Oral Health
Section Newsletter
Spring 2009

Spring 2009

Chair's Message

Hello again from your Section Chair.
 
It’s a busy time of year preparing for the Annual Meeting, reviewing proposed policies, and promoting our recently passed new policies. There is much going on at the national and state levels in public health, and I encourage you to stay active in APHA and the Oral Health Section. Be sure to keep your e-mail up to date in your membership file; you can edit this information by logging on to the APHA Web site as a member.

Annual Meeting: I hope you are planning to attend our next Annual Meeting in Philadelphia, Nov. 7-11, 2009. David Cappelli is heading up the Program Planning Committee, and the program (see below)  is shaping up to be quite interesting and informative. Thanks to all who have helped David pull the scientific program together. Registration online at the APHA Web site opens June 1, so make plans now to join us in Philadelphia!

Elections: Elections for Section Officers is open until June 20. You should have received an e-mail announcement on May 15 about how to cast your vote. We have a wonderful slate of candidates this year. For two Section Council seats our candidates are: Kathryn Dolan, Kathy Lituri, Gary Podshun, and Gina Thorton-Evans. For one Governing Council seat our candidates are: Woosung Sohn and Karen Zinner. Please review their statements online and make your voice heard by voting.

e-Communities: We are close to having e-Communities, a new on-line resource, available for Oral health Section members in the near future. It will allow for improved sharing of information and documents, as well as providing a listserv and bulletin board.
 
Healthy People 2020: The Oral Health Section continues to participate in the development of Healthy People 2020 objectives. Besides testifying at the Regional Hearings last year, we are part of a workgroup that includes ASTDD, AAPHD, ADA, and other partners. The workgroup developed positions on draft objectives at a meeting held March 3-4. The Oral Health Section was ably represented by Dushanka Kleinman. There will be additional opportunities to comment both as a Section and as individuals as this process moves forward.

Policy promotion: The Section leadership has been active in promoting some of APHA’s policies related to oral health. We worked with Dr. Georges Benjamin to send letters about the policy opposing prophylactic removal of third molars to America’s Health Insurance Plans, the National Association of Dental Plans, the Delta Dental Plans Association, and the National Association of State Medicaid Directors. The letters were cosigned by Dr. Benjamin and myself. Additional letters have been sent to selected health reporters and dental associations.

In working to promote APHA’s policy on dental therapists, the Oral Health Section assisted Amos Deinard, chair of the Oral Health Section Policy Committee, in writing to about 30 members of the Minnesota State Senate concerning legislation to authorize training of mid-level dental practitioners ― dental therapists or Oral Health Practitioners.  The letters supported the evidence-based position that a two-year training program for therapists would be sufficient and that such training does not have to be based in a dental school.  Minnesota has since passed new legislation that allows for a four-year baccalaureate program to train dental therapists (DT). The DT could perform some services under general supervision, but cavity preparation and restoration of primary and permanent teeth, and extraction of primary teeth, would be done under indirect supervision. It also establishes a two-year master's program for advanced dental therapists that would allow for these services to be performed under general supervision (dentist need not be present). To qualify for the advanced dental therapist certification, one must have a DT degree, have practiced as a DT at least 2,000 hours, and complete an advanced dental therapy master's program. It is our understanding that dental hygienists will be eligible for the two-year master's degree advanced dental therapist program being developed at the Metropolitan State University in St. Paul Minnesota. The baccalaureate and master's program is also being developed at the University of Minnesota School of Dentistry. While we applaud progress in this area, which should expand access to care for the under-served, we continue to believe that the approach adopted is overly cautious.

We will continue to promote evidence-based policies in the arena of oral health. A special thanks to Amos Dienard, Jay Friedman, Kathy Lituri, Myron Allukian, and others who helped with these efforts.

Welcome to those of you new to the Oral health Section. We encourage your involvement in Section activities, whether on a committee or by running for an office. And for those who have already served in a leadership capacity, give some thought to getting involved again. We need you on the Membership and Policy Committees, to help staff the Section booth at the Annual Meeting, to contribute to the newsletter, and to help manage our Web site. We depend on Section volunteers to carry on the bulk of the Section’s business. Feel free to contact me or any member of the Section leadership.
 
