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Podiatric Health
Section Newsletter
Winter 2005

American Public Health Association’s 132 Annual Meeting

This year was no exception to the rule that the APHA's Annual Meeting attracts tremendous national attention. There were approximately 14,000 public health professionals in Washington, D.C. in November to witness this event. In addition, there were over 600 exhibitors. Besides the hundreds of educational and scientific sessions going on during the five-day affair, there were business and board meetings as well as social events. Certainly there is more than any person can assimilate in such a short period of time. One leaves the meeting feeling uplifted about the positive role that is played in a public health role yet exhausted in an effort to try and take it all in.


The keynote speaker was Erin Brockovich, who stressed the important role public health workers play in protecting the environment. Not only was she witty, but also entertaining. There were over 6,000 assembled to hear her. Brockovich expressed her concern about the fact that chemical or manufacturing industry representatives have made their way onto scientific advisory committees and used them for their own goals. In addition, APHA’s three Distinguished Public Health Legislators of the Year, U.S. Rep. John Conyers Jr., U.S. Sen. Frank Lautenberg and Ohio State Sen. Ray Miller, advocated for health during the opening session.


The interaction with other public health professionals was enlightening. It doesn’t take long to find out that podiatry is not alone in its struggle to provide excellent care to its patients only to be frustrated by the insurance industry. Being part of the public health movement allows podiatry to be up front and center. Presently there is a big push within the APHA to fight obesity and prevent juvenile diabetes. Both of these issues involve our profession, as we are the ones keeping people moving and independent. Simply by educating the public to walk every day, we address both of these issues. Podiatry must stay visible and involved. If we do not, a golden opportunity will be lost. In order to be an equal player at the table, we must continue to foster relationships with our health care colleagues. The time spent at the Annual Meeting helps me to understand the big picture of health care much better. There is so much to learn and so much good we can do, but we must be involved before that can happen. Get involved! Join APHA today!

APHA Podiatric Health Section Begins New Leadership

During its regular business meeting on Monday, Nov. 8, 2004, the Podiatric Health Section under the leadership of Chet Evans, DPM, moved to fill vacancies on the Section Council. Elected to two-year terms were Jeff Robbins, DPM, and APMA Trustee Phil Ward, DPM. Elected to a one-year term was second year surgical resident Chih Yen, DPM, of Barry University.

The meeting, held in Washington, D.C., was also the time that Patricia Moore, DPM, assumed responsibility as Section Chair. Moore, of South Bend, Ind., was Chair-Elect for the past two years and has been involved in the Section as the Action Board Representative and newsletter editor.

Moore asked for the assistance of all Section members in attendance at the meeting and she was happy to report that everyone present signed on to help in carrying out the work of the Section. Her program for the year is designed to increase the visibility of the Podiatric Health Section within APHA. She believes that by developing strategies and targeting goals, the Section can recruit the essential numbers to insure its viability.

Key to this plan is an expansion of the committee structure within the section. Moore added a Publications Committee, a Resolutions Committee, a Regional/State Coordinator Committee, and an especially important Committee on Indigent and Emergency Response. Podiatric physicians and others will be asked to join in these efforts to heighten the involvement of more members in this new structure. If any members would like to work to reach the important goals of the Section, they should contact Rodney Peele, JD, Membership Committee Chair at APMA, <rdpeele@apma.org>.

Message from the Chair

Welcome to the APHA Podiatric Section Newsletter! Our newsletter editor, Janet Simon, has worked hard to bring to you the latest news from the Annual Meeting in Washington, D.C. It was a great meeting, and it was wonderful to see the enthusiasm for our Section spread through our membership.


I’d like to thank Larry Lavery for his turn as Chair, and for his more recent role as Immediate Past Chair. As this new year begins, Chet Evans has now become the Immediate Past Chair and will have responsibilities in this role. I thank him for the work he has done for the past two years as Section Chair, and I look forward to his assistance as I take the Section Chair.


With new leadership, new opportunities present themselves. I hope that every member realizes the value of this organization, and I have the hope that every one of you feels comfortable in recommending membership to your colleagues. APHA has a campaign entitled “Each One Reach One” that encourages you to recruit just one more person to join our ranks. If you took this on as a personal mission, we could easily reach our membership goals!


