December 2010 Minutes

American Public Health Association

Disability Section Minutes

Monthly Meeting

Conference Call


December 3, 2010


Council members present: Vince Campbell (Policy Chair), Roberta S. Carlin (Communications Chair), Stephen French Gilson (Chair), Willi Horner-Johnson (Treasurer), H. Stephen Kaye (Chair Elect), Gloria Krahn (Governing Council Representative), Suzanne McDermott (Governing Council Representative), Dot Nary (Membership Chair),  Jana Peterson (Student Liaison Faculty Supervisor), Vijay Vasudevan (Student Liaison) and Kiyoshi Yamaki (Program Chair).

Council members not present: Anthony Cahill (Accessibility Co-Chair), Catherine Leigh Graham (Accessibility Co-Chair), James H. Rimmer (Past Chair/Elections Chair), Jennifer Rowland (Awards Chair), and Meg Ann Traci (Secretary).


Opening:  Stephen Gilson opened the conference call meeting at 12:03 p.m. (EST) prompting roll call.

Meg Traci was absent. Stephen asked for someone to take notes. Jana Peterson volunteered to do so.


Minutes: Review and approval of minutes was postponed to the January, 2011 call.


Student Liason, Vijay Vasudevan and Jana Peterson

Jana introduced Vijay Vasudevan, the new student representative to the Disability Section Council. Vijay reported that the student committee had met once by telephone and is working to align student interests with committee roles and plan and agenda for the upcoming year. Vijay and Jana are excited by the enthusiasm and diversity of the involved students.


Chair’s Report, Stephen Gilson

Stephen Gilson reported that APHA leadership sent an apologetic memo to Stephen Gilson acknowledging the inaccessibility of the Section booth.  Fran also indicated that she would arrange a meeting with herself, Georges Benjamin, Stephen, Catherine, and Jim. Kiyoshi also reviewed the memo he emailed to Disability Section Councilors on 12/2/2010 (see addenda) and said that Donna Wright mentioned that they are aware of this issue. There was also discussion about need to raise awareness regarding accessibility of all section scientific sessions.


Stephen also asked for input on whether the Section Council meeting was too crowded.  While he was excited to have engagement from members, there seemed to be confusion and some people had reported to him that it was a problem.  Roberta mentioned that some people felt left out.  We talked about planning for this next year by having only council members at the table with others observing, having more copies of our agenda for observers, and making it clear when observer input is welcomed and when it is time for section council-specific discussions.


Program, Kiyoshi Yamaki

Kiyoshi summarized other discussion related to the 2010 annual meeting. The following changes were discussed as ways to improve outcomes at future annual meetings:


1)    Kiyoshi will consider the suggestion of allowing more time for presentations of larger and/or complex studies.

2)    Kiyoshi will try to accommodate suggestions from students and other council members in planning the 2011 program.

3)    Suggestions for special sessions from George Jesien, Beth Rasch, and Mike Marge were considered. Although the suggestions were considered generally appropriate, there was no strong opinion in creating a special session based on these suggestions among the attending council members. No decision was made by the council members. There was also discussion of a potential special session focused on “Clarifying the Concept of Secondary Conditions”. Kiyoshi will consult with Steve Kaye for his insights as former program chair.


Finally, there was discussion resulting in a decision to accept an invitation to organize a joint session with the Public Health Education and Health Promotion (PHEHP) Section for the 2011 Annual APHA meetings in Washington, D.C. Kiyoshi will contact PHEHP’s appropriate program chair (Marilyn Gardner).


Policy, Vince Campbell

 Vince provided an overview of the summary of APHA polices approved for 2010, which he had emailed to Disability Section councilors in advance of this meeting (12/2/2010). This summary is attached as an addendum. The upcoming The Nation's Health issue (January, 2011) will include more information about these policies.


Vince also said that there was a need to clarify for Barbara Kornblau what her roles will be as Policy co-chair.


Treasurer, Willi Horner-Johnson

Willi reported that we are waiting for bills from the 2010 APHA Annual Meetings in Denver.  It is likely that we will have some funds left to spend before our budget year ends May 30, 2011. Section Councilors noted that we need more brochures, so should plan on that expense. There was also a question as to whether we need more t-shirts or whether there are still some in storage that were not sent to the 2010 APHA Annual Meetings in Denver.