Looking forward to seeing you in Philadelphia.

Scott Presson, Chair

Welcome New Members

Welcome to New APHA Oral Health Section Members

We would like to announce our newest members to the Oral Health Section. They are:

                Tracy Coleman                        Gina Thorton-Evans
                 Latres Dominick                      Marty Milkovic 
                 Marie-Christine Lafontant      Astrid Thompson 
                 Daniel Bagley                           Fotinos Panagakos
                                          Deise Cruz Oliveira. 
 

Please welcome aboard any of our newest members if you know them!

It is always a privilege to have new members join our Oral Health Section, especially with the broadening of health issues today. We look forward to seeing our new members at our 137th APHA Annual Meeting  in Philadelphia, Nov. 7-11.

If any current member or new member would like to become involved in our activities, please feel free to do so.  We are always open to your opinions, your involvement, and sharing of your expertise in our public health pursuits.

Sandie Nagel Beebe, RDH, PhD
APHA Oral Health Membership Chair

Oral Health Section Annual Meeting Program

Registration for the 137th APHA Annual Meeting is now open.  The meeting takes place Nov. 7-11, 2009 in Philadelphia . You can now register, request hotel accommodations, and explore the online schedule of events. 

We hope to see you in Philadelphia!


The Oral Health Section events are summarized below.

 

Sunday, Nov. 8, 2009:

8:00 a.m.-11:30 a.m.

204.0 Oral Health Section Executive Committee Business Meeting

2:30 p.m.-5:30 p.m.

251.0 Oral Health Section Executive Committee Business Meeting

4:30 p.m.-5:30 p.m. – Poster Sessions:

2073.0 Oral Health Promotion and Disease Prevention Program for Infants and Children

2074.0 Policies to Improve Oral Health

2075.0 Addressing Oral Health Workforce Issues

 

Monday, Nov. 9, 2009

10:30 a.m.-11:30 a.m. - Poster Sessions:

3090.0 Improving Oral Health for Pregnant Women and Children

3091.0 Oral Health Needs of Adults and Elderly

3092.0 Efforts to Sustain Community Water Fluoridation Programs

12:30 p.m.-2:00 p.m. – Oral Session:

3244.0 Service-Learning, Workforce, and Social Cultural Determinants of Oral Health

2:30 p.m.-4:00 p.m. - Oral Session:

3350.0 The Dental Home: Origins and Current Developments

4:30 p.m.-6:00 p.m. - Oral Session:

3430.0 IOM Oral Health Workforce Report and the Access Crisis

6:30 p.m.-8:00 p.m.

343.0 Oral Health Awards Ceremony

8:15-10:00 p.m. – Oral Health Section Dinner

 

Tuesday, Nov. 10, 2009

8:30 a.m.-10:00 a.m. - Oral Session:

4054.0 Essential Public Health Service: Community Water Fluoridation Programs

10:30 a.m.-12:00 p.m. - Oral Session:

4123.0 Strategies to Implement the HP 2020 Framework: A State and Local Perspective

12:30 p.m.-2:00 p.m. – Oral Session:

4221.0 Models for Increasing Access to Oral Health Care for Persons Living with HIV/AIDS

2:30 p.m.-4:00 p.m. - Oral Session:

4312.0 Communicating with Patients: Oral Health Literacy Surveys of Dental  Schools and Dental Team Members

4:30 p.m.-6:00 p.m. - Oral Session:

4385.0 Building State Oral Health Capacity: Perspectives on Progress

6:30 p.m.-7:30 p.m.:

422.0 Oral Health Reception

7:30 p.m.-9:00 p.m.

