Podiatric Health
Section Newsletter
Winter 2008

Chair's Message

Chair's Message

Submitted by Chris Robertozzi, DPM

 

Obesity, HIV, hepatitis, Diabetes Mellitus, peripheral vascular disease, the uninsured and smoking are just the tip of the iceberg.  We deal with many of these and other issues that affect our community in the office on a daily basis.  Prior to surgery, we may recommend that patients stop smoking so they will heal more quickly.  Another patient with Diabetes Mellitus, peripheral vascular disease and gangrene will receive counseling from us prior to our sending them out for a vascular consult before we amputate the gangrenous pedal area.  Of course this is a significant part of what podiatry is all about, but there is a bigger picture. That is public health.  Interestingly enough, that is not what most of us consider public health. Rather, we view it as taking care of our patients.

 

An altruistic idealist is the type of individual that comes to mind when the word public health is mentioned.   That certainly is true.  In the ten years I have been involved APHA, I have found this group has one common goal.  Their objective is to make this a healthier world in which to live.   There is no financial objective on their agenda.  You really can’t protest against that.

 

Podiatry has always claimed that we keep America walking, which keeps America healthier.  The Clinical Practice Advisory Committee of APMA is funding IPS to do a study that is collecting data to prove that by walking on a regular basis you remain healthier.  There is better control of your blood glucose if you’re diabetic.  Those who suffer from hypertension will have better blood pressure readings. In both cases, it can be accomplished with a decrease in medication.  As a participating investigator in that study, looking at my data, I can testify that it is true in as short a time as two months.  Once all the data is collated from the practices around the country, I’m sure it will substantiate what the APMA has been saying for years.  This study will give us the evidence we need so that we can better assist our patients in their overall health.  It will also allow us to become an even greater contributor to the good health of our patients.

 

The presidential election of 2008 has health care as its number one domestic issue.  Those who make the decisions for CMS are both directly and indirectly involved with APHA as are many other major players in health care.  We must be involved at every level if we want to have a credible voice.  No question about it, it takes time and effort to establish our worth. 

 

In Stephen Covey’s book, "The 7 Habits of Highly Effective People," he uses the example of an emotional bank account.  In the development of relationships, one makes deposits and withdrawals in this emotional bank account.  With each positive encounter a deposit is made.  A withdrawal is made with a negative encounter or a favor is requested.  The amount of the deposit or withdrawal is based on the weight of the event.  We must function as a team, making deposits into the emotional bank accounts of those who will be deciding the path health care will take.  This will allow the podiatric profession to make a larger withdrawal without going into the red when the decisions on the new direction of health care are made.  Although we are providers, there will come a time when our families or we will need to access the health care system.  That is not the time to decide that you want to fix it.  The time is now!  APMA needs to be at the table when these issues are discussed.  If the decision makers don’t know us, they will not listen to us when the opportunity becomes available.  Please get involved.  Look at membership in APHA as an investment in you professional future.  The adage tells us there is strength in numbers.  So, let’s band together and have our voice heard in a positive fashion so every physician can continue to provide high quality care to all.

 

This article printed with permission from APMA News.

Podiatric Health Section 35th Anniversary

The evolution of the APHA Podiatric Health Section began in 1952, when two members of the profession, Marvin W. Shapiro, DPM, and the late Abe Rubin, DPM, joined APHA. Shapiro believed that podiatric medicine's greatest conribution could come in the field of public health, and he recognized the potential for that by urging the integration of the profession within APHA. He initiated his plan by exhibiting at APHA annual meetings, a practice that continues today. Shapiro's perserverance resulted in his being awarded fellowship status in APHA, the first podiatric physician to be so honored.

    Continuing with Shapiro's projected goal, the American Podiatry Association, which became the American Podiatric Medical Association (APMA) in 1984, established a series of committees in the 1960s that had public health issues as their focus, including committees on podogeriatrics, and health mobilization for civil defense. In 1970, APMA established a Council on Public Health, which brought all of the APMA-related committees under one umbrella, fostering a coordinated public health policy and a mechanism for pursuing APHA section status for the profession. In 1972, at the 100th APHA Annual meeting, the Association's Governing Council created the Podiatric Health Section. APMA agreed to provide staff and financial support during the developmental stages of this effort. The Section was granted three seats on APHA's Governing Council for the 1973 APHA Annual Meeting, and active podiatric medical participation has remained constant ever since.

