Oral Health
Section Newsletter
Fall 2004

Message from the Chair

 
Message from the Janes
During the 2004 National Oral Health Conference, Jane Steffensen, Dyan Campbell, Howard Pollick and Myron Allukian represented the APHA Oral Health Section and met with the officers from the American Association of Public Health Dentistry to discuss increasing collaboration between both organizations. A follow-up meeting was held recently in San Francisco. We will be pursuing opportunities for each group to inform our respective memberships about the advantages of actively participating in both organizations, potentially with collaborative exhibits or invited sessions at our national meetings. All of us need to involve the next generation of those interested in dental public health by inviting students and residents to join and actively participate. We decided that letters from the two “Janes” -- Jane Steffensen and Jane Weintraub -- to our respective memberships would ignite this new era of collaboration.

American Association of Public Health Dentistry

From the AAPHD Web site:

Founded in 1937, the American Association of Public Health Dentistry (AAPHD) provides a focus for meeting the challenge to improve oral health. AAPHD membership is open to all individuals concerned with improving the oral health of the public.

Its broad base of membership provides a fertile environment and numerous opportunities for the exchange of ideas and experiences. During the past decade, many enthusiastic persons have joined AAPHD, increasing its influence and effectiveness. Improvements in the oral health of the U.S. population have been much heralded in recent years. However, these gains have eluded many of the most vulnerable people -- those for whom public health personnel often have special concern -- in the United States and other countries. For such individuals, living with oral pain and disfigurement means a lack of health that interferes with the opportunity to learn and obtain meaningful employment.

These circumstances challenge us to improve total health for all citizens through the development and support of effective programs of oral health promotion and disease prevention. To meet the challenge of improved oral health for all, the AAPHD is committed to:
* Promotion of effective efforts in disease prevention, health promotion and service
delivery;
* Education of the public, health professionals and decision-makers regarding the importance of oral health to total well-being; and
* Expansion of the knowledge base of dental public health and fostering competencyin its practice.

The American Association of Public Health Dentistry is a growing, thriving and prospering organization thanks to the energy and enthusiasm of our 800+ members. AAPHD is one of the foremost organizations in the world focused primarily on obtaining the vision of Optimal Oral Health For All. Importantly, AAPHD is the sponsoring organization for the ADA-recognized specialty of dental public health.

Based on its Strategic Plan, the AAPHD Executive Council and committees are engaged in oral health policy, workforce issues, working with the media to promote oral health, education and scientific issues as well as finance and development. Also, AAPHD now has a foundation that is able to award scholarships for future leaders to receive training in public health.

AAPHD has an outstanding annual meeting that features scientific sessions of timely and relevant topics, exhibitors to keep members abreast of the latest technologies and preventive agents, and lots of networking opportunities. The AAPHD Journal articles are increasingly cited, a standard measure of journalistic quality. The AAPHD newsletter is filled with practical and timely information. The newly redesigned AAPHD Web site,<www.aaphd.org>, has become much more user-friendly and helpful.

Oral Health Section, APHA

From the APHA Web site, a brief description of APHA:

"APHA has been influencing policies and setting priorities in public health for over 125 years. Throughout its history, it has been in the forefront of numerous efforts to prevent disease and promote health.

The American Public Health Association (APHA) is the oldest and largest organization of public health professionals in the world, representing more than 50,000 members from over 50 occupations of public health.”

Because of its much larger size and scope, APHA has the capability of influencing public policy and legislation, a very important role that AAPHD cannot do on its own.

“Everyday APHA members and staff work closely with Members of Congress, regulatory agencies and other public health organizations to ensure that public health is priority in the legislative and policy-making process.”

APHA, through its larger, multidisciplinary audience, offers opportunities for partnerships with other human service providers, integration of oral health with overall health, input into environmental and health care delivery issues, and dissemination of research findings to a larger audience.

The Oral Health Section has sponsored many resolutions that support dental public health policies, programs, and practices. Selected issues important to “dental public healthers” and promoted in APHA policies include: Community Water Fluoridation, the Framework for Action on Oral Health in America from the Report of the Surgeon General, Effective Interventions for Reducing Racial and Ethnic Disparities in Health, Evidence-Based Dental Care, First Oral Health Assessment, Reducing Oral Health Complications for Individuals with Diabetes, Domestic Violence Screening, Identification, and Referral by Dental Health Professionals, Mouthguards for Oro-Facial Injury Prevention, Dental Sealants, Preventing the Transmission of Bloodborne Pathogens, and other topics. APHA offers opportunities for promoting the integration of oral health in public health and facilitates interactions among public health colleagues from diverse disciplines and organizations. In addition, APHA advocates for public health issues and plays an active role in several national health coalitions, including the Friends of the Health Resources and Services Administration and the CDC Coalition.

Since the inception of the Oral Health Section, members have served as leaders on APHA councils, committees, and editorial boards. Three Oral Health Section members -- Caswell Evans, Myron Allukian and John Knutson -- have served as APHA President. Each year the APHA Oral Health Section bestows the John W. Knutson Distinguished Service Award in Dental Public Health and recognizes eminent contributions to public health and oral health.

However, the vitality of APHA's Oral Health Section is currently in jeopardy. The Section currently has just over 300 members. If this number dips below the threshold of 300, the Section is at great risk of losing its seats on the APHA Governing Council, the primary mechanism whereby the relatively small Section has a voice in this large, multidisciplinary organization and the ability to influence its policy development. Through the APHA governing process, the Oral Health Section can submit its own resolutions and have input into other relevant resolutions. The APHA staff and lobbyists work hard to promote APHA resolutions into state and national policies and action.

Imagine a strong and active Oral Health Section. The current APHA home page, <www.apha.org>, features priority issues, associated fact sheets, actions and testimony on important public health issues. Their priority issues are also our issues -– improving access to care, eliminating health disparities, and rebuilding the public health infrastructure. We need to maintain a strong presence within APHA in order to advocate for oral health and ensure that APHA includes oral health as part of these larger health issues. For example, when talking about the uninsured, cite the lack of dental insurance. When recommending new publicly financed insurance programs, include dental insurance as part of the package. When highlighting the need to eliminate racial and ethnic health disparities, recognize the severity of oral health disparities and include oral health in their research, intervention and policy recommendations. One item that is particularly striking is the fact sheet titled, “Mental Health Parity.” It cites data from the Surgeon General’s Report on Mental Health on the prevalence of mental illness, and success rates of treatment. The case is made that when mental illness is left untreated, the treatment and societal costs escalate. APHA recommends that there should not be discrimination against people with mental illness and that there should be parity -– mental health benefits in health plans should be similar to coverage for medical and surgical care. Substitute “dental” for “mental” and think of the powerful message APHA could send to Congress.

