American Public Health Association
800 I Street, NW • Washington, DC 20001-3710
(202) 777-APHA • Fax: (202) 777-2534 •

Chiropractic Health Care
Section Newsletter
Winter 2005

From the Section Chair

Dr. John Hyland
On the Shoulders of Giants

Greetings to all members of the Chiropractic Health Care section from your new chairperson. Thank you for electing me to represent you; I am committed to working to make this an energetic and visible section of the APHA.

First, I want to acknowledge all of the people who have worked hard over the years to bring this section into existence, and to continue its vitality and viability. First as chair-elect, and now as I take over the reins of this small but committed group, I have come to recognize what a debt of gratitude I and the entire chiropractic profession owe to all those who have come before me. Thank you, each and every one.

Next, I want to talk about the upcoming year. As in virtually every endeavor, numbers matter. For us, that always means membership. As you probably know, our representation (and even our continued existence as a section) within APHA is determined by the number of members in our Section. Unfortunately, we have been experiencing a gradual decline over the past few years. I believe this may be my most important job as Section chair – to work to stimulate growth and to ensure continuation. Therefore, one of my first actions as chair was to appoint our chair-elect, Andrew Isaacs, to head an energized Membership Committee. With a combination of experienced and newly committed volunteers, Isaacs will be working to increase our numbers, by retaining current and recruiting new members for the Section.

A theme that is reverberating around our profession currently is “identity.” Likewise, those of us at the business meetings in Washington, D.C., discussed the importance of projecting an identity as a section. We recognized that we are a very diverse group, made up of practitioners, educators, and researchers with a wide variety of personal interests and agendas. However, we agreed that we all value the public health emphasis on prevention, health promotion, and wellness. Our Section will be working to increase awareness in the profession of these concepts.

One important time we’ll be able to do that is during National Public Health Week, which is April 4-10, 2005. This year’s theme is EMPOWERING AMERICANS TO LIVE STRONGER, LONGER, which focuses on healthy aging. We will be encouraging all members to make use of APHA materials in their practices and workplaces to promote better health in the aging population – this is a great tie-in for chiropractic care! In fact, our immediate past-chair, Lisa Killinger, has been involved in some of the planning in her role as our section’s liaison to the APHA’s Task Force on Health Aging.

And finally, this year we will be preparing for our Section’s 10th anniversary celebration! This will be a very important milestone, and hopefully the first of many anniversary celebrations. We plan to use this opportunity to recruit more members, raise our visibility with other APHA sections and members, and look ahead to the increasing acceptance of chiropractic as an important component of the public’s health. Please make plans now to join us in New Orleans, Nov. 5-9, 2005, for the 133rd meeting of APHA and the 10th anniversary of the Chiropractic Health Care Section. I’ll see you there!

A Message from the Chair-Eject

Lisa Killinger welcomes John Hyland 
Lisa Killinger welcomes new Chair John Hyland
Greetings APHA-CHC Members and Friends,

I just wanted to take a moment and thank you all for your support and assistance during my time as Chair, then Chair-Elect/Eject, and then Chair again. Now, I am happily enjoying my term as Chair-Eject. We have created and shared many fond memories over the past few years, and I will take a few moments to recollect them here with you, hoping to bring a smile to those of you who were a part of these memories, and those of you who missed out, but may join us in future years.

When good luggage carts go bad
I must say, it was great fun to put on the Megabooth these last few years, but some of what went on behind the scenes to pull it off is worth sharing. Truly, there are few things more entertaining than two rather slight women, (Elaine Morschhauser and me to be exact), commandeering an extra large luggage cart from our hotel, wrestling over 200 pounds of booth boxes onto that cart, and then negotiating a half dozen city blocks worth of streets, curbs and traffic. It was truly like a Laurel and Hardy routine gone bad!

I remember several near misses between said luggage cart and annoyed passing cars, some pretty hilarious losses of control of said cart, and many times where laughter and exhaustion caused us to plop down on some random street corner to regroup (and to try to prevent a urinary mishap secondary to the lethal combination of laughter, lifting and cold weather). For those of you who have not been a part of this annual pilgrimage, don’t worry, we’ll call on you for help in the years to come!