Reprinted from the APHA Public Health Awards Program 2007. 

APHA Meeting Wrap Up

APHA Meeting Wrap-up                                                       

Submitted by Janet Simon, DPM

Chair Elect, Podiatric Health Section

 

 

There were several busy days for many of us in Washington, D.C. Our current section chair, Chris Robertozzi, DPM (alias the Prez), our immediate past chair, Pat Moore, DPM (alias the Mayor), and I were in attendance at the Intersectional Council (ISC) meeting on Saturday, Nov. 3. The ISC is a combined body of all the APHA sections plus elected councilors who represent the sections. The most discussed items at this meeting related to membership dues increase and multi-section membership. APHA dues have not increased in five years, and prior to the last increase, small incremental dues increases had occurred regularly. The increases that eventually were approved by the Governing Council (GC) will raise regular dues by $30 annually and student dues by $10. The general feeling from ISC members was that the increase was necessary to maintain adequate staffing, but that incremental smaller dues increase would be less a burden on members. A majority of sections were in favor of the proposed plan for additional multi-section membership opportunities. Many of the smaller sections such as the POD section might be able to recruit more members who can join more than one section at a lower cost. The GC approved a trial period for this multi-section membership that will be starting in mid-2008.

 

The POD Section meeting was held on Sunday morning prior to the opening general session. A few new faces were present, including a student representing APSMA. One of the traditions that unfortunately challenges the flow of the business meeting are Executive Board candidate visits. Even with the multiple starts and stops, the meeting was very productive. The full meeting minutes will be published in the upcoming newsletter but I will review a few key areas:

 

1. Membership: 2007 Section member numbers were slightly lower than last year. A continuing effort to contact lapse members will occur on a quarterly basis with hopes that e-mail or personal phone contacts will encourage rejoining. Efforts to publicize APHA membership value to APMA members will continue in the APMA News and meetings such as the House of Delegates.

2. Student Recruitment: A motion was passed to use Section funds to assist with student memberships and meeting fees for podiatry schools that have dual degree program opportunities. Dr. Tony Iorio who is affiliated with NYCPM and Dr. Neil Horsley who is affiliated with Rosalind Franklin College of Podiatry will be working at their respective institutions to start public health chapters within their school’s governing bodies. NYCPM has a model charter that will be reviewed and further discussed at a collective meeting in Feb 2008 of all the colleges student government representatives.

3. Committees: A new committee chaired by Jeff Robbins, DPM, with Leonard Levy, DPM, MPH, and Tom Ertle, DPM, will be working on updating the Section’s mission statements. These have not been reviewed and updated in the last 6-7 years.

 

Neil Horsley, DPM, volunteered to be chair of the Web Site Committee and will be encouraging student involvement. The Newsletter editor position and committee remains unfilled, and the Section leaders will be continuing efforts to recruit members for these positions.

 

The Program Committee is also in need of a current chairperson. Patrick DeHeer, DPM, will be stepping down after two successful years as the program chair. The Section expressed sincere appreciation to Dr. DeHeer for his coordination work for the Section. The Section is requesting support from APMA in identifying chair candidates. Discussion occurred regarding next year’s program content in light of the meeting theme and location in San Diego. It was decided that a focus on humanitarian international medicine would be an appropriate match. Several possible presentation formats with input from Tom Ertle, DPM, who was attending the meeting, and Chip Southerland, DPM, from BUCPM who is director of the Yucatan project in Mexico and who was also presenting at this year’s meeting.

