Robin M. Wagner, Ph.D., M.S. Jamila Rashid, Ph.D., M.P.H. Robert Spengler, Sc.D .

1. Supporting and Expanding Public Health Research: A CDC PerspectiveCommunity-Campus Partnerships for Health (CCPH)January 10, 2006 Robin M. Wagner, Ph.D., M.S. Jamila Rashid, Ph.D., M.P.H. Robert Spengler, Sc.D. Office of Public Health Research Office of the Chief Science Officer

2. Mission To promote health through partnerships between communities and higher educational institutions

3. Overview • Developing a national public health research agenda • Why now • How theNEWCDC Health Protection Guide, 2006-2015 is being developed • How it will be used to support shorter-term Research Agenda • How you can get involved

4. The Original CDC

5. Why Change? Many External Forces… Emerging Public Health Threats Human Genome Health Disparities Globalization Changing Demographics Information Technology Rising Health Care Costs Aging Workforce Public Health Infrastructure

6. CDC Response • New strategic plan: Futures Initiative • New organizational structure • New health protection goals • New strategic imperatives • New national public health research agenda • CDC Health Protection Research Guide, 2006-2015 • CDC Research Agenda (shorter-term priorities)

7. CDC Organizational Structure OFFICE OF STRATEGY AND INNOVATION OFFICE OF THE CHIEF SCIENCE OFFICER OFFICE OF WORKFORCE AND CAREER DEVELOPMENT OFFICE OF THE CHIEF OF PUBLIC HEALTH PRACTICE OFFICE OF THE DIRECTOR OFFICE OF ENTERPRISE COMMUNICATION OFFICE OF THE CHIEF OPERATING OFFICER OFFICE OF CHIEF OF STAFF CDC WASHINGTON OFFICE OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY COORDINATING OFFICE FOR GLOBAL HEALTH COORDINATING OFFICEFOR TERRORISM PREPAREDNESS & EMERGENCY RESPONSE COORDINATING CENTER FORENVIRONMENTALHEALTH AND INJURY PREVENTION COORDINATING CENTERFOR HEALTH INFORMATION AND SERVICES COORDINATING CENTER FOR HEALTH PROMOTION COORDINATING CENTER FOR INFECTIOUS DISEASES NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH

8. CDC Overarching Health Protection Goals Healthy People in Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World

9. Healthy People in Every Stage of Life Infants & toddlers Children Adolescents Adults Older Adults Healthy People in Healthy Places Communities Homes Workplaces Schools Healthcare settings Institutions Travel & recreation People Prepared for Emerging Health Threats Event Goals: Investigate & control threats Post-Event Goals: Recover from threats & improve future responses to threats Pre-Event Goals: Prevent, detect & report public health threats Healthy People in a Healthy World Health promotion Health protection Health diplomacy Specific Health Protection Goals

10. Strategic Imperatives • Health Impact Focus • Customer-centricity • Public Health Research • Leadership • Global Health Impact • Accountability

11. Goals Implementation for CDC Goals Evidence Input Mission Feasibility Impact Healthy People, Healthy Places, Preparedness & Global Health Health Impact Evidence-based action plan Accountability & responsibility assignments Resource allocation Performance Management

12. Goals Will Drive Program and Research GOALS Health Impact RESEARCH PROGRAM

13. CDC Integration of Goals, Research and Program HEALTH PROTECTION GOALS Healthy People, Healthy Places, Preparedness & Global Health Program Achieve goals Public health services, programs and response Improved services, programs and response Research Innovation New priorities Threats & emergencies HEALTH IMPACT

14. Overview: CDC Health Protection Research Guide, 2006-2015 • Provides comprehensive, long-range vision of national & global public health needs • Research Guide will support shorter-term Research Agenda • Applies to intramural & extramural research

15. Purpose of the Research Guide • Identify knowledge gaps • Describe research most needed to improve existing or establish new public health programs and interventions. • Improve the effectiveness of public health disciplines through supporting innovative, cross-cutting interdisciplinary and foundational research. • Serve as a platform for discussions and collaboration • Plan, promote, and market CDC research

16. Workgroup Structure CDC ADVISORY COMMITTEE Workgroup on Goals & Research Agenda Research Agenda Steering Subworkgroup 2015 Health Protection Goals Subworkgroup Core Team Health Promotion Environmental & Occupational Health & Injury Prevention Health Information Services Infectious Diseases Global Health Community Preparedness & Response

17. Research Guide Development Accomplishments and Next Steps • Developed plans & gained approval • Formed workgroups • Gathered CDC and partner input • Created “starter list” for discussion • Held public participation meetings • Held initial federal partners meeting • Conducted synthesis & prioritization • Produced public comment draft • Hold second federal partners meeting • Finalize Research Guide

18. Priority-SettingCriteria Public health need/importance of problem Relevance to reducing health disparities Potential for broad impact (>1 disease or subject area) Relevance to CDC mission/health protection goals

19. Research Guide topics include… • Disasters and terrorism • Global health burdens • Public health informatics • Injuries and violence • Infectious diseases Community-Based Participatory Research • Health disparities • Workplace safety and health • Public health law and ethics • Genomics • Public health workforce development • Environmental exposures • Chronic diseases And more…..

