1. Data, Mapping, and Action: Cancer and the Role of Environmental Public Health Tracking Wisconsin Comprehensive Cancer Control Summit May 28, 2015 2:00 – 3:00 p.m. Wisconsin Environmental Health Tracking (EPHT) Program Paul D. Creswell, Ph.D. Wisconsin Department of Health Services

2. Introduction Pew Environmental Health Commission Report: – Identified America’s Environmental Health Gap. – Called for a “Nationwide Health Tracking Network for diseases and exposures”. In 2002, EPHT responds to this need: – Provides data on a variety of environmental exposures and outcomes. – Serves as a repository of state-specific data.

3. Environmental Public Health Tracking

4. It would be great if I knew how to make my data more useful for local public health. With the right data, I could better address my community’s issues. Bridging the Gap

5. Current Data Partnerships EPHT currently has data partnerships with: Wisconsin Cancer Reporting System (WCRS) Lead-Safe Wisconsin Wisconsin Department of Natural Resources Survey of the Health of Wisconsin (SHOW) Wisconsin Vital Records Office Many others

6. Current EPHT Topic Areas Childhood lead poisoning Cancer Ambient air quality (ozone and PM2.5) Water quality Private well testing Radon Birth defects Reproductive outcomes Carbon monoxide poisonings Hospitalizations for heart attacks Hospitalizations for asthma Heat vulnerability

7. County Environmental Profiles

8. Dashboard: Quick view of county. Several environmental indicators (e.g., lung cancer). Red and green “lights” show where the county sits relative to the state. Profile provides detailed information on each data point. Every effort has been made to provide data on all variables for all counties.

9. County Environmental Profiles How to use: The goal of the profiles is to use data to provide a basis for public health actions at the local level. A survey conducted by Harvard University found that environmental health was among the top five things that U.S. residents believe affect their health. The profiles only scratch the surface of the data available through EPHT.

10. County Environmental Profiles www.dhs.wisconsin.gov/epht/profile.htm

11. Enhanced Public Portal Coming in the summer of 2015! Some sub-county-level data will be available for some measures. The new public portal allows for dynamic queries. https://uatsec.gis.wi.gov/DHS/widhs-health-tracker/

12. Enhanced Public Portal

13. Enhanced Portal Features In partnership with ESRI, EPHT is creating an enhanced public portal. Sub-county-level (census tract) data will be available for some measures. Dynamic map will allow users to pan around. Find an address feature will allow for individualized searches. Seamless switching between maps, charts, and tables. Printing for reports will be enhanced.

14. EPHT: State and National Wisconsin EPHT is a state-level program: http://www.dhs.wisconsin.gov/epht/. Wisconsin EPHT is part of the national EPHT: http://ephtracking.cdc.gov/. National EPHT provides some additional measures (e.g., heat stress), while WI EPHT provides Wisconsin-specific data (e.g., private well data).

15. Data Repositories Public portal: – Provides data-based tools (i.e., charts and maps) for tracking and communicating environmental public health data. Secure portal: – Provides greater data detail as well as integrated tools that facilitate data exploration and analysis.

16. Other Resources Website Issue briefs Newsletter Listserv Technical advice

17. What Can You Do With EPHT Data? EPHT aims to assist local public health departments in meeting programmatic needs. EPHT data can assist in priority setting and communication strategies. EPHT data allows for tracking of progress on health initiatives.

18. What Can You Do With Maps? Maps have become an increasingly prevalent way to represent data. Maps are images and a picture is worth 84.1 words! Images make it easier for us to absorb complex information. Maps provide relational data and tell a story.

19. What Can You Do With Maps? Comparisons between regions allow for an understanding of community-level needs and assets. Maps can assist in priority setting and allow us to provide evidence- based solutions where they will have the highest utility to partners throughout Wisconsin.

20. Thanks! Contact: Paul D. Creswell, Ph.D. Senior Epidemiologist Environmental Public Health Tracking (EPHT) Program Phone: (608) 267-9752 Email: paul.creswell@dhs.wisconsin.gov