago by Delegate Robert Lynn Horne, MD and Alternate Delegate Marietta Nelson, MD

The Clark County Medical Society was represented at the AMA Annual Meeting in Chicago from June 18-22 by Delegate Robert Lynn Horne, MD and Alternate Delegate Marietta Nelson, MD. During the 5 day meeting 230 resolutions and 44 reports from the AMA Board of Trustees and Councils were considered and acted upon.

Many items affecting CCMS members were discussed and voted upon as policy was established and modified. "Together we are stronger" is the new motto of AMA, which is dedicated to Helping Physicians Help Patients.

A high priority is fixing (or eliminating) the SGR formula which will create a 4.3 % cut in Medicare fees on Jan. 1, 2006. The AMA has been successful in temporarily preventing cuts and even getting an increase in each of the past 3 years. AMA announced a survey of its members showed 38% of physicians will accept fewer new Medicare patients if the cuts are imposed.

One proposal in Congress ties eliminating the cut to physicians agreeing to a "Pay for Performance" program, which some see as a thinly disguised attempt to reduce costs. AMA House of Delegates voted to oppose any PFP plan unless it meets the following (abbreviated) criteria:

1. Ensure quality of care via fair and ethical programs

2. Foster the patient/physician relationship and overcome obstacles to physicians treating patients regardless of health conditions, economic circumstances, or treatment compliance patterns.

3. Offer voluntary physician participation and minimize potential financial and technological barriers including costs of start-up.

4. Use accurate data and fair reporting using scientifically valid analytical methods. Collecting and reporting of data must be reliable and easy for physicians and should not create financial or other burdens on physicians and/or their practices

5. Provide fair and equitable program incentives with new funds. Programs must be based on rewards for progressive quality improvement and not on penalties. Performance standards must be consistent with evidence-based standards developed by specialty societies.

The full 5 pages of Principles and Guidelines for Pay-for-Performance Programs are available for downloading at http://www.ama-assn.org.

The AMA will study the effects of Direct to Consumer advertising of prescription medications. The goal will be to review and evaluate strategies to minimize the potential negative impact of DTC advertising. In a membership survey prior to the meeting, 77% of physicians requested this action.

In the same survey 92% of members asked for AMA to develop a plan to advocate to deter frivolous medical liability suits. In response, we unanimously adopted Resolution 210 to do so.

The HOD unanimously passed a resolution that our AMA 1) as a high priority prepare legislation to allow physicians to balance bill regardless of the payer and seek sponsors for this in Congress, and 2) support federal and state legislation and regulation that permits physicians and hospitals to cancel or reduce Medicare co-payments for hardship cases without change in fee schedules. In November the Board of Trustees will report on the actions taken.

The Council on Scientific Affairs presented a report on enhanced Physician access to FDA data. It calls for our AMA to support federal legislation requiring pharmaceutical companies to fully disclose the results of all of their studies and to support adequate funding to implement an improved FDA postmarketing prescription drug surveillance process. 86% of AMA members requested this action, which was adopted by the House.

Produced in response to recent FDA actions, the Council on Scientific Affairs' Report on the Safety and Efficacy of Selective Serotonin Reuptake Inhibitors in Children and Adolescents was adopted, and AMA policy was changed to endorse efforts to train additional qualified clinical investigators to carry out studies in youth and to promote efforts to educate physicians about the appropriate use of psychotropic medications in the treatment of children and adolescents.

If you have additional questions about the actions of the House or would like to propose resolutions for the interim meeting in November, please call Dr. Lynn Horne at 822-1188 or Dr. Marietta Nelson at 384-2020.

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New Laws for Nevada Physicians

By Weldon (Don) Havins, M.D., Esq., CEO, Special Counsel

Criminal Background Checks

If the Nevada State Board of Medicine Examiners (NBME) or the Nevada Board of Osteopathic Medicine (NBOM) initiates a disciplinary action against a licensee, the physician shall, within 30 days of receipt of the notification of the initiation of the disciplinary action, submit to the board a complete set of his fingerprints and written permission authorizing the licensing board to forward the fingerprints to the central repository for Nevada records of criminal history. These will be forwarded to the Federal Bureau of Investigation for its report. A willful failure to comply with this requirement will constitute grounds for disciplinary action and the revocation of the license of the physician.

