Oral Health
Section Newsletter
Spring 2011

Chair's Message

Greetings from your Oral Health Section Chair!

It’s a busy time of year preparing for the Annual Meeting, reviewing proposed policies, and promoting our oral health 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.

Annual Meeting: I hope you are planning to attend our next Annual Meeting in Washington, D.C., Oct. 30 - Nov. 2, 2011. Kathy Lituri is heading up the Program Planning Committee, and a wonderful program has been developed. The program (see below) is shaping up to be quite interesting and informative. Thanks to all the committee members who have helped Kathy develop the scientific program. Thanks also to those of you who submitted an abstract or are volunteering to be a moderator.

Registration online at the APHA website opened June 1; you should have received an e-mail on June 1 announcing the opening. If you did not receive it, you may want to check your membership record to assure that it has your current e-mail address. The Oral Health Section sessions will be in the Grand Hyatt Washington Hotel. I hope you visit our Section booth, or even better, volunteer for a shift to help staff it. We hope to see many of you in Washington, D.C.!

Policy development: The Section leadership has been active in reviewing the new policies proposed for consideration at the 2011 Annual Meeting. We have also reviewed the existing policies that were up for review this year to decide if they should be retained, updated or archived. Thanks to the Section Executive Committee and others who volunteered to participate in these efforts. We also commented on the proposed change in the optimum fluoridation concentration proposed by HHS and CDC. The proposed optimum would be 0.7 mg/L for all areas of the United States, rather than the 0.7 to 1.2 mg/L based on mean annual air temperature.

Welcome to those of you new to the Oral Health Section! Whether new to APHA or joining us as a second or third Section, we look forward to your participation as we strive to advance the public’s oral health.

I again ask that all Section members consider recruiting a new member from your sphere of colleagues and students. Existing APHA members who belong to other Sections can join Oral Health as a second or third Section for $30/year. There is also a joint membership pilot program to join both the state public health association and APHA for a reduced fee that is ongoing in Northern California, Kansas, Massachusetts and Ohio.

We encourage your involvement in Section activities, whether by serving on a committee or by running for an office. And for those who have already served in a leadership capacity, it’s time to give some thought to getting involved again. We need you on our committees, such as the Membership, Program Planning, Awards, and Policy; to help staff the Section booth at the Annual Meeting; and to contribute to the newsletter and the Annual Meeting program. 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. Any suggestions on how we can improve the Section’s efforts and increase the value of membership are welcome.

Oscar Arevalo, Section Chair

The Curious Case of Oral Health: Disparities in Treatment by DHHS ― Scott L. Tomar, DMD, DrPH

On Jan. 14, 2011, the Centers for Disease Control and Prevention issued CDC Health Disparities and Inequalities in the United States – 2011, the first in a periodic series of reports examining disparities in selected social and health indicators [available at www.cdc.gov/mmwr/preview/ind2011_su.html]. The 113-page report included a wide range of diseases and conditions, behavioral risk factors and barriers to health care. It seemed to include nearly the entire spectrum of CDC’s portfolio, including infectious diseases, chronic disease, injuries, risk factors, tobacco and alcohol usuage, and obeisity  

         Scott L. Tomar

with the notable exception of oral health. Just a few months after that omission, CDC announced that it was demoting the Division of Oral Health from division status to a branch within another division.

Those recent moves by CDC are inconsistent with the public pronouncements from the U.S. Department of Health and Human Services during the past decade. One of the major conclusions from HHS’ 2000 release, Oral Health in America: A Report of the Surgeon General, was “There are profound and consequential oral health disparities within the U.S. population.” One of the three goals of HHS’ 2003 National Call to Action to Promote Oral Health was to eliminate oral health disparities. Although many of us have worked tirelessly toward that goal, we know that disparities have hardly been eliminated in this country. Consequently, on April 26, 2010, Assistant Secretary of Health Dr. Howard Koh announced HHS’ department-wide Oral Health Initiative. The press release that accompanied Dr. Koh’s announcement at the 2010 National Oral Health Conference specifically mentioned the higher levels of oral disease and lower levels of access to prevention and treatment services that disproportionately affect racial and ethnic minorities and the underserved, and highlighted some of the proposed activities within each of HHS’ agencies that would help eliminate those disparities. Yet, less than one year later, one of HHS’ major agencies curiously excluded oral health from its first report on health disparities and significantly downgraded the visibility of oral health issues within CDC and the Department.

