Posts Tagged ‘education’

Studying Vaccine Choice

January 25th, 2013

As I mentioned in a blog post a few weeks ago, more AZ parents are choosing not to vaccinate their kids- and using “personal exemptions” when they enroll their kids in school.  If the trend continues, we could jeopardize our immunization rates enough so that we’d see long gone diseases like measles and mumps return in AZ.  In order to figure out why more parents are making this choice, we asked Dr.’s Ernst & Jacobs at the UA’s College of Public Health to look into the “who, what, when, where and why” of this trend toward more personal belief exemptions.  I talked about the where exemptions are more common in my earlier blog, but now we have a better idea of why those rates have been growing – convenience, fear and recordkeeping.

One of the key tasks we asked the UA to look into is why more and more parents are choosing not to vaccinate their kids.  During town hall sessions with parents whose kids attended schools with high exemption rates… 62% of exempting parents said they had heard of someone who had a reaction to a vaccine. Parents who chose exemptions were concerned with the possible side-effects of immunizations and didn’t always trust information provided by the government and pharmaceutical companies.  A statewide survey of 131 clinicians found the main reasons parents refuse or delay immunizations is the unfounded fear their child will suffer long-term consequences from vaccine side-effects. The doctors cited personal conversations with parents as the most effective tool in educating parents about vaccines.

The studies done by the UA include recommendations about how to overcome some of the issues…  but much of it boils down to better education about vaccinations. Our Immunization Program website includes the findings and recommendations from the UA study.  I’ve also asked our immunization and maternal and child health teams to examine this new data and provide me with some intervention recommendations moving forward.

Medical Marijuana Continuing Medical Education

December 27th, 2012

We’ve been processing Medical Marijuana Registration Cards for about a year and a half now.  One of our primary goals from the start has been to try to build a true medical marijuana program.  One of the keys is setting clear expectations for clinical assessment and medical record review by physicians before they sign a medical marijuana certification.

From the beginning, we’ve been monitoring the types and numbers of certifications written by physicians.  Our Annual Report included an analysis of the kinds of certifications that have been coming in as well as the number of certifications by a physician.  In short- the Report made it clear that we needed some educational opportunities for all classes of physicians.  That day has come.  

We’ve collaborated with the U of A’s Mel and Enid Zuckerman College of Public Health to develop a 5-hour free online Certified Medical Education course regarding the physician’s role and expectations under AZ Medical Marijuana program. It’s available on our website at: www.azdhs.gov/medicalmarijuana/physicians/.  We also asked the 4 Medical Boards to promote the course.  Over time, we’re expecting this physician education to help us get better results when it comes to the certifications.

Healthier Eating is a SNAP

November 6th, 2012

Many of you have heard how I’d like to see the USDA’s food stamp program (now called the Supplemental Nutrition Assistance Program or SNAP) hard-wire better nutrition into the program by beginning to include nutritious food inventory criteria for SNAP vendors. To help make the case, we contracted with the ASU School of Nutrition & Health Promotion to write a White Paper that outlines  evidence-based strategies to improve the effectiveness and efficiency of SNAP including: 1) improving access to healthy foods to provide better choices; 2) incentivize purchase of healthy foods; restricting access to unhealthy foods; and 3) maximizing education to more effectively reach a larger population of SNAP participants. 

Our own Karen Sell and Punam Ohri-Vachaspati from ASU presented the PowerPoint at the top of our SNAP Reform webpage in San Francisco at the American Public Health Association Annual Meeting.  The PPT summarizes the White Paper called Policy Considerations for Improving the Supplemental Nutrition Assistance Program (SNAP): Making a case for Decreasing the Burden of Obesity which was also distributed at the conference.  We’re getting some traction!

Energize Our Borders

October 9th, 2012

I just got back from this year’s (30th annual) United States-Mexico Border Governor’s Conference in Albuquerque- called “Energize Our Borders”.  It was an opportunity to further strengthen the ties of friendship, security, and economic prosperity among the 10 states that comprise our United States-Mexico border region.  The Conference is made up of 7 worktables including Agriculture and Livestock; Competitiveness; Sustainable Development; Education; Logistics and International Crossings; Health and Emergency Management; and Border Security. 