 

Monday, Nov. 5 found many Section members attending various meetings and assisting our APMA staff at the Section exhibit. APMA’s colorful “foot pens” were a hit again, encouraging exhibit hall walkers to stop and find out what our Section’s areas of concerns are. Thank yous are extended to APMA staffers who spent time at the exhibit:

Shauna Campbell           Jim Christina, DPM

Faye Frankfort              Maria Hrabak

Rodney Peele                Ben Wallner

 

Tuesday, Nov. 6, began early morning with our Section-sponsored presentations. Unfortunately, our lead off presenter was unable to attend due to illness. Shout out get well wishes were made to James DiResta, DPM, MPH. A comprehensive review of all the presentations will be available in the upcoming newsletter. There were several excellent student presenters and a first for our POD section with a father-daughter presentation. Phill Ward, DPM, and APMA Board member, combined his podiatric area of interest with that of his college student daughter, Meredith, to co-present.

 

The day concluded with our section receiving an anniversary award from APHA for 35 years. Marvin Rubin, DPM, one of the original Section members in 1972 when Marvin Shapiro, DPM, and Abe Rubin, DPM, were successful in having the Podiatric Health Section formed under the APHA family umbrella received the award from Georges Benjamin, APHA executive director.

 

Mark your calendars for this year’s APHA Annual Meeting in San Diego – Oct. 25-29, 2008. Attending this type of gathering is an invigorating experience and an opportunity to network with a wide range of health advocates.

 

POD Section Meeting Notes

POD Section Business Meeting Notes (Sunday, Nov. 4, 2007)

Scribed by Rodney Peele, J.D., Secretary

 

-- Attendees:  Chris Robertozzi, Janet Simon, Marv Rubin, Pat Moore, Leonard Levy, Neil Horsley, Phill Ward, Tom Ertle, Tony Iorio, Laura Zagrocki, Faye Frankfort, Rodney Peele

-- Candidate Julie Zito visits.

-- Candidate Susan Radius urges Section to develop Web site and link with other sections.

-- Candidate Andrea Taylor says POD is definitely a Section that APHA needs.

-- Fran Atkinson visit.s

-- Moore points out that Section spends inordinate amount of time/resources on recruitment.

-- POD gets $3 per member and has about 15 student members.

-- Horsley agrees to Web site position.

-- Candidate Diane Conti says she appreciates her podiatrist.

-- Levy expresses deep concern about low membership in Section and asks for task force to redefine "why" DPMs should join APHA.

-- Rubin echoes Levy's sentiments.

-- Iorio planning student public health group at NYCPM and conference Feb. 15-16.

-- Rubin recommends state affiliate membership.

-- Candidate Barbara Giloth visits.

-- Zagrocki indicates APMSA intends to fund annual representative.

-- Horsley agrees to start club at Scholl College.

-- Moore motion "To use podiatric health section funds to purchase student memberships and/or APHA meeting registration to be sent to those schools at the sole direction of the section chair to foster student participation in APHA" is approved unanimously.

-- Frankfort will seek to coordinate with APMSA.

-- Candidate Chris Day visit.s

-- Members discuss APHA/APMA dichotomy.

-- Ertle, Jeff Robbins selected to chair strategic plan meeting.

-- Moore suggests section initiate a diabetes forum.

-- Levy suggests expansion to chronic disease forum.

-- Moore suggests creation of national podiatry disaster response team.

-- candidate Cheryl Easley says she is aware of need for DPMs for diabetes, PAD, frostbite.

-- Simon and Robertozzi to solicit newsletter editor from Section membership.

-- Simon preparing annual report of activities.

-- Biannual (twice yearly) newsletter is route to publication for students.

-- One issue can focus on upcoming annual meeting and one issue can focus on what happened at last annual meeting.

-- Simon seeks lapsed member lists.

-- Frankfort suggests recruiting ADA foot care specialists.

-- Frankfort suggests recruiting from PAD coalition.

-- Frankfort suggests recruiting from wound care coalition by Chet Evans.

-- Frankfort suggests recruiting from national podiatric medical association by Horsley.

-- Moore volunteers to chair awards.

-- Frankfort suggests APMA Daily eNews to solicit award nominations.

-- Moore motion "to initiate John and Janet Carson Award for Advocacy in Public Health for individual who has made outstanding contributions to podiatric public health through political and science-based advocacy" approved by Section.

-- Motion that John Carson receive inaugural award approved.

-- Moore to design "freaky cool" award.

-- Moore suggests APMA match Section student sponsorships.

-- Theme of APHA meeting in San Diego in 2008 will be "Public Health Without Borders."