These recent actions at CDC add to an already inadequate infrastructure and low visibility for oral health within HHS. At this time, the Chief Dental Officer position remains vacant in the Centers for Medicare and Medicaid Services. The Health Resources and Services Administration has no regional dental consultants, no division of oral health, and an acting chief dental officer [see announcement below] who has no separate budget for oral health program or staff needs. The number of dentists at the Agency for Health Research and Quality has declined from four in 1992 to none today, and there is no oral health presence on AHRQ’s National Advisory Council. The U.S. Preventive Services Task Force does not have a single member with credentials or expertise in oral disease prevention. In short, the major agencies responsible for surveillance and prevention of oral disease and the treatment, quality and financing of care for some of the groups experiencing the nation’s most profound disparities are inadequately staffed and poorly organized to address those disparities.

Regrettably, one of the greatest disparities within HHS is how it manages oral health compared with other areas within its purview.

Announcing HRSA’s Acting Chief Dental Officer ― Mark Nehring

[ April 1, 2011 ] At the request of the administrator of the Health Resources and Services Administration, Capt. Mark E. Nehring, DMD, MPH, has agreed to serve as HRSA’s acting chief dental officer while continuing to direct the HRSA Maternal and Child Health Bureau’s oral health program.

Nehring has a wealth of federal government and Department of Health and Human Services experience. He joined the U.S. Public Health Service as a dental officer for the National Health Service Corps in 1981. After clinical assignments in Cairo, Illinois, and Poplar, Mont., he joined the Indian Health Service in 1986 as the director of the Turtle Mountain Health Center Dental Clinic. As part of an initiative in 1988, to revitalize the Commissioned Corps of the U.S. Public Health Service, Nehring was assigned to the Office of the Surgeon General, Division of Commissioned Personnel, to oversee dental officer staffing and was later selected for Dental Public Health Residency training in 1994, through the Office of the Chief Dental Officer, USPHS. Nehring returned to HRSA in the Maternal and Child Health Bureau in 1994 and held successive leadership roles in Emergency Medical Services for Children, Traumatic Brain Injury and Oral Health.

Nehring received his Doctor of Medical Dentistry degree from the Goldman School of Dental Medicine at Boston University in 1981. He also has a Master of Public Health from Johns Hopkins University, earned in 1992.

Editorial I - On HOM

It’s a pity HOM (Hand-Over-Mouth) is no longer an option to avoid general anesthesia for young children. I was taught to use “the towel method” at Columbia dental school in the mid-'40s, but always felt that was wrong since wrapping a towel over the nose and mouth had the intimation of suffocation; whereas hand-over-mouth was equally effective but not as threatening. Applied properly at the right age, which is probably in the range of 3-6, it can convert a hysterical child into a compliant patient.

 

For those of you unfamiliar with the technique, the point is to get the screaming kid’s attention. The technique is simple. First have the parent wait beyond the child’s sight, preferably in the waiting room, after having explained what you are going to do and obtaining written consent on a form describing the procedure. Using firm pressure, place your hand over the screaming mouth to muffle the sound, all the while telling the kid in a voice of no uncertain emphasis that you won’t remove your hand until he or she stops screaming. A little thumping on the shoulder with your other hand reinforces the point. As soon as the kid quiets down, remove your hand. And then, in a quiet, reassuring voice, apologize for having to do what you just did so that you can explain what’s going on. [Repeat as necessary if the kid begins to scream again.] Then, give the kid a mirror to watch. Describe how you are going to give an injection that might feel like a little pinch, like this [as you give the back of his hand a little pinch]. Then with the kid watching in the mirror, you should be able to administer the local injection. After completing the procedure, shake hands and praise the kid for being such a good patient.

