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The National Environmental Public Health Tracking
Program
NAPHSIS ConferenceNAPHSIS ConferenceJune 4-8, 2006June 4-8, 2006 San Diego, CA San Diego, CA
Judith R. Qualters, Ph.D.Chief, Environmental Health Tracking Branch Division of Environmental Hazards and Health EffectsNational Center for Environmental HealthCenters for Disease Control and Prevention (CDC)404-498-1815
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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.
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
At-A-GlanceTracking Network
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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Tracking Network Planning Framework
What Do We
Want?
Which System
Does What?
What Technology?
What Do We Do?
What Do We Have?
What Data Standards?
Implementation Plan
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
CDC’s EPHT Program Grantees
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Examples of Projects using Vital Statistics Data
Adverse reproductive outcomes, SIDS, autism, and mental retardation and air toxics (including pesticides) and blood lead levels
Developmental effects and
PCBs in Berkshire
County
LBW and volatile
organics in drinking
water
Childhood cancer andair toxics (including pesticides)
Birth defects, LBW,
prematurity and disinfection byproducts in drinking water
LBW and arsenic in drinking
waterCancer and TCE
ground water contamination
Tracking CO and Pesticide poisoning
Birth defects and air quality
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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.
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Data Driven Action Promoting 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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Challenges to Implementing a Tracking Network
Data availability/access/quality
Methods and Tools Capacity Partnership and
Communication
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Solutions: National Approach Partnership and
Collaboration Identification and
adoption of standards
Tools development Training
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
What’s Next for Tracking?From Planning to Implementation
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
Information is a process…not a possession
Data must be:• Sharable• Comparable• Presentable• Understandable
….to be information
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
For more information: www.cdc.gov/nceh/tracking
Contact us: [email protected]
Improving Security, Systems, and StatisticsSan Diego, CA
June 4th – 8th, 2006
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