-- Moore suggests POD become "home" for international podiatry humanitarian missions.

-- Section to recruit Larry Harkless, Marc Bernard, Kurt Howard, Charles Southerland, BUSGMS, NYCPM, Pat Deheer, Podiatry Institute and others involved with humanitarian podiatry missions.

 

Podiatry sessions (Tuesday)

-- NYCPM student Emily Splichal makes third APHA presentation on exercise and diabetes.

-- California College faculty Stephen Morewitz speaks about population-based study.

-- Allen Gabriel presents VAC therapy.

-- Charles Southerland presents treatment of pediatric equinus deformities.

-- Michael Rosenblatt discusses infamous OIG nail debridement audit.

-- Phill and Meredith Ward present on exercise programs and foot health.

-- Sherunda Smith and Danielle Phard present diabetes and obesity and foot care.

 

APMA Membership (Wednesday)

-- Barbara Reck and Yvonne are the membership department.

-- Incoming COM chair is Judy Lewis (Connecticut).

-- Section chair to name membership representative by December.

-- New Member kits have been condensed to a letter.

-- Web site overhaul includes less restricted access.

-- More than 50 percent of first-year members decline to renew (often became members solely for annual meeting participation).

-- APHA expects membership decline due to $30 dues increase.

-- ISC may reconsider $3/member, such as possibly establishing a minimum ($1000?  $1,500) budget per section.

-- Student fees are up from $50 to $60, and second section will be $30.

-- New dues take effect Dec. 1.

-- August is annual high mark for membership (some join in preparation for fall annual meeting, while those who joined for previous annual meeting haven't become lapsed yet).

-- Annual section membership count taken Aug. 31.

-- SPIGs now considered "section in training" and need three years to attain 250 members or risk dropping back to forum status.

-- Georges Benjamin visits.

-- J&J pays for 40(!) student optometry members, but Vision Care struggles with APHA due to concerns about corporate involvement.

-- HIV/AIDS Section grew from 100 to 900 in three years because of drug company sponsorship of social events.

-- "Abstinence only" booth has many members steamed at APHA.

-- Benjamin gets earful of complaints about failing to prevent "abstinence only" booth.

-- Benjamin says APHA focuses only one 2-3 advocacy areas to maintain credibility.

-- APHA has some money available for marketing.

-- Overall annual retention rate is 78 percent.

-- APHA database only retains last three years of members but we can ask for a list of all of those who lapsed.

-- Sections showing increase in members can get $3.25 per member.

-- We can ask for a list of our "secondary" members to recruit them to become full Section members under new membership rules.

-- APHA supports occasional Section conference calls for membership activities.

 

Podiatric Section 2007 Scientific Program

The 2007 Scientific program for the Podiatric Section had great variety and presentors from a variety of academic and clinical environments.

The lead-off presentator, James DiResta, DPM, MPH, unfortunately was not able to give an update on the joint effort between the Massachusetts Public Health Association and the Massachusetts Podiatric Medical Society researching amputation rates in diabetics. The Section looks forward to the results of this exciting collaborative effort.

Emily Splichal, BS, CPT, podiatric medical student from the New York College of Podiatric Medicine, Class of 2008, presented on "Exercise for the Prevention and Management of Diabetic Peripheral Neuropathy." This was the second year that soon-to-be Dr. Splichal presented at the APHA Annual Meeting. Her presentation identified that:

  • Exercise is an effective means of controlling blood sugar through the upregulation of skeletal GLUT 4 receptors.
  • The control in blood glucose will prevent auto-oxidation and oxidative stress associated with DPN.
  • If DPN is already present exercise can prevent the progression of nerve damage through glycemic control.
  • If present symptoms include instability then balance training and resistance training can increase gait stablility.

Steve Morewitz, PhD, reported on a population-based study looking at age, racial and gender differences in Diabetes Mellitus-related impairment and ankle pain and stiffness. Allen Gabriel, MD, presented twice on Vacuum Assisted Closure (V.A.C.) for diabetic ulcer management and in pediatric foot wounds. Charles Southerland, DPM , director of the Yucatan Project, presented on his experience using the Murpy-Pierrot Procedure in the treatment of pediatric neurologic equinus deformities. Michael Rosenblatt, DPM, presented on the Digital Chart Audit that is a U.S. patent pending and trademarked system to audit chart notes of almost any kind, including both medical and surgical chart notes. Its basic format is to apply "point values" to various chart features.

