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Podiatric Health
Section Newsletter
Winter 2010

Chair's Report

Podiatric Health Section – Chair’s Report

By Janet Simon, DPM

 

The annual POD Section meeting in Philadelphia was well attended and featured active discussion regarding the future activities of our section. The ongoing issue for our section relates to membership and its continuing decline. The fact remains that we are the smallest section in APHA and also have the smallest pool of professionals to draw members from.

 

During this year’s meeting, it was affirmed that our member recruitment should be focused on students, a group that has much to gain by increased knowledge of public health and a group that has been under-recruited in the past.  The Section, in conjunction with APMA, officially kicked off this student recruitment campaign by addressing the APMSA’s (Student Association) House of Delegates on Feb. 5.

 

The Section is developing several parts to the student recruitment campaign. The Section wishes to subsidize as many of our student members as possible. We are asking you, our current members, to consider sponsoring one student or more. Student membership fees are $60 annually. I wish to recognize our first student sponsor, Bret Ribotsky, DPM, who has graciously subsidized three student members. I cannot stress the importance of increasing our membership numbers. This is a difficult time for our students financially, and the success of this recruitment campaign does lie with our ability to subsidize these initial memberships. 

 

I know our current Section members know the value of our profession’s presence in the public health family, and I hope you will consider sending us a check for at minimum one student membership.  Contributions may be sent to APMA, Attention: Jim Christina, DPM, 9312 Old Georgetown Rd., Bethesda, MD 20814-1621. 

 

We will also be asking our APMA state components to sponsor a student and would request that our section members make a personal request to their state associations to consider this sponsorship. An encouraging word to your state component president and executive director asking for their financial support of a student membership will be helpful to our recruiting efforts.

 

Another aspect of our student recruitment is assisting with the costs of student presenters at the APHA Annual Meeting. The Annual Meeting is a great opportunity for students to make a presentation that certainly enhances their interprofessional network and resume. Unfortunately, for many students the financial burden associated with getting to the Annual Meeting is prohibitive. APMA will be assisting our student presenters with $500 stipends that should hopefully offset the burden.

 

While in Arizona for the APMSA HOD, I’ll be meeting with Jeff Page, DPM, dean of the Midwestern University Podiatry College in Glendale and a long-time Section member. The Podiatric Health Section is interested in developing podiatry college relationships with one goal of having our colleges monetarily assist with the cost of student memberships. We know this goal can be achieved for the Chiropractic Section announced their success in Philadelphia of having two of their colleges commit to paying for APHA memberships for all of their students.

 

In closing, I am optimistic that our section will gain members this year and that our “new blood” along with our “old blood” members will become active in not only in our section but in APHA leadership opportunities. Speaking of “new blood,” I wish to welcome our new newsletter editor, Emily Cook, DPM, MPH, and our new Web site editor, Jeremy Cook, DPM, MPH. These young physicians and surgeons presented initial data from projects cosponsored by the Massachusetts Podiatric Medical Association and the Massachusetts Public Health Association at the 2009 APHA Annual Meeting. We’ll be hearing much more from them and are pleased to have them on board in our section leadership.

 

Editor's Perspective: Emily A. Cook, DPM, MPH

Editor’s Perspective

By Emily A. Cook, DPM, MPH

Harvard Medical School, Beth Israel Deaconess Medical Center

As I write this article, I find myself reflecting on my own journey into public health. As a student at the California College of Podiatric Medicine, I gave very little thought to public health.  Like many others I was focused on course work, surgical eponyms, and residency placement. The latter concern was addressed with my placement at the Beth Israel Deaconess Medical Center program. At first I saw residency as wholly different from school. With time I recognized the familiar pillars of medical academia: education, surgical training and patient care.  I’ve recently completed a two-year fellowship and MPH.  After a marathon of education, I have joined the real world. Very quickly I’ve come to realize that the field of public health touches upon every aspect of my professional life.

