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Update on CDC efforts in asthma control

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Presentation on theme: "Update on CDC efforts in asthma control"— Presentation transcript:

1 Update on CDC efforts in asthma control
Stephen C. Redd, M.D. Chief, Air Pollution and Respiratory Health Branch

2 Asthma issues Rising prevalence
Rising measures of burden (stabilizing?) Disparity in outcomes 4 year old CDC program HP2010 goals

3 Aim of CDC asthma program
Reduce the burden of asthma through better application of current knowledge of medical and environmental management Reduce death rate, hospitalization rate, ED visit rate, missed school and work days, activity limitation Improve adherence to NAEPP guidelines Improve tracking capability (www.healthypeople.gov) Not sure how to end, this could go at the beginning, alternatively could summarize HP2010 goals very briefly here

4 Who works on asthma at CDC
National Center for Environmental Health NCCDPHP / Division of Adolescent and School Health National Institute for Occupational Safety and Health National Center for Health Statistics Agency for Toxic Substances and Disease Registry

5 CDC’s asthma program Surveillance
Implement scientifically proven interventions Partnership / Training

6 Components of asthma surveillance system
Assist states in evaluating existing data Mortality data / Hospitalization data Develop and implement telephone surveys Behavioral Risk Factor Surveillance System National Asthma Survey (AL, CA, IL, NY, TX) Develop new tools for tracking Surveillance for incident cases ED department surveillance

7 Identify and implement science-based asthma interventions
Translate into programs Fund Inner City Asthma Intervention (based on NIAID funded research) Open Airways Asthma Care Training

8 From Research To Practice
Evaluation Translation This simple diagram demonstrates the steps that emanate from intervention research. First comes translation which I will describe in detail in a few minutes using NCICSA as an example. Once translated and made widely available, the intervention can be implemented, and, of course, all interventions should have an evaluation which feeds information back into the intervention activity and also helps define additional research needs. Let me emphasize, the program evaluation is not a repetition of the research. We already know that the research model is effective if implemented appropriately. Implementation

9 Controlling Asthma in American Cities Project
7 city-based collaborative groups funded to plan a broad-based, multi-sector asthma intervention Develop collaborative group / Define interventions / Determine evaluation Entering 2nd year of planning period Planning 5 yr intervention beginning October 2003

10 Work through partnership / Training
Federal partners: Federal Liaison Working Group on Asthma State and local public health agencies Cooperative agreements to 29 states and DC for planning and surveillance Training—National Asthma Training Curriculum Providers and purchasers of health care NAEPP project on essential elements of asthma care Non-profit and professional organizations ALA, AAFA, AAN/MA, AAAAI, ATS Looks a little bit to much like alphabet soup. This slide should take a while to go through and should concentrate on brief number of specific projects

11 For information on CDC State Asthma Programs:
Go to: Select “State Asthma Contacts and Programs” Click on any state to get contact information for partnership, surveillance and intervention grant activities

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13 CDC funded State Asthma Programs, 2002
1999 2000 2001 2002 Hawaii

14 CDC approach to support state health departments
Hired of epidemiologist in Program Section Assigned an epidemiologist to each grantee Standard approach to surveillance Handbook for epi support National Asthma Training Curriculum Standards proposed Advice on data sources Case definition Age groupings Data suppression

15 Program Elements Guidebook for state health department asthma programs
Intended for grant applicants and newly funded programs Identifies elements of successful programs Examples of overcoming barriers to successful implementation

16 Future priorities for CDC asthma program
Increase support for state asthma programs Implement National Asthma Survey Implement tracking for incident cases of asthma Implement Controlling Asthma in American Cities Project


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