445.0 Oral Health Section General Business Meeting

 

Wednesday, Nov. 11, 2009

8:30 a.m.-10:00 a.m. - Oral Session:

5071.0 Improving Access to Oral Health Services

12:30 p.m.-2:00 p.m. - Oral Session:

5179.0 Building the Science: Oral-Systemic Linkages

 

The 2009-10 Herschel S. Horowitz Scholarship Award

The 2009-10 Herschel S. Horowitz Scholarship was awarded to Dr. Alejandra Valencia at the National Oral Health Conference in Portland, Ore. in April 2009. Dr. Valencia received her dental degree in 1993 from the University of Antioquia, Medellin, Colombia, and her MPH in 2007 from the School of Public Health, University of Illinois at Chicago. After six years in general practice, including four years as a health center manager, she is actively engaged in promoting health care in Latino and rural communities, as well as research in oral health, arthritis, evidence-based public health practice, training and decision-making, behavioral risk factor surveillance and population-based health and medicine.

2009 Myron Allukian Jr. Lifetime Achievement Award

SUSAN M. SANZI-SCHAEDEL, RDH, MPH, RECEIVES AWARD

Myron Allukian, Suzan Sanzi-Schaedel, Robert Isman, Alyssa Franzen (l to r)

Susan M. Sanzi-Schaedel, RDH, MPH, received the 2009 Myron Allukian Jr. Lifetime Achievement Award from the American Association for Community Dental Programs (AACDP) for outstanding contributions in community dental programs. The award was presented on April 19, 2009, at the AACDP’s National Meeting prior to the National Oral Health Conference in Portland, Ore.

Ms. Sanzi-Schaedel was director of School and Community Dental Health Programs from 1978 to 2006 with the Multnomah County Health Department in Portland, Ore. In addition she served as a Head Start consultant to the Indian Health Service from 1991-1993, as well as on various committees on the national, state and local levels. She was the 1986-1987 president of the Oregon Dental Hygienists Association and a member of the American Dental Hygienists Association Council on Public Health in 1999-2001. She has also been active in both the Oregon Public Health Association and Oregon Oral Health Coalition. In 1997-98 she was chair of the Oral Health Section APHA and served on APHA's Action Board and Governing Council. She retired from the Multnomah County Health Department in 2006.

The award was presented by Dr. Myron Allukian Jr. with comments by Dr. Robert Isman, a former dental director at Multnomah County and current dental program consultant for the California Dept of Healthcare Services Medi-Cal Dental Services Branch, and by Dr. Alyssa Franzen, current Multnomah County Public Health Dental Director.  The award reads “For her many lifetime contributions to community and school-based prevention and treatment programs in Multnomah County, Oregon, and the mentoring, collaboration and leadership she offered to many others in community dental programs.”

Ms. Sanzi-Schaedel is a graduate of the University of Michigan with a BS in dental hygiene and an MPH in dental public health and health education. She also attended Western Michigan University. She began her career in Boston at the Children’s Hospital and the Martha May Eliot Health Center. From 1973-1975 she was faculty in the Boston University Goldman School of Graduate Dentistry and is presently an adjunct assistant professor with the Oregon Health Sciences University School of Dentistry. She has received previous honors from the Multnomah Dental Society, the Oregon Public Health Association, ADHA, and the Community Health Partnerships.

The AACDP represents organizations and individuals engaged in providing oral health services at the local and community level.  For more information, go to www.AACDP.com.

AACDP c/o CincySmiles Foundation, 635 W. 7th St. Suite 309, Cincinnati, OH 45203, (513) 621-0248 x 11.

American Board of Dental Public Health Honorary Diplomate

Ernest Newbrun, DMD, PhD, Professor Emeritus, received the title of honorary Diplomate of the American Board of Dental Public Health at the annual meeting in Portland , Ore., on March 20, 2009 .  

Dr. Reginald Louie, President of ABDPH, made the presentation:

I am delighted and honored to announce that the Board has unanimously and enthusiastically voted to bestow honorary Diplomate Status to Dr. Ernie Newbrun. “Ernie” is extremely well known to all of us. Now a Professor Emeritus of Oral Biology and Periodontology at UCSF School of Dentistry, Dr. Newbrun has a long and distinguished career which includes a lifetime of contributions to improve the public’s oral health.

