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Judith R. Qualters, Ph.D. Chief, Environmental Health Tracking Branch

The National Environmental Public Health Tracking Program NAPHSIS Conference June 4-8, 2006 San Diego, CA. Judith R. Qualters, Ph.D. Chief, Environmental Health Tracking Branch Division of Environmental Hazards and Health Effects National Center for Environmental Health

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Judith R. Qualters, Ph.D. Chief, Environmental Health Tracking Branch

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  1. The National Environmental Public Health Tracking ProgramNAPHSIS ConferenceJune 4-8, 2006 San Diego, CA Judith R. Qualters, Ph.D. Chief, Environmental Health Tracking Branch Division of Environmental Hazards and Health Effects National Center for Environmental Health Centers for Disease Control and Prevention (CDC) 404-498-1815

  2. Health Crisis • Chronic diseases responsible for 7 out of 10 deaths in U.S. • Chronic diseases strike > 1/3 of population • Health care costs for chronic diseases > 75% of U.S. $1 trillion health care budget

  3. Decision-making Foundation: Tracking Data DATA INFORMATION KNOWLEDGE Without adequate tracking, local, state, and federal officials cannot know the true scope of existing health problems and may not recognize new diseases until many people have been affected.

  4. Web-based, Standards-based (PHIN) Compatible with EPA Exchange Network Exists at the local, state, & national level Provides direct access to distributed data sources Comprised of a core set of health effects, exposures and hazards Flexible design-allows state/local track unique priorities Includes central catalog of EPHT data and data owners Access based on the roles and purpose of the customer Includes tools for linkage, visualization, analysis, and reporting Complies with HIPAA At-A-GlanceTracking Network

  5. What Do We Want? What Do We Have? What Do We Do? Which System Does What? What Technology? What Data Standards? Implementation Plan Tracking Network Planning Framework

  6. CDC’s EPHT Program Grantees

  7. Examples of Projects using Vital Statistics Data LBW and arsenic in drinking water Developmental effects and PCBs in Berkshire County Childhood cancer and air toxics (including pesticides) Cancer and TCE ground water contamination Tracking CO and Pesticide poisoning Adverse reproductive outcomes, SIDS, autism, and mental retardation and air toxics (including pesticides) and blood lead levels Birth defects, LBW, prematurity and disinfection byproducts in drinking water LBW and volatile organics in drinking water Birth defects and air quality

  8. Results from Funded State/local Projects • Increased capacity • Increased availability and enhancement of existing data • Built new data systems • Demonstrated feasibility/methods for linking data • Developed analytic tools • Took public health action CDC will complete assessment and publish report.

  9. Data Driven ActionPromoting Healthy Pregnancies in Maine • Identified arsenic in well water • Arsenic in well water linked to low birth weight • Public Health Action: • Updated Maine well water quality hotline to advise pregnant women about precautions for drinking water consumption

  10. Challenges to Implementing a Tracking Network • Data availability/access/quality • Methods and Tools • Capacity • Partnership and Communication

  11. Solutions: One State’s Approach • “…overcame barriers to data integration by developing methods and tools useful to our agency program partners” • Automated routing of case information • Matching and record linkage • Geo-coding and GIS • Decision support – Methods for analysis and interpretation

  12. Solutions: National Approach • Partnership and Collaboration • Identification and adoption of standards • Tools development • Training

  13. What’s Next for Tracking?From Planning to Implementation

  14. New Tracking Funds in 2006(CDC RFA-EH06-601) • To provide state health departments the resources to implement statewide EPHT networks that will be part of the National EPHT Network • About 15 awards • Project Period: 5 Years

  15. Tracking Network Implementation Functions: • Provide Nationally Consistent Data and Measures • Describe and Discover Data • Exchange Data • Provide Data Management and Analysis Tools • Inform and Interact with the Public

  16. Information is a process…not a possession Data must be: • Sharable • Comparable • Presentable • Understandable ….to be information

  17. For more information: www.cdc.gov/nceh/tracking Contact us: EPHT@cdc.gov

  18. Save the Date

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