Communications, Roberta Carlin

Roberta reviewed the need for an updated format for the newsletter. Following the meeting, Roberta emailed Councilors prompting feedback and input on the draft format for the newsletter (below):



[Emailed to Councilors by Roberta Carlin, 12/3/2010 @ 11:47AM]


As mentioned at the meeting in November and yesterday on the APHA December Disability Section call, I would like to revise the format of the newsletter to be more inclusive of Section members and include information that is more specific to disability and health.

Based on a review of other APHA Section Newsletters, I am proposing the following format for the newsletter to begin in 2011. Three newsletter are required as part of our Section status, however, there is no specific required format.

Please keep in mind that the newsletter is limited to 7,000 words, and is reviewed by APHA staff for timeliness and content.  The newsletter is typically submitted approximately two weeks prior to the APHA “open submission” time period.


The current format for the newsletter is as follows: Chair Update; Section Chair Updates.  Proposed format for newsletter: Greetings from the Chair (300-400 words); Section Committee Updates; These will be combined into one section); Section Member News; (250-300 words/update-I will solicit members for items.); Student Section Corner; Job Postings; APHA Announcements; New of Note; Brief general announcements)


Membership, Dot Nary

Dot mentioned the need to re-order membership brochures and talked about updating its design.  Dot plans to pursue an inventory of remaining t-shirts, give-aways, and brochures – as well as their locations so that orders can be made.



Stephen Gilson and Steve Kaye reminded councilors to send suggestions for chair’s forum for next year. 


Stephen Gilson closed the meeting at 1:00 p.m. (EST). The next Disability Section Council meeting will be held January 6, 2010 at 12:00 p.m. (EST). Minutes submitted by Secretary Meg Traci with input from councilors present at the meeting.







to:          Disability Section Council

from:      Kiyoshi Yamaki

subject:  2011 APHA Annual Meeting Update

date:      December, 1, 2010




Update for the Program Chair: 2010 Denver Meeting Accessibility Issue


During the meeting of the 2011 Program Chairs (Nov. 11, 2010, Denver, CO),

·         The Oral Health Section Program Chair expressed her accessibility concern about the new Section booth to Kiyoshi personally. Kiyoshi personally expressed a concern about the inaccessibility of the Section booth to Donna Wright (APHA). She commented that APHA was aware of it.

·         Marilyn Gardner, Public Health Education and Health Promotion Section Program Chair, expressed her concern about the accessibility of rooms for non-Disability Section meetings to APHA.

2011 APHA Meeting

Date:    October 29 (Sat.), 2011 - November 2 (Wed.), 2011

Place:   Washington Convention Center, Washington, DC

Theme:  Healthy Communities Promote Healthy Minds and Bodies

Call for Abstracts:  December 17, 2010February 7 – 11, 2011*


*Note that a customary week extension has already been included in the date above. No additional extension will be allowed.

2011 Disability Section Program

Following are suggestions submitted to the Disability Section Program Chair to date:

Suggestions From Disability Section student members:

·         Provide an orientation session to students, who are new to the APHA Annual meetings, e.g., during the first day of the annual meeting.

·         Organize a networking opportunity among students during the first day of the APHA Annual meetings.

Suggestion from a Disability Section member:

·         Remind oral presenters to describe their power point slides (e.g., graphs and tables) more thoroughly for people in the audience who have difficulty viewing them.

Suggestions on Special Panels and Joint Session:

·         Panel presentation by the leadership of the National Center on Birth Defects and Developmental Disabilities (NCBDDD) at the Centers for Disease Control and Prevention to commemorate the NCBDDD’s 10th anniversary (rationale provided by George Jesien in Attachment 1 below)

·         Special session on the collaborative project being conducted by the Social Security Administration (SSA) and the National Institutes of Health that focuses a new functional assessment procedure in the SSA Disability Determination (suggested by Elizabeth Rasch – see Attachment 2 below).

·         Panel presentation on rehabilitation research (suggested by Michael Meage, National Center for Medical Rehabilitation Research – see Attachment 3 below). 

·         The Health Education and Health Promotion Section of APHA is seeking ideas for joint sessions for the 2011 APHA Annual Meetings in Washington, D.C. (see attachment 3 below, from Marilyn Gardner, Program Chair).

Attachment 1: Panel presentation by the leadership of the NCBDDD from George Jesien

[Email communication from George Jesien to Kiyoshi Yamaki]

-----------------------------------------------------------------Since it is the 10th anniversary of the center it may be appropriate to highlight the work of various components of the center as they relate to disability and health.


