Allergy & Immunology

Dr. Edmond Chan, Division Head

Dr. Edmond Chan, Division Head

The Division of Allergy & Immunology serves as a tertiary referral centre for children from around the province.  Its goal is to provide the highest level of clinical care, and excellence in teaching and research.

The Division of Allergy merged with Immunology (previously a part of Infectious Diseases) in June 2013 to create the new Division of Allergy & Immunology, to better reflect the structure of training in the sub-specialty as per the Royal College of Physicians and Surgeons of Canada. Learn More

 

 

 

 

 

Faculty research interests span a wide variety of topics in allergy and immunology.

Dr. Chan has been co-investigator in the CIHR funded CAPPS study (Canadian Childhood Asthma Primary Prevention Study) for several years.  Since then, Dr. Chan has focused on research in food allergy and eosinophilic esophagitis.  Many trainees, primarily pediatric residents and allergy/immunology fellows, have completed research projects in various clinical aspects of food allergy with Dr. Chan.  He has collaborated recently with colleagues at McGill University on food allergy registries, and the group has just been successful in applying for CIHR funding for clinical food allergy clinical tolerance studies.  Dr. Chan has recently helped to develop an eosinophilic esophagitis registry locally.  He is the primary author of the Canadian Paediatric Society allergy prevention guidelines.

Dr. Wong's primary research is within the realm of clinical drug allergy. She is a leader and co-investigator in a penicillin allergy de-labeling initiative at the BC Children's Hospital, in conjunction with the Antibiotic Stewardship Program. Specific projects within this initiative include developing assessment tools and clinical algorithms that will assist healthcare professional in identifying patients at very low risk of penicillin allergy. She is currently developing a multidisciplinary Complex Drug Allergy Service for individuals with labels of multiple drug allergies and medically complex needs, and is looking forward to conducting quality improvement studies as part of this new service.

Dr. Hildebrand has had specialized training in medical education, and therefore has an interest in bridging the gap between medical education and research as it pertains to Clinical Immunology and Allergy.  Projects will focus on assessing outcomes before and after curriculum development, including shared teaching initiatives nationally.  Dr. Hildebrand will be comparing various forms of asthma education on asthma outcomes.  In addition, Dr. Hildebrand is working towards developing a national database for the management of DiGeorge syndrome.

Dr. Junker is the Director of the Canadian national Maternal Infant Child Youth Research Network (MICYRN), which connects the 17 child/maternal-child research organizations across Canada. Dr. Junker’s research has focused on establishing mother-infant cohorts for longitudinal studies of host immune-pathogen consequences of early infant infections with herpes group viruses.  As the Director for Clinical and Population Research with the Child & Family Research Institute, Dr. Junker manages infrastructure including the Clinical Research Support Unit whose staff provide education, methodological, biostatistics and data management advice and services.  She is an executive member of the BC BioLibrary, a provincial framework to maximize the ethical accrual of high-quality annotated biospecimens into biobanks.

Dr. Turvey is the Director of Clinical research at the BC Children's Hospital Research Institute (BCHRI), Senior Clinician Scientist at BCHRI, and the Aubrey J. Tingle Professor of Pediatric Immunology.  Key areas of interest include the genetics of susceptibility to childhood infection, the role of toll-like receptors in human disease, and innate immunity and lung inflammation in cystic fibrosis.  Dr. Turvey is also co-principal investigator for the Canadian Healthy Infant Longitudinal Development (CHILD) Study and leader for the Vancouver site.

Our fellowship training program is the only Canadian Royal College of Physicians and Surgeons of Canada accredited training program in Pediatric Clinical Immunology and Allergy west of Manitoba.

Our main goal is to train candidates to practice evidence based Pediatric Clinical Immunology and Allergy, preparing them for a career in either academic or community based practice.  The Allergy clinic at BC Children’s Hospital provides ample training for a variety of allergic conditions in children, including asthma, food allergy, atopic dermatitis, allergic rhinitis, eosinophilic esophagitis, urticaria, drug allergy, and venom allergy.  Longitudinal training in Pediatric primary immunodeficiency is a key strength of the program.  Candidates are expected to take the Royal College examination in Clinical Allergy and Immunology.  Completion of a research project is mandatory.  There is a weekly Academic Half day shared with programs at the University of Manitoba and Western.  Further details of training can be found on the CaRMS web site:  www.carms.ca

We continue to participate in medical student pediatric rotations, half-days, and other sessions.  All first year Pediatric residents continue to do the combined Allergy/CF/Respiratory rotation.  Pediatric residents in other years of training and pediatric residents from out of province spend elective time with us, as do dermatology and medicine residents.  Faculty members present at national, UBC affiliated, and community CME events.

Inquiries about the training program, including the application process, can be directed Daisy Yin, Program Assistant

The Allergy Clinic provides a consultation service to community physicians throughout the Province resulting in a wide variety of allergic disorders being seen: food allergy, asthma, atopic dermatitis, allergic rhinitis, eosinophilic esophagitis, and allergy to drugs, venom and vaccines.  There are over 1800 patient visits per year and the ambulatory program is designed to provide a “one stop” service for diagnosis and management by including diagnostic, treatment and teaching facilities within the clinical unit.  The Challenge Testing Program for foods and drugs continues as a unique and important outpatient program of the Division.  The Division is sharing leadership roles in multidisciplinary, dedicated Asthma and Eosinophilic Esophagitis clinics based at BC Children’s Hospital.

The Immunology Clinic provides consultation services for immune deficiency disorders, and tends to work with community health care providers for screening immunology studies to be done locally, so that most of the cases evaluated at BC Children’s have signs of an immune disorder and need more in-depth testing.  There is also an active inpatient consultation service for immune deficiency.

Faculty:

Dr. Edmond Chan, MD, FRCPC, Clinical Associate Professor, Division Head
Dr. Tiffany Wong, MD, FRCPC, Clinical Assistant Professor
Dr. John Dean, MB BS, FRCPC, Clinical Associate Professor
Dr. Kyla Hildebrand, MD, FRCPC, MScCH, Clinical Assistant Professor, Program Director
Dr. Anne Junker, MD, FRCPC, Associate Professor
Dr. Stuart Turvey, MBBS, DPhil, FRCPC, Associate Professor
Dr. Victoria Cook, Subspecialty Resident
Dr. Hannah Roberts, Subspecialty Resident

Community Members:

Dr. Scott Cameron, MD, PhD, FRCPC, Clinical Instructor (Victoria, BC - IMP)
Dr. Joanne Yeung, MD, FRCPC, Clinical Instructor

Staff:

Lisa Wilson, Administrative Assistant to the Division Head