All applicants to these two Boards are required to submit fingerprints and an authorization for an FBI criminal investigation report. The mandate for all current licensees to submit fingerprint records to the licensing boards prior to the next re-licensure was removed from the Bill.

Additional Grounds for Licensure Discipline

The Legislature has added grounds for physician licensure discipline which previously applied only to operators of intermediate care facilities, skilled nursing facilities, and residential nursing facilities. Now physician licensing Boards (only MD and DO physician licensing Boards) have additional grounds for initiating a disciplinary action if the licensee has been convicted of murder, voluntary manslaughter, mayhem, any felony involving the use of a firearm or other deadly weapon, assault with the intent to kill or to commit sexual assault or mayhem, sexual assault, statutory sexual seduction, or incest. Conviction of misdemeanor lewdness or misdemeanor indecent exposure will serve as grounds for licensure discipline. Conviction of "any sexually related crime" will likewise serve as a basis for licensure denial through licensure revocation. Solicitation of prostitution is a misdemeanor sexually related crime.

Conviction of misdemeanor abuse or neglect of a child or misdemeanor contributory delinquency will serve as grounds for licensure discipline. Conduct of a physician's minor child which will result in the parent physician's misdemeanor criminal conviction include the following:

a. Habitual truancy from school,

b. A minor who is leading, or from any cause is in danger of leading, an idle, dissolute, lewd or immoral life,

c. A minor who writes or uses vile, obscene, profane or indecent language, or is guilty of indecent, immoral or lascivious conduct, or

d. A minor who violates any law of this State or any ordinance of any town, city or county of this State defining a crime.

Reporting of Office Surgeries

Except for the use of medications used to reduce anxiety or control pain which is not used in a dosage that is sufficient to induce a controlled state of depressed consciousness, all office surgeries using sedation must, annually, be reported to the NBME or NBOM on a form to be developed by the respective Boards. "Office surgery" is not defined. Only those office surgeries involving conscious sedation, deep sedation, or general anesthesia must be reported. Therefore, if no sedation is used, no report is required. Sentinel events, meaning an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof, including, without limitation, any process variation for which a recurrence would carry a significant chance of serious adverse outcome (including loss of limb or function), shall be reported to the respective licensing medical Boards (NBME or NBOM), annually. These reports are then summarized and submitted to the Legislature every two years.

The annual reports received from licensees by the NBME and NBOM are confidential. They are not subject to subpoena or discovery, and are not subject to inspection by the general public. As such, the individual physician's annual reports are not public records.

Sanctions for Failing to Maintain a Permanent Mailing Address

Licensees of the NBME must notify the Board of a new permanent mailing address within 30 days after the change. Licensees not complying are subject to a fine not to exceed $100. Additionally, the NBME may initiate a licensure disciplinary action for violation of this mandate. This applies to inactive licensees as well as active licensees.

Any licensee who changes the location of his office must notify the Board before practicing at the new location. A licensee who closes his office shall notify the Board within 14 days after the closure and keep the Board apprised of the location of the medical records of his patients for 5 years.

Good Samaritan Law Amended

Through the diligent efforts of Assemblyman Dr. Garn Mabey, Senator Dennis Nolan, Assemblywoman Barbara

Buckley, Dr. Brad Selgestad, NSMA's lobbyist Scott Craigie, CCMS president-elect Florence Jameson, and many others, Nevada's Good Samaritan Act, NRS 41.505(5), has been modified, effective October 1, 2005. After October 1, 2005, a Nevada licensed MD, DO, or dentist who renders gratuitous care to a patient for a governmental entity or nonprofit organization is not liable for any civil damages as a result of any act or omission by him in rendering that care. The medical or dental care must be rendered gratuitously, in good faith and in a manner not amounting to gross negligence or reckless, willful or wanton conduct. After October 1, 2005, licensed physicians and dentists may evaluate and treat patients in their office, gratuitously, for a nonprofit organization or governmental entity, and the physician or dentist will not be liable for civil damages for medical negligence.

Until October 1, 2005, volunteer physicians and dentists must render the gratuitous professional services in the healthcare facility of the nonprofit organization or governmental entity. Gratuitous services rendered in the office are subject to the usual medical malpractice lawsuits with their attendant civil damages. Again, the new law will become effective October 1, 2005.

Utilizing the administrative services of United Way and the Southern Nevada Area Health Education Center (AHEC), Dr. Florence Jameson intends to enlist the support of the physician community to help evaluate and treat some of the 20% of uninsured, medically needy Nevadans.