Over the course of the last few decades, there have been times when this situation was reversed –- when the APHA OHS membership was much larger than AAPHD. We do not have all the data, but a graph of the number of members of the two organizations is probably cyclical over time. Because the APHA OHS is at a critical moment in its history, we thought it was important to alert our memberships and encourage our members to participate in both organizations.

Both AAPHD President Jane Weintraub and I have been members of both organization for 20 or more years. This request for dual membership is reciprocal. In the Fall 2004 AAPHD Newsletter, we encouraged AAPHD members to join the APHA OHS. Now in the Oral Health Section Newsletter, we are encouraging OHS members to join AAPHD. We also encourage feedback from any readers who have discontinued membership in either organization. Please let us know how we might be responsive to your concerns and welcome you back.

You might think it strange for your APHA Chair to be asking you to join both APHA OHS and AAPHD. I think APHA OHS will be stronger if we build stronger ties with our partners such as AAPHD. This support will help us rebuild the APHA Oral Health Section and Keep Oral Health in Public Health. Whether or not we keep the fire of collaboration lit is up to all of us in AAPHD and OHS APHA.

Membership information to join AAPHD is available at <www.aaphd.org>. Similarly, to recruit colleagues to join APHA, an application form is available at <www.apha.org/membership>.

Regards,

Jane Steffensen – APHA Oral Health Section Chair

Jane Weintraub – AAPHD President

Special Note from the Oral Health Section Chair

As this is my last message as chair of the Oral Health Section, I would like to thank the membership for the opportunity to serve as the Section Chair. I would like to thank all Section members who have contributed to and supported Section efforts. Special recognition to: Andréa Azevedo, Past Chair and Nominations Chair; Dyan Campbell, Chair-Elect; Kathy Lituri, Secretary; Larry Hill and Julie Janssen, Governing Councilors; Karen Zinner, Buddhi Shrestha, Ron Romero, Amos Deinard, Oscar Arevalo, and Eli Schwartz, Section Councilors. A warm welcome to new Oral Health Section Leaders who will begin their service to the Section during the Oral Health Section Business Meeting on Tuesday evening, Nov. 9, 2004. They are: Chair-Elect Howard Pollick, Governing Councilor Karen Yoder, and Sections Councilors Magda de la Torre and Kathy Geurink.


Special thank you to: Sandie Beebe, 2004 Annual Meeting Program Chair; Clemencia Vargas, Exhibit Booth Chair; Stuart Lockwood, Awards Committee Chair; and Awards Committee members Scott Presson, Diane Brunson, Andréa Azevedo, and Dushanka Kleinman; Alice Horowitz, Local Arrangements Chair; Magda de la Torre, Newsletter Editor; Kathy Lituri, Assistant Newsletter Editor; Sheranita Hemphill, Membership Chair; and Amos Deinard, Policy Chair. Also, thank you to members who contributed to the Annual Program and served as Program Committee members, abstract reviewers, session chairs, presenters, and moderators. Best wishes for a successful annual meeting in Washington, D.C.


Wishes for health in our communities and peace in the world in the coming year!

The John W. Knutson Distinguished Service Award in Dental Public Health

APHA Names Charles Gish as John W. Knutson Award Winner for 2004

Contributed by Stuart A. Lockwood, DMD, MPH
Chair, APHA Oral Health Section Awards Committee


The Oral Health Section of APHA is pleased to announce that the 2004 winner of the John W. Knutson Distinguished Service Award in Dental Public Health is Charles W. Gish, DDS, MSD, of Battle Ground, Ind. Gish is truly a man for all seasons, having had a long and distinguished career in dental public health. He has distinguished himself in public health practice, academia and clinical dental research.

Gish was born June 26, 1923 in Camden, Ind. He attended Purdue University and the University of Notre Dame before receiving his DDS degree with Honors (1949) and a MSD (1960) from Indiana University. From 1952-54, he was a Regional Dental Consultant for Region IX of the U.S. Public Health Service.

For 23 years, starting in 1962, Gish was the State Dental Director for Indiana, and for over 30 years, starting in 1954, he was on faculty at the Indiana University School of Dentistry, co-chairing the Department of Community Dentistry from 1969-1986, and a full-professor from 1977-1987. He was an untiring advocate to fluoridate community water supplies in Indiana, and by the mid-1980s fluoridated water was used by 93 percent of all Indiana residents on public water supplies.

A long-standing member and active participant of APHA’s Oral Health Section, Gish was also president of the Association of State and Territorial Dental Directors from 1969-1971 and received its Outstanding Achievement Award in 1986. He was also president of the American Association of Public Health Dentists from 1969-1970 (now the American Association of Public Health Dentistry) and received their Distinguished Service Award in 1976.

Gish has also been a remarkable clinical researcher. He was intimately involved in the early Crest studies, participating as a principal clinical investigator in most of the study projects involving the efficacy and acceptance of the first fluoride dentifrice, Crest. And he was instrumental in the research and development of a preventive prophylaxis paste that was used by dental practitioners for years. He and Joseph Muller later developed this product into a self-applied fluoride regimen, generally referred to as “brush ins,” in the late 1960s and early 1970s.

Last, but not least, Gish was one of the team members who worked with John Greene when the Healthy People initiative was begun in the late 1970s.

The John W. Knutson Distinguished Service Award is presented by the APHA Oral Health Section based on nominations received and reviewed annually by the Awards Committee. John W. Knutson was the first dentist to be president of APHA. He collaborated with Klein in the 1937-1947 Hagerstown studies of the epidemiology of caries. In the 1940s he studied outcomes of dental referral programs and systematically researched topical fluoride effectiveness. He made seminal contributions to the understanding and implementation of the role of dental health and dentistry in public health.

The Oral Health Section acknowledges and thanks Colgate Oral Pharmaceuticals for their continued support of the John W. Knutson Award. Please join the APHA Oral Health Section at the Award Ceremony in Washington, D.C., on Monday, Nov. 8, 2004, 6:30 p.m. The Oral Health Section Dinner will follow the awards ceremony.

APHA Oral Health Section Dinner & Dance

 
Oral Health Section Dinner


The Oral Health Section 2004 Dinner will be on Monday, Nov. 8, 2004 at 8:15 p.m. at La Tasca, a Spanish restaurant located at 722 7th St. NW, Washington, D.C. 2001. Metro: Gallery Place-Chinatown.

The restaurant has a separate room to accommodate the Oral Health Section for a sit-down dinner. The Dinner Menu is ‘Gitanillo de Triana,’ which includes tapas to die for. The dinner is $30 including taxes and gratuities. Drinks are extra but relatively reasonable. For example, sangria is available by the glass for $4.75, and wine by the glass ranges from $4 to $8.

