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

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Presentation on theme: "Update on CDC efforts in asthma control Stephen C. Redd, M.D. Chief, Air Pollution and Respiratory Health Branch"— Presentation transcript:

1 Update on CDC efforts in asthma control Stephen C. Redd, M.D. Chief, Air Pollution and Respiratory Health Branch scr1@cdc.gov www.cdc.gov/asthma

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)

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 CDCs 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 Identify Translate into programs Fund Inner City Asthma Intervention (based on NIAID funded research) Open Airways Asthma Care Training

8 From Research To Practice Research Translation Implementation Evaluation

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 2 nd 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 TrainingNational 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

11 For information on CDC State Asthma Programs: Go to: www.cdc.gov/asthmawww.cdc.gov/asthma Select State Asthma Contacts and Programs Click on any state to get contact information for partnership, surveillance and intervention grant activities

12 www.cdc.gov/asthma/

13 CDC funded State Asthma Programs, 2002 2000 1999 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

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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