You and the parent will be surprised when the kid returns for the next appointment and walks into the operatory like a trooper, so proud that he or she is no longer afraid. Yes, it doesn’t work all the time. But isn’t it worth a try? Isn’t it better to avoid the risks of sedation and general anesthesia, which do not allow the learning experience of HOM?

And, by the way, it might also work on those screaming politicians trying to scuttle Medicaid and Medicare. At least it’s worth a try.

Jay W. Friedman

 

Must It Take A Death?

Team Maryland Holds Press Conference Honoring Deamonte Driver (Feb. 7, 2011 )

Some of the improvements in the new health care law….

“In addition to serving as a vehicle for promoting the new dental benefits and oral health education funding under CHIP, Deamonte’s death served as a catalyst for guaranteeing dental coverage as an essential benefit for children under the federal Affordable Care Act (ACA). Congressman Cummings, the acknowledged champion/quarterback for incorporating strong dental provisions in health care reform, highlighted these ACA provisions:

• $30 million for oral primary care workforce improvements;
• $15 million for 15 five-year demonstration grants for 

   alternative oral health care workforce providers to serve in

   rural and other underserved areas;
• $5 million for an oral health public health education campaign;
• $8 million for dental caries disease management grants;
• $15 million for school-based sealant programs; and
• $30 million to strengthen oral health surveillance and infrastructure.”

 

For the full report on the conference, go to: http://cummings.house.gov/2011/02/team-maryland-holds-press-conference-honoring-deamonte-driver.shtml

Editorial II - Dental Deaths

General Anesthesia and Oral Sedation Deaths – Where is the Outrage?

The unconscionable death of Deamonte Driver because his mother could not afford to pay for timely dental treatment was heard around the world with appropriate outrage. But the silence in response to the multiple annual deaths from unnecessary and improperly administered general anesthesia and oral sedation is deadening ― literally.

Not reported at all is the damage to the brain from subclinical side effects of drugs and anoxia. The 2011 deaths listed below is not a complete list. Not all iatrogenic dentist-related deaths make the news. Perhaps what we need is a national registry of dental deaths to develop appropriate guidelines to eliminate needless administration of these valuable but overused and abused modalities.  


A 17-year old high school junior died from complications following administration of general anesthesia for routine wisdom tooth surgery. (See http://www.explorehoward.com/news/82499/answers-sought-dental-surgery-death-howard-county-teen/)

An 8-year-old girl died under conscious sedation during a routine dental procedure. 

A 6-year-old boy died during a dental procedure at a university dental clinic, one of four pediatric patients who have died in the past 15 months in the United States after undergoing sedation prior to dental treatment. (See http://www.drbicuspid.com/index.aspx?sec=nws&sub=rad&pag=dis&ItemId=304905)

A 13-year-old died Jan. 3, two weeks after having two teeth extracted by an oral surgeon. (See http://chronicle.northcoastnow.com/2011/01/05/elyria-teen-dies-nearly-2-weeks-after-dental-procedure/)

JWF

Dental Care Providers can Help in Early Detection of HIV

Michael Goldrosen and Helene Bednarsh write:

“The dental community can join this important fight by being the first line of defense in identifying possible signs of HIV. Dental teams have a unique opportunity to identify individuals who may be HIV-positive and unaware of their status. There are oral conditions which may indicate the existence of HIV and, if identified, can provide an educational moment for oral health practitioners to discuss, counsel, and offer referral to HIV testing. Early diagnosis and linkage to medical care can significantly improve health outcomes. Increasing the number of people who know their HIV status can also help reduce the number of new cases, as once people are aware of their infection, they are significantly less likely to put others at risk of transmission….The CDC has suggested that each year, a significant portion of the population will visit a dental office, but not a medical office. In some states, dental offices are conducting rapid HIV testing, and this may be an appropriate venue in a public health facility or a private practice in a region with higher reports of HIV infection.”

For the complete Op-Ed by Michael Goldrosen and Helene Bednarsh, go to: http://www.baywindows.com/index.php?ch=opinion&sc=letters&sc2=news&sc3=&id=93159

The rapid HIV test only takes a few seconds for collection and 20 minutes for processing. In the time it takes for an exam and medical history review, the results will be available for discussion with the patient. For more detailed information on testing and videos describing the test, see www.hivdent.org.