20. Outline of Public Comment Draft Overview Relationship of Research Themes to CDC Health Protection Goals Proposed Guide Prevent and Control Infectious Diseases Promote Preparedness to Protect Health Promote Health To Reduce The Burden Of Chronic Diseases and Disability Create Safe Places To Live, Work, Learn, and Play Work Together to Build a Healthy World Manage and Market Health Information Cross Cutting Research

21. Linking Research Guide to Goals Action Teams • Each Team’s Goals Action Plan will include a research component. • The Research Guide will have identified research to fill knowledge gaps determined as priorities by Teams. • Teams will use Research Guide to form basis of short-term Research Agenda (2-3 year timeline).

22. Research Themes Related to the Goals Action Teams • Optimal Adolescent Development[ADOLESCENT HEALTH] Develop and evaluate strategies to improve health and fitness levels of U.S. adolescents, and establish health behaviors that promote lifelong health and reduce the leading causes of morbidity, mortality,and disability among youth and adults. • Influenza Pandemic and Interpandemic (Annual)[INFLUENZA] Determine the pathogenesis, transmission, and immune response of highly pathogenic avian and other influenza viruses with pandemic potential to develop improved preventive and therapeutic measures. • Occupational Diseases[HEALTHY WORKPLACES] Improve understanding of the role and burden of workplace exposures to diseases, and determine sector-specific risk factors, mechanisms, and effective prevention strategies. • Health Marketing and Health Education in Global Settings[GLOBAL HEALTH PROMOTION] Improve strategies for health education and dissemination of health marketing messages and products with the objective of encouraging behaviors that will prevent disease and injury in the developing world.

23. Community-Based Participatory Research IX. Cross Cutting Research Community-Based Participatory Research (CBPR) Design, conduct, and interpret CBPR research to increase the relevance, acceptability, and usefulness of evidence-based scientific findings in improving the health of communities.

24. Community-Based Participatory Research II • Infectious Diseases • Behavioral and Prevention Research to Promote Health • Develop, evaluate, and implement existing and emerging infectious disease-specific behavioral and social science interventions, public health education programs, and health communication research. • Chronic Diseases • Reduce the Burden of Chronic Diseases • Develop and evaluate strategies that enable families, employers, and communities to control and prevent the burden of chronic diseases and to reduce the preventable physical and emotional adverse health effects associated with these diseases and conditions. • Genomics • Models for Incorporating Education and Community Engagement into Population-Based Genomics Research • Develop and evaluate methods for engaging communities in assessing the risks, benefits, and tradeoffs associated with research participation.

25. Public Comment Period Nov 18, 2005 ~ Jan 15, 2006 • Review and comment at • http://www.rsvpBOOK.com/custom_pages/50942/index.php • Email Comments to: ResearchGuide@cdc.gov • Send comments via “snail mail” to: • Dr. Jamila Rashid, • CDC, 1600 Clifton Rd., NE, Mailstop D72, • Atlanta, GA 30333, USA

26. For More Information • CDC Goals http://www.cdc.gov/about/goals • CDC Health Protection Research Guide www.cdc.gov/od/ophr/cdcra.htm

27. We Need Your Input on the Research Guide . . . To help us fulfill CDC’s vision of healthy people in a healthy world – through prevention! Thank you!!

28. Contact Information Robin M. Wagner, Ph.D., M.S. Associate Director for Research Planning and Evaluation Phone: 404-639-4898 Email:RWagner@cdc.gov Jamila Rashid, PhD, MPH Research Agenda and Promotion Team Leader Phone: 404-639-4658 Email:JRashid@cdc.gov Office of the Chief Science Officer Office of Public Health Research 1600 Clifton Rd, MS D72 Atlanta, GA 30333 ResearchGuide@cdc.gov http://www.cdc.gov/od/ophr/cdcra.htm

29. Questions ???

30. Mark Your Calendars! • CCPH 9th Conference - May 31-June 3, 2006, Minneapolis, MN – Registration open Pre-conference institutes include “Developing & Sustaining CBPR Partnerships, ” “Practical Guidance for Authors Writing about CBPR” and “Making Your Best Case for Promotion & Tenure” • 9th Service-Learning Institute– July 21-24, 2006 in WA State – Applications due April 7 • 5th Annual CCPH Award– Nominations Due Jan 20

31. Stay Connected Become a member of CCPH Join the free CBPR Listserv Co-sponsored by CCPH and Wellesley Central Health Corporation Details at www.ccph.info