Dr. Newbrun received a BDS from the University of Sydney, a Master of Science from the University of Rochester, a DMD from the University of Alabama, a PhD in biochemistry and also a Certificate in Periodontology from the University of California.

Dr. Newbrun is not only a world reknown researcher and a prolific author, he has been a devoted teacher, mentor and advocate for public health measures to prevent oral diseases. Through his work and advocacy in support of community water fluoridation, Dr. Newbrun has helped numerous communities throughout this nation and in other countries including Central and South America to adopt fluoridation.

Dr. Newbrun has given selflessly of his time to the dental public health community whenever asked to participate in panel discussions, or to testify to support fluoridation. He has received numerous awards and honors for his work, including honorary degrees from the University of Lund and the University of Sydney, a presidential citation from the ADA, the ADA’s Council’s Choice award after completing 20 years of service on their national Fluoridation Advisory Committee, the Dental Caries Research award from the IADR, and the Distinguished Alumnus of the Year Award from the UCSF School of Dentistry.

Please join us in congratulating our colleague, friend, mentor and now honorary diplomate, Dr. Ernie Newbrun.

(Source: UCSF School of Dentistry NewsBrief, April 27, 2009)

 

Note: Dr. Newbrun is only the second DDS to have been awarded this honor.  Do you know who was the first? (Answer below) 

Oral Health Section's 65th Anniversary Award

Our previous Newsletter (Winter 2009)  had this image of Scott Presson receiving the 65th Anniversary award from Linda Degutis, past president of APHA. Typically, no one could read the plaque. Courtesy of Howard Pollick, custodian, we proudly present the real thing or, at least, a readable facsimile.

Answer: The First ABDPH Dentist Diplomate

Answer: Dr. Harold Hillenbrand in 1970.

 

Dr. Hillenbrand served as executive director of the American Dental Association from 1946 until his retirement in 1970. He was the first dentist to serve as an adviser to the United States delegation to the World Health Organization and one of the first dentists to be elected a senior member of the Institute of Medicine.

 

Segues to School-Based & Community-Based Dental Health Care

  

Arkansas’ Seal the State to bring oral health to schools

 

Arkansas is on track to meet its goal of providing free dental sealants to 2,000 schoolchildren by the end of the school year, and the effort is set to con­tinue in coming years.

 

After a pilot program in two elementary schools helped workers figure out the best ways to bring oral health into schools, the official Seal the State program kicked off in Novem­ber in Little Rock. The program is funded by a grant from the Daughters of Charity Foundation in St. Louis and is administered by the Arkansas Depart­ment of Health’s Office of Oral Health.

 

The Arkansas program, which now includes a partnership with the Arkansas Children’s Hospital to con­tinue the program beyond the 2008-2009 school year, can treat up to 88 children at a school in a single day. “And the beauty of a school-based clinic is that you don’t have to take kids out of school,” said Lynn Mouden, DDS, MPH, direc­tor of the state’s Office of Oral Health. “They may only be out of the class­room for 10 or 15 minutes, total.”

 

Dental sealants are such a powerful weapon against childhood tooth decay that the national Healthy Peo­ple 2010 goal is to have 50 percent of all schoolchild­ren receive at least one dental sealant. A 2003 survey of 7,100 Arkansas third-graders found 61 per­cent had tooth decay and only 15 percent had at least one dental sealant.

 

“First of all, it’s inexpensive, it’s easy, it’s painless,” Mouden said. “And the combination of dental sealants and water fluoridation can prevent virtually all childhood tooth decay. So that’s the kicker.

 

"Preventing tooth decay in childhood is a good investment now and for the future," he said. “Children with dental problems can’t eat, they can’t sleep, they can’t study, they can’t concentrate, they can’t go out and play without pain.” 

 

Part of the Seal the State campaign includes public outreach through print and radio ads that feature a “Super Tooth” touting the benefits of dental sealants. “A big piece of this is awareness for the parents because, let’s face it, a lot of parents don’t know to ask about dental sealants,” Mouden said.