One thought would be to have a combined panel that would include the director of the center along with the division heads and at least one research effort in each division. You could also have just the director provide a quick overview of the center and then proceed to one or two projects or studies that are under way in each division. The three divisions are birth defects, blood disorders and disability and health. Each division could select one or two studies that might have broad-based appeal and be representative of the work of the division. After each division presents its studies or work a short question-and-answer period could follow and then after all three divisions present there could be a general discussion of future directions for the overall center…


As you know a new director will be selected sometime this spring or summer and therefore would afford a great opportunity for him or her to meet members of the (APHA) disability section. It would also provide an opportunity for disability section members to learn of possible future directions under the new director.


Let me know if you would like additional information about the particular work in each center but …the division directors are probably in a much better place to select the work that they would like to highlight. On the other hand we work fairly closely with the birth defects and disability and health divisions and could provide you with some examples if that would be helpful.



Attachment 2: Proposal for a Special Session, submitted by Elizabeth Rasch

Proposed session title: The SSA-NIH Collaboration to Improve the Disability Determination Process

Overview of project:

In August of 2007, SSA sought advice from the NIH on new technologies, diagnostic tools, and novel assessments that might inform the disability evaluation process.  NIH-RMD suggested that diagnoses that are tantamount to disability are rare and that SSA should explore innovative methods of functional assessment to augment their existing disability evaluation process.  NIH-RMD signed a 3 year inter-agency agreement (IAA) with SSA in 2008 and a new 5 year agreement in 2010 to: 1) analyze existing SSA data, and 2) assess the feasibility of developing Computer Adaptive Testing (CAT) instruments that can be integrated into the SSA data collection and determination processes.  Preliminary work has supported feasibility of the CAT approach for the collection of functional information from SSA applicants and providers and calibration testing is proceeding for the two item pools that have been developed thus far.  Data analysis has revealed a bias in SSA’s collection of data toward diagnosis and impairment as well as gaps in content coverage, supporting our premise that more comprehensive and rapid assessment of functional information at the “activity” level via CAT may better predict work capacity.  Data analysis and CAT development are proceeding concurrently for this multi-year project.


Proposed oral presentations (18 minutes each):


1)     Project overview:

a.      We will discuss the background for the project, including the broad objectives, timeline for analytic activities, and development of Computer Adaptive Tests.  We will discuss our conceptual approach to the project including issues related to defining and measuring disability to address SSA’s programmatic purposes. 

b.      Tentative presenter: Elizabeth K. Rasch, NIH-RMD

2)     Development of the Physical Demands CAT

a.      We will discuss the process for selecting and prioritizing domains for CAT development, the steps required for CAT development, and the progress thus far with development of the Physical Demands CAT

b.      Tentative presenter: Steve Haley and Alan Jette, Boston University, Health and Disability Research Institute

3)     Development of the Interpersonal Interactions CAT

a.      We will discuss the progress thus far with development of the Interpersonal Interactions CAT.

b.      Tentative presenters: Steve Haley and Beth Barfield, Boston University, Health and Disability Research Institute

4)     Analysis of the Compassionate Allowance (CAL) Program: A Systematic Data-Driven Approach to Identifying Potential CAL Conditions

a.      We will discuss the background for this work including a review of SSA’s expedited awards programs and specific objectives of this project.  We will present a summary of the analytic methods we developed to identify potential CAL conditions using internal SSA data sources (Disability Research Files).  We will also present our recommendations for potential conditions that SSA could consider for inclusion on the CAL list in addition to SSA’s process to further consider these conditions for inclusion in the CAL expedited awards program.

b.      Tentative presenters: Minh Huynh, Aaron Heuser, and Pei-Shu Ho, NIH-RMD

5)     Open discussion and question & answer period

a.      Tentative presenter: All discussants and audience


Learning objectives: At the conclusion of the session, participants will be able to: 1) describe the Social Security Administration (SSA) disability evaluation process including challenges that the agency faces in implementing these programs; 2) state the broad objectives of the SSA-NIH collaboration to improve the disability determination process and describe the conceptual approach to the problem; 3) indicate how CAT could potentially improve SSA’s disability determination processes; 4) recognize the strengths and limitations of data driven approaches to informing SSA decision making processes; 5) indicate the importance and relevance of this work for health policy and more specifically, disability health policy.