I owe much of this realization to my time at Harvard School of Public Health. My experience there changed my perspective and has provided me with tools that I routinely utilize. It even afforded me the opportunity to collaborate with the state department of public health. The skills learned during the pursuit of my degree help me to manage clinical trials, design studies, as well as fully understand journal articles. Despite my own story, I don’t think that a MPH degree is requisite to understanding and contributing to the public health field.  I also believe that both institutional and private foot and ankle specialists can play an important role in public health. The days of the ivory tower monopoly over public health have ended, and today, any motivated and deliberative individual can make a meaningful contribution.

So how does a podiatrist or podiatric surgeon fit into public health? There are many ways that our profession is involved, both locally and globally.  The first and broadest area is that of education.  As specialists we have keen understanding of pathology of the lower extremity as well as its effect on the rest of the body - share that knowledge. Organize a lecture on diabetic limb screening to the general public and primary care providers.  Perhaps a presentation to local universities or high schools about proper training will interest runners. Regardless of the topic or audience, education is always a meaningful public health initiative.  If you currently participate or plan to participate in medical missions abroad or in under-served areas you can provide training to the local physicians. In this way your contribution lingers in their community.  Whether you realize it or not, as a health care provider you already are involved in public health:

  • Performing a surgery to improve a patient’s physical activity or ambulatory capability.
  • Educating ourselves, students, residents and fellows.
  • Sharing your treatment outcomes in various publications so that others can learn from your successes and pitfalls.
  • Advocate policy to promote a more unified scope of practice nationally that reflects the training you have pursued.
  • Changing public and professional perceptions so that you can utilize all of the training that you’ve worked hard to acquire.
  • Integrating evidence based medicine into your practice.

You are already participating in a public health role but may benefit in refining it.  It may even improve your practice and overall professional satisfaction. 

As a free tool to promote collaboration and public health, we have started the American Public Health Association: Podiatric Health Facebook Group: www.facebook.com.  I hope you and your colleagues will consider joining. 

Members of the podiatric community are diverse in their backgrounds and interests.  We challenge you to make the most of those qualities and have an impact on population level health.

Members Elect POD Section Member to APHA Executive Board

Members Elect POD Section Member to APHA Executive Board

 

Janet Simon, DPM, and Drew Harris, DPM, MPH

Drew Harris, DPM, MPH, was elected to a 4-year term to the APHA Executive Board. Drew resides in Westfield, N.J., and is the president of the NJ Association for Biomedical Research, a nonprofit organization serving the interests of the biomedical research community. He is also co-founder and chair of the NJ Public Health Institute, a nonprofit organization dedicated to advancing public health policy and research in New Jersey.

 

Previously, Dr. Harris was the assistant director of the NJ Center for Public Health Preparedness (NJCPHP) at the University of Medicine and Dentistry of NJ and Assistant Professor in the UMDNJ School of Public Health, where he conducted education, training and research on a variety of topics including public health law, assessment and preparedness through grants with the CDC, New York City Department of Health and Mental Hygiene, the NJ Department of Health and Senior Services, and other state and federal agencies and private foundations. At the NJCPHP, Dr. Harris conceived and managed the Public Health Leadership Initiative for Emergency Response (PHLIER) — a fellowship program for emerging public health leaders.

Dr. Harris has joint appointments as an adjunct assistant professor at the UMDNJ-NJ Medical School and UMDNJ-School of Public Health in the Department of Preventive Medicine and Community Health and Department of Environmental and Occupational Health, respectively.

Dr. Harris is past president of the New Jersey Public Health Association, past APHA Executive Board member and current member of APHA’s Education Board. He is a past Podiatric Health Section Councilor.

As a public health activist, Dr. Harris has been involved in several statewide campaigns and coalitions to guarantee universal access to health care; control diabetes, obesity and tobacco use; and remove barriers to community-based research. Other activities include a stint as the host for “HouseCalls,” a radio talk show focusing on health care and public health topics.