The restaurant policy is ‘one bill,’ thus personal checks and credit cards cannot be used. Cash only can be paid to Alice Horowitz throughout the meeting and at the restaurant. Upon payment each attendee will receive a ticket to be used as a receipt.

Join us!

For more information on La Tasca visit:
<www.washingtondc.com/restaurants/2723_La+Tasca.html>.


Myron Allukian Flying Feet Dance Contest

The Myron Allukian Flying Feet Dance Contest will be held Tuesday, Nov. 9, at 10 p.m. PLACE TO BE ANNOUNCED!

APHA 2004 Oral Health Section Program

 
The 2004 Annual Meeting Theme –- Public Health and the Environment reflects the profound impact environmental factors have on the health of the public. Issues involving the quality of the air we breathe, the water we drink (fluoridated?), the food we eat and how we can protect and preserve the environment will be examined.

Hope you are planning to join us for the 2004 Annual Meeting in Washington, D.C.!

The Oral Health Section’s primary meeting location will be the Renaissance Hotel at 999 9th St., NW. Other sessions including the Annual Meeting Registration, Opening and Closing General Sessions, Poster Sessions, Public Health Expo and Oral Health Sessions co-sponsored with Gerontological Health and Vision Care will take place at the Washington Convention Center at 801 Mount Vernon, NW.

The Annual Meeting program and abstracts are available online at: <www.apha.org/meetings>.

A new session has been added this year to include roundtable discussions. This will be a new avenue for presenting and discussing current topics in oral health services in communities. It will be a hands-on atmosphere for participants to have the opportunity to engage with the presenters. The Oral Health Section Program Committee has worked throughout the year to select session topics and speakers conducive to a diverse and comprehensive agenda.

Oral Health Section Program Summary

Sunday, Nov. 7, 2004

8 a.m. – 11:30 a.m. – 206.0 – Oral Health Section Council Meeting I
Noon – 2 p.m. – APHA Opening General Session
2:30 p.m. – 5:30 p.m. – 247.0 – Oral Health Section Council Meeting II

Monday, Nov. 8, 2004

8:30 a.m. – 10 a.m. – 3087.0 – Current Issues in Vision Care and Oral Health (Jointly organized with Vision Care)
12:30 p.m. – 2 p.m. - 3217.0 – What’s Going ‘Round in Oral Health? (Roundtable)
2:30 p.m. – 4 p.m. - 3288.0 – Updates: Call to Action & Healthy People 2010
4:30 p.m. – 6 p.m. - 3352.0 – Senior in Our Challenging Environment (Jointly organized with Gerontological Health)
6:30 p.m. – 8 p.m. - 354.0 – John W. Knutson Award Ceremony
8:15 p.m. - ? Oral Health Section Dinner at La Tasca, a Spanish restaurant located at 722 7th St. NW. Washington, DC 2001. Metro: Gallery Place-Chinatown (please see additional information in newsletter)

Tuesday, Nov. 9, 2004

8:30 a.m. – 10 a.m. – 4066.0 – Oral Health Poster Session I
8:30 a.m. – 10 a.m. – 4067.0 – Oral Health Poster Session II
10:30 a.m. – Noon – APHA Special Sessions
12:30 p.m. – 2 p.m. – 4161.0 – Integration of Oral Health and General Health
2:30 p.m. – 4 p.m. – 4229.0 – Strengthening the Oral Health Safety Net: Community-Based Delivery Modes for Underserved Communities
4:30 p.m. – 6 p.m. – 4304.0 – Don’t Start School Without It – (Healthy Teeth) – Head Start’s Role
6:30 p.m. – 8 p.m. - 447.0 – Oral Health Reception Sponsored by ADHA
8:30 p.m. – 10 p.m. - 457.0 – Oral Health Section Business Meeting
10 p.m. - ? - Myron Allukian Flying Feet Dance Contest, location TBA

Wednesday, Nov. 10, 2004

10:30 a.m. – Noon – APHA Special Sessions
12:30 p.m. – 2 p.m. – 5130.0 – Tobacco and Diabetes: The Need for Comprehensive Care
2:30 p.m. – 4 p.m. – 5183.0 – Dental Workforce Issues
4:30 p.m. – 6 p.m. – APHA Closing General Session

Now that you know the exciting agenda for oral health, make certain you have completed all of your registrations, hotel reservations and travel arrangements. Register online at <www.apha.org/meetings> and make hotel reservations at <www.apha.org/meetings/reg-housing.htm>.

Reflection
As the Oral Health Program Planner Chair for the past two years, it has been an interesting experience. Organization is essential to maintaining the APHA timeline. I have learned and met many individuals while planning the last two conferences. Scott Presson has been an outstanding mentor as the past conference planning chair. Planning for 2005 New Orleans Conference, I welcome our incoming conference planning chair, Oscar Arevalo. I hope to mentor Oscar as I was mentored by Scott so he may also enjoy the position.

Thank you for all your support,

Sandra Nagel Beebe
2003 & 2004 APHA Oral Health Planning Chair


Thanks to everyone who submitted abstracts, will serve as moderators at sessions, volunteered to participate at the exhibit booth and helped plan the Oral Health Section’s special events.

APHA 2004 - Oral Health Section Exhibit Booth

APHA 2004 - Oral Health Section Exhibit Booth

One of the main components of the APHA Annual Meeting is the Exhibitors Hall. For the past two years, the Oral Health Section participated in a Mega-booth with Chiropractic, Vision and Podiatry. The Mega-booth, which included screening, education and distribution of educational material in the four areas, won the first prize last year as the Best Exhibit. Once again, this year the four sections will work together. The Oral Health Section will offer oral health screening and oral health education and will be distributing toothbrushes, toothpaste and educational materials. As last year, we will need a large number of volunteers. All section members can help by staffing the booth in two-hour shifts, and those with a District of Columbia dental license can help by providing screenings. Direct contacts to obtain toothbrushes and toothpaste are very welcome. This year, we are requesting that if you have toothbrushes, toothpaste or educational material that you can pack in your suitcase or ship to us, please let us know or just bring it to the booth.

If you are interested in participating in the booth please e-mail Clemencia Vargas at <cmv001@dental.umaryland.edu>. The volunteer schedule is from Sunday, Nov. 7, 2004 to Wednesday, Nov. 10, 2004 (morning only on Wednesday) between the hours of 9 a.m and 5 p.m.

New members and students are specially invited to volunteer at the booth because it is a great way to become involved and network with enthusiastic APHA members in the exhibit hall.

Looking forward to seeing all of you at the Oral Health Section booth in D.C.!