The Good Samaritan Law was additionally amended to provide that any person who gratuitously and in good faith renders emergency medical care involving the use of an automated external defibrillator is not liable for any civil damages as a result of any act or omission, not amounting to gross negligence, by that person in rendering that care. Prior to this time, an individual was subject to negligence lawsuits for negligent use of an automatic external defibrillator.

Physicians At County Hospitals May Receive Indigent Care Compensation

As of July, 1, 2005, the board of a county hospital may contract with individual physicians or private medical associations for the provision of medical services as may be required by the hospital for the treatment of indigent patients. Prior to this time, county hospital boards were precluded by statute from compensating physicians for rendering medical services to indigent patients.

Open Meeting Act Amended to Require Audio Recording or Transcription of Public Meetings

The Nevada Open Meeting Act, NRS 241 is amended by Senate Bill 421 to require public bodies to audio record or cause the meeting to be transcribed by a certified court reporter. The audio recording or the transcript of the meeting must be retained by the public body for at least one year after the meeting. The audiotape or the transcript is a public record, except for the authorized closed sessions of the meeting, and must be made available for inspection by the public. Nothing in SB 421 appears to except the Nevada Board of Medical Examiners or the Nevada Board of Osteopathic Medicine from this requirement.

Nevada Board of Osteopathic Medicine Subject to Uniform Procedures

The Nevada Board of Osteopathic Medicine is now included among many boards under the Title 54 (Occupations and Professions) which are subject to uniform procedures used to prosecute contested cases and for taking administrative action against licensees violating any law or regulation governing occupational licensing. The prosecutions and administrative actions occur under the authority of the state Attorney General. Several physicians and health care executives speculate that this Bill may be the first step in creating a "Super-Board" regulating licensure and discipline, similar to the Department of Licensure in Utah. "Super Boards" replace individual professional regulatory boards.

The health care provider boards regulating licensees of medicine, dentistry, optometry, nursing, pharmacy, and chiropractic physicians are exempted from the provisions of this Bill, SB 276.

The Nevada Institutional Review Board

Assembly Bill 208 created a Nevada Institutional Review Board under the supervision of the Board of Homeopathic Medical Examiners. This Review Board shall control, review and oversee all research studies regarding the diagnostic techniques and treatments related to alternative and complementary integrative medicine. The responsibilities of this Board include the evaluation and action upon the safety, efficacy, reimbursement, and availability of diagnostic devices, substances, therapies and methods of treatment used in the research studies. For further information see AB 208, sections 5 through 12.

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CCHD Report

By Donald Kwalick, MD, MPH, Chief Health Officer

& James R. Osti, M.P.H. Grant Writer, Office of Public Health Preparedness

Mental Health Resources in Clark County

The progress made this year to enhance mental health services in our community stands in sharp contrast to the events of 1992. In 1992 mental health services were cut deeply in an effort to stem the tide of rising red ink in the state budget. In the thirteen years that followed, the strain on already limited mental health resources escalated as our population, and the demands for services, continued to grow. The increased demand, coupled with the lack of resources, resulted in a full-scale crisis on July 9, 2004, when the State Psychiatric Hospital was filled to capacity and more than a third of our emergency department beds were filled by psychiatric patients.

A Clark County Declaration of Emergency provided short-term funding for temporary resources and raised awareness of the need for a permanent solution to a problem that would only continue to grow.

During the 2005 legislative session, and with the support of Governor Guinn, both houses of the legislature and both parties, Clark County government officials, the Southern Nevada Mental Health Coalition, National Alliance of Mentally Ill (NAMI) and the staff of Southern Nevada Mental Health Services (SNAMHS), we began to see a number of long-term solutions take shape.

New Psychiatric Hospital

The new SNAMHS Psychiatric Hospital is currently under construction and will open with 150 beds in May of 2006. A fourth pod has been funded and will open in July of 2006 ahead of schedule with an additional 40 beds. Additionally, full staffing for the new hospital has been approved, creating 55 new positions. Once the hospital is fully operational there will be a total of 217 available beds for psychiatric services, 86 more than we currently have today.

New Outpatient Site

SNAMHS will operate a new outpatient clinic site located near 3rd Street and Bridger. This new facility is located near the homeless corridor in order to provide optimal intervention services to an at-risk population.