 

The state’s Office of Oral Health has been working for several years to improve the oral health of the entire population, both through the Seal the State program and with other initiatives, such as a push to encour­age more students to pur­sue dental careers. In fact, a grant from the U.S. Health Resources and Services Administration is now funding oral health work force development in Arkansas.

 

One barrier, though, is that the state lacks a dental school. Mouden said a study found the state could benefit from such a school, and supporters are planning another study to show state lawmakers what it would take to bring such a school to Arkansas.

 

For more information on Arkansas’ oral health work, visit www.aroralhealth.com
           -- Donya Currie

 

Reprinted with permission from The Nation’s Health, April 2009.

            (official newspaper of APHA)

 


 

FIELD ACTION REPORT

 

ElderSmile: A Comprehensive Approach to Improving Oral Health for Seniors

Stephen Marshall, DDS, MPH, Mary E. Northridge, PhD, MPH, Leydis D. De La Cruz, Roger D. Vaughan, DrPH, Jarlath O'Neil-Dunne and Ira B. Lamster, DDS, MMSc

At the time of the writing of this article, Stephen Marshall, Leydis D. De La Cruz, and Ira B. Lamster were with the Columbia University College of Dental Medicine, New York, NY. Mary E. Northridge and Roger D. Vaughan were with the Mailman School of Public Health, Columbia University, New York. Jarlath O'Neil-Dunne was with the Spatial Analysis Lab, University of Vermont, Burlington.

Correspondence: Requests for reprints should be sent to Stephen Marshall, DDS, MPH, Columbia University College of Dental Medicine, P&S Box 20, 650 W 168th St, New York, NY 10032 (e-mail: sm15@columbia.edu).

Societal changes, including the aging of the U.S. population and the lack of routine dental service coverage under Medicare, have left many seniors unable to afford any dental care whatsoever, let alone the most advanced treatments.1 In 2004, the Columbia University College of Dental Medicine and its partners instituted the ElderSmile program in the largely impoverished communities of Harlem and Washington Heights/Inwood in New York City. The long-term goal of this program is to improve access to and delivery of oral health care for seniors; the short-term goal is to establish and operate a network of prevention centers surrounding a limited number of treatment centers. Preliminary results indicate substantial unmet dental needs in this largely Hispanic and Black elderly population.

Key Findings
ElderSmile, a comprehensive, community-based program offering prevention, transportation, and treatment services for seniors in northern Manhattan for oral health care, has been successful in recruiting a range of partnering agencies and organizations at the local, state, and national levels.

Although the vast majority of senior participants (79.6 percent) had visited a medical doctor in the past year, fewer than half (47.5 percent) had visited a dentist in the past year, with cost cited as the most common reason (50.2 percent of seniors who had not visited a dentist in the past year).

To meet the challenge of providing oral health care to older adults with complex needs regardless of their ability to pay for services, innovative programs and improved reimbursement policies are critically important.

The ElderSmile program is an initiative of the Columbia University College of Dental Medicine (CDM) and its public and private partners, who provide both financial and in-kind support. Despite the influence of the surgeon general's report on oral health in providing economically disadvantaged children with needed consideration and subsequent dental services,8,9 economically disadvantaged seniors have received relatively little attention and almost no public health programs or public policy interventions directed toward improving their oral health.10The ElderSmile program for seniors was adapted from the successful DentCare program for children.9 Philanthropic organizations provided initial funding because they were convinced it addressed an important need.

(Abstract reprinted with Permission of the American Journal of Public Health)

[To obtain the original article, please visit www.ajph.org.]

 

April 2009, Vol 99, No. 4 | American Journal of Public Health 595-599
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.149211

From the Editor

Dental Therapists in Lower 48

Legislators Bow to Minnesota Dentists

 

Minnesota is the first state to legalize training of dental therapists. But rather than designing an evidence-based two-year program modeled after the New Zealand prototype, the Minnesota Dental Association with the collaboration of the School of Dentistry has made a mockery of common sense by inducing the legislature to adopt a bloated educational requirement and excessively restrictive practice constraints.