Clemecia Vargas,
Exhibit/Booth Chair

Oral Health Section Election Results

Oral Health Section Election Results

Chair Elect
Howard Pollick, BDS, MPH

Section Council
Magda A. de la Torre, RDH, MPH
Kathy Geurink, RDH, MS

Governing Council
Karen Yoder, MDS, PhD

Elected candidates will assume office during the Oral Health Section business meeting on Tuesday evening, Nov. 9, 2004.

Special thanks to the members who accepted to have their names placed on the nominations for the Oral Health Section election and for continued support of Section activities.

Three Students Selected to Recieve APHA Oral Health Section Memberships

 
In the previous Oral Health Section Newsletter, members of the Section were requested to nominate students for free memberships.

The following three students were randomly selected to receive the free membership offer:

Manel Kappagoda
Academic Program at College/University: MPH, University of California, Berkeley
Oral Health Section Member Nominating Student: Robert Isman

Rohinton Patel
Academic Program at College/University: DMD 2005, Boston University School of Dental Medicine
Oral Health Section Member Nominating Student: Harpreet Singh

Mercay Romero
Academic Program at College/University: DMD 2005, Boston University School of Dental Medicine
Oral Health Section Member Nominating Student: Kathy Lituri

Assessment of Dental Public Health Infrastructure in the United States Report

The final report of a study conducted for the National Institute of Dental and Craniofacial Research on Assessment of The Dental Public Health Infrastructure in the United States is now available. The assessment was needed to address disparities issues noted in Healthy People 2010, the NIDCR Strategic Plan, as well as in "Oral Health in America: A Report of the Surgeon General." Information amassed from this project provides useful baseline data for new initiatives that address elements of the U.S. dental public health infrastructure.

The report is available at:
<www.nidcr.nih.gov/NewsAndReports/ReportsPresentation/default.htm>

New Health, Mental Health and Safety Guidelines for Schools

 
Schools are assuming an increasingly important role in health promotion, disease prevention and injury prevention in the lives of children and adolescents. To help schools deal with issues that vary from violence to substance abuse to obesity, more than 300 health, mental health, safety, school health and education professionals joined together in developing the Health, Mental Health and Safety Guidelines for Schools (HMHSGS). The project was led by the American Academy of Pediatrics (AAP) and the National Association of School Nurses (NASN), with funding from the Health Resources and Services Administration/Maternal and Child Health Bureau (HRSA/MCHB).

The purpose of the HMHSGS is to help those who influence the health, mental health and safety of students and school staff while they are in school, on school grounds, on their way to or from school, or involved in school-sponsored activities.

These guidelines are prepared for those who play a role in the assessment, planning, or improvement of school health and safety programs, including school administrators, school board members, parents, school health professionals, educators, community leaders, legislators at all levels, professionals in government agencies (e.g., education, health, safety, transportation, justice and labor) and students.

Topics included in the HMHSGS are:
• Overarching School Health and Safety Issues;
• Family and Community Involvement;
• Health and Mental Health Services;
• Health and Safety Education;
• Nutrition and Food Services;
• Physical Education;
• Physical Environment and Transportation;
• Social Environment; and
• Staff Health and Safety.

Health, mental health and safety are inextricably linked to student achievement. Poor nutrition, impaired vision or hearing, dental pain, sleep deficiency, substance abuse, anxiety about home life, anxiety about relations with peers and exposure to violence are examples of health and safety issues associated with low achievement in school. Complementary to the idea of optimizing health, mental health and safety to improve student achievement is the understanding that an educated public benefits the health and safety of the population.

The guidelines are available at <www.schoolhealth.org>.

For further information on the HMHSGS, contact Su Li, MPA, American Academy of Pediatrics Project Manager, at (847) 434-7396 or <sli@aap.org>.

CDC Publication: New Guidebook Outlines Role of Pharmacists, Podiatrists, Optometrists, and Dental Professionals in Diabetes Care

 
A new publication from the National Diabetes Education Program (NDEP) emphasizes the key role played by dental professionals, as well as pharmacists, podiatrists and optometrists, in delivering health messages to people with diabetes.

Many people turn to these professionals with common diabetes questions about self-care or medications before consulting primary care providers. NDEP encourages all health care professionals to understand their unique contribution to diabetes team care so their advice to patients is consistent.

The primer—-Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists and Dental Professionals (PPOD)—-outlines the diabetes care issues of each of these medical disciplines so that all health care professionals can use a team care approach to recognize and manage the serious problems outside their specific health care field. The guide also asks health care providers to discuss with their patients the importance of annual health screenings and contribute to a proactive team approach to diabetes care.

“These professionals are in a great position to advise and educate their patients about diabetes control and prevention,” said Dr. James Gavin III, chairman of NDEP’s steering committee. “Including these professionals as part of the health care team will help patients to better manage their diabetes.”

NDEP is a collaboration between the Centers for Disease Control and Prevention and the National Institutes of Health to raise awareness of diabetes and provide treatment tools. The primer is divided into the following sections:
• General information on diabetes;
• Messages that health care professionals can use when discussing diabetes with their patients;
• Suggestions for how health care professionals can provide comprehensive care and self-management support for their patients;
• Background information on the physiology of diabetes as it relates to diseases of the foot, eye and mouth; and
• Information on drug therapy management that discusses the role of pharmacists in drug therapy management and self-care advice.

The likelihood that an adult will have contact with a PPOD provider during the course of a year is high. For instance:

• Nearly 84 million adults use prescription medications—about 24 million for high cholesterol and 33 million for high blood pressure—both conditions that are associated with diabetes complications;
• Approximately 50 percent of adults have a personal pharmacist;
• About 5 percent of the U.S. population visits a podiatric physician each year;
• More than half the U.S. population wears some sort of corrective eye lenses; and
• Approximately two-thirds of Americans see their dentist once a year.

“The team approach to diabetes care is key in prevention and treating diabetes complications, and these professionals may be the first providers people consult for advice on self-care or medications,” said Frank Vinicor, director of CDC’s diabetes division. “The new primer will help health providers in all four disciplines respond to common diabetes questions and reinforce consistent health messages.”

“People with diabetes are more likely to have gum (periodontal) disease, and problems with gum health can alert dentists and members of the dental team to an individual who is possibly having problems with self-care and control of blood sugar levels,” notes William Maas, director of the CDC Division of Oral Health. “Dental professionals are in a unique position to reinforce the need for care from the other health professionals on the patient’s diabetes care team.”

Currently about 18 million people in the United States have diabetes. Most (90 percent to 95 percent) have type 2 diabetes, which is associated with obesity, physical inactivity and older age. To view the primer or to order a free copy, visit "What's New" at the NDEP Web site: <http://ndep.nih.gov/resources/health.htm>, or call toll-free, (800)438-5383.