Attachment 3: Proposal for a Panel Presentation, submitted by Michael Marge

TopicImplications of Rehabilitation Research for the Field of Public Health  

Chair:  Michael Weinrich, MD, Director of NCMRR/NICHD/NIH 

Length of Session:  60 minutes 


A.     Opening statement and overview of session -- Dr. Michael Weinrich

 Dr. Weinrich will speak briefly about NCMRR's research and its impact on public health policy, especially in regard to people with disabilities and/or chronic medical health conditions.  NCMRR's research program has significance for shaping public health policy, especially as it relates to the provision of health care for children with disabilities and for the aging US population.

B. Implications of Outcome Measures in Rehabilitation Research for Public Health Policy--Dr. Louis Quatrano, Director, Behavioral Sciences & Rehab. Technologies Prgm, NCMRR  

Dr. Quatrano will speak briefly about NCMRR's research program as it relates to improving outcome measures to assess progress in the treatment of individuals with disabilities. NCMRR's research has important implications for improving quality of life and community participation for children and adults with disabilities. Then, Dr. Quatrano will introduce the invited speaker who will focus on his or her research on outcome measures in rehabilitation research. Suggested speakers: Dr. Karon Cook, University of Washington or Dr. Alan Jette, Boston University.

C. New Directions in Rehabilitation Research: Implications for Prevention and Public Health Policy Research—Dr. Michael Weinrich. 

Dr. Weinrich will speak briefly about NCMRR's research and its impact on prevention and public health policy, especially in regard to people with disabilities and/or chronic medical health conditions. Then, Dr. Weinrich will introduce the invited speaker to review his or her research and its implications for public health policy. Suggested speakers include Dr. Steven C. Cramer, University of California at Irvine or Dr. Amy Wagner, University of Pittsburgh

D. Questions and answer period 

E. Concluding remarks---Dr. Weinrich


Attachment 4: Call for Join Session Ideas from the APHA PHEHP Section

[Email communication from PHEHP Section Program Chair, Marilyn Gardner to other section, SPIG, and caucus program chairs.]

----------------------------------------------------------------Dear Program Planning Chairs,


The PHEHP section is seeking joint session ideas for the 2011 meetings.  If your section, SPIG, or caucus is interested in partnering with us, we’d love to hear from you. Specifically, we ask that you send the following by December 9th:


·         Tentative session name

·         Brief description of the session (2 – 3 sentences)

·         Preferred session type (oral, roundtable, or poster)

Before our call for abstracts goes live, we will contact all interested parties.


Thank you,

Marilyn Gardner

2011 PHEHP Program Chair





Approved Policies in 2010

APHA's Governing Council approved the following 15 policies, and 2 interim late-breaker policies on Tuesday, Nov. 9, 2010.  Check out the upcoming January 2011 Issue of The Nation's Health for more in-depth coverage.  

Note: Final policies will not be available until January, as currently under review by professional copyeditor and then will be added into the APHA Policy Database.


Group A: Reproductive Health and Disparities


A-1: Public Health and Education: Working Collaboratively Across Sectors to Improve High School Graduation Rates as a Means to Eliminate Health Disparities


A-3: Prevention and Control of Sexually Transmitted Infections and HIV among Performers in the Adult Film Industry


A-4: Protecting Abortion Coverage in Health Reform


Group B: Environmental and Occupational Health

B-1: A Precautionary Approach to Reducing American Exposure to Endocrine Disrupting Chemicals


B-5: Prioritizing Cleanup of the Hanford Nuclear Reservation, America’s largest Superfund Site, to Protect the Public’s Health


B-6: Occupational Injury, Illness and Fatality Prevention through Design (PtD)


B-7: Intrastate and Interstate Transportation of Spent Nuclear Fuel Is a Public Health Risk


B-9: Requiring Clinical Diagnostic Tools and Biomonitoring of Exposures to Pesticides


Group C: Access to Care

C-1: Health Literacy: Confronting a National Health Problem

C-2: Fluoride Varnish for Caries Prevention

C-3: Reforming Primary Health Care: Support for the Health Care Home Model

C-5: Strengthening Genetic and Genomic Literacy

C-6: Child Health Policy for the
United States


Group D: Public Health & Infrastructure


D-1: Annual Influenza Vaccination Requirements of Health Workers, Regardless of Work Setting, Including Volunteers, Trainees, Consultants, and Independent and Contract Workers


D-2: Securing the Long-Term Sustainability of State and Local Health Departments




LB1: APHA endorses the World Health Organization’s Global Code of Practice on the International Recruitment of Health Personnel


LB2: Public Health Impact of U.S. Immigration PolicyBottom of Form