Mental Health Court

Funding in the amount of $2 million was approved to expand mental health court services. Currently, the program staff consists mostly of volunteers and the added resources will help divert psychiatric patients who have participated in low level non-violent crimes into treatment and social support programs.

Psychiatric Stabilization Unit

In July the state will go out for bid on a 50 bed psychiatric stabilization unit. This facility will help alleviate overcrowding in hospital emergency departments and serve in this capacity until the State Psychiatric Hospital is fully operational.

Expanded Community Services

Additional funding will enable SNAMHS to expand community services in a variety of ways. Staffing at medication clinics will be increased in an effort to substantially reduce wait times. Supportive living services will increase, allowing more individuals to be placed in housing and more staff will be hired to monitor those patients that live in the community.

These changes reflect a commitment on the part of policy makers to tackle a formidable problem that not only affects people suffering from mental illness, but the community as a whole and their ability to access health care services. The health district will continue to monitor the progress of these initiatives.

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CCMSA Message

By Shanila Choudhury, CCMS Alliance President

Clark County Medical Alliance is proud to be formed as the umbrella organization of the Clark County Medical Society. Our main goal is to raise money for health related charities and to support physicians and their spouses in the local community. Joining the Alliance, our member's network together to form lasting friendships with others like themselves.

As the new President of the CCMS Alliance, I am pleased to be presiding over an enthusiastic new board that has been diligently planning for the upcoming year. We are hoping to offer a variety of interests for our new and renewing members. I am working with my First Vice Presidents, Estela Hansen, Cheryl Samlaska and Peggy Ho, who are planning a new member coffee at Jodie Diamant's home on September 8 at 9:30 am. It is open to any members who wish to renew and new members who are interested in finding out more about the Alliance. Please RSVP to Cheryl Samlaska at 897-6771or email at CKMSamlaska@aol.com.

Our Second Vice Presidents, Ercy Rosen and Jodie Diamant, are busy planning our monthly luncheons which are held on the 3rd Tuesday of every month. This is open to any physician spouse and a guest. Our schedule of lunch venues and programs will be available on our website and in our monthly newsletter. For any one who would like to receive a newsletter, please contact me Shanila Choudhury at 355-2019 or email me at Choud@aol.com.

Each committee is planning many events to appeal to our members and their varied tastes. Pauline Lee, President Elect, the Editor and Chief of our newsletter, has made a very informative edition that will be in color for the first time. Andrea Yu, President Elect, is the creator and maintainer of our website, CCMSA-lv.org. We have a cooking group available, headed by Sheila Bazemore, which will explore cooking in a variety of ethnic styles. For couples to acquaint themselves we offer a dinner group headed by Pam Tolan and Lisa Cohler. For those of you with small children, we have a playgroup headed by Cheryl Jane, a physician herself.

Next year our goal is to reach out to the women in the community and educate them about breast cancer by working with the Susan G. Komen Breast Cancer Foundation. In union with them we are celebrating Breast Cancer Awareness Month by holding a luncheon fundraiser on October 18, 2005. Look forward to more information on our website. Thank you for your support.

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Minutes Synopsis

CLARK COUNTY MEDICAL SOCIETY

BOARD OF TRUSTEES MEETING

Tuesday, June 21, 2005; 6:00 P.M.

Minutes Synopsis

The minutes for the May meeting were approved unanimously.

New Board Members

Farooq Abdulla, MD and Anthony Serfustini, MD were introduced and welcomed as 2 of the 3 new Board members for the 2005-06 year.

Financial Report

Year to date revenue was $382,480.92 compared to $352,590.26 last year, mostly due to new members, dues, and newsletter advertising. The expenses year to date were $289,337.65 compared to $306,276.07 last year. The bank account balance at the end of the month was $279,378.59.

Credentials Committee

The following 4 members were accepted for active membership: Daniel D. Lee, MD; Suresh K. Makhija, MD; Aurangzeb (Aury) Nagy, MD; and David J. Snell, MD.

There were 3 reinstatements, Frederick C. Redfern, MD - Orthopaedic Surgery; Gloria Martin, MD - OB-Gyn and Theodore Potruch, MD - General Surgery.

Membership Report

There were 750 dues paid members, which was an increase over the 703 last year at this time. There were 54 new members for the fiscal year and 23 reinstatements.