Speaking of personal missions, I first joined APHA in response to a column written by then -PMA President Sheldon Willens. His essay convinced me that we needed to be at this large organization’s table to speak to health policy-makers, researchers, academics, and other professionals. I had never attended an Annual Meeting until APHA held it in Indianapolis in 1997. That was a great meeting and I was there in my capacity as an officer in the Indiana Podiatric Medicine Association when our Podiatric Health Section was honored for 25 years in the Association. A group, including then APMA President Marc Lenet, was gathered around the APMA exhibit booth when an official came by to make sure somebody was there who could accept the award on stage in a few minutes! The person who should have known about this was nowhere to be found, and with about 15 minutes to prepare, John Carson and Marc put their heads together and came up with a speech.


We all waited breathlessly as Marc went on stage. We waited to see how our leader could handle the pressure of speaking to only about 10,000 people with almost no preparation time. He strode up to the microphone and was charming, eloquent and humorous. All in a few words! I can’t remember a time when I was prouder to be an APMA member!


Marc Lenet’s time on stage changed him and his presidency. He made contacts with the other honorees and followed through on discussions with APHA leadership that began some long-term friendships on behalf of podiatrists. We developed our relationship with CDC’s Frank Vinicor who promoted podiatric medicine in his Diabetes Translation Unit. We worked on improving the podiatric health services to the Native American population. Lenet spoke passionately at many meetings with APMA leadership of the great potential in coming together at APHA with the top policy-makers in the country. He asked me to speak a few times about what I witnessed in Indianapolis. He turned to me at one of these meetings and asked if I would make APHA my personal mission. I said I would.


It has taken all these years to fulfill my pledge to Marc and APMA but I will take these two years at the helm of this Section and do my best to bring a new chapter into this wonderful history of APMA at APHA. I am humbled and honored to lead you, and I ask for all of your prayers and support.


SECTION GOALS OUTLINED


During the annual 2004 business meeting of the APHA Podiatric Health Section, I outlined an ambitious set of goals for the Section.


The first goal was to address the lagging membership numbers. It was explained that an obstacle to joining APHA for most podiatrists and others concerned with foot health is that many do not see what they do in their practices as “public health.” The section membership cycles up and down, often in response to encouragement of the APMA leadership. Good members respond to leadership by sending in their checks but then do not feel they have received any value for their investment.


I want all individuals interested in foot health to consider making that investment as only the first step. There are many opportunities to be involved with APHA. The section will look for folks that want to contribute and add to their professional development. By getting people involved on committees for which they may have a special interest or talent will help bring the membership numbers up and give the section something to build on for the future.


I named Rodney Peele, JD as Chair of the Membership Committee, and Frank Spinosa has agreed to work on this effort as well. My membership goal is to double the Section membership to 300 by the next APHA Annual Meeting (November 2005 in New Orleans) and to finish my two-year term with 600 members.


I have also established a new Committee on Indigent and Emergency Response. New member Patrick DeHeer, DPM, of Columbus, Ind. was selected as Program Chair to lead this group. My vision is for the APHA Podiatric Health Section to serve as a central home for those many podiatrists doing public service in free clinics, homeless shelters, or global missions for the neediest people. Dr. DeHeer is the Medical Director for the Haitian Clubfoot Project. Those podiatric physicians who work with the poor, uninsured, undocumented, and oppressed will find a home with APHA. The value of meeting with others who have been inspired to improve foot health around the world may strengthen their programs and find a source of new volunteers and funding resources. Dr. Moore would like to see this committee eventually grow to help evaluate the amount of services delivered by our members to help in our grassroots advocacy efforts. This could greatly assist APMA in getting Congressional attention for the footsore public.


Chet Evans, DPM, associate vice president and dean of the Barry University School of Graduate Medical Sciences, is also working on the development of this committee. He brings the experience of having helped send emergency podiatric medical response units to the areas in Florida that were hard hit in the past hurricane season. This committee may help to establish a roster of podiatrists willing to help in disaster settings.


Another new effort will be in increasing the visibility of the Podiatric Health Section by forming a Publications Committee. I have set two goals to be met by the next APHA Annual Meeting: Having the Section submit at least two public health book proposals and at least two story ideas to The Nation’s Health newspaper. This will provide opportunities for members who would like to expand their professional experience by becoming a contributor, author or editor.