Phillip Ward, DPM, and his daughter Meredith Ward presented on foot and ankle overuse injuries in standardized exercise programs. This was a first for our section  - having father-daughter co-presentors.

Andrew Wright, medical student from the University of Vermont in Burlington, reported on a public health project of fellow students and faculty that occurred in a senior community where free foot clinics were held. A survey was conducted that identified that the seniors were made aware of the need for regular foot exams and the necessity of PCPs especially of diabetics need to look at patients' feet at every viist.

Sherunda Smith, BA, BS, and Danielle St. Phard, BA, 4th year podiatric medical students at the Barry University of Podiatric Medicine, presented on the effects of preventative foot care on public health in the diabetic and obese populations. Both Ms. Smith and Ms. St. Phard will be graduating with their DPM - MPH degrees in 2008.

"Welcome" to New Section Members

Welcome to our new Section members:

 

William Taylor

Susanne N. Solomon, DPM

Kaloian Ouzounov, DPM

Boris Ricks, PhD MPA

Judith Kloss Smith, BS

Anant Shah, MPH

Jil A. Beaupain, DPM

Yolanda Chacon

Celia Storey

Nell V. Blake, DPM

Section Member Updates

Updates on our Section Members:

 

The Public Health Committee of the Massachusetts Podiatric Medical Society, in partnership with the Massachusetts Public Health Association, has been awarded a $3,000 grant from the Clinical Practice Advisory Committee of the APMA to support the partnership's work on the Amputation Prevention Initiative in the Commonwealth of Massachusetts. Research work on amputation rates and appropriate screenings for the initiative were completed this past spring with the assistance of two MPH candidates from the Harvard School of Public Health. James DiResta, DPM, who chairs the Public Health Committee of MPMS, submitted his report on their findings at the APHA Annual Meeting in November.

 ________________________________________________________

Drew A. Harris, DPM, MPH, assistant professor, environmental and occupational health, was invited to join the Advisory Board of the New Jersey Office of Homeland Security Preparedness College. The Preparedness College is described as a "...(G)overnment and academic partnership supporting...joint efforts in protecting the citizens of New Jersey." The Advisory Board will meet regularly with N.J. Director of Homeland Security, Richard Cañas and his staff to give guidance about state homeland security and preparedness activities and foster collaboration between academia and the state.

 _________________________________________________________

In October 2007, Art Helfand, DPM, was elected chairman of the Board of Directors of the Philadelphia Corporation for Aging (PCA). PCA is one of 600+ such agencies in the United States. It is the largest private, not-for-profit in the United States. PCA provides services for the older residents of Philadelphia. Dr. Helfand has been on the Board since February 2005 and during his Temple years had multiple contracts of service with PCA. Dr. Helfand also  published another textbook. Foot Health Training Guide for Long-Term Care Personnel was published by Health Professions Press, Baltimore, Md. This text can be obtained through the Health Professions Press at www.healthpropress.com. Art also prepared the chapter dealing with Diseases and Disorders of the Foot for the Second Edition of the Geriatric Review Syllabus for Nurses, published by the American Geriatrics Society. It is essentially the same chapter published by AGS for the 6th Edition of the GRS-6.

 ___________________________________________________________

Jason Miller, DPM, serves as the missions chair for the Texas Podiatric Medical Association (TPMA) and the Texas Podiatric Medical Foundation (TPMF).  He has served on over 40 medial missions all over Mexico.  Dr. Milller welcomes with open arms podiatrists across the country to help these efforts to serve the underprivileged.  His current mission is in San Miguel de Allende in the state of Guanajuato in central Mexico.  Please visit www.txpma.org and www.txpmf.org for more information.
 