Dr. Kingsley read the rough-draft position paper the AMC ad hoc committee wrote. Several suggestions were made by Board members. The committee will work on incorporating those suggestions into another draft to be presented at the next meeting.

Health District Report

Dr. Kwalick presented handouts regarding Assembly Bill 380, AB 175 and Senate Bill 120 along with other Health District topics.

NSBME Report

Dr. Montoya reported the criminal background checks legislation had been modified. Criminal background checks will not be required for all licensees, as originally written. He stated there have been a record number of applicants for licensure but Nevada is not keeping up with the recommended number of physicians per capita.

Administrative Report

Discussion ensued regarding the article Dr. Jim Marx submitted for consideration of publication in the County Line. Dr. Marx is welcome to publish his article as an advertisement in the County Line.

In the March 2005 Nevada State Board of Medical Examiners (NSBME) meeting Dr. Joel Lubritz was successful in passing a motion to modify the NBME’s website to contain only information statutorily mandated to be on the website. At the June NSBME meeting, in concert with that motion, it was decided to remove licensee's medmal judgments and settlements currently on the website. The NBME staff indicated that this would be a slow process, but that it would be done. The NSBME apparently will be discussing the adoption of a proposed Code of Ethics at its next meeting.

Dr. Havins discussed the complaint by CCMS member Dr. Ben Venger. The Board directed staff to inform Dr. Venger that the County Line now has a disclaimer stating "Only CME Activities held at the Clark County Medical Society office are specifically endorsed by CCMS."

New Business

The Board commended Dr. Colletti for his success in serving as CCMS president this past year.

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Classifieds

MOONLIGHT MEDICINE: A unique, well established medical practice seeking a Nevada Licensed FP or GP looking to supplement income working 1, 2, or 3 days per week. Flexible hours and/or schedule as well as competitive salary. Fax CV to (702) 974-0108.

MEDICAL OFFICE SPACE FOR RENT: Great location, currently renting half/full days, 1100 sq ft, 3-exam rooms/lab/Drs. Office, large check in/out. Fully furnished. Del Webb building/adjacent to Siena Hospital. Please contact Gayle at (702) 454-6226.

LAS VEGAS FAMILY PRACTICE FOR SALE: Well-established, very successful private practice, near west side. All furnishings and equipment included. Yearly collections $500K with potential growth. Over 5,000 active charts. Owner retiring from private practice but will transition. Phone (702) 364-2044 for more information.

Office space available in Henderson on Horizon Dr & I95: Excellent location, ideal for Primary Care Physician or satellite office for Specialist. Office ready to move in. Fully equipped. Fax inquiries to (702) 567-9003 or call (702)567-9002/(702)604-4448.

HOUSE FOR SALE: Southwest, gated, 5584 square feet, 5 bedrooms, 7 baths, pool, 3 car garage. View at www.circlepix.com (virtual tour #MK4EYB) $1,350,000. Call Jody Lenzie/Century 21 - (702) 499-9494 or (702) 289-2835.

Members can advertise (up to 40 words) three times a year in the County Line at no charge. Contact Dot Freel at 739-9989 for further information.

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CME CALENDAR

CME CALENDAR

Bechtel Nevada 295-0208

Pri-Med Institute (877) 4PRI-MED

Southern Nevada AHEC 318-8452

Southwest Medical Associates 242-7735

8/11 - “Pain Control and Opioid Use”

Summerlin Hospital 233-7572

Sunrise Hospital 731-8210

8/3 – “EMS Case Studies

8/16 – “Clinical Ground Rounds”

UMC 383-2604

Valley Hospital 388-4847

8/9 - “History and Future of Osteopathy”

8/23 - “Dental Emergencies Which Can Be Handled by the Office Physician

To have your CME courses listed on our calendar; contact Dot Freel at 739-9989 prior to the 12th each month.

Only CME Activities held at the Clark County Medical Society office are specifically endorsed by CCMS.