Over time, we’ve come to expect certain, er, uh, ‘behaviors’ from Rand. It’s a given. Rand has a special gift for being able to reach down into the very depths of his soul to come up with the most inappropriate remarks. But, in spite of his remarkable political incorrectness, we still love Rand (OK, well, most of us do!). I remember Rand giving me his business card one year, featuring a full card sized photo of himself, looking, well, somewhat ‘Rand-y’, with his hands politely folded on the desk in front of him, cleverly concealing his wedding band. Classic Rand.

But, to his credit, Rand has named the Magnum XX (double extra large) condom the “official condom of the APHA-CHC.” It takes some pretty big {insert anatomical part of your choosing here} for such things, but we’ve come to expect such from our 2004 Distinguished Service Awardee. Three cheers (OK, well, two very big ones) for Rand!

What are the odds?
Then, there’s that pair of ever-memorable cab rides in Boston, or was it Philly? No matter. It was quite amazing, wherever it occurred. I have, over the years, become known for striking up conversations with cab drivers, often in their native tongues. Hey, it’s not my fault that so many cab drivers hail from (sorry I couldn’t help myself) countries that use a language with which I am rudimentarily familiar. Anyway, during one APHA cab ride, Elaine and I got a cabby who (from his name I could tell) was from the same tribe in Nigeria as a good friend of mine. So, the cabby and I had a nice 15 minute conversation about global and national politics, the results of our presidential election, and other delicate topics, generally not your regular cab conversation fare (I really CAN’T help myself). You see, in spite of sometimes modest first impressions, many foreign cab drivers are intellectuals in their own right. After an uneventful ride, we got in a slight traffic snag as we approached the hotel. Another cab honked at our driver for cutting him off in traffic. Our once seemingly sane driver snapped, screaming a string of profanities which would have made a sailor (and me) blush. His tirade included the phrase which now is emblazoned in our minds “Asshoooooolllllllllle, why are you horning me?!!!” (pronounced like oss-hoooooool; It’s funny how cuss words translate only roughly into English.) We hurriedly exited said cab, concerned a bit about the driver’s mental stability, and walked in shock to our hotel lobby.

Days later, on the other side of town, after a quick, emergency shopping trip to Filene’s Basement, we hailed a cab, anxious to get back for an afternoon APHA program. Lori Byrd, Elaine and I, who had also been in on the first cab ‘incident’ got in, laughing and chatting until I noticed, that of the tens of thousands of cab drivers in Philly (I’m pretty sure it was Philly), we had gotten in the cab with the same, relatively unstable cab driver. After a rather somber trip to the hotel, (we didn’t want to push it) another traffic tangle ended in another similar inter-driver screaming match, featuring our favorite term, “Asshoooooooollllllllle!”

Weird stuff happens at APHA. There is no doubt about it.

Great works too
While jocularity has not been in short order, great works have been plentiful as well in the APHA-CHC. Our Section has seen a great deal of progress and positive outcomes due to their hard work, and persistent pursuit of excellence. From the development of the Model Curriculum in Public Health for Chiropractic Educators, to the development of excellent smoking cessation materials for use in practice, to the development of an evidence-based Web site on immunizations for chiropractic professionals; So many talented minds have contributed to so much good product within our APHA-CHC Section.

I hope in future years, more of our members will get excited about APHA and take an active role in such worthwhile efforts within our Section. Every year I hear of a half a dozen new DC, MPH’s in our field. I look forward to watching them take the reins of the Section, with the credentials and experiences that will no doubt enhance our profession’s contribution within APHA.

I greatly look forward to the years ahead in APHA, which will undoubtedly be filled with a great deal of hard work and laughter. I can’t think of anything I would rather do with my early Novembers than spend them with the APHA Chiropractic Health Care Section, doing great (and sometimes hilarious) things.

Best wishes to you all in the coming year.

Your loving Chair-Eject,
Lisa Killinger, DC

APHA-CHC Invites Abstracts for Presentation at the 2005 Annual Meeting

The APHA Chiropractic Health Care Section invites abstracts for presentation at the 2005 Annual Meeting to be held in New Orleans, Nov. 5-9, 2005.

Topics related to this year's theme, "Evidence-Based Policy and Practice," and in all areas related to chiropractic health care will receive high priority.

