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Pennsylvania Department of Health Division of Environmental Health Epidemiology James N. Logue, Dr.P.H., M.P.H. Environmental Health Priorities for PADOH NPL Site Specific Public Health Assessment Activities Occupational Health Program Toxicology Program

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Presentation Transcript
slide1

Pennsylvania Department of Health

Division of Environmental Health Epidemiology

James N. Logue, Dr.P.H., M.P.H.

environmental health priorities for padoh
Environmental Health Priorities for PADOH
  • NPL Site Specific Public Health Assessment Activities
  • Occupational Health Program
  • Toxicology Program
  • Environmental Epidemiology and Medicine
  • Environmental Public Health Tracking
key strategic planning documents
Key Strategic Planning Documents
  • Healthy People 2010 (30 Environmental Health Objectives)
  • Pew Environmental Health Commission Report
  • Pennsylvania 21st Century Environment

Commission 1998 Report

  • PADOH SHIP 2000 Report
  • Institute of Medicine 1988 Report
pew environmental health commission report
Pew Environmental Health Commission Report
  • In 2000, stated that our existing environmental Health System is neither adequate nor well organized
  • Recommended a National Health Tracking Network that informs consumers, communities, public health practitioners, researchers, and policymakers on chronic diseases and Related Environmental hazards and population exposures.
funding
PART A

Begin Developing a Nationwide Environmental Public Health Tracking Network

Develop Capacity in Environmental Health Within State and Local Health Departments

PART B

Develop or Enhance Exposure or Health Effect Surveillance Systems

Conduct Projects to Assess the Utility of Linking and Reporting Health Effect Data for Guiding Appropriate Public Health Action or Practice

Funding

CDC Received $17.5 Million in 2002 and $28 Million in 2003 to:

environmental public health tracking

Hazard Tracking

Exposure Tracking

Tracking Network

Health TrackingOutcome

Environmental Public Health Tracking

The ongoing collection, integration, analysis, and interpretation of data about Environmental Hazards, Exposure to Environmental Hazards, Health effects potentially related to environmental hazards.

initial co operative agreements 2002
Initial Co-operative Agreements - 2002

17 State Health Departments:

 California  Connecticut  Illinois

 Maine  Massachusetts  Maryland

 Missouri  Montana  Nevada

 New Hampshire  New Mexico  New York

 Oregon  Pennsylvania  Utah

 Washington  Wisconsin

3 Local Health Departments

 Houston, TX  New York City  Washington D.C.

3 Schools of Public Health (Centers of Excellence)

 Tulane University  University of California, Berkley

 Johns Hopkins University

state local activities 2002 grantees
State/Local Activities (2002 Grantees)
  • Funded at two levels – A & B
  • Require collaboration between State/local health and environmental agencies
  • Select Activities include:
    • Evaluate existing databases/prioritize needs
    • Develop/enhance surveillance systems (health, exposure, hazard)
    • Assess utility of Environmental Public Health Indicators
    • Participate in standards development workgroups
    • Data linkage/utilization/evaluation projects – Part B states only
slide9

The National Environmental Public Health Tracking Initial Program - 2002

RI

NEW YORK CITY, NY

NJ

JOHNS HOPKINS UNIVERSITY

DE

UNIVERSITY OF

CALIFORNIA, BERKELEY

MD

WASHINGTON, D.C.

TULANE UNIVERSITY

HOUSTON, TX

Planning and Capacity Building

Enhancement and Demonstration Project

Centers of Excellence

WA

ME

MT

ND

OR

MN

VT

NH

ID

NY

SD

WI

MA

WY

MI

CT

IA

PA

NE

NV

OH

UT

IN

IL

CO

WV

CA

VA

KS

MO

KY

NC

TN

AZ

OK

NM

AR

SC

MS

AL

GA

TX

LA

FL

AK

new program announcement 2003
In 2003, the CDC funded 10 new and additionally funded states and localities to further support the tracking program

These new members focus on data linkage projects using existing surveillance systems

California*

New Mexico*

New Jersey

New York*

Oklahoma

Wisconsin*

City of New York*

Florida

Louisiana

Massachusetts*

New Program Announcement - 2003

* Indicates additional funding in 2003

slide11

State Data Linkage Demonstration Projects: Asthma

RI

NEW YORK CITY, NY

NJ

JOHNS HOPKINS UNIVERSITY

DE

UNIVERSITY OF

CALIFORNIA, BERKELEY

MD

WASHINGTON, D.C.

TULANE UNIVERSITY

HOUSTON, TX

Planning and Capacity Building

Enhancement and Demonstration Project

Centers of Excellence

Asthma linked with school indoor air quality

WA

ME

MT

ND

Low birth wt, preterm births, intrauterine growth retardation, childhood mortality, and childhood asthma admissions linked to air pollution (O3, SOX , NOX , PM2.5, PM10, CO)

Asthma prevalence, low birth wt, and preterm birth linked with traffic exhaust / air monitoring data

OR

MN

VT

NH

ID

NY

SD

WI

MA

WY

MI

CT

IA

PA

NE

NV

OH

UT

IN

IL

CO

WV

CA

VA

KS

MO

KY

NC

TN

AZ

OK

NM

AR

SC

MS

AL

GA

TX

LA

FL

AK

pennsylvania s proposed asthma project
Pennsylvania’s Proposed Asthma Project
  • I.D. # of school districts with unusually high levels of students with self reported asthma diagnosed by physician
  • I.D. students with asthma from the targeted school districts
  • Examine indoor and ambient air pollution levels
  • I.D. other potential risk factors for asthma (school, home, other)
asthma proposed project cont
Asthma Proposed Project (cont.)
  • I.D. “markers” associated with asthma to be used for program evaluation (e.g., school absences, 911 calls, hospital admissions for asthma, E.D. visits related to asthma, etc.)
  • Determine if there appears to be a correlation between air pollution levels and disease activity
  • I.D. potential recommended strategies for intervening to help reduce the threat of asthma or improve the quality of life for those who have asthma
asthma proposed project cont14
Asthma Proposed Project (cont.)
  • Conduct periodic program evaluations
  • Educate physicians, medical personnel, parents, and students about asthma and disease intervention methods
slide16

Challenges and Opportunities Ahead

Success will be the result of:

  • Well coordinated surveillance efforts
  • Utilizing effective networking approaches
  • Utilizing strong science
  • Collaboration and innovation with other partners
  • Effectively communicating realistic expectations
  • Necessary and effective follow up and evaluation
for additional information visit
For Additional Information Visit:

The PADOH’s website at:

www.health.state.pa.us

or

The CDC’s tracking program website at:

www.cdc.gov/nceh/tracking/program.htm