Mandatory Reading For National Health Care

The Quality of Medical Care

in a

National Health Program

A Statement by

The Subcommittee on Medical Care

American Public Health Association

1949

[Posted on DentPubHealthListServe May 23, 2011]

 

This 26 page pamphlet, originally published in the American Journal of Public Health (Volume 39, July 1949), should be required reading for: all medical, dental, and public health students; all practicing physicians, dentists and other health care providers; all state and national legislators; not least for the president of the United States; and, in fact, for everyone.

Make no mistake, this document is as relevant and appropriate as any contemporary discussion of the health care mess in the United States. It is, essentially, a complete primer on the organization and financing of health care as it should ― and some day in the future will ― be:

·         Components of good quality;

·         Quantitative and qualitative adequacy;

·         Selection and education of health care providers;

·         Regionalization and integration of health care services;

·         Primary, secondary and tertiary prevention;

·         Group practice and comprehensiveness of care;

·         Financing of health care;

·         Social insurance supplemented by taxation, or by general taxation alone;

·         Methods of payment to providers, hospitals, etc., excluding fee-for-service;

·         Assuring equity through oversight, supervision, cost-accounting and maintaining standards;

·          Preserving free choice and rights of patients and providers;

·          And much more.

 

* Request a PDF copy from: drjfriedman@sbcglobal.net

       Also accessible at: http://ajph.aphapublications.org/contents-by-date.0.dtl

Citation: Subcommittee on Medical Care, American Public Health Association. The quality of medical care in a national health program. Am J Pub Health, 1949. 39(7);898-924. (Copyright APHA)

Items of Interest

Amos Dienard Promotes Fluoride Varnish Treatment in Pediatric & Family Practices

“Since about 2007, Deinard has trained doctors, nurses, nurse practitioners, clinic support staff and others in about 150 medical clinics statewide. "I want to make the public hungry, so they go to their doctors and demand it," Deinard said. He's happy to be a thorn in the side of his professional peers who haven't yet jumped in….

For the complete story, go to: http://www.startribune.com/local/122781599.html


Advancing Oral Health In America

“Though it is highly preventable, tooth decay is a common chronic disease in the United States and one of the most common diseases worldwide. Individuals and many health care professionals remain unaware of the risk factors and preventive approaches for this and many other oral diseases, and they do not fully appreciate how oral health affects overall health and well-being. In this report, the IOM highlights the vital role that HHS can play in improving oral health and oral health care in the United States if HHS's efforts have clearly articulated goals; are coordinated effectively and adequately funded; and have high-level accountability.”

For a summary of the report and link to full report (free online), go to: http://www.iom.edu/Reports/2011/Advancing-Oral-Health-in-America.aspx 


Promoting Health Literacy at the Herschel S. Horowitz Center

A two day conference, June 1-2, hosted by the School of Public Health's Herschel S. Horowitz Center at the University of Maryland focused on the creation of a state-wide coalition on health literacy.

The conference was highlighted by the announcement of the first Rima E. Rudd Emerging Health Literacy Scholar Award. Professor Bonnie Braun, who currently oversees the Horowitz Center said, "Part of the Horowitz Center's mission is to educate tomorrow's workforce. This fellowship will help us attract doctoral students in advancing health literacy science as part of their dissertation. The prestige of a fellowship named after a national and international health literacy scholar will add to the reputation of the Horowitz Center for Health Literacy and to that of the School of Public Health."

For the full press release, go to: http://www.newsdesk.umd.edu/vibrant/release.cfm?ArticleID=2441


Is Orthodontic Treatment Appropriate for TMJ/TMD Disorders? No.

This [Cochrane] review found that there is no evidence from trials to show that active orthodontic treatment can prevent or relieve temporomandibular disorders adding support to teeth not being part of its cause. It is suspected that we do not know the real cause of TMD at present.