APMA Trustee Frank Spinosa, DPM, has agreed to be named Chair of the Publications Committee. Spinosa, a member of the American Association for Women Podiatrists, has suggested an all-female authored text. Books that have been suggested for submission by the Section include “Prevention of the Lower Extremity Complications in Diabetes Mellitus” and “International Health Care and the Prevention of Diseases of the Lower Extremity.” Spinosa also is interested in revisiting the podiatric medical aspects of AIDS.


APMA Treasurer Chris Robertozzi, DPM, Chair-Elect of the Podiatric Health Section, has volunteered to work on a committee to establish regional or state coordinators. The section would like to have informal gatherings at many of the larger state or regional meetings and is looking for APMA’s assistance in obtaining meeting space. This will give members a chance to network and market the value of APHA membership to others at those meetings. Members interested in serving as a state or regional coordinator should contact Robertozzi.


I also have a goal of expanding the partnerships with other sections by sponsoring sessions with the Gerontology Section and International Health Section. I have spoken to the Alcohol, Tobacco, and Other Drugs Section about looking at alcoholic neuropathy and peripheral vascular disease secondary to tobacco use. Sponsoring joint sessions that are more in number and topic diversity can provide extra opportunity to podiatric physicians and student researchers to present their work to a large national setting. Abstracts are due very early in the year and the conference theme for 2005 is “Evidence Based Practice and Policy.” Members are urged to submit their abstracts as soon as possible for consideration.


Other section work is needed as Drew Harris, DPM, will be heading the strategic planning for the section and Marvin Rubin, DPM, is the Resolution/Policy Chair. I hope that the Section can submit a resolution for the next APHA Annual Meeting. The Nominations Committee will be in the hands of Chet Evans, DPM. Faye Frankfort, Section Secretary and APMA director of legislative advocacy, will chair the Awards Committee. Art Helfand, DPM, will continue his role on the APHA Taskforce on Aging.


I realize that the hard work I ask members and leadership will require the dedication and commitment of everyone. I anticipate a very successful year and have assigned her Chair-Elect, Chris Robertozzi, DPM, a special assignment: plan a special ‘Thank You’ party for the Section to be held in New Orleans in November, 2005.

APHA Annual Meeting Observations

My first exposure to public health occurred during my college junior year when I did a summer internship at the University of Illinois in Chicago School of Public Health. I volunteered in various public heath projects and learned about the diversity within the public health field. Once I graduated from college and started podiatry school, I did not have any contacts or needless to say any time to expend to public health. Not until this past September when I volunteered to present at the 132nd Annual Meeting of American Public Health Association in Washington D.C. did public health return to my life.


My presentation focused on the role of podiatry in the community clinic in Homestead, Fla. Podiatry is a critical and necessary component of the health care delivery system in this community. There were only two other podiatry oral presentations given with mine. There I was, wondering, where are my podiatry colleagues?


The fields of nursing, oral care, vision care, chiropractic care and physical/occupational therapy all had active participants giving presentations and working in their booths to promote their field. The public and other health care specialties should know about the field of podiatry through a national meeting such as this. There are people from around the world and thousands of private as well as government organizations attending this annual event making this the best time for podiatry to promote our profession. We need to do more this coming year.


Through this meeting, I met Pat Moore and Janet Simon, who are active podiatric section members. I am glad that there are people in our profession who are so dedicated to our field. This meeting opened my eyes to the big picture of how important it is to let the public and other health care professions know about podiatry. As a new Section councilor, I will be working with our Section for next year’s Annual Meeting and hope that we will have a larger turnout.

Our Section Needs You!

The Podiatric Health Section is looking for members interested in being elected this year to the Section Council. Those elected attend the APHA Annual Meeting and help to conduct the Section business at the Business Meeting. This is a great way to get involved with APHA leadership and have a voice in this dynamic organization. Two positions are open this year, and we would like you to consider this important step into the future of the Podiatric Health Section.

Another way to get more involved in the Podiatric Health Section is to be a member recruiter. Our section is high in intensity and drive but low in numbers. Could you help us locate those interested in promoting podiatric health to the public health world? For more information on joining APHA, please visit <www.apha.org/membership> today. Thanks for all you do for podiatric public health!

Podiatric Health Section Looks to Students

During the APHA Annual Meeting, a new emphasis was placed on the role of the podiatric medical students across the country. The Podiatric Health Section encourages its student members to be active in the section as well as the APHA Student Assembly.