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Clark County Health District Disease Statistics* - June 2005

DISEASE CASES REPORTED YEAR TO DATE

June 2004 June 2005 2004 2005

VACCINE PREVENTABLE DISEASES

DIPTHERIA 0 0 0 0

HAEMOPHILUS INFLUENZA 1 0 3 10

HEPATITIS A 1 1 3 3

HEPATITIS B 5 2 31 12

INFLUENZA 0 1 53 119

MEASLES 0 0 0 0

MUMPS 0 0 0 0

PERTUSSIS 0 3 2 20

POLIOMYELITIS 0 0 0 0

RUBELLA 0 0 0 0

TETANUS 0 0 0 0

SEXUALLY TRANSMITTED DISEASES

AIDS 19 11 149 123

CHLAMYDIA 107 418 1698 2850

GONORRHEA 108 210 943 1235

HIV 27 19 126 150

SYPHILIS (Early Latent) 0 3 4 13

SYPHILIS (Primary & Secondary) 3 12 9 57

ENTERICS

AMEBIASIS 2 0 7 8

BOTULISM-INTESTINAL 0 0 0 0

CAMPYLOBACTERIOSIS 9 7 29 38

CHOLERA 0 0 0 0

CRYPTOSPORIDIOSIS 0 0 1 4

E. COLI O157:H7 0 1 4 9

GIARDIA 5 4 29 24

ROTAVIRUS 22 47 471 364

SALMONELLOSIS 3 11 48 61

SHIGELLOSIS 0 1 18 24

TYPHOID FEVER 1 0 1 0

VIBRIO 0 0 1 0

YERSINIOSIS 0 0 0 0

OTHER

ANTHRAX 0 0 0 0

BOTULISM INTOXICATION 0 0 0 0

BRUCELLOSIS 0 0 0 0

COCCIDIOIDOMYCOSIS 6 3 29 34

ENCEPHALITIS 0 0 0 2

HANTAVIRUS 0 0 0 0

HEMOLYTIC UREMIC 0 0 0 0

SYNDROME(HUS)

HEPATITIS C 0 0 2 0

HEPATITIS D 0 0 0 0

LEGIONELLOSIS 0 0 3 7

LEPROSY 0 0 1 0

LEPTOSPIROSIS 0 0 0 0

LISTERIOSIS 1 0 3 0

LYME DISEASE 0 0 0 0

MALARIA 1 0 3 0

MENINGITIS, ASEPTIC/VIRAL 7 10 27 32

MENINGITIS, BACTERIAL 1 1 7 7

MENINGOCOCCAL DISEASE 0 0 2 4

PLAGUE 0 0 0 0

PSITTACOSIS 0 0 0 0

Q FEVER 0 0 0 1

RABIES (HUMAN) 0 0 0 0

RELAPSING FEVER 0 0 0 0

ROCKY MTN SPOTTED FEVER 0 0 0 0

RSV 7 40 1022 1258

TOXIC SHOCK SYNDROME 0 0 1 2

TOXIC SHOCK SYN 0 1 2 2

(STREPTOCOCCAL)

TUBERCULOSIS 6 14 34 46

TULAREMIA 0 0 0 0

UNUSUAL ILLNESS 0 0 2 0

WEST NILE VIRUS 0 0 0 0

(ENCEPHALITIS)

WEST NILE VIRUS (FEVER) 0 0 0 0

*Numbers include confirmed and probable cases.

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County Line Advertisers

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CB Richard Ellis…369-4800… www.cbre.com

Colonial Bank ….. 304-3770 ….. www.colonialbank.com

Consultants in Marketing….944-2464

DMSL Medical Management & Billing Service ….. 558-2326

Machabee Office Environments…260-0555… www.machabee.com

Mason Medical Management …..458-2455….. no website

Medical Group Management Association ….. 697-5471 ext. 134

Medical Liability Association of Nevada (MLAN) ….. 804-7333 ….. www.mlan.org

Nevada First Bank ….. 310-4000 ….. www.nevadafirstbank.com

Nevada Mutual Insurance Company ….. 798-6001 ….. www.nevadamutual.com

Matthew Passalacqua, Financial Advisor ….. 254-1263 ….. www.tricorfinancialservices.com

Priority One Commercial ….. 228-7464 ….. www.priorityonecommercial.com

Protrans ….. 877-6333 ….. www.protranslv.com

Red Rock Medical Billing….942-4117

Red Rock Radiology ….. 731-2888 ….. www.redrockradiology.com

Saguaro Home Health…..248-6850…..no website

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Contents

Nevada State Medical Society Alliance Wins National Award

By Annette Mohs

NSMAA was also given a table to display all our material and I was on hand to speak to many different counties and states about their issues and incorporating some of our successful campaign initiatives.

President’s Message