The National Diabetes Educational Program is a federally funded program co-sponsored by the Centers for Disease Control and Prevention and the National Institutes of Health and is a leading source for information about diabetes care and prevention. NDEP has more than 200 partner organizations that form a network to reach the health care community and those affected by diabetes at the federal state and local levels.

CDC State-Based Oral Disease Prevention Program

 
CDC’s Oral Health Program seeks to improve the oral health of the nation by extending the use of proven strategies to prevent oral diseases, enhancing surveillance of oral diseases, and strengthening the nation’s oral health infrastructure. State oral health programs are critically important in promoting integration of federal, state and local strategies and serving as linking agents for public-private collaborations. Under its “State-Based Oral Disease Prevention Program,” CDC is providing $3.3 million in FY 2004 for awards to 12 states* and the Territory of Palau to build infrastructure and capacity within existing state health departments for oral disease prevention. All grantees are currently in the first phase, Capacity Building, of these five-year cooperative agreements.

The program supports oral health program leadership and additional staff in order to monitor oral health behaviors and status, improve public health services, and evaluate prevention programs. Some features of the program include:
• Through a burden document, a state will describe the oral disease burden, health disparities, and unmet needs in the state.
• States will develop or update a comprehensive state oral health plan focusing on oral health promotion and disease prevention and control that includes specific objectives for future reductions in oral disease and related risk factors and objectives for promoting oral health.
• A state-wide oral health coalition will be established and sustained that includes a diverse membership. The coalition will assist the state to formulate plans, guide project activities, and identify additional financial resources for this project.
• States will develop or enhance a comprehensive, sustainable, oral health surveillance system to track trends in risk factors and health status as part of the National Oral Health Surveillance System (see <www.cdc.gov/nohss>).
• States will identify opportunities for policy change and will establish or strengthen partnerships to improve the oral health of state residents.
• States will monitor fluoridation quality and consistency and evaluate key aspects of their fluoridation program.
• Two of these states are receiving additional funding to improve community water fluoridation, and two others are receiving funding for school-based/-linked dental sealant programs targeting low-income schools.

CDC provides technical assistance workshops for the grantees, focusing on issues such as project work plans, surveillance methods, coalition development, program evaluation, development of state oral health plans, and health communication.

If additional funding becomes available, states that have accomplished the activities in Phase I will progress to Phase II, Basic Implementation. In this phase, states will enhance their disease tracking systems and establish statewide assistance for fluoridation equipment and promotion, targeted school-based/school-linked sealant programs, and other disease prevention and health promotion efforts.

*Alaska, Arkansas, Colorado, Illinois, Michigan, Nevada, New York, North Dakota, Oregon, Rhode Island, South Carolina, and Texas

For further information contact the National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health, Mailstop F10, 4770 Buford Highway NE, Atlanta, GA 30341; (770) 488-6054; <www.cdc.gov/OralHealth>.

Community Water Fluoridation: Surgeon General's Statement, 2004

 
Since the 1950s, each U.S. Public Health Service Surgeon General has committed his or her support for community water fluoridation. Below is the most recent endorsement supporting community water fluoridation from Surgeon General, Richard H. Carmona, MD, MPH, FACS, VADM, USPHS.

As noted in Oral Health in America: A Report of the Surgeon General, community water fluoridation continues to be the most cost-effective, equitable and safe means to provide protection from tooth decay in a community. Scientific studies have found that people living in communities with fluoridated water have fewer cavities than those living where the water is not fluoridated. For more than 50 years, small amounts of fluoride have been added to drinking water supplies in the United States where naturally-occurring fluoride levels are too low to protect teeth from decay. Over 8,000 communities are currently adjusting the fluoride in their community’s water to a level that can protect the oral health of their citizens.

Over 170 million people, or 67 percent of the United States population served by public water supplies, drink water with optimal fluoride levels for preventing decay. Of the 50 largest cities in the country, 43 are fluoridated. Although water fluoridation reaches some residents in every state, unfortunately, only 24 states are providing these benefits to 75 percent or more of their residents.

A significant advantage of water fluoridation is that all residents of a community can enjoy its protective benefit—-at home, work, school, or play—-simply by drinking fluoridated water or beverages and foods prepared with it. A person’s income level or ability to receive routine dental care is not a barrier to receiving fluoridation’s health benefits. Water fluoridation is a powerful strategy in our efforts to eliminate differences in health among people and is consistent with my emphasis on the importance of prevention.

The U.S. Centers for Disease Control and Prevention has recognized the fluoridation of drinking water as one of 10 great public health achievements of the 20th century. Water fluoridation has helped improve the quality of life in the United States by reducing pain and suffering related to tooth decay, time lost from school and work, and money spent to restore, remove or replace decayed teeth. An economic analysis has determined that in most communities, every $1 invested in fluoridation saves $38 or more in treatment costs. Fluoridation is the single most effective public health measure to prevent tooth decay and improve oral health over a lifetime, for both children and adults.

While we can be pleased with what has already been accomplished, it is clear that there is much yet to be done. Policymakers, community leaders, private industry, health professionals, the media, and the public should affirm that oral health is essential to general health and well-being and take action to make ourselves, our families and our communities healthier. I join previous Surgeons General in acknowledging the continuing public health role for community water fluoridation in enhancing the oral health of all Americans.

Richard H. Carmona, MD, MPH, FACS
VADM, USPHS
United States Surgeon General

Practical Oral Care for People with Developmental Disabilities

 
Over the past three decades, a trend toward deinstitutionalization has brought people of all ages and levels of disability into the fabric of our communities. Today, approximately 80 percent of those with developmental disabilities live in community-based group residences or at home with their families. People with disabilities and their caregivers now look to providers in the community for dental services.

Providing oral care to patients with developmental disabilities requires adaptation of skills used every day. In fact, most people with mild or moderate developmental disabilities can be treated successfully in the general practice setting.

Practical Oral Care Series

Practical Oral Care for People With Developmental Disabilities: Making a Difference is sponsored by the National Institute of Dental and Craniofacial Research through its National Oral Health Information Clearinghouse. This project is conducted in partnership with the National Institute of Child Health and Human Development, the Centers for Disease Control and Prevention and Special Care Dentistry.

The Practical Oral Care Series includes the following publications available at <http://www.nohic.nidcr.nih.gov/poc/booklets.aspx>.

* An Introduction to Practical Oral Care for People With Developmental Disabilities

* Continuing Education: Practical Oral Care for People With Developmental Disabilities

* Practical Oral Care for People With Autism

* Practical Oral Care for People With Cerebral Palsy

* Practical Oral Care for People With Down Syndrome

* Practical Oral Care for People With Mental Retardation

* Wheelchair Transfer: A Health Care Provider's Guide

* Dental Care Every Day: A Caregiver's Guide

Additional Resource Links include:

Administration on Developmental Disabilities, Administration for Children and Families, U.S. Department of Health and Human Services <www.acf.hhs.gov/progrmas/add/index.htm>. The Administration on Developmental Disabilities ensures that individuals with developmental disabilities and their families participate in the design of and have access to culturally competent services, supports, and other assistance and opportunities that promote independence, productivity, and integration and inclusion into the community.