As part of my job, I’m your delegate to the Health and Emergency Management Worktable. I worked with my counterpart and good friend, Dr. Bernardo Campillo, the Secretario de SaludPublica, for Sonora (along with delegates from the other 8 states) this week on action items for our 3 joint recommendations: 

  • Strengthen our relationship with the United States-Mexico Border Health Commission in order to better target the prevention of obesity among children and adolescents and to leverage their knowledge and experience in identifying best practices and promote them in the region.
  • Explore methods for program outreach and development related to reducing substance abuse through prevention and treatment programs and improving knowledge on healthy living; reducing vehicular childhood injuries; and highlighting opportunities to promote Medical Tourism.
  • Work with our federal authorities to establish a framework to support cross-border emergency mutual aid, and provide for the cooperation of states, counties and cities during emergencies and natural disasters.

We’ll execute the joint recommendations over the next year using specific action items.  For example: Arizona and Sonora have been focusing on reducing vehicular childhood injuries by exploring how we could use the Safe Kids model bi-nationally, since Safe Kids Mexico now exists and is actively looking at how to develop their state programs. Thursday I gave a presentation about how we use Safe Kids here in Arizona and perhaps how the work that Arizona and Sonora is doing could be used as a model for the other states along the border.

STAND

September 19th, 2012

Our chronic disease prevention team and the county health departments, community partners, and Pima Prevention Partnership, officially launched STAND last week.  It’s a coalition of local youth groups that have banded together in a common cause against tobacco use.  It’s the culmination of a three-year effort to engage more youth in the actual planning and implementation of tobacco control.  Through adult and youth trainings, an annual celebratory conference, and an increased online presence via STAND Facebook and www.Standaz.com, local coalitions retain their identities while maximizing their impact on a statewide basis. 

Trainings for adult coalition leaders, as well as youth coalition members, have been held regionally during both the fall and spring in Phoenix, Flagstaff and Tucson.  Adult coalition leaders learn how to effectively foster youth coalition development, assist the coalition members where needed and provide additional logistical support. Individual technical assistance is provided where needed to both youth and adults.  Trainings for the youth include education on advocacy, public speaking, social media and message development. A winter summit is in the works that will bring together youth to start planning for the end of the year youth tobacco coalition conference. 

Building on the momentum and outcomes of the highly-successful Venomocity campaign, this represents an expansion of our youth prevention efforts that now includes youth coalition activities, prevention outreach, point-of-sale efforts including the Attorney General’s sting operations, and the FDA program.  As the centralized hub of activity STAND will provide information and resources for youth and adult leaders.  Facebook and YouTube sites have also been created to tap into the social media opportunity that presents itself when working with youth. 

While overall use of tobacco among Arizona youth has mirrored the national trend of leveling off, Arizona has seen the single largest decrease in overall consumption (measured by teens who report smoking more than ten cigarettes per day).  This new launch of intensifying youth-to-youth involvement is the result of our robust formative research in figuring out the how’s and why’s of successful interventions.

Health Disparities

July 27th, 2012

Lots of risk factors contribute to health disparities…  and many of the risk factors are called “social determinants of health.” A couple of months ago we (with our community partners), launched the Social Determinants of Health educational series to boost professional development and program planning so Arizona’s public health team can better address health equity and improve health status for vulnerable populations in Arizona.   A wide range of speakers have presented and shared their knowledge and expertise. So far, nine sessions have been conducted, and three more sessions are on the way. Continuing education credits are available for all the sessions.  Two PBS documentary programs, Race: The Power of an Illusion and UNNATURAL CAUSES are being used to guide an open discussion about race and the impact of social determinants on health. 

Employees are encouraged to attend these dynamic and informative sessions for their professional development. Contact Hong Chartrand from the Arizona Health Disparities Center for more information.