 

For example, it will take the dental school four years to train dental therapists that are trained throughout the world in two years. By what stretch of the imagination can a two-year curriculum be expanded to four without filling empty space with empty material?  No doubt the school's highly expert staff will produce a highly qualified DT that will be permitted to practice only under the direct supervision of a dentist. What if the dentist is sick or takes a day off? What if he or she takes a long lunch? Must the dental therapist cancel patients for lack of “direct supervision?”

 

As if this is not ridiculous enough, Minnesota also authorized a two-year master’s degree program to create an advanced dental therapist that would free a DT of direct supervision but would still require treatment authorization by a supervising dentist to remove decay and place a filling or extract an exfoliating deciduous tooth. The American Dental Association contends that dental hygienists would have to start from scratch in the dental therapist program and then practice for two years before being allowed to advance to the advanced dental therapist program, but that is not the intent of the Minnesota legislation. According to Dr. Colleen Bickle, co-chair of the Metropolitan State University Dental Hygiene Program, dental hygienists will qualify for direct admission to the state university’s two-year advanced dental therapist program. Parenthetically,the Forsyth Experiment in the 1970s demonstrated dental hygienists could be trained in basic dental therapy skills in less than six months. 

 

Should we not, as public health dental advocates, cheer Minnesota for this groundbreaking achievement, for what some of us have advocated for over half a century? Yes and No. Yes, because the public, as well as the dental profession, will benefit from whatever increase in access to dental care dental therapists can provide. No, because the training program is too long, too expensive, too inefficient, and too restrictive in the practice setting. No, because it is the wrong model for emulation by other states.

  


 

Smile, You’re on TV

 

It is said (by most American dentists) that American dentistry is the best in the world. It is said (by most American dentists) that the United States has the best dental care in the world. If any of you doubt that, just look at all the great smiles on TV, though high-altitude sunglasses might be advisable to protect your eyes against those Chiclet flashing teeth. Those beautiful faces with beautiful chalk-white teeth are proof that dental society “Smile” campaigns are successful. Yes, indeed. Smile America, you’re on TV.

 

Except that once you’ve switched from talk and song and dance shows to news broadcasts with close-ups of people who don’t belong to the affluent middle and upper classes, that show blue collar workers, farm workers, poor people, inner city folk, homeless people, you don’t see many beautiful smiles. What you see are people of all hues from all social classes, many with missing front teeth, broken teeth, rotten teeth, no teeth. No doubt this is due to neglect. But neglect is not the consequence of thoughtful decision-making. People who can’t afford $2,000 for a root canal filling, post and crown have no choice. No more so than children who become addicted to soda pop that rots their teeth and contributes to obesity are making thoughtful decisions about their diets.

 

A good part of neglect is social conditioning, commercial in this instance, that induces compulsive behavior to which we are all subject. A good part of neglect is the consequence of our failure to provide effective guidance and adequate care for those who cannot provide for themselves. It is not easy to smile when you have little to smile about.

 

Jay W. Friedman, Editor

 

Comments invited: drjfriedman@sbcglobal.net

From Causation to Association – An Assessment by Eugenio Beltran

Assessment of the state of the science on the association between periodontal diseases (PDs) and systemic diseases.

 

1) Some adverse outcomes of systemic diseases have been found to be statistically associated with periodontal diseases (PD).  The strength of this association, measured most of the time by the size of the odds ratio, varies across studies based on study design and outcome.

2) Causation has not been proven. Many researchers have moved from causation to association in their assessment of the evidence.

3) Some intervention studies addressing PDs to prevent adverse outcomes have shown effects while others not, which may support the idea of a common underlying factor: for example chronic inflammatory process. PDs, however, have not been demonstrated to cause chronic inflammatory processes elsewhere in the body.

4) At one time, there were more "reviews of the literature" than actual studies.

5) There is an ongoing Cochrane review on this subject which may shed light on the overall quality of available studies. On personal assessment, the ability of many of these studies to demonstrate association, much less causation, is lacking.  The most important issue is accounting for confounding factors strongly associated with the outcome and the exposure, e.g., tobacco exposure, nutrition.