Jason C. Miller, DPM, FACFAS

22999 US Hwy 59, Suite 264
Kingwood, TX 77339
(281) 348-2166
(281) 358-2153 Fax
www.houstonfootandankle.com

 

 ___________________________________________________________________

Phil Demp's recently published paper, Mathematical Applications and Modelling in Podiatric Medicine, is an example of a mathematical modelling approach to the evolution of homologous metatarsal length patterns from nonhuman primates to modern humans. The mathematical model obtained variations so that some of these patterns were considered to be atavistic in modern humans. This resulted in the diagnosis and treatment of certain clinical conditions of the human forefoot.

 

The title of this paper is "Morphometric Evolution of the Metatarsal Length Pattern: Biomechanical Implications."  International Journal of Podiatric Biomechanics, Volume 3, Issue 1,  published by Staffordshire University (UK).  The mathematics is on a precalculus level. It is an original model and not found in the literature. My paper is a pilot study and has been extended into a large research project funded by the National Institutes of Health and is being conducted by a multidisciplinary team consisting of three bioengineers, a physical therapist, an orthopedic surgeon, two research engineers and myself as a mathematician and podiatrist.There is a collaboration between the Gait Study Center of Temple University and the Motion Analysis Laboratory of the Hospital for Special Surgery in New York City. It is expected that completion of this research project will lead to interesting results. 

 

The research project, "Development of a Geometric Foot Model: A Tool for Clinical Decision Making” is making progress, funded by the National Institutes of Health and conducted by a collaboration between the Gait Study Center of Temple University School of Podiatric Medicine and the Motion Analysis Laboratory of the Hospital for Special Surgery. Collection of data is in progress with clinical biomechanical parameters, 3D MTPJ coordinates, barefoot plantar pressures, malleolar valgus index and 1st MTPJ flexibility parameters being obtained bilaterally and graphs. The 3D MTPJ coordinates are used to obtain conic curve models (Demp model), their eccentricities and conic curve types in order to uniquely identify the five metatarsals configuration of each foot. Thus far, it appears that rectus feet have a hyperbola type conic curve with eccentricities greater than 1. Planus feet have an ellipse type conic curve with eccentricities between 0.8 and 0.9. Cavus feet have an ellipse with eccentricities less than 0.6. The comparison across foot types should clarify how sensitive foot function is to foot structure. If foot structure and function are different between healthy and pathologic individuals, then the conic curve model may serve as a clinical decision tool.

 

It is expected that the conic curve model parameters will closely correlate with the plantar pressure parameters of each subject’s corresponding foot function for diabetic patients with hallux valgus and healthy asymptomatic subjects (pes planus, rectus and pes cavus). In addition, it is expected that an ellipse represents a pathomechanical metatarsal length pattern subject to micro-biomechanical trauma whose effect is evident or latent and a hyperbola (with properly oriented graph) represents an efficient metatarsal length pattern with a smooth motion and force transmission across the metatarsal heads. Converting an ellipse to a proper hyperbola and the difference in coordinates may give the surgeon a procedure which could result in a more efficient configuration of the metatarsal length pattern with minimum postoperative complications.     

 

Philip H. Demp, AB, DPM, MA, MS, PhD, CAS, FIMA 

My adjunct affiliations are:

      Temple University USA 

      School of Podiatric Medicine, Department of Podiatric Orthopedics

      College of Science and Technology, Department of Mathematics

      College of Engineering, Department of Bioengineering

      Fellow, Institute of Mathematics and its Applications (UK)

e-mail: pdemp@dca.net

 ________________________________________________

Neil Horsley, DPM was elected to the APHA Action Board and attended his first meetings during the APHA Annual Meeting in November.

 ___________________________________________________________

APMA received the 2007 PAD Coalition Community Service Award “to recognize collaborative programs focused on increasing awareness of peripheral arterial disease,” at the Peripheral Arterial Disease Coalition meeting at the National Press Club in Washington, D.C. The award was presented in recognition of APMA’s PAD Regional Lecture series program designed to raise awareness of PAD and its associated morbidities to podiatric physicians. 