Dr. Harris is a podiatric physician with 17 years of private practice experience concentrating on the care of people with diabetes and non-healing wounds, as well as research into new wound healing modalities. He obtained his Masters of Public Health from the UMDNJ-School of Public Health. His research interests lie at the vital nexus of public health science and practice, public policy and politics.

Podiatric Public Health Alert: Section Member in Haiti

Section Member in Haiti - Follow Pat DeHeer's activities as well as those of other podiatrists participating in the Haitian Relief Effort.
Go to: http://theapma.blogspot.com/

Podiatric Public Health Alert: The California Walking Program

California’s Walking Program

By Stephen C. Wan DPM, FACFAS, CPMA president (Respectfully submitted for CPMA)

In order to demonstrate tangible health and financial benefits of a sustained walking program, members of the California Podiatric Medical Association (CPMA) have been utilizing a walking program protocol to assist their patients combat obesity and its co-morbidities.  The patients were typically recruited to join the program once their foot and ankle symptoms were resolved.  The initial starting walking distance and numbers of steps were tailored to the tolerance of the patients with periodic and gradual increases without causing overuse symptoms.

Baseline figures in height, weight, blood pressure, fasting blood sugar and cholesterol levels were taken prior to initiation of the walking program and then retaken during follow-up visits at three month intervals. The patients all had initial diagnoses of one or more of the following: obesity, diabetes, increased cholesterol, increased BMI and hypertension.

Risk-reduction in the above categories started after the first three months of embarking on the Walking Program, eventually resulting in either discontinuation or significant reduction of medications.  The cost savings in medications (antihypertensives, oral hypoglycemics, insulin preparations, statins) ranged from $31/month to $265/month.

The Walking Program protocol was a collaborative effort between the patients’ podiatrists and the patients’ family physicians or internists and conducted at no extra charge to Medicare, third party payers and the patients. The Internists/FPs tracked the lab results while the podiatrists:

a) monitored the incremental increases of the walking mileage/frequency with instructions on terrain, speed and proper shoe-gear.

b) treated foot and ankle pathologies and symptoms as they arose in order to keep the patients ambulatory and motivated to continue with the walking program. 

All respective treating physicians would typically communicate with one another via phone and fax.  The initial recruitment of all of the above patients was the responsibility of the podiatrist.   While the compliance with the walking program has been tracked every three months in a face-to-face meeting with the patients, phone consultations have been provided as needed.

On initial recruitment to join the walking program, the consultation typically occupied 20 minutes.

On each subsequent visit, the estimated additional time to discuss the walking program and review of patients’ performance indicators typically ran approximately 6-10 minutes.

The Walking Program is an ongoing project, and the protocol has been submitted to the State of California for consideration for implementation in the public sector to benefit those patients on public assistance and whose dietary confines and health awareness-challenges have often led to obesity and the associated co-morbidities.

Student's Corner: CSPM and the Uganda Sustainable Clubfoot Care Project

California School of Podiatric Medicine and the Uganda Sustainable Clubfoot Care Project

By Ajitha K. Nair, MPH, CSPM Class of 2010

Students at the California School of Podiatric Medicine (CSPM) will be traveling to Uganda for one month in April 2010 to evaluate and learn from the Uganda Sustainable Clubfoot Care Project (USCCP).  The USCCP was created through a partnership between the University of British Columbia and Makerere University in Uganda. Since 2000, the USCCP has been providing congenital clubfoot treatment and educating the community and practitioners.

CSPM students will be assisting USCCP by performing a survey focused on barriers associated with clubfoot treatment. This project will teach students how to conduct survey studies as well as basic epidemiologic principles.  The first week in Uganda will involve conducting parental and health care worker focus groups. Health care focus groups will allow CSPM students to gather key information about the population and help identify perceived barriers to clubfoot outcomes in Uganda. Parental focus groups are geared toward identifying barriers to treatment, satisfaction of treatment, and compliance. Based upon the responses from focus groups, CSPM students will develop a survey, which will be pre-tested on parents during the second week. Final modifications of the survey will be made so that it can be put to use during the last half of the month.  Weeks three and four will consist of surveying all parents attending clinic who are willing to participate.