See http://www2.cochrane.org/reviews/en/ab006541.html

 


Is general anesthesia safe for younger brains? ["Cause for Concern"]

By Rob Goszkowski, Assistant Editor, DrBicuspid.com

[Excerpt]

April 4, 2011 -- New research has called into question the effects of anesthesia on the brains of young children and sparked a call for greater understanding about potential long-term neurological consequences, according to an article in the New England Journal of Medicine (NEJM, March 9, 2011).

Studies in animals suggest that anesthetic drugs could harm neurologic and cognitive development in young children and neonates. A lack of data and difficulty in standardizing studies makes the dearth of information likely to be an ongoing problem, according to the authors. Some anesthesiologists believe that the existing evidence is enough to warrant added caution when considering general anesthesia in pediatric patients.

"I think it's definitely cause for concern for any anesthesiologist who treats children," Steven Ganzberg, DMD, MS, a professor of clinical anesthesiology at Ohio State University, told DrBicuspid.com. "You're looking at behavior changes that take place over a lifetime, so I think the jury's going to be out. But my take is, if you have a young child and you think that the procedures that need to be done can be done without general anesthesia, I think that's worth considering."

For the complete article, go to: http://www.drbicuspid.com/index.aspx?Sec=sup&Sub=rst&Pag=dis&ItemId=307283&wf=820

[For an alternative, see the preceding Editorial: On HOM]


Is Filling Baby Teeth A Fiction?

[Posted on the Dental Public Health ListServe April 4, 2011]

FiCTION (Filling Children’s Teeth: Indicated Or Not) Trial is a UK collaborative multi-centre randomised controlled trial, funded by NIHR-HTA, comparing the clinical and cost-effectiveness of three management approaches for dental decay in primary teeth. These approaches include: Surgical management with best practice prevention; Biological management with best practice prevention; and best practice Prevention alone. The trial outcome measures are: pain; sepsis; the incidence and pattern of new dental decay in primary and permanent teeth; quality of life; cost-effectiveness; and patient, parent and dentist preferences. The FiCTION Pilot Rehearsal Trial started on 1 April 2010 and will run for 15 months. The Main Trial follows the Pilot Rehearsal Trial and will run for 5 years. Further information on FiCTION Trial is available at “www.fictiontrial.info”, where you can also find the recent issue of FiCTION Trial Newsletter. 

[For further information, contact]

Mojtaba Dorri, DDS, MSc, PhD 

Dental Health Services Research Unit

University of Dundee, The Mackenzie Building

Kirsty Semple Way

Dundee, DD2 4BF

Tel.: 44-(0)1382 420171/ 44-(0)1382 425762

Fax: 44-(0)1382 420051/ 44-(0)1382 206321

 


 AJPH’s Voices From The Past 

Don’t miss this section in the June 2011 issue of AJPH with:

·          Prisons: A Social Crime and Failure, with a poignant quote of Dostoyevsky

·         Red Emma: Idealistic Revolutionary and “one of the most     dangerous women…”

·         Current Preoccupations of Health Officers – “the paramount       problem of budgets…”

·         Walt Whitman excerpts – Bathing―Cleanliness―Personal Beauty and A Plea for [Clean] Water 

Click on: http://ajph.aphapublications.org/current.dtl#VOICES_FROM_THE_PAST

 

 

Preview of 2011 Oral Health Section Annual Meeting Schedule

150.0 - BM: Sunday, Oct. 30, 2011: 8:00 a.m.-11:30 a.m.

Business Meeting: Oral Health Section Leadership ( Business Meeting)

 

206.0 - BM: Sunday, Oct. 30, 2011: 2:30 p.m.-5:30 p.m.

Business Meeting: Oral Health Section Leadership (Business Meeting)

 

2079.0 - PS-SCI: Sunday, Oct. 30, 2011: 4:30 p.m.-5:30 p.m.

Oral Health Issues Among Vulnerable Populations (Poster Session)

 

2080.0 - PS-SCI: Sunday, Oct. 30, 2011: 4:30 p.m.-5:30 p.m.

Oral-Systemic Health Linkages and the Impact of Behavior (Poster Session)

 

2081.0 - PS-SCI: Sunday, Oct. 30, 2011: 4:30 p.m.-5:30 p.m.