Wen-yin Choi, a third-year student at the Scholl College of Podiatric Medicine at Rosalind Franklin University, was named a new student liaison to the APHA Student Assembly for the Podiatric Health Section. At the APHA Annual Meeting in November and with support from their school, Choi and third-year Scholl classmate David F. Deng presented their project outlining a diabetes prevention and management program at a transitional facility for homeless in the Chicago area. Choi also attended the Podiatric Section Business Meeting and demonstrated a strong interest in public health.


Chet Evans, DPM, associate vice president and dean of the Barry University School of Graduate Medical Sciences as well as the immediate past chair of the Podiatric Health Section, seeks grants to allow at least 10 students at each podiatric medical school to receive a full year membership to APHA. Anthony Iorio, the new chief of medicine at the New York College of Podiatric Medicine, has also pledged to encourage the student body and possibly be the faculty advisor to an APHA student organization.


APHA student dues are only $50. Students may join online at <http://www.apha.org/membership/> and should designate the Podiatric Health Section as their primary section.

The Untapped Student Resource

 
(L-R) Wen-yin Choi, Scholl '06, David Deng, Scholl '06, Jacqueline Truong, Scholl '06
“What did you say? There’s a podiatric section in the AP what?” This is the usual response I get when I tell other podiatric students about the American Public Health Association. And therein lies the problem – students simply do not know enough about the organization and its many opportunities.


I can only speculate as to why there is an apparent lack of interest in public health in today’s podiatry, but I can certainly testify to the wealth of resources that lay untapped within APHA from a student’s perspective. I felt overwhelmed after attending the Annual Meeting this past November in Washington, D.C., not because of fatigue but because of the volume of information that was pertinent and useful to future podiatric physicians. There were so many workshops, presentations, poster sessions and discussion groups on diabetes, aging, and obesity that I had a hard time trying to pick which ones to attend. With 14,000 attendees at the Meeting, it is no wonder the program book was an inch thick!


Within the first few hours of attending a presentation on diabetes mellitus, I met key figures in the podiatric section of APHA, including the Podiatric Section Chair-Elect Patricia Moore, and Director of Legislative Advocacy for the APMA Faye B. Frankfort. This set the tone for the rest of my time at the Meeting. For each session I attended, there was at least one person I met who augmented my understanding of podiatry’s role in our nation’s public health, and how I could be a part of that role.


For instance, there was Valerie Webb. She is the assistant health officer of public policy, planning, and government relations for the Cook County Department of Public Health. I met her in the exhibition hall while picking up some free pens from the exhibition booths. She was excited to hear that I was a student from Scholl College as she was in the process of trying to recruit more volunteers for a new project targeting foot health in the western suburbs of Cook County. Then I thought, “What better way to integrate public health into podiatry than having podiatric students run a community-based project for foot health?” Later in the conference, I met some people from podiatry who were successful in doing just that. Chih Yen, DPM, is currently a resident who is working with Chet Evans from the Podiatric Medicine & Surgery Graduate program at Barry University. They developed a community based foot health clinic overseen by students, residents, and at least one podiatric physician to address the growing disparities in access to health care for diabetic patients in the area. Their students benefit from the project by learning hands-on about a myriad of foot pathologies - including Madura foot – all the while gaining an appreciation for the need to have podiatrists in public health.


And for those students who are more research-oriented, there are plenty of opportunities and ideas that can be generated just by attending one of these conferences and meeting the multitude of health professionals who invest their time in public health related research. Ami Shah is a project coordinator for the Urban Health Institute at Mount Sinai Health System in Chicago. I met her after her presentation on the discrepancy between national data versus local data on diabetes risk in racially/ethnically diverse communities in Chicago. Her research is vital to understanding how better to concentrate efforts in preventing and treating diabetes among high-risk groups. Unfortunately, her data only covers communities within Cook County. But therein lies the opportunity for students to conduct similar, if somewhat smaller-scale, research in other areas of Illinois. Other ideas that came up at the Meeting were nutrition-oriented research for obese children, research on how to increase access to foot care for the impoverished elderly, morbidity rates regarding foot health in the general population, and health-seeking behaviors of patients when it comes to foot health. The list goes on.