American Academy of Developmental Medicine and Dentistry, <www.aadmd.org>. The American Academy of Developmental Medicine and Dentistry (AADMD) is an organization of physicians, dentists, students, and associate members whose collective mission is to work together as clinicians, educators, and advocates in their respective spheres of influence to improve the overall health of children and adults with developmental disabilities.

American Academy of Pediatric Dentistry, <www.aapd.org>. The American Academy of Pediatric Dentistry (AAPD) is the membership organization representing the specialty of pediatric dentistry. Members serve as primary care providers for millions of children from infancy through adolescence, providing advanced, specialty-level care for infants, children, adolescents, and patients with special health care needs in private offices, clinics, and hospital settings. In addition, AAPD members serve as the primary contributors to professional education programs and scholarly works concerning dental care for children.

Dental Education in Care of Persons With Disabilities, <www.dental.washington.edu/departments/oralmed/decod>. Dental Education in Care of Persons with Disabilities is a special program of the University of Washington School of Dentistry that treats persons with severe disabilities and prepares dental professionals to meet their special oral health needs.

Developmental Disabilities Digest, Developmental Disabilities: Resources for Healthcare Providers, <www.ddhealthinfo.org/ggrc/index.asp?ParentID=2835>.
The Developmental Disabilities Digest was developed to assist primary care physicians in caring for persons with developmental disabilities. This project was funded by a grant from the California Department of Developmental Services as part of its Wellness Initiative.

Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, <www.cdc.gov/OralHealth/index.htm>.
The Division of Oral Health is the Federal agency with primary responsibility for supporting state- and community-based programs to prevent oral disease, promoting oral health nationwide, and fostering applied research to enhance oral disease prevention in community settings.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. <www.cdc.gov/ncbddd/default.htm>. The National Center on Birth Defects and Developmental Disabilities promotes the health of babies, children, and adults and enhances the potential for full, productive living. Work includes identifying the causes of birth defects and developmental disabilities, helping children to develop and reach their full potential, and promoting health and well-being among people of all ages with disabilities.

National Dissemination Center for Children With Disabilities, <www.nichcy.org/index.html>.
The National Dissemination Center for Children With Disabilities serves as a central source of information on disabilities in children and youth; programs and services for infants, children, and youth with disabilities; Individuals with Disabilities Education Act, the nation's special education law; No Child Left Behind as it relates to children with disabilities; and research-based information on effective educational practices.

National Institute of Child Health and Human Development, <www.nichd.nih.gov/default.htm>. The National Institute of Child Health and Human Development (NICHD) is part of the National Institutes of Health, the biomedical research arm of the U.S. Department of Health and Human Services. The mission of the NICHD is to ensure that every person is born healthy and wanted, that women suffer no harmful effects from the reproductive process, and that all children have the chance to fulfill their potential for a healthy and productive life, free of disease or disability.

Southern Association of Institutional Dentists, <http://saiddent.org>. The Southern Association of Institutional Dentists (SAID) is a benevolent group of dental professionals whose mission is to improve the oral health of people with disabilities through service, education, and advocacy. SAID is the only organization in the United States that deals solely with the dental needs of the institutionalized client.

Special Care Dentistry, <www.scdonline.org>. Special Care Dentistry (SCD) is a unique national and international organization of oral health professionals and other individuals devoted to promoting oral health and well-being for people with special needs. SCD's goal is to act as a central focus for diverse individuals and groups with a common interest in oral health for people with special needs and to direct its resources accordingly.

Special Olympics Special Smiles, <www.specialolympics.org/special+olympics+public+website/english/initiatives/healthy_athletes/special+smiles/default.htm>. Special Olympics Special Smiles is an oral health initiative designed to improve access to dental care for people with special needs and to raise the public's and the dental community's awareness of the oral health problems faced by many of those with special needs. This initiative works with Special Olympics, an international program of year-round sports training and athletic competition for children and adults with mental retardation.

University of the Pacific School of Dentistry, Center for Oral Health for People With Special Needs, <www.dental.uop.edu/resource>. This online service from the University of the Pacific School of Dentistry provides a list of adaptive aids, dental office products, educational/training materials, and oral health care products. For each category, the resource is described, along with cost and availability information.

2004 ADA Community Preventive Dentistry Awards

The Community Preventive Dentistry Award recognizes innovative programs that target a variety of community groups and is supported by a generous grant from Johnson & Johnson Oral Health Products.

Highest Award

“John C. Lincoln Children’s Dental Clinic”

John C. Lincoln’s Children’s Dental Clinic was established in 1927 to meet the dental
needs of low-income children in the Sunny slope community of north Phoenix (Maricopa County), Arizona. The non-profit dental clinic serves children ages 3-18 from low-income (working poor) families who have no dental insurance. Services provided are prevention, education and treatment. Procedures performed at the clinic include examinations, prophylaxes, sealants, fillings, extractions, root canals, crowns and referrals for specialty care. In 1994 the clinic added a school-based component to provide free dental hygiene education to every student enrolled in eight local elementary schools. Each student also gets a dental screening. In 2003 a school-based sealant program was initiated. Those with urgent dental needs and no insurance are referred to the dental clinic for immediate treatment. More than 40 dental professionals volunteer their time at the clinic. Some of the volunteer dentists have been with the clinic for 20 or even 30 years. Patients are charged $20 per visit, no matter how many procedures are performed during a visit. No child is turned away because of inability to pay.


The dental clinic was established by the First Presbyterian Church as part of the Desert Mission to meet the physical, social and spiritual needs of impoverished families who moved to north Phoenix in the hopes that the dry climate would cure their tuberculosis, arthritis and other ailments. The Desert Mission is now the charitable arm of the John C. Lincoln Health Network, a not-for-profit network of health care services in north Phoenix.

