1 / 43

MN Tracking Network From Vision to Impact

MN Tracking Network From Vision to Impact. Tracking Facilitated Discussion May 15, 2012. Road Map. Minnesota Tracking Network Tracking in Action (examples) Questions. Tracking Network (2012). Network includes 23 states, NYC, and 5 academic partners. MN Legislation.

eydie
Download Presentation

MN Tracking Network From Vision to Impact

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MN Tracking NetworkFrom Vision to Impact Tracking Facilitated Discussion May 15, 2012

  2. Road Map Minnesota Tracking Network Tracking in Action (examples) Questions

  3. Tracking Network (2012) Network includes 23 states, NYC, and 5 academic partners

  4. MN Legislation • In 2007 the MN Legislature established the MN Environmental Health Tracking and Biomonitoring Program • External Advisory Panel • Goals similar to National Tracking Network; with the addition of 4 biomonitoring pilot projects

  5. Data & Measures • Health • Asthma • COPD* • Heart attacks • CO poisonings • Birth defects • Reproductive outcomes • Cancer • Climate change • Exposure • (Biomonitoring) • Lead • PFCs* • Mercury* • Hazard • Air Quality • Drinking Water • Environmental Tobacco Smoke* * Added by Minnesota Tracking Network

  6. Timeline Portal Launch (Fall 2010) Outreach & Testing (Spring 2011) Redesign & Expansion (Spring 2012) Coming in 2012 New maps & data E-learning modules Custom data access

  7. Target Audiences Local Health Departments State & Local Agencies Researchers Non-Profit Organizations Public, Policymakers

  8. Audiences (cont’d) Local Public Health Association of MN LHD data user groups City and county elected officials Legislators; house/senate research staff MN Reference Library MPCA, MDA American Lung Association MN Cancer Alliance

  9. Data Portal: https://apps.health.state.mn.us/mndata

  10. Key Features One-stop shop for health & environment data Nationally consistent measures (indicators) Interactive maps & queries

  11. Outreach Tools Webinars & demonstrations Seminars Email updates Facebook, Twitter News articles

  12. Usability Testing User-centered testing (interviews) to evaluate portal content Analyze data; look for patterns; make enhancements

  13. Lessons Learned Avoid long titles Use plain language Focus on top tasks

  14. Tracking in Action Evaluation Tracking = public health surveillance

  15. Tracking in Action • Use data to evaluate policy: carbon monoxide poisonings • CO poisonings result in hospitalizations, emergency department visits, and deaths • In 2007-2009 MN passed a new CO alarm law (MS 299F.50 to 299F.51) • Tracking data is used to evaluate trends & effectiveness of policy

  16. Tracking in Action • Use data to evaluate priorities: assessment & planning • We are facing challenging economic times; assessment and planning process requires tough choices • Tracking data is used to evaluate public health priorities; identify vulnerable areas/populations

  17. Tracking in ActionSecondhand Smoke Exposure* *Nonsmoking adults in Minnesota, 2003-2010, Minnesota Adult Tobacco Survey

  18. Bridging the Gap • Exposure data are essential to understand the relationship between health & environment • Soil • Water • Air • Food • However, these data (extent and frequency) often are not collected/available

  19. What is Biomonitoring? Biomonitoring directly measures the amount of an environmental chemical (or chemical breakdown product) in people’s bodies

  20. Use in Public Health Practice Track trends over time Identify disparities in exposure Evaluate interventions to reduce exposure Set priorities for public health action, research, and policy

  21. Example: Blood Lead Levels Source: Murdock, EMBO Reports 2005

  22. Biomonitoring in MN Environmental Health Tracking and Biomonitoring(MN Statutes 144.995-144.998) MDH will conduct a pilot biomonitoring program of 4 projects in communities “likely to be exposed” Develop recommendations for an ongoing state biomonitoring program

  23. Perfluorochemical (PFC) Project In 2008 measured 7 PFCs in blood of 196 East Metro residents Higher PFOS, PFOA, PFHxS levels compared to US Blood levels correlated with concentrations in well water Follow-up conducted in 2010

  24. Results: PFCs in Blood

  25. Mercury in Blood* *Percent of U.S. women of child-bearing age with blood mercury above the health concern level, by race/ethnicity

  26. Biomonitoring Programs • CDC’s National Biomonitoring Program (NHANES) • State/local programs: Minnesota, California, Washington, New York City http://www.cdc.gov/exposurereport/

  27. Next Steps • Expand biomonitoring data on portal • Maintain program capacity • Conduct strategic planning for targeted population exposure tracking • Gather input from stakeholders • Focus on children and pregnant women • Prioritize chemicals • Recommend ongoing program for MN

  28. Measuring Impact: Air quality and Health • Air quality is associated with a variety of adverse health outcomes • Exposures to fine particles are a primary driver of air pollution alerts in MN • Sources include: cars, trucks, buses, construction equipment, electric generators, wood-burning and wildfires, coal and oil industries

  29. Fine Particle Pollution: PM2.5

  30. Measuring Impacts (local level) Reductions in Population Exposures Reductions in Adverse Health Outcomes Regulatory or Policy Changes • PM2.5 • Respiratory diseases • Cardiovascular disease • Hospitalizations and Deaths

  31. MN Air Initiatives Heavy Duty Diesel Rule 2007 Ultra Low Sulfur Fuel late 2006 Clean Air Interstate Rule Adopted 2005; remanded 2008 2003 2004 2005 2006 2007 2008 2009 Baseline Period Early Implementation Implementation MERP: Riverside coal to natural gas MERP: High Bridge coal to natural gas MERP: Allen S. King emissions controls Project Green Fleet retrofits 2005-2009 continuous 24-hr PM2.5 NAAQS revision

  32. Source: MN Pollution Control Agency

  33. AQI: Number of Unhealthy Air Days in MN Source: MN Pollution Control Agency

  34. Measuring Air Pollution Health Impacts • Associations found in the MSP metro for PM2.5 and respiratory hospitalizations

  35. Air Pollution Health Impacts Over Time

  36. Coming in 2012 • New data & features • New cancer types (7) • Childhood immunizations • Climate change (heat stress) • Population characteristics • Biomonitoring (additional chemicals) • Air pollution impacts on health • E-learning modules • Custom data access • Expanded outreach & evaluation

  37. Evaluating New Data Topics • Developmental disabilities (autism) • Pesticide poisonings • Private well water (arsenic) • Radon • Smoking, obesity

  38. Success Stories

  39. Vision • Access to broad public health data sets • Inform public health actions; evaluate effectiveness • Promote healthy choices; protect future generations

  40. Keeping Informed Subscribe for email updates Attend seminars (quarterly) Request a demonstration

  41. Web site: http://www.health.state.mn.us/tracking

  42. Contributors (many!) • Data stewards (MDH, MPCA) • National Tracking Network (CDC, grantees) • LPHA, LHDs, NACCHO

  43. Subscribe for updates at: https://apps.health.state.mn.us/mndata Questions? Chuck Stroebel Jean Johnson

More Related