 

The Peripheral Artery Disease Coalition has 62 member organizations bringing together physicians, nurses, pharmacists and other health care professionals in promoting the awareness of peripheral arterial disease. Joseph Caporusso, DPM, APMA Board member, serves as secretary of the PAD Coalition and chair of the Public Education and Information Committee. “As I continue my involvement in PAD, I see the ways in which our relationships with other PAD members can help us at APMA. We have a large group of organizations that include MDs, DOs, RNs, Pharms, and corporate that we can tell our story to. They also realize the role that podiatric physicians play in the care of these and other patients,” Caporusso said. For more information about PAD, visit http://www.PadCoalition.org.

 _________________________________________________________________________

When Nike recently introduced a shoe designed specifically for American Indians, the company said it was to promote a healthy lifestyle on reservations. But along with its trademark swoosh, the Nike Air Native N7 features feathers and arrowheads, which bloggers have found off-putting. One of Nike's consultants, Rodney Stapp, a podiatrist and a member of the Comanche Nation of Oklahoma, begs to differ. “There are always going to be negative comments,” said Dr. Stapp, who is director of the Dallas Urban Indian Health Center, “but most of them are saying that because they are not really familiar with the whole process that Nike went through.”

“Indians tend to have a wider forefoot,” he said, “but their heels are about average,” which means that when shoes fit in the front, there can be “heel slippage” in the back.

Doctors who serve American Indians may have even more cause to nag their patients to exercise than doctors elsewhere. Along with a higher incidence of diabetes, deaths from heart disease are 20 percent higher than in the American population over all, while deaths from strokes are 14 percent higher, according to the Centers for Disease Control and Prevention.

 

 Drs. Eugene Dannels (Section Member) and Rodney Stapp, Nike consultants

 

Section Kicks off Humanitarian/Missionary/Community Health Database

The Podiatric Health Section will be initiating its Humanitarian/Missionary/Community (HMC) Podiatric Medical database with published notices in APMA News and Podiatry Management Magazine. The notices seek information from podiatrists who are active in these type of medical projects. Information will be obtained for the database from an online survey and then available on the Section's Web site.   It is hoped that this database will provide a previously unavailable resource for all podiatrists who have an interest in participating in HMC projects. Section members who have prior experience in HMC projects should contact Janet Simon, DPM  (Janetpod@aol.com), who will link you to the survey.

Genomics Forum Invite

Join the Newly Formed Genomics Forum

 

Members of the Podiatric Health Section are invited to join the new Genomics Forum of APHA. This Forum will be one of the first to represent a new structure within APHA that was created to address cross-cutting issues and facilitate communication across Sections and Special Primary Interest Groups (SPIGs). By joining the Genomics Forum, APHA members retain their affiliation with their Sections.

 

Genomics – the study of genes and how they relate to each other and with the environment - is increasingly a public health issue. Expanding research and new applications of genomics in clinical and public health settings provide challenges and opportunities for public health professionals to promote equitable access to genetic services, and prevent misuse of genetic information and technology. For example, multiple government agencies are placing substantial funds into clinical applications such as pharmacogenomics (i.e. personalized medicine) without assessing this agenda from a public health perspective and its relative impact on individual rights and community health. To ensure that personalized medicine means public medicine, APHA must be at the forefront of conversations about how genomics will be used in relationship to population health in America and worldwide. This Forum will contribute to the realization of that goal.

 

With the support of the Community Health Planning and Policy Development and Maternal and Child Health Sections, the Genomics Forum was approved as an official APHA component in November 2007. Over 130 APHA members have currently enrolled in the Genomics Forum, representing a growing, interdisciplinary group of individuals including practitioners, researchers, students and community members from state and federal governmental agencies, advocacy groups, academia and health care organizations. The Forum is committed to a diverse membership from APHA Sections, SPIGs and Caucuses and hopes to work with the Podiatric Health Section and its members on issues of mutual interest.

 

The Forum currently communicates via listserv, in regular conference calls, and through the development of a Web site. The Forum is currently accepting abstracts for the 2008 Annual Meeting and is working through its Policy, Membership and Communications, Special Projects, and Program Committees on activities in work force development, policy development, advocacy, research and other areas. Activities are based on the needs and interests of our members. All are invited to participate in one of the general membership calls and to join any of the Forum’s committees.

 

Please visit our Web site to see a schedule of upcoming activities and to sign-up for the Forum: http://www.GenomicsForum.org