Submitted by: Mr. Eric Santiago, John C. Lincoln Health Network, 9229 North 4th Street
Phoenix, Arizona 85020

Meritorious Award

“Share A Smile”

Share A Smile was founded in 2001 to provide for the needs of the less fortunate within the Provo, Utah, community. The program provides free dental care monthly to the homeless and nearly homeless at the Food and Care Coalition in Provo through the use of portable dental equipment. This effort is unique in that it focuses on rehabilitation of the whole person. Those served are enrolled in a mentoring program. Comprehensive dental care is part of this rehabilitation. Each individual receives full comprehensive care. This program is also unique in that those receiving care are required to give back to the community by providing four hours of community service for each dental visit. Services include washing streets in the downtown area, gardening and snow removal for the elderly, trash removal and many other community projects. The intent is that individuals preserve their dignity and learn the importance of being part of a community. Last year alone, dental volunteers were able to give comprehensive care to 52 individuals amounting to over $40,000 worth of services. This year Share A Smile is teaming up with the Food and Care Coalition to build a permanent dental clinic that will be open three days a week allowing many more individuals to be served. Share A Smile runs completely on donations and volunteerism. There is no paid staff and no administrative costs.

Share A Smile has also participated in the ADA Give Kids A Smile Day. In 2004, volunteers spent the day educating and providing dental services to local children. Nearly $2,000 worth of pro bono services was provided.

Submitted by: Dr. Eric Vogel, President, Share A Smile, 777 N 500 W, #201, Provo, Utah 84601

Meritorious Award

“Seal Dane County”

Seal Dane County is a school-based initiative established in 1999 to provide dental screening, sealant application and oral hygiene education for children at risk for dental disease in Dane County, Wisconsin. The program serves children of low-income families in second through fifth grade and reaches 11-12 schools each year. Children in need of emergency dental care are referred to local participating dentists, who provide acute care paid for by Meriter Foundation. Families are not charged for this emergency care. Thirty-nine local dentists have volunteered their time to perform free screenings for the Seal Dane program. Since the spring of 2000, several thousand children, families and teachers have received oral health education, 1,549 children have received oral health screenings and 1,186 children have received sealants on more than 5,000 teeth.

Seal Dane was developed by a coalition of organizations working to improve community health. The program is funded by Meriter Health Services and administered by the Public Health Division of the Dane County Department of Human Services. The referral component of the program is funded through private donations raised by Meriter Foundation. Eligible, uninsured children identified as needing emergency care are given a voucher and referred to a participating dentist. Meriter Foundation covers eligible emergency services according to a prescribed fee schedule. Thirty-six local dentists participate in the program, along with local school districts and parent volunteers.
Submitted by: Dr. L. Stanley Brysh, Director, Dental Services, Meriter Hospital
202 South Park Street, Madison, Wisconsin 53715

Meritorious Award

“Champaign County Child Dental Access Program”

Central Illinois Dental Education and Services (CIDES) administers the Champaign County Child Dental Access Program, which arranges dental care for low-income (below 200 percent of poverty level) children in outlying Champaign County, Ill. CIDES was incorporated in May 2003 for the purpose of addressing issues of access to dental care and oral health education in Champaign County. A nonprofit organization, CIDES grew out of the Champaign County Board of Health’s Child Dental Access Program, which was begun in 2002 and initially housed under the roof of the Champaign-Urbana Public Health District. The Child Dental Access Program is committed to meeting the oral health needs of underserved children in outlying Champaign County, from infancy through age 18, with the collaborative support of area dental professionals and individuals in the community. Dental care services provided include preventive treatments such as routine check-ups, prophylaxes, radiographs, sealants, restorative treatments, and treatments to address major dental health problems, such as endodontics, extractions, and orthodontics. The Child Dental Access Program also provides oral health education through individual interactions with patients’ families and to groups at schools, child care facilities, programs such as Head Start and dental health fairs.

Dental care is provided for qualifying children in 27 participating dental offices in outlying Champaign County. The dentists are reimbursed 50 percent of their usual fees, although some of the dentists reduce their fees substantially and some want no reimbursement at all, returning their reimbursement to the program. Oral health education has been provided through a number of venues, including training for 200 licensed state daycare providers, 30 Head Start home-based child care providers, 200 Girl Scouts and troop leaders, 13 area schools and through individual interactions with patients’ families. Essential operational funds are provided by a grant from the Champaign County Board of Health. No fees are charged for program services.

Submitted by: Ms. Lisa Bell, RDH, Executive Director, Central Illinois Dental Education and Services, 508 East Harding Drive, Urbana, Illinois 61801

2004 ADA Geriatric Oral Health Care Award

The Geriatric Oral Health Care Award is given to programs that further the understanding and management of oral health care for the elderly. The Geriatric Oral Health Care Award is supported by a generous grant from Pfizer Consumer Healthcare Group.

Highest Award

“Community Outreach Program”

The Academy of Prosthodontics’ Community Outreach Program provides prosthodontic care to American Indians and Alaska Natives served by the Indian Health Service. The program began in August 1993 when eight academy fellows and one guest technician were invited to provide clinical care to 30 patients. The program operates out of Indian Health Service sites with dental facilities and laboratory space. The target audience is edentulous patients, most of whom are 50 years and older. The program was initiated by the executive council of the Academy of Prosthodontics, which continues to operate this program.

IHS facilities were chosen for this type of service because:
• There is demonstrated need.
• Temporary credentialing for providing health care was possible without involving state licensure.
• Each health center has dental facilities and usually some planned laboratory space.
• There are opportunities for no-cost housing and meals for the volunteers.

Initially, the entire expense of the outreach activities was born by the AP Foundation with seed money coming from the Foundation itself and the editorial council of the Journal of Prosthetic Dentistry, along with donations from individual fellows of the AP. Sites have been chosen that could be reached within a reasonable timeframe and cost considering airfare is the largest expense. Also, if more fellows are available to reach a site, it increases the possibility that sites can be added to the list. Sites have to close most of their dental clinic facilities for the week to allow the delivery of this kind of service, and the local IHS dental staff must be available for assistance and necessary clinical support.

Submitted by: Dr. Eric J. Rasmussen, Outreach Program Chairman, Academy of Prosthodontics, 4002 Monoma Drive, Madison, Wisconsin 53716

Meritorious Award

“Friends of Calvert County Seniors Low Income Dental Program”

The Friends of Calvert Country Seniors, Inc. (FCCS) was established in 1993 by a group of concerned citizens to provide assistance and services to senior citizens (age 60+) of Calvert County, Maryland. These services, which would otherwise not be readily available, are intended to improve their quality of life and to assist them in remaining independent and self-supporting. Over the years, dental care has been found to be so great a need that in 1996 FCCS established a special assistance category, the Low Income Dental Program for Seniors. Volunteer dentists perform examinations and treatment of all kinds, including root canals and dentures. This is a collaborative effort between FCCS, the Calvert County Office on Aging and the local dental community. The FCCS is a United Way agency with a volunteer 12-member board of directors and three ex officio members who work to promote and fulfill the organization’s mission of service. Six dentists provide their services on a reduced-fee schedule. FCCS board members conduct fund-raising activities, process requests for assistance and pay the dental bills. Office on Aging staff members accept and screen dental assistance applications for eligibility, maintain a waiting list, update the dentist list, issue bills, receive payments, issue receipts and submit billings to FCCS for payment. Recipients are asked pay 10 percent of their service cost to help ensure that aid can be made available for others. This can be done in monthly payments.