In addition to conducting research, students’ objectives include rotating through the clubfoot clinic at Mulago Hospital in Kampala, Uganda.  They will gain a greater understanding of the pathoanatomy of clubfoot deformities, how to implement the Ponsetti treatment, Steenbeek foot bracing, and common errors associated with clubfoot casting.  Furthermore, clubfoot classifications and the Pirani clubfoot scoring methods will be emphasized.  Finally, this practical experience will give students a greater understanding of the differences between other health care delivery systems.

In preparation for the research, students have begun to formulate a preliminary survey and are conducting literature reviews to gather information that may be of assistance including similar studies performed. If you have any feedback or are aware of any funding resources that the students may be able to apply for, please feel free to contact Ajitha Nair at ajithaknair@gmail.com.

Young Member Update: Janet Simon, DPM, interviews Jacqueline B. Truong, DPM, MPH

Janet Simon, DPM, chair of the APHA Podiatric Health Section, interviewed Jacqueline B. Truong, DPM, MPH, on how she integrates public health into her practice.  Dr. Jacqueline Truong recently graduated from the Cambridge Health Alliance residency program and is a podiatric surgeon at the Western University of Health Sciences College of Podiatric Medicine under the Department of Surgery, Biomechanics, and Podiatric Medicine.  She is a graduate of the Scholl College of Podiatric Medicine. 

1. Briefly describe your background leading to your interest in public health and podiatry.

My interest in public health came before I knew about podiatric medicine, and the decision to pursue an MPH degree was deeply rooted in my desire to affect change in the quality of life for people through health. I fell naturally into epidemiological research in infectious disease because of my background in microbiology. This eventually became a large focus for me as I became more involved in the field of public health. But as I moved forward in public health initiatives, I felt my career in public health lacked a certain level of interaction with the very people I was trying to help. That is when I started to seriously consider a career practicing medicine. In my search for the right career path, I stumbled upon podiatric medicine, which now affords me the opportunity to pursue my goals in affecting people’s health through both the practice of medicine and public health.
 
2. How has your interest in public health affected your career pathway/choices?

To quote Robert Frost,
“I shall be telling this with a sigh
Somewhere ages and ages hence:
Two roads diverged in a wood, and I –
I took the one less traveled by,
And that has made all the difference.”

My desire to pursue a career that would embrace both my research background in public health, and podiatric medicine, has led me down a road “less traveled by” other young practitioners leaving their residency training – the road of academic medicine. I knew that I would need an institution that could support my interests by providing me with the resources and opportunities I would require to build my career. In my job search during the last year of residency, I stumbled upon a few such institutions – one of which is where I am now currently employed. The choice to enter into academic medicine rather than private practice was a difficult one, as it would mean leaving a well trodden path with predictable variables and entering into less charted territory. In the end, I followed my passion because that is where I truly believe I could make the greatest contribution to medicine. 

3. What benefit do you feel your public health knowledge brings to your current professional position?

I feel I have a much better understanding of the research process, including methodology, design and critical analysis of the current literature. On a smaller scale, my background in public health has helped me on more than one occasion to bring to my patients the most current, evidence-based medical treatment plan.

4. What advice do you have for podiatry students who are interested in public health and considering further education in this field?

I recommend any student who is interested in public health to talk with physicians who are currently involved in public health efforts in order to gain a better appreciation of the diversity of career paths in which podiatric physicians practice. Also, find public health mentors, who are not practicing medicine to gain a broader perspective of public health. I think they will find that there are many avenues of interest that have yet to be explored.

When applying for a Master in Public Health, be aware that you will need to designate an area of interest. They are as follows: biostatistics, environmental health sciences, epidemiology, general public health, health policy & management, population & family health, and sociomedical sciences. Many public health programs require that you have has some related or paid volunteer work experience in the area of interest you designate prior to applying for the program.