SNAP Paper Goes National

June 12th, 2012

Many of you have heard how I’d like to see the food stamp program (now called the Supplemental Nutrition Assistance Program or SNAP) hard-wire better nutrition into the program by beginning to include nutritious food inventory criteria for SNAP vendors. To help make the case, we contracted with the ASU School of Nutrition & Health Promotion to write a White Paper outlining strategies to improve the effectiveness and efficiency of SNAP that are: improving access to healthy foods to provide better choices; incentivizing purchase of healthy foods; restricting access to unhealthy foods; and maximizing education to more effectively reach a larger population of SNAP participants. 

We got good news this week.  The Paper, called Policy Considerations for Improving the Supplemental Nutrition Assistance Program (SNAP): Making a case for Decreasing the Burden of Obesity was selected for Oral presentation during the 140th American Public Health Association Annual Meeting this October.  ASU’s abstract was selected from a large number of excellent submittals and was judged to be of high quality and interest.  We’re getting some traction!

First Lady Recognizes Empower

May 23rd, 2012

The First Lady’s Let’s Move! Child Care initiative recognized our Empower program for exceptional work to promote young children’s health and prevent childhood obesity in the early care and education setting last week.  We were selected for recognition for carrying out exceptional work to promote and implement the goals of Let’s Move! Child Care, including using creative strategies, engaging families in obesity prevention efforts, and overcoming challenges to get children moving and encourage healthy eating in the early care and education setting. We were one of three honorees selected for recognition in the State Honoree category.  

In a signed letter from the First Lady, Mrs. Obama thanked ADHS “for the work done each day to help our Nation’s children grow up healthier and able to pursue their dreams.”  For more information about the Empower program visit: http://www.azdhs.gov/empowerpack/

 

AZ Leads the Way to Reducing Teen Pregnancies

April 10th, 2012

Teen pregnancy is a key public health indicator because of the profound negative health outcomes related to a lack of education and economic opportunity.   For example, only about 50% of teen mothers receive a high school diploma versus approximately 90% of their peers.  The disadvantages caused by a teen pregnancy can last a lifetime- and even spill over to the next generation.  Teen pregnancy is expensive too- costing about $11B per year in increased health care, foster care, incarceration, and lost tax revenue.  That’s why we’ve made reducing teen pregnancy in AZ a key element in our strategic map. 

Today’s good news is that teen pregnancy made a historic drop over the last 3 years in AZ.  In fact, teen pregnancy dropped by almost 30% in AZ over the last 3 years- the steepest decline in the nation.  

How did we get here?  As is the case with most things in public health- our success is tied to a host of interventions and circumstances.  No doubt our community-based contracts under the Personal Responsibility Education Program is a factor along with our federal Abstinence Education contracts.  The study that was published today shows that teens are becoming more educated about how to effectively prevent teen pregnancies and are using that info.  Another factor is probably the economy.  There’s a well known link between lower pregnancy rates in general and challenging economic times. 

The bottom line is that the trend toward lower teen pregnancy rates in AZ and the US is encouraging- but we need to do even better by using tried and true evidence-based practices to keep up the pressure on this important health indicator. 

 

AZ Women’s Health Status Report

April 2nd, 2012

Our Bureau of Women’s and Children’s Health team released the Arizona Women’s Health Status Report recently. The report details how Arizona women are doing toward achieving optimal health and wellness. Topics covered in the report include physical activity, oral health, mental health, access to care and general wellness.

The good news is that 83% of Arizona women report having good to excellent health, but the report shows that 50% of women over 25 years old are overweight or obese. As is often the case in public health- women with lower incomes face bigger challenges with their health. The percentage of women who reported being physically active increased with education and income. Among women who had an annual income of less than $20K- 31% reported frequent mental distress, while only 6% of those with an annual income of $50K or more reported mental distress. 

The social determinants of health have been well-established in public health literature, and this report really brings home the connection between income and educational levels to health outcomes, in addition to race and ethnicity, among Arizonan women.