Where do students get the funding for this kind of research? Every year APHA doles out hundreds of research grants to students and other health professionals that conduct research or coordinate projects related to the field of public health. These grants are not restricted to those with an MPH, so ANY student can apply for these grants so long as their project is public health oriented. Local public health departments also have similar types of grants that students can apply for.


APHA is an amazing organization for students to use. Nowhere in the health profession can you find this breadth of networking with numerous health professionals, and the depth of ideas to better serve our communities as podiatric physicians. As a growing health profession, it seems imperative that we step up to the plate as this nation’s leading experts on foot health in a global sense. Students have a distinct advantage in this growth as we have more years ahead of us to shape the nature of how we lead our nation towards a better quality of life. Through the APHA, students can gain access to the resources, the people, and thus the tools to generate the kind of results that we will need in order to establish ourselves as equal partners in our nation’s health. I highly recommend that students try to attend at least one of these annual meetings, and to contact the Podiatric Section of APHA for more opportunities.

Geriatric Podiatric Assessment Tool Presented at Annual Meeting

Patients with cognitive decline may neglect developing or existing foot disorders. Such patients may be unaware of or unable to comprehend a problem. During the recent APHA Annual Meeting in Washington, D.C., Arthur E. Helfand, DPM, Temple University, School of Podiatric Medicine and School of Medicine in Narberth, Penn., outlined body system and quality of life changes associated with high risk foot problems in this patient population. In conjunction with the Pennsylvania Department of Health, Helfand has developed a podiatric assessment protocol for geriatric patients, which is included in the May/June 2004 issue of the Journal of the American Podiatric Medical Association, (Vol. 94, No. 3, pages 293-304). Among 1,000 patients 65 years and older evaluated at the Podogeriatric Assessment Center at Temple University, the protocol identified nearly 75 percent with foot pain, about 94 percent with onychodystrophy, more than 64 percent with one or more foot deformities, and 64 percent with sensory loss. These problems occurred despite more than 97 percent of the patients using satisfactory hygiene practices and nearly 64 percent wearing satisfactory footwear.


Systemic/Life changes contributing to high risk foot problems include:

  • chronic constipation and incontinence;

  • weakened muscle and bone structure;

  • impaired cardiovascular function;

  • diabetes mellitus;

  • peripheral artery disease;

  • reduced interest or participation in social activities;

  • loss of mobility;

  • a reduction in independent activities of daily living;
  • sleep problems;

  • Agitation, compulsive activities;

  • increased foot perspiration;

  • neurotic excoriation;

  • self mutilation; and

  • untreated hyperkeratosis, onychauxis, onychomycosis, ulcers, tinea pedis, xerosis, and abrasions and lacerations.
  • Obesity and Our Youth -- Can We Do More?

    Recent studies have shown that obesity is increasing among youth in the United States. Long-term effects of this trend can only be hypothesized at this point, but if this trend is not changed, we could expect increased cardiac risks, diabetes and orthopedic problems. Can this trend be reversed?


    Through the use of cafeteria menus and the sale of candy and soft drinks from vending machines, schools have a huge influence on what their students eat. And with most students spending a large part of the day in school, at least one meal needs to be eaten while at school. Therefore most students are forced to eat what is available at the school, which with funding issues present across the nation may not be as nutritious as we would like to think.


    In a related issue, a report from the Centers for Disease Control and Prevention said that the nation as a whole has not made any progress since 1991 in its goal to increase the amount of exercise done by students. Last year, only 56 percent of high school students in the United States public school systems were enrolled in physical education classes.


    In an attempt to help alleviate the obesity problem, the diet company Atkins Nutritionals has announced a partnership with the National Education Association, the nation’s largest teacher’s union. Atkins Nutritionals will provide the schools with fundraising opportunities in exchange for promoting their products and what they consider to be a healthier lifestyle to their students.


    “Schools which increasingly rely on vending sales to raise money for basic school operations, often undermine themselves by offering high calorie, low nutrient foods,” said former Surgeon General David Satcher. Some schools have banned soft drinks from vending machines and have begun to promote meals featuring more fruits and vegetables. To increase activity, other schools have made physical education courses required throughout all four years of high school.


    If the increasing obesity trends are not countered, the future adult citizen in the United States would expect to see more weight related problems. We as podiatric physicians need to be on the forefront in helping to preach the sermon of weight control and increased activity to insure a healthy future for our youth.