Reducing Risk, Expanding Prevention, and Enhancing Oral Health Promotion (Poster Session)

 

3064.0 - SCI: Monday, Oct. 31, 2011: 8:30 a.m.-10:00 a.m.

Addressing Oral Health Disparities to Improve Oral Health Equity for the Underserved (Oral Session/Contributed)

 

3102.0 - PS-SCI: Monday, Oct. 31, 2011: 10:30 a.m.-11:30 a.m.

Epidemiology of Oral Diseases and Trends in Oral Health (Poster Session)

 

3103.0 - PS-SCI: Monday, Oct. 31, 2011: 10:30 a.m.-11:30 a.m.

Expanding Workforce Models and Programs to Improve Oral Health (Poster Session)

 

3104.0 - PS-SCI: Monday, Oct. 31, 2011: 10:30 a.m.-11:30 a.m.

Oral Health Promotion: Programs and Policies (Poster Session)

 

3258.0 - SCI: Monday, Oct. 31, 2011: 12:30 p.m.-2:00 p.m.

Improving Access to Oral Health Services for Children through Successful School-Based Programs (Oral Session/Invited)

Cosponsor(s): School Health Education and Services

 

3368.0 - SCI: Monday, Oct. 31, 2011: 2:30 p.m.-4:00 p.m.

Healthy Fluoridated Communities (Oral Session/Invited)

 

3447.0 - SCI: Monday, Oct. 31, 2011: 4:30 p.m.-6:00 p.m.

Health Care Reform and Oral Health: What’s New? (Oral Session/Invited)

 

295.0 - BM: Monday, Oct. 31, 2011: 6:30 p.m.-8:00 p.m.

Oral Health Section Awards Ceremony/Dinner location and details TBA

 

4060.0 - SCI: Tuesday, Nov. 1, 2011: 8:30 a.m.-10:00 a.m.

Building Capacity for Statewide Initiatives to Improve Health Literacy (Oral Session/Invited)

 

4135.0 - SCI: Tuesday, Nov. 1, 2011: 10:30 a.m.-12:00 p.m.

Improved Oral Health for the Older Adult: Recommendations and Approaches for National and State Action (Oral Session/Invited)

 

4230.0 - SCI: Tuesday, Nov. 1, 2011: 12:30 p.m.-2:00 p.m.

Factors Affecting Oral Health Promotion (Oral Session/Contributed)

 

4328.0 - SCI: Tuesday, Nov. 1, 2011: 2:30 p.m.-4:00 p.m.

Public Health Influences on Community Oral Health (Oral Session/Invited)

 

4402.0 - SCI: Tuesday, Nov. 1, 2011: 4:30 p.m.-6:00 p.m.

Mouths Matter: Maryland Leading the Way (Oral Session/Invited)

 

346.0 - BM: Tuesday, Nov. 1, 2011: 6:30 p.m.-9:00 p.m.

Business Meeting: Oral Health Section / Reception TBD)

 

5077.0 - SCI: Wednesday, Nov. 2, 2011: 8:30 a.m.-10:00 a.m.

Oral Health Policy and Effective Oral Health Programs (Oral Session/Contributed)

 

5142.0 - SCI: Wednesday, Nov. 2, 2011: 10:30 a.m.-12:00 p.m.

Increasing Access to Oral Health Care for PLWHA: Results of the HRSA SPNS Multi-site Evaluation Project (Oral Session/Invited)

 

5199.0 - SCI: Wednesday, Nov. 2, 2011: 12:30 p.m.-2:00 p.m.

Healthy People: Future Directions (Oral Session/Invited)

 

Cosponsored Sessions

 - SCI: Wednesday, November 2, 2011: 12:30 PM-2:00 PM

  • PHEHP
    • Dental Health Education and Promotion (Sponsored Jointly with Oral Health Section)
  • MCH
    • The Head Start / Oral Health Partnership (Sponsored Jointly with Oral Health Section)

 

Register Now for APHA Annual Meeting

Registration is now open for the APHA 139th Annual Meeting and Exposition in Washington, D.C., Oct. 29 - Nov.r 2, 2011 .  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. For registration and more information about the Annual Meeting, visit www.apha.org/meetings.