Other topics of interest include:
• Aging and Geriatric Health
• Back Pain
• Children's Health
• Chiropractic in the Changing Health Care Environment
• Complementary and Alternative Care for Selected Indications and Populations
• Enhancing the Provision of Preventive Services in Primary Contact and Primary Care Practice
• Ergonomics
• Headache
• Injury
• Integrative Health Care: Best Practices for Cross-disciplinary and Coordinated Care
• Minority Health
• Mulitdisciplinary and Interdisciplinary Approaches to Practice
• Neck Pain
• Occupational Health
• Public Health Implications of Musculoskeletal Conditions
• Public Health Practices
• Teaching Public Health to Health Professions Students and Practicing Clinicians
• Underserved Populations
• Wellness
• Women's Health

This Call for Abstracts for the APHA-CHC scientific sessions requests papers that present: Original empirical work (e.g. scientific studies, program evaluations, or organizational case studies), or noteworthy advances in methodology or analysis; Innovative integrative scholarship and scientific work; Programmatic reports of significant research infrastructure developments; Programmatic reports of health professions curriculum developments or educational research; Structured substantive policy analyses (e.g. systems-wide assessments or policy case studies); Informative reports on program or project management and development; Other similarly noteworthy, innovative, or informative reports and studies.

An author's paper may not have been presented or published prior to its presentation at the Annual Meeting. The abstract submission deadline is Feb. 7, 2005. Abstracts must be submitted electronically through the APHA Web site, <>.

Program Planner Contact Information:

CHC/CAM Collaborative Reception

On Monday evening, Nov. 8, 2004, more than 50 people gathered in the Grand Hyatt Hotel in the nation’s capital to attend an annual APHA reception sponsored by both the Chiropractic Section and the Complementary and Alternative Medicine Special Interest Group. After considerable discussions, the event planners determined that a collaborative approach in 2004 would be an excellent forum to share ideas and meet other practitioners who embrace integrated medicine. The event was attended by a cadre of CAM professionals representing the National Institutes of Health, Boston University School of Medicine, the Indian Health Service, the American Chiropractic Association, the International Chiropractors Association, the Association of Chiropractic Colleges, Harvard School of Public Health, and practitioners from acupuncture, chiropractic, massage therapy, and other fields of CAM. During the evening, awards were presented to honor those in the field of CAM and Chiropractic who have made significant 2004 public health contributions–Dr. Terence Kearney, for his work to include chiropractors in the United States Public Health Service Corps; Lisa Killinger, for her incredible leadership in the chiropractic section of APHA; and Dr. Alan Trachtenberg, for his longstanding contributions to and leadership in CAM.

This event could not have happened without the support of Lou Sportelli, the International Chiropractic Association, and the American Chiropractic Association. Our thanks to Dr. Bonnie Hillsberg from the Chiropractic Health Care Section and Duchy Trachtenberg from the CAM SPIG for organizing this year's reception.

Chiropractic Section of APHA Announces New Officers, Award Winner

Dr. Lisa Killinger presenting DSA to Dr. Baird 
Dr. Lisa Killinger presenting DSA to Dr. Baird
At the 132nd APHA Annual Meeting in Washington, D.C., Nov. 6-10, 2004, which was attended by over 14,000 leaders in government and health, the Chiropractic Health Care Section announced its newly elected and appointed officers for 2005, and also presented a Distinguished Service Award.

The officers for 2005 will be:
  • Chair: John Hyland, DC, MPH

  • Chair-Elect: Andrew Isaacs, DC

  • Past-Chair: Lisa Killinger, DC

  • Secretary: Elaine Morschhauser, DC
Section Council:
  • Sharon Jaeger, DC, DACBR

  • Eric Hurwitz, DC, PhD

  • Ashley Cleveland, DC, MA

  • Karen Konarski-Hart, DC

  • Mitchell Haas, DC, MA

  • John Pammer, Jr., DC, DACBR
Governing Council:
  • Monica Smith, DC, PhD

  • Kurt Hegetschweiler, DC
Action Board Rep: Christine Goertz, DC, PhD

2005 Committee Chairs:
  • Awards: Sharon Jaeger, DC, DACBR

  • Membership: Andrew Isaacs,DC

  • Nominations: Ashley Cleveland, DC, MA

  • Program: Maria Hondras, DC, MPH

  • Publicity: John Pammer, Jr., DC, DACBR

  • Newsletter Editor: Michael Haneline, DC, MPH

  • Dynamic Chiropractic Column Editor: Rand Baird, DC,MPH

During a presentation attended by the respective CEOs of both the American Chiropractic Association and the International Chiropractors Association along with other dignitaries, the Distinguished Service Award for 2004 was presented to Rand Baird, DC, MPH in recognition of his 25 years of leading and coordinating the chiropractic profession’s involvement with APHA.