In addition to the Dental Program, FCCS manages a Grant in Aid Program for low-income seniors that have been referred by Calvert County Department of Social Services, the Calvert County Office on Aging, Catholic Charities and others with concern for an individual’s welfare. The Office on Aging screens these referrals for financial need, the unavailability of any other financial resources, and the individual’s ability to pay. The FCCS Board of Directors reviews and acts on requests for aid monthly. The individual grants are limited to $250 with the exception of the Dental Program. During the year 2003, 10 seniors were awarded grants for emergency services totaling $1,494.

Submitted by: Mr. Robert W. Coker, President, Friends of Calvert County Seniors,Inc.
Post Office Box 925, Prince Frederick, Maryland

New Surgeon General's Report Expands List of Diseases Caused by Smoking

The Health Consequences of Smoking

In spring 2004, U.S. Surgeon General Richard H. Carmona released a new comprehensive report on smoking and health, revealing for the first time that smoking causes diseases in nearly every organ of the body. Published 40 years after the surgeon general’s first report on smoking -— which concluded that smoking was a definite cause of three serious diseases -— this newest report finds that cigarette smoking is conclusively linked to diseases such as leukemia, cataracts, pneumonia and cancers of the cervix, kidney, pancreas and stomach.

“We’ve known for decades that smoking is bad for your health, but this report shows that it’s even worse,” Carmona said. “The toxins from cigarette smoke go everywhere the blood flows. I’m hoping this new information will help motivate people to quit smoking and convince young people not to start in the first place.”

According to the report, smoking kills an estimated 440,000 Americans each year. On average, men who smoke cut their lives short by 13.2 years, and female smokers lose 14.5 years. The economic toll exceeds $157 billion each year in the United States — $75 billion in direct medical costs and $82 billion in lost productivity.

In 1964, the Surgeon General’s report announced medical research showing that smoking was a definite cause of cancers of the lung and larynx (voice box) in men and chronic bronchitis in both men and women. Later reports concluded that smoking causes a number of other diseases such as cancers of the bladder, esophagus, mouth and throat; cardiovascular diseases; and reproductive effects. The new report, The Health Consequences of Smoking: A Report of the Surgeon General, expands the list of illness and conditions linked to smoking to include cataracts, pneumonia, acute myeloid leukemia, abdominal aortic aneurysm, stomach cancer, pancreatic cancer, cervical cancer, kidney cancer and periodontitis.

Statistics indicate that more than 12 million Americans have died from smoking since the 1964 report of the Surgeon General, and another 25 million Americans alive today will most likely die of a smoking-related illness.

The report concludes that smoking reduces the overall health of smokers, contributing to such conditions as hip fractures, complications from diabetes, increased wound infections following surgery, and a wide range of reproductive complications. For every premature death caused each year by smoking, there are at least 20 smokers living with a serious smoking-related illness.

Another major conclusion, consistent with recent findings of other scientific studies, is that smoking so-called low-tar or low-nicotine cigarettes does not offer a heath benefit over smoking regular or “full-flavor” cigarettes.

The report concludes that quitting smoking has immediate and long-term benefits, reducing risks for diseases caused by smoking and improving health in general. “Within minutes and hours after smokers inhale that last cigarette, their bodies begin a series of changes that continue for years,” Carmona said. “Among these health improvements are a drop in heart rate, improved circulation, and reduced risk of heart attack, lung cancer and stroke. By quitting smoking today a smoker can assure a healthier tomorrow."

Carmona said it is never too late to stop smoking. Quitting smoking at age 65 or older reduces by nearly 50 percent a person’s risk of dying of a smoking-related disease.

In addition to the 960-page printed report, The Health Consequences of Smoking, the U.S. Department of Health and Human Services released a new interactive scientific database of more than 1,600 key articles cited in the report, available through the Internet at <www.surgeongeneral.gov>. The database, which will be continually updated, can be used to find detailed information on the specific health effects of smoking as well as to develop customized analyses, tables and figures.

To help communicate the report findings as widely as possible, Surgeon General Carmona also unveiled a new animated Web site for the public showing the hazards of smoking and the benefits of quitting at <www.surgeongeneral.gov>. In addition, a full-color, easy-to-read summary of the report has been developed for the public.

Copies of the full The Health Consequences of Smoking: A Report of the Surgeon General and related materials are available from the Centers for Disease Control and Prevention, Office on Smoking and Health, (800) CDC-1311, <www.cdc.gov/tobacco> and on the surgeon general’s Web site at <www.surgeongeneral.gov>.

Mark Your Calendars: Upcoming Meetings

 
Midwest Farmworker Stream Forum
Creating a New Horizon in Farmworker Healthcare
Nov. 18-20, 2004
Denver
For more information visit: <www.ncfh.org>

Society for Public Health Education Annual Meeting
"The Power and Influence of Health Education: Promoting Monumental Change"
Nov. 5-7, 2004
Washington, D.C.
For more information visit: <http://www.sophe.org/>

Health Action 2005
Jan. 27-29, 2005
Washington, D.C.
For more information visit: <http://www.familiesusa.org/site/PageServer?pagename=2005_Conference>

Western Migrant Stream Forum
Jan. 28-30, 2005
San Diego, Calif.
For more information visit: <http://www.nwrpca.org/>

19th National Conference on Chronic Disease Prevention and Control
March 1-3, 2005
Atlanta
For more information visit: <www.cdc.gov/nccdphp/conference/index.htm>

America Dental Education Association Annual Session & Exhibition
March 5-9, 2005
Baltimore
For more information visit: <www.adea.org/>

International Association for Dental Research General Session & Exhibition and American Association for Dental Research Annual Meeting
March 9-12, 2005
Baltimore
For more information visit: <www.iadr.com/>

National Oral Health Conference - Joint Meeting of the Association of State & Territorial Dental Directors (ASTDD) and American Association of Public Health Dentistry (AAPHD)
May 2-4, 2005
Pittsburgh
For more information visit: <www.astdd.org> or <www.aaphd.org>

APHA’s Oral Health Section Leadership

For a complete listing of APHA’s Oral Health Section Leadership, please take a look at the Winter 2004 Section Newsletter.

Editor's Note

I would like to thank all of the Oral Health Section members who throughout the year have contributed articles, time, and your expertise for the production of our Section's newsletters.

I would like to especially thank Kathi Lituri who this year served as Assistant Newsletter Editor.

Next Newsletter Due Date for article submission is: Dec. 15, 2004