    Section Names Ward to Action Board/Helfand to Task Force

    Podiatric Health Section Chair Patricia A. Moore has announced that the vacancy on the Action Board will be filled by current APMA Board of Trustee member Phillip E. Ward of Pinehurst, N.C. Ward has been a long-time APHA member and expects to continue the strong relationship between the APMA and the APHA Podiatric Health Section.


    The Action Board is primarily responsible for developing strategy for implementing APHA policies and resolutions. The Board develops expert testimony lists for issues that may come before Congress and shares ideas for working on organizational goals.


    “Having in place such an experienced member will help insure that any future resolutions that our Section sponsors will get serious consideration and implementation,” Moore stated in her announcement.


    Moore also has reappointed Arthur Helfand to the Task Force On Aging to continue his efforts on the Section’s behalf. “This important group must have a very visible advocate for the work on addressing the podiatric needs of the elderly,” Moore said.

    Podiatric Section: Our Strategic Planner

    As of October 1, 2004, Drew Harris, DPM, MPH became the associate director for the New Jersey Center for Public Health Preparedness at University of Medicine and Detistry of New Jersey (NJCPHP). The NJCPHP is one of a network of CDC-funded centers at schools of public health dedicated to ensuring that the public health workforce is adequately prepared to respond to bioterrorism and other public health threats and emergencies. Also effective Oct. 1, Harris received a primary appointment as an Assistant Professor in the Department of Environmental and Occupational Health at the UMDNJ-School of Public Health.

    Harris' new responsiblities at the NJCPHP include: fostering relationships with affiliated institutions and programs; coordinating participation in CDC's exemplar network; the distribution and sharing of preparedness training materials with partner programs; and the development of print and electronic media. In addition to these new responsibilities, Harris will continue his ongoing activities as assistant project director for the Health Resources and Services Administration Bioterrorism Curriculum Development grant and project management officer for the Focus Area G MOA with the New Jersey Department of Health and Senior Services. Congratulations, Drew.

    Congratulations to James DiResta

    West Newbury resident James J. DiResta presented his improvement project on the screening and diagnosing of Peripheral Arterial Disease at the APHA Annual Meeting in Washington, D.C. this November. The study was the culmination of his field experience for his masters in public health degree conferred on him by Dartmouth College in Hanover, N.H. His project was titled “ABI Screening: Improving the recognition and treatment of peripheral arterial disease (PAD) an independent risk factor for cardiovascular events.”


    DiResta is a graduate of Boston College and the Temple University School of Podiatric Medicine. He completed his residency training in podiatric surgery at Northlake Hospital in Illinois and is board certified by the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons. He has been in private practice for 25 years and is an active medical staff member at the Merrimack Valley and Anna Jaques Hospitals.

    Section Forum

    One of the focus concerns of APHA is the impact of obesity. As individual podiatrists we deal directly with the problems that obesity creates. What would you include in a Section plan/statement addressing obesity concerns?


    Jeff Robbins: I think that obesity is such an insidious problem for our society that it requires the same type of prevention efforts that are currently dedicated to smoking. As a preventable cause of morbidity and mortality, managing obesity will require nothing less than a cultural change in our country. It is ironic that our poorest citizens are also our most obese due to the poor food choices they make for both economic and social reasons. Podiatrists, as physicians, should become comfortable making referrals to nutritionists, exercise clubs, and other physicians for all patients but especially for the morbidly obese. We should begin in elementary schools promoting good foot health so that children can lead a life of active physical activity (running, walking, and other sports). Exercise and diet are both important, but exercise is the key. Diet alone will not be as effective as the combination of diet and exercise.

    Foot Fungus and the Elderly

    In the paper,”Onychomycosis and Other Superficial Fungal Infections of the Foot in the Elderly: A Pan-European Survey,” by Gerard Pierard, Department of Dermatopathology, University of Liege, Belgium (International Journal for Clinical and Investigative Dermatology, 2001; 202:220-224), the author conducted a survey of 90,085 subjects from 16 European countries. Approximately half of the total screened population had evidence of fungal foot infection, with tinea pedis and onychomycosis affecting one quarter of these individuals. Advancing age showed an unfavorable effect on the prevalence of these infections. The author advised that better recognition by clinicians and patients of mycotic foot disease will help prevent direct morbidity and further complications.