APHA is the oldest, largest, and most influential public health association in the United States and in the world. All doctors of chiropractic are urged to join this important multidisciplinary organization at <>, and members wishing to volunteer to participate more actively can volunteer by contacting any of these officers listed above.

Monica Smith Receives Health Economics Grant

Dr. Monica Smith 
Monica Smith, DC, PhD
Monica Smith, DC, PhD, associate professor, Palmer Center for Chiropractic Research, has received the K01 Research Scientist Development Award from the National Institutes of Health to further her training and to develop collaborative research in Complementary and Alternative Medicine (CAM)-related health services and health economics.

In connection with this grant, Smith has also been accepted into the Post-doctoral and Mid-career Research Fellowship Training Program at the University of California San Francisco, where she will be relocating for the duration of the program while maintaining her affiliation with Palmer College. She will be working closely with research fellows and investigators at the UCSF Institute for Health Policy Studies, the Osher Center for Integrative Medicine, and the Center for Health Professions, among others.

Smith is only the second such chiropractic professional to receive a K training award from the NIH. The first was Eric Hurwitz, DC, PhD, from UCLA.

How does she feel about this opportunity? “Great! Excited! Breathless with anticipation! And just a tiny bit overwhelmed ...”

Call for Papers: Race and Genetics

The American Journal of Public Health, in collaboration with the National Minority Health Leadership Summit, intends to publish a collection of manuscripts on Race and Genetics in Public Health. We are interested in soliciting focused primary data and important review or commentary manuscripts concerning the relationship between race and genetics in determining health and health care. Emphasis will be directed at manuscripts that examine this subject in the context of the national effort to understand and address racial disparity in health care. Full (180-word structured abstract, 3,500-word text, up to four tables/figures) and brief manuscripts (80-word structured abstract, 800-word text, up to two tables/figures) in the journal format of “Research and Practice” are welcome. All manuscripts will undergo standard peer review by the AJPH editors and peer referees as defined by the AJPH policy. To be considered for inclusion in this theme issue, manuscripts must be submitted by April 1, 2005, using the online submission system at <>. The AJPH Web site provides instructions for authors, including specific guidelines for various types of manuscripts. Please indicate at submission that your manuscript is intended for this call for papers by selecting “Race and Genetics” under the Theme Issue menu. For additional information about this theme issue, please contact the guest editors at <>.

Guest Editors:

Michael J. Fine, MD, MS
Center for Health Equity Research and Promotion, Pittsburgh

Stephen B. Thomas, PhD
University of Pittsburgh Graduate School of Public Health

Said A. Ibrahim, MD, MPH
Center for Health Equity Research and Promotion, Pittsburgh

10th Anniversary of the Chiropractic Health Care Section!

We were established in November 1995 as a full section of APHA and are now celebrating our 10th anniversary!

Collins Foundation Awards WSCC Funding For Community Service Project

In 2002, Western States Chiropractic College (WSCC) received a one-year grant from the United Way to provide chiropractic care for residential alcohol and drug rehabilitation patients in Portland, Ore. The community service project was intended to improve access to and utilization of chiropractic care for this under-served population that typically suffers from chronic pain, psychiatric illness and fear-avoidance. The chiropractic care would provide a drug-free approach to address these and other health concerns.

The project was well received and, during its initial stages, the patients were treated at a WSCC satellite clinic located in downtown Portland where care is provided for the uninsured and under-served. The care primarily included manipulation and self-care education, the goal being to improve health outcomes in addition to expanding the therapeutic alliance of health care providers for this population.

In late 2004, WSCC received a generous three-year grant from the Collins Foundation to continue and enhance the project. Using this funding, WSCC will soon continue the project. However, an innovative care provision model will be implemented such that chiropractic care will be provided directly within each of the participating rehabilitation centers rather than at a distant location. This model was chosen to improve access to and utilization of chiropractic care in response to the heavy scheduling demands placed on the patients within a rehabilitation program.