6) There are continuing attempts to link PDs with various systemic diseases and adverse outcomes. The so-called "new periodontal paradigm" is in some regards a reiteration of the old focal infection theory of the early 1900s.

7) Periodontal health has value in itself regardless whether there is a link with systemic diseases or not. 

8) Currently, we do not have a reliable estimate of the prevalence or severity of periodontal infections in the population.

9) There is still an incomplete understanding of the pathogenesis and physiopathology of what we call periodontal infections which later express clinically as lost of attachment.

10)  It is not probable that people die directly as a consequence of not flossing.

Eugenio Beltran, DMD, MPH, MS, DrPH

Diplomate American Board of Dental Public Health

Senior Scientist

Division of Oral Health

Centers for Disease Control and Prevention

 

Items of Interest: DHAT Program - Howard Speaks - Increasing Access in Medicaid - Topical Fluoride Rx - Is Kaiser the Future of Health Care?

ADEA Symposium: Alaska Dental Health Aide Program

A must see and read. A beautiful publication ― pictures and text ― of an evidence-based dental therapist program that should be the model for emulation in the Lower 48. Click here for the report.

 



Howard Speaks. UOP Listens

Howard Pollick, BDS, MPH, the immediate past chair, Oral Health Section, APHA, delivered the Keynote address at the Arthur A. Dugoni School of Dentistry, University of the Pacific, Research and Clinical Excellence Day on May 20, 2009.

This was the first time that a Keynote Address had been part of this annual event, now in its 11th year.

The title of Dr. Pollick’s presentation was: "Research and Public Policy: Dental Caries and Fluoridation." He spoke about the research he led in the early 1990s on the oral health needs of California children and the progress that has been made in California and the United States in the reduction of caries prevalence, the reduction in the proportion of decay that is untreated, the reduction in extractions in adults, the increase in dental sealants and the increase in fluoridation for the proportion of the population that is served by public water supplies in California and the nation. “It was a great honor and privilege to have delivered this First Keynote Address at the Pacific Research Day & Clinical Excellence Day 2009 at the Arthur A. Dugoni School of Dentistry, University of the Pacific” Dr. Pollick said.

(From: UOP News and Events)

 



Increasing Access to Care in Medicaid: Targeted Programs for Four Populations

Poor access to oral health care and low use of oral health services by publicly insured people have been persistent problems that states and their Medicaid programs have grappled with for decades. However, there are groups of Medicaid beneficiaries ― such as young children, pregnant women, people with developmental disabilities, and people living in rural areas ― who face particular threats to their oral health. These populations can benefit from interventions targeted at their specific needs.

This issue brief, which is drawn from a literature review and interviews with stakeholders across the country, describes strategies that several states have used to better address the oral health of these people….Click here for the report.

California HealthCare Foundation, Issue Brief, March 2009



New Report on Topical Fluoride Recommendations and Decision Support Matrix

The summary report of an expert meeting on topical fluoride recommendations has been released. The purpose of the meeting, held on Oct. 22-23, 2007, in Washington, D.C., was to translate guidelines and recommendations on the use of topical fluorides in children at high risk for dental caries into a decision support matrix that can be used primarily by program staff and non-oral health professionals working in public health settings (e.g., child care centers, Head Start programs, WIC, community clinics, primary care) in designing appropriate interventions.

The Decision Support Matrix for Topical Fluoride Recommendations is included in the report, which also describes the panel's process. The matrix provides a definition of high-risk children and recommendations for fluoride toothpaste, fluoride varnish, and fluoride mouth rinses, gel or foam. The meeting agenda and participant list are included. Click here for the full report.

The Altarum Institute, Washington, D.C. October 2007


Is Kaiser the Future of Health Care?

Single-payer national health insurance, advocated by many as a solution to our health care crises, addresses only the financing of health care. How health care services are organized and delivered is equally if not more important. This 2004 article, published in the NY Times, describes the goals and achievements of the Kaiser-Permanente Health Plan.

