1. Genomics and Public Health Challenges (& Opportunities) Today Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health May 5, 2003

2. 2 The Human Genome has been Sequenced… Now What?

3. 3 For Public Health What does it mean now? What does it mean now? What will it mean in the future? What will it mean in the future? How will genomics improve health status? How will genomics improve health status? What role with public health agencies play? What role with public health agencies play? What is needed to succeed? What is needed to succeed?

4. 4 There are No Clear Answers… YET!

5. 5 Many Challenges of the New Knowledge: Raising Awareness Raising Awareness Interpretation / Translation Interpretation / Translation Dissemination Dissemination Application Application

6. 6 Operational Challenges: Overcoming organizational barriers Overcoming organizational barriers Moving beyond genetic services in MCH Moving beyond genetic services in MCH Finding optional ways to integrate genomics into All of Public Health Finding optional ways to integrate genomics into All of Public Health Education & training of public health workforce Education & training of public health workforce Data issues Data issues

7. 7 Environmental Challenges: Competing priorities Competing priorities Inadequate resources – human & fiscal Inadequate resources – human & fiscal Forging new partnerships Forging new partnerships Coalition of SGC survey Coalition of SGC survey www.stategenticscoordinators.org/resources.html www.stategenticscoordinators.org/resources.htmlwww.stategenticscoordinators.org/resources.html

8. 8 The Good News… We have time to find answers!