I would recommend getting a Masters in Public Health in the areas of epidemiology or biostatistics if you are interested in any form of research. Finally, be resourceful in your pursuit as you will likely come across a path in which few have crossed. You will need all the resources at your disposal to forge your way forward.  

5. What research projects do you hope to work on that incorporate public health principles?

I hope to work on research projects that will explore unanswered questions regarding health as it relates to quality of life and mobility in efforts to increase public awareness of critical health issues within the field of podiatric medicine.

Scientific Report: Pathomechanical Metatarsal Length Pattern

Pathomechanical Metatarsal Length Pattern
By Dr. Philip H. Demp, Temple University
Adjunct Professor, School of Podiatric Medicine, Dept. of Podiatric Orthopedics
Adjunct Professor, College of Science and Technology, Dept. of Mathematics
Adjunct Professor,College of Engineering, Dept. of Mechanical Engineering
Fellow, Institute of Mathematics and its Applications (UK)

Before I update, let me offer a short review. Thus far, I have shown that the positions (coordinates) of the five metatarsal heads have a complete unique relationship (configuration) that can be represented by unique conic curve types.  The conic types are circle, ellipse, hyperbola, parabola and degenerative. I then used the ideas of movement of force and pressure from the fifth metatarsal head to the first metatarsal head and the conic curve types among non-human Primates. My pilot study was able to discriminate (diagnose) between a pathomechanical and healthy configuration of the metatarsal heads.

UPDATE
I am presently working on validating a larger study and associating clinical conditions with pathomechanical configurations of the metatarsal heads. This means using a larger sample size beyond the pilot study to a higher level of validation.  Also, the medical literature suggests that a pathomechanical configuration of the metatarsal heads (a pathomechanical variation of the metatarsal lengths) can be an etiologic agent for a wide range of clinical conditions such as plantar keratomata, hammer toes, plantar fasciitis, neuropathy, overlapping toes, hallux valgus, diabetic ulcer, etc.  A pathomechanical configuration without symptoms is considered to be latent. 

To carry out this larger validation process, random patients are being recruited from the VA New Jersey Health Care System. If the above suggestion is true, then treatment consists of changing the pathomechanical configuration to a healthy configuration. This can be done by moving coordinates on the computer screen until a healthy configuration is observed.  The difference between the old and new coordinates can be calculated. This will allow the surgeon to know which metatarsal(s) to operate on and how much is necessary.  Also, this would be the first time that a diagnosis and treatment of a pathomechanical configuration of the metatarsal heads depends on a conic curve type.

GENETIC FACTORS
Genes have played an important role in the evolutionary process and can be affected by mutation and other forces. The development and growth of limbs are linked to certain genes called HOX genes. Mutations may affect HOX genes which may cause malformative processes in the limbs in addition to reduction in length of metatarsals. It is suggested that pathomechanical configurations of the metatarsal heads indicates genetic changes in the genes. Thus, an abnormal alignment of metatarsal heads could act as a biomarker and alert one to look for other abnormalities in skeletal growth and development such as hammer toes, club foot, joint dysplasias, hallux valgus, early onset of osteoarthritis, spina bifida, etc.

CONCLUSION
The mathematical approach was used to represent a relationship among the five metatarsal heads.  This approach is the only published model of metatarsal geometry that yields a unique parameter (eccentricity) that one may use to quantitatively distinguish the alignment of metatarsal heads between healthy and pathomechanical populations within modern man.

Scientific Report: Announcements

ANNOUNCEMENTS:

Hospital Costs for Bone Marrow Transplants, Other Common Procedures Up Sharply

Hospital costs for bone marrow transplants shot up 85 percent from $694 million to $1.3 billion between 2004 and 2007, according to a recent report from the Agency for Healthcare Research and Quality.

Data from AHRQ shows that 10 procedures experienced rapid cost increases between 2004 and 2007.  About 75 percent of the rise was due to increases in the number of patients who underwent these procedures, and 25 percent resulted from higher costs per case treated.