Our Section will have a strong presence at the meeting. View the sessions sponsored by our Section in the interactive Online Program (http://apha.confex.com/apha/139am/webprogram/start.html ). Search the program using keyword, author name or date. Don’t forget to visit the Section and SPIG pavilion in the Public Health Expo next to Everything APHA to speak to a Section representative.

Public Health & Transportation

[From APHA Headquarters]

These are exciting times when considering the many ways our transportation systems impact health and equity in our communities. Congress extended the current federal surface transportation bill until Sept. 30, 2011, and Congressional committees are aiming to draft a new transportation bill before this latest extension ends.

Want to learn more about the connections between transportation, equity and health? View our archived webinar series, subscribe to the monthly transportation and health eNewsletter that offers an array of new events and updates, and download the newly released online public health and transportation toolkit and accompanying resources today.

We also invite you to send a message to your members of Congress urging that they ensure that strong public health provisions are included in the federal surface transportation reauthorization. For more information, visit http://apha.org/transportation.

 

Student Scholarships for APHA Meeting

Need-based scholarships available for students to attend Annual Meeting

APHA is proud to announce the availability of need-based scholarships, sponsored by External Medical Affairs, Pfizer Inc., for student members to attend the 139th Annual Meeting and Exposition in Washington, D.C., from Oct. 29-Nov. 2, 2011. Twelve students will be granted registration and up to a $500 stipend to use toward food, lodging and transportation. An additional four students will be given Annual Meeting registration only. Recipients of the scholarships will be chosen based on financial need and essay. As part of the award, students will be strongly encouraged to attend at least one Section business meeting. Please inform the student members of your Section about this unique opportunity! 

Visit: www.apha.org/meetings/registration/scholarship for complete details and application. Please contact Pooja Bhandari at pooja.bhandari@apha.org with any questions. 

Update on APHA Book Publications – June 2011

I am very pleased to announce that there are a number books in production as well proposals for books that have been accepted, and work on them is under way.  Furthermore, several authors of current products will be available to sign their books at the fall APHA Annual Meeting in Washington, D.C.

APHA members of all Sections are encouraged to using existing, new and emerging products in their academic courses. These resources are also very relevant to policy, prevention, advocacy and client care initiatives. Please encourage your colleagues to use these timely and evidence-based resources.  Go to the APHA website to find out more: www.aphabookstore.org 

We are also looking for new proposals for books. If you have an idea for a book, please send a few paragraphs describing the idea, intended audience and your qualifications to Nina Tristani, Director of Publications, APHA, nina.tristani@apha.org

Thank you for supporting APHA Books and promoting these products.

Norman Giesbrecht, PhD, Chair, APHA Publications Board

**************

New

·         Environmental Health and Racial Equity in the United States, Authors: Robert D.   Bullard, PhD; Glenn S/ Johnson, PhD; and Angel O. Torres, MCP

Books at Printer in June

·          Megacities and Public Health, Omar Khan, MD, MHS

·          Public Health Management of Disasters, 3rd edition, Linda        Landesman

Books Currently in Production

·         Injury Prevention for Children and Adolescents: Research Practice, and  Advocacy, 2nd edition, Karen D. Liller, PhD

·         School–Based Health Care, Terri Wright, MPH and Jeanita        Richardson, PhD

Books in Development

·         Control of Communicable Diseases Manual, 20th edition

·         Control of Communicable Diseases Lab Book

·         Compendium of Methods for the Examination of Foods, 5th edition

·         Caring for Our Children, 3rd edition

·         Standard Methods for the Examination of Water and Wastewater, 22nd edition

E-Books

·         Communicating Public Health Information Effectively is now on Kindle.

Co-sponsored Books

·         Jossey-Bass: Emerging Infectious Diseases published in         April 2011.

