Posts Tagged ‘diagnosis’

To Sample or Not to Sample…

November 22nd, 2011

…  is often the question when it comes to common indoor air quality questions or in response to a communicable disease outbreak (or diagnoses) in the workplace.  The answer is not to sample (almost without exception).  A good case study came up this week when a library and high school were closed after some environmental sampling (conducted after somebody was diagnosed with a communicable disease) found commonplace bacteria in the environment. 

When dealing with indoor environmental concerns or in response to a diagnosis of a communicable disease, the first step isn’t to sample the environment.  There are other first steps that should be taken.  For example, if somebody is diagnosed with an infectious disease in the workplace you can emphasize the importance of good handwashing among all staff and encourage everybody to stay home if they feel ill.   Environmental sampling following the diagnosis of an infectious disease in the workplace will be of little value- and will often turn up common microorganisms of no public health consequence…  and sometimes these decisions lead to poor decisions about what to do about the results. 

Most of us spend a lot of time indoors, whether it is at work, home, or school.  People are often concerned that their symptoms or health conditions are related to where they spend a lot of time.  The best approach to investigating concerns expressed by workers are common sense measures. If the concern is about indoor air quality generally- you can use helpful indoor air quality checklists or other indoor air quality assessment tools.  By looking at simple fixes first, such as changes to the air conditioning or heating system, carpet cleaning, or new cleaning products, many environmental concerns can be identified immediately. This may fix the problem immediately before having to wait for test results.

Who is John Doll?

November 22nd, 2011

Almost 40 years ago, Dr. John M. Doll came to work at ADHS and left quite a legacy.  His philosophy about researching and publishing data that can be used to make a difference lives on… even though he passed away.  Every year, epidemiologists in Public Health Prevention submit the papers they have published to an internal committee to earn the annual John M Doll award.  

This year, Dr. Melanie Taylor and Kerry Kenney received the award for their published article called: Sexually Transmitted Diseases Among American Indians in AZ. Their work highlighted the racial disparity from time of diagnosis to treatment – from which the Indian Health Services have created new interventions to help. One of the key things about public health is – research for research’s sake has limited value – when you can define an intervention to address the problem, research is priceless.  There were 8 other publications submitted for the award – congratulations to all of you for the efforts you are making to enhance public health.

Welcome Our New Teammates

August 1st, 2011

Please join me in welcoming three folks from the Arizona Biomedical Research Commission to the ADHS team today.  The Legislature and Governor made a statutory change last cycle that moved the Commission to us, and their mission is a good fit.  The Commission basically awards contracts for projects researching the causes, epidemiology and diagnosis, formulation of cures, medically accepted treatment and prevention of diseases, including drug discovery and development and provides some oversight of the projects that they approve.  Their funding (a few million dollars per year) comes from tobacco taxes and some lottery funds.

There had been some uncertainty about whether the Commission would actually move to our team because of a lawsuit that was filed several weeks ago asking the court to stop the move, but that suit was dismissed.  One of the Commissioners filed an appeal, but we don’t expect that action to change anything.

Shoana Anderson has volunteered to serve as the acting Executive Director for the Commission.  Cara Christ will also help out.  Both will continue with their other Department duties, but will add the Commission work to their responsibilities.  Please take a little time to welcome the 3 folks from the Commission staff that will be joining us.  They’ll be located on the NE side of 1st floor of the 150 Building.  Our first priorities will be to get a good handle on the “books” and make some recommendations to replace several expired Commission slots.

National Men’s Health Week is Here

June 16th, 2011

Men’s Health Week focuses on male specific diseases such as prostate cancer and men’s wellness in general, including mental health issues and accident prevention.

Many people think of their fathers this time of year – but men should at least make a commitment to themselves and their families to pay better attention to health and commit to age appropriate screenings.