In addition to bone marrow transplantation, the procedures with the most rapid increases in hospital costs included:

  • Open surgery for noncancerous enlarged prostate — up 69 percent to $1 billion.
  • Aortic valve resection or replacement — up 38.5 percent to $1.9 billion.
  • Cancer chemotherapy — up 33 percent to $2.6 billion.
  • Spinal fusion — up 29.5 percent to $8.9 billion.
  • Lobectomy (a type of lung cancer surgery) — up 29 percent to $1.8 billion.
  • Incision and drainage of skin and other tissues — up 29 percent to $1 billion.
  • Knee surgery — up 27.5 percent to $9.2 billion.
  • Nephrostomy (surgery to allow urine to pass through the kidneys) — up 25 percent to $683 million.
  • Mastectomy (breast removal because of cancer) — up 24 percent to $660 million.

These findings are based on data described in Procedures with the Most Rapidly Increasing Hospital Costs, 2004-2007.  The report uses statistics from the 2007 Nationwide Inpatient Sample, a database of hospital inpatient stays that is nationally representative of inpatient stays in all short-term, non-federal hospitals.  The data are drawn from hospitals that comprise 90 percent of all discharges in the United States and include all patients, regardless of insurance type, as well as the uninsured.

 

Potentially Avoidable Hospitalizations for Many Conditions Drop Dramatically for Seniors

The rate of hospitalizations that could have been potentially prevented with better outpatient care fell faster for seniors than for younger patients between 2003 and 2007, according to a recent report from the Agency for Healthcare Research and Quality.

The federal agency compared hospitalization rates for 11 chronic and acute conditions that can usually be controlled outside the hospital if patients have access to good outpatient care and follow doctors' instructions, such as taking medication at the right time.  The analysis compared potentially preventable or avoidable hospitalizations for patients age 65 and over and ages 18 to 64.

The rates of hospitals stays for the following conditions declined faster for seniors than for younger adults:

·       Angina (43 percent decrease vs. 39 percent).

·       Uncontrolled diabetes (21 percent vs. 5 percent).

·       Dehydration (20 percent vs. 16 percent).

·       Short-term diabetes complications, such as hypoglycemia (19 percent decrease vs. an increase of 10 percent).

·       Amputation of the feet or legs, usually because of diabetes (17 percent vs. 3 percent).

·       Bacterial pneumonia (16 percent vs. 8 percent).

·       Congestive heart failure (14 percent vs. 9 percent).

In contrast, the rate of admissions for high blood pressure increased at a roughly equal rate, but the hospitalization rate for seniors with urinary tract infections increased by 15 percent, while it increased by only 1 percent for younger adults.

These findings are based on data described in Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007.

APHA Announcements: Leadership Positions in 2010

APHA NOMINATING COMMITTEE SEEKS POTENTIAL CANDIDATES FOR APHA LEADERSHIP POSITIONS IN 2010

 

The nominating committee for the APHA's Governing Council is looking for the following candidates for leadership roles in the organization:

 

  • APHA President Elect (three year commitment one-year each as president-elect, president and past-president)
  • Executive board – three positions available (4-year term)
  • Speaker of the Governing Council (3-year term)
  • Treasurer (3-year term)

The APHA Governing Council will vote to select these officers at the November (2010) meeting, and they would begin serving immediately after the APHA conference (so terms would start Nov. 10, 2010).

 

As I'm sure you know, the next APHA Annual Meeting is Nov. 6-10, 2010, in Denver.

 

Applications are due March 31, 2010 and should include the relevant (attached) one-page form along with resume/CV of the nominee, and any letters of support. The nominating committee will meet May 6 to select the list of nominees for consideration by the Governing Council at the 2010 annual meeting.

 

We hope you will be able to think of individuals who would be excellent candidates for the above positions. 