"Obviously, there is no single model for revamping the nation's costly, disjointed health care system, and Kaiser certainly has its share of problems. But according to economists and medical experts, Kaiser is a leader in the drive both to increase the quality of care and to spend health dollars more wisely, using technology and incentives tailored to those goals."

 "Quality health care in America will never be cheap, but Kaiser probably does it better than anywhere else," said Uwe E. Reinhardt, an economist at Princeton who specializes in health issues."  

Click here for the complete article.

 

Announcements from APHA

Public Health CareerMart -- More Than 1,000 jobs listed!

    

APHA has created the Public Health CareerMart to be the online career resource center in the field of public health.  Here, you’ll find only qualified, industry professionals.

 

Job seekers, instead of searching through hundreds of sites looking for the perfect jobs in public health, you will find it all at the Public Health CareerMart Career Development Center at www.apha.org/about/careers.

 

Employers, instead of being inundated with stacks of unrelated, irrelevant resumes, you’re much more likely to find the candidates with the skills and experience you’re looking for — and spend less time doing it!  After all, where better to find the best public health professionals than the association that represents them? 

 

Public Health CareerMart  is a member of the National Healthcare Career Network.

 


Alcohol Screening and Brief Intervention Manual

 

APHA is proud to annouce the release of "Alcohol Screening and Brief Intervention: A Guide for Public Health Practitioners." This manual provides public health professionals with information, skills and tools needed to conduct screening and brief intervention (SBI) to help at-risk drinkers reduce their alcohol use. Download the manual for free: http://www.apha.org/programs/additional/progaddNHTSI.htm.


Help Make America the Healthiest Nation in One Generation

    

Let’s face it – as a nation we’re not nearly as healthy as we should be. Compared to other developed nations, we’re lagging far behind. But it doesn’t have to be this way. With your help, we can make America the healthiest nation in just one generation.

    

As a central component of this year’s National Public Health Week (NPHW) observance, APHA launched an exciting, new viral video campaign. The Healthiest Nation in One Generation video tells the story of the many ways that public health touches our lives. Nearly 25,000 people have already viewed the video online, and the numbers continue to grow each day. If you haven’t checked out the video, watch it today and be sure to share it with your colleagues, family and friends. And stay informed by visiting www.generationpublichealth.org – NPHW 2009 is over, but our campaign to make America the healthiest nation in one generation is just beginning…

    

We all have to do our part. What will you do?


APHA Wants Your Opinion

    

Would you use an online version of the "Control of Communicable Diseases Manual"?  Help us by taking a survey at http://www.surveymonkey.com/s.aspx?sm=53858582nfNS699PLteHvg_3d_3d.  We appreciate your input.


New Book On Disability Studies

   

"Disabilty and Public Health," published by APHA, is now available. The publication is an important and overdue contribution to the core curriculum of disability studies in public health education. It is a particularly timely book because, as our nation ages, disability is an increasingly significant interdisciplinary area of study and service domain in public health. Visit the APHA online bookstore at www.aphabookstore.org/ APHA members can also take advantage of a 30 percent member discount whether ordering online or via our toll-free number, (888) 320-2742.


Annual Meeting & Registration

    

From Nov. 7-11, 2009 thousands of public health professionals will convene in Philadelphia for the APHA 137th Annual Meeting and Exposition. More than 1,000 cutting-edge scientific sessions will be presented by public health researchers, academicians, policy-makers and practitioners on the most current public health issues facing the nation today.

    

To ensure that no public health professional misses this opportunity, this year’s Annual Meeting will be more affordable than ever. Hotel rates have been slashed so that no rates are higher than $195. Eleven of the 15 contracted hotels are offering rates between $149 and $179. Registration and Housing are now open. Save up to $115 on registration by registering before August 28. Take advantage of these discounts and join your colleagues in a meeting you won’t want to miss. For more information about the Annual Meeting and the role your Section or SPIG will play in its success, visit www.apha.org/meetings!

 

P.S. We’re on Twitter: APHAAnnualMtg