    An accompanying two by two contingency table suggested an association between onychomycosis and heart disease in the elderly. The data were taken from the paper Helfand et al: Foot Problems Associated with Older Patients: A Focused Podogeriatric Study”
    JAPMA Vol 88, Number 9, September 1998.

    Of 28 people with heart disease, 18 had onychomycosis. Of 58 people with no heart disease, only 19 had onychomycosis.

    Odds Ratio: 3.69

    An elder person with heart disease is about three and a half times more likely to have onychomycosis than without heart disease.

    PODIATRIC HEALTH SECTION ROSTER

    NOVEMBER 2004 through November 2006

    Chair – Patricia A. Moore, DPM (until November 2006)
    52303 Emmons Rd. #30
    South Bend, IN 46637-4288
    Phone: (574) 277-5390 Fax: (574) 277-6340
    pmdpm@aol.com

    Chair-Elect - Chris Robertozzi, DPM (until November 2006)
    APMA Board of Trustees
    179 High St.
    Newton, NJ 07860-1097
    Phone: (973) 579-1300 Fax: (973) 579-5777
    carobertozzi@apma.or

    Immediate Past-Chair - Chet Evans, DPM(until Nov 2006)
    Dean, Barry Univ. Grad. Med. Science11300 N.E. 2nd Ave.
    Miami Shores, FL 33161-6628
    Phone: (305) 899-3249 Fax: (305) 899-3253
    cevans@mail.barry.edu

    Secretary - Faye Frankfort (until November 2005)
    APMA Director of Legislative Advocacy
    9312 Old Georgetown Road
    Bethesda, MD 20814-1621
    Phone: (301) 581-9232 Fax: (301) 530-2752
    fbfrankfort@apma.org

    Councilor Terese J. Laughlin, DPM (until November 2005)
    Foot & Ankle Associates
    1515 W. Walnut St. #12
    Jacksonville, IL 62650
    Phone: (217) 243-1101 Fax: (217) 243-5003
    fleischl@gte.net

    Councilor Janet Simon, DPM (until November 2007)
    Podiatry Associates of NM
    8300 Carmel N.E. #501
    Albuquerque, NM 87122
    Phone: (505) 797-1001 Fax: (505) 828-1571
    janetpod@aol.com

    Councilor Marvin J. Rubin, DPM (until November 2007)
    3838 W. Sylvania Ave. #210
    Toledo, OH 43623
    Phone: (419) 471-9451
    drmarvinrubin@aol.com

    Councilor Jeffrey M. Robbins, DPM (until November 2006)
    Louis Stokes D.V.A.M.C.
    Pod. Dept., 10701 East Blvd. 112B (W)
    Cleveland, OH 44106
    (216) 231-3286 Fax: (216) 231-3446
    jeffrey.robbins@med.va.gov

    Councilor E. Phillip Ward, DPM (until November 2006)
    Foot & Ankle Center of NC
    3 Regional Cir. #B
    Pinehurst, NC 28374
    (910) 295-9262 Fax: (910) 295-1131
    peward@apma.org

    Councilor Chih Yen, DPM (until November 2005)
    1555 N.E. 125th Ter. #12
    Miami, FL 33161
    (786) 337-2205
    chih_j_yen@yahoo.com

    IH Section Responds to Tsunami Relief Efforts

    The International Health Section Leadership has been struggling to formulate a response to the tsunami crisis that is appropriate for a membership organization such as ours. As most of the organizations who are part of the relief effort are also members of APHA, it is not appropriate for us to provide direct service delivery. However, we have an immense resource in our own IH membership.


    Due to the scale of the crisis, we recognize that human resource departments of relief agencies may not be able to fill all positions that have been created to support their relief efforts. The IH Section can help those relief agencies identify the expertise they need.


    We invite all relief agencies who are in search of public health professionals to send their job postings to the IH Section Tsunami Crisis e-mail address: <tsunami.aid@apha.org>. As such, please forward this information to any of your colleagues/contacts who are currently working with the relief agencies so that they will be made aware of this service.


    Once a week we will consolidate the job announcements that we receive and send them out to our membership in a broadcast e-mail. APHA members who are interested in a listed position should contact the relief agency directly. They should not contact APHA or the IH Section.


    Once again, the IH Tsunami Crisis e-mail address is: <tsunami.aid@apha.org>.