 

Should you or a potential candidate wish further information on these positions, please refer to the job descriptions and nomination form available on the APHA Web site at: http://www.apha.org/about/gov/nominations/default.htm

 

If you are interested in running, we suggest you contact your APHA Section, SPIG, Caucus and/or Forum leadership to solicit their support and assistance with your nomination. 

 

All nominees for the Executive Board are selected from among the membership of the Association, except that the nominees for  Honorary Vice-President may include persons who are not members of the Association.

  

For more information on the Nominating Committee, contact Ida Plummer via e-mail at governance@apha.org.

APHA Announcement: Public Health Materials Contest

TWENTIETH Annual APHA Public Health Materials Contest

The APHA Public Health Education Health Promotion Section is soliciting your best health education, promotion and communication materials for the 20th annual competition. The contest provides a forum to showcase public health materials during the APHA Annual Meeting and recognizes professionals for their hard work.

 

All winners will be selected by panels of expert judges prior to the 138th APHA Annual Meeting in Denver.  A session will be held at the Annual Meeting to recognize winners, during which one representative from the top materials selected in each category will give a presentation about their material.

 

Entries will be accepted in three categories; printed materials, electronic materials, and other materials.  Entries for the contest are due by March 26, 2010.  Please contact Kira McGroarty at kmcgroar@jhsph.edu for additional contest entry information. 

Obituary

Marco A. Rubio-Ardila, DPM, 58

Dr. Marco A. Rubio-Ardila passed away on Jan. 24, 2010, at Valley Baptist Medical Center Brownsville, with his loving wife and close friends at his side. Marco was raised and lived in Hawaii. He was a veteran of the U. S. Army, proudly serving his country during the Vietnam conflict as a medic. Upon completing his service, he returned to Honolulu and studied at the University of Hawaii at Manoa. He received his Bachelor of Nutrition Science in 1975 and his Master of Public Health there in 1977. He received his Doctor of Podiatric Medicine in 1982 from the Ohio College of Podiatric Medicine.

As a captain in the U.S. Public Health Service Commission Corps, he joined the Brownsville (Texas) Community Health Clinic to initiate the Podiatric Service in July of 1982. He then opened the Podiatric Service at Su Clinica Familiar in 1983, serving in Harlingen and Raymondville. He was the first podiatrist to have surgical privileges at Brownsville Medical Center (now Valley Baptist Medical Center).  He was an active member of APHA since 1975, and received national recognition through his receipt of the Dr. Stephen Toth Memorial Award in both 1981 and 1997.

Dr. Helfand commented :  “When we began the American Board of Podiatric Public Health, Marco was very much involved and was one of the very few who were commissioned officers in the USPHS. He was involved in the care of minority groups in his community. In 1997, Marco served as a Member of the APHA Special Commission that was appointed by our Section to develop the qualifications and guidelines for Podiatrists in Public Health. That Commission and Report were funded under an APHA Mini Grant and endorsed by APHA.  He made significant contributions to the program and the Section as we developed the direction for the Section.“

APHA 137th Annual Meeting, November 2009

Pictured below are podiatric related events from the APHA 137th Annual Meeting in November 2009. More than 12,000 public health professionals from around the world met to address the nation’s top public health challenges.  This year’s APHA Annual Meeting will be held Nov. 6-10, 2010 in Denver.

From left to right: Darren Woodruff, MSIII AZCPM, Janet Simon, DPM, Darrell Ballinger, MSIV OCPM.

 

From left to right: Ajitha Nair, MPH, MSIV, SMCPM, Janet Simon, DPM

 

Vision Care, Podiatric Health, and Oral Health Scientific Joint Program, Nov. 9, 2009: "Setting the Stage for Multidisciplinary Diabetes Care - Obstacles and Opportunities"

 

The Podiatric Section exhibit was awarded third place at the APHA 137th Public Health Expo.

 

From left to right: Cheree Eldridge, MS II, NYCPM, Bethany Jones, MPH

 

From left to right: Emily Cook, DPM, MPH, Jeremy Cook, DPM, MPH and James DiResta, DPM, MPH