·         Jones and Bartlett Learning books to be published before the 2011 annual meeting: Essentials of Biostatistics in Public Health, Essential Case Studies in Public Health: Putting Public Health into Practice, Global Health 101, Field Epidemiology in Public Health Practice, Epidemiology in Women's Health, Essentials of Health, Culture and Diversity, Epidemiology of Chronic Disease, Introduction to Air Pollution Science, and Essentials of Program Planning and Evaluation.

APHA is also co-publishing with Wiley, Designing Healthy Communities by Richard Jackson. The book is a companion to a PBS series to air this fall.

Less Trash! Less Plastic! ― New Goals for APHA 2011

[Presented by the APHA Food and Environment Working Group]

The 2011 APHA Annual Meeting theme "Healthy Communities Promote Healthy Minds and Bodies" gives APHA members an opportunity to build on the 2009 and 2010 themes of Water and Social Justice as public health priorities.

Green Goals.  The APHA Food and Environment Working Group, the Environment Section's 100th Anniversary Committee, and APHA are setting goals to reduce waste and promote a sustainable, just, and healthy food and water system.  

Got Trash?  We encourage everyone at the 2011 APHA Annual Meeting to increase efforts to reduce trash, especially paper and plastic.

The Diversion Rate (the recycling/trash ratio) in DC at APHA

      2007 was 34 percent.

The Diversion Rate in Denver at APHA 2010 was 52.75 percent

Can we achieve a Diversion rate of 75 percent at APHA 2011?

 -- The D.C. Convention Center’s water fountains and food service sinks provide filtered water! Bring your own refillable bottle to the conference to cut down on plastic waste.

 -- Plan events using local resources and services that encourage wise use of water and other resources. If you need advice or suggestions, contact us: apha.fewg@gmail.com

--  Buy food sourced from sustainable producers and distributors. 

-- If using disposables, use compostable products and use the facility compost program.  Label containers so compostables do not go into the waste stream.

-- Take advantage of the D.C. Convention Center's Green Initiativeshttp://www.dcconvention.com/Planners/Large/GreenInitiatives.aspx

-- Learn more about APHA 2011 Environmental Initiatives: http://www.apha.org/meetings/highlights/environment.htm

Be an Ambassador of public health and social justice in your own community.  Share information about the social justice, public health and environmental problems caused by bottled water and water privatization, especially disposable plastic water bottles. Use the "Resources and References" below and on the Food and Environment Working Group’s Facebook page:  https://www.facebook.com/topic.php?uid=134564799935654&topic=6959

Share ideas for waste reduction at 2011 APHA Annual Meeting programs, scientific sessions, events and exhibits.  Send your questions and suggestions to Ellie Goldberg ellie.goldberg@gmail.com and join the conversation on the Food and Environment Working Group’s Facebook page https://www.facebook.com/APHA.food.and.environment.

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The APHA Food and Environment Working Group is a multi-disciplinary collaboration across APHA Sections, housed in the Food & Nutrition and Environment Sections. Colleagues work together to protect public health by promoting and cultivating a safe, healthy, just and sustainable food system.

If you would like to work with us toward these goals, contact Rebecca Klein, rklein@jhsph.edu, Working Group membership is open to all APHA members.

~ ~ ~ ~ ~ ~  Resources and References ~ ~ ~ ~ ~ ~ ~

Bottled Water Myths 

http://www.storyofstuff.com/pdfs/storyofbottledwater_myth-v-reality.pdf 

Bottled Water: Get the Facts

http://www.foodandwaterwatch.org/water/bottled/  

Blue Gold, Maude Barlow

Book: http://www.amazon.com/Blue-Gold-Fight-Corporate-Worlds/dp/1565848136/ref=sr_1_2?ie=UTF8&qid=1302634088&sr=8-2 

Film: http://www.bluegold-worldwaterwars.com/

 

 

Finally, A Plea for Participation

For a participatory democracy such as our Oral Health Section to be both participatory and democratic, members must participate and, on this particular issue, the editor must suppress his natural inclinations and be scrupulously democratic.

In this spirit, we, he, I plead for contributions to the Newsletter such as announcements, items of interest, solicitations, even reliable, that is, verifiable gossip. Likewise, non-salacious photos, poems, and essays. 

All, of course, relevant to public health past, present and future.

The editor