American College of Preventive Medicine
revention Practice Committee Report
February 2004

Chair: David Katz, MD, MPH, FACPM                                          Staff: Jennifer Bretsch

Since its report to the Board in November 2003, the Prevention Practice Committee (PPC) has focused on: (1) developing four position statements, (2) finalizing one position statement, and (3) developing several practice, public policy, and patient education statements. Current activities in these areas are outlined below.

Position Statements

In 2003 the PPC identified four priority topics and a writing team to develop a statement on each topic. They are as follows:

  • Counseling Children/Adolescents about Obesity (Rachel Rodin, Jim Guillory, Miriam Alexander)

  • Obesity and the Prevention of Diabetes (Suchita Lorick, Clyde Schechter, Miriam Alexander)

  • HRT/ERT (Rich Dressler, Steve Teutsch, Miriam Alexander)

  • Physical Activity (Dawn Jacobson, Mike Compton, Lorrie Strohecker)

Each of the writing teams consists of a preventive medicine resident, an advisor at the residency program, and a PPC member with expertise related to the topic and content of the position statement. Since November, the writing teams have been researching the literature, putting together a content outline, and drafting a paper for review by the PPC.

In mid-November the Board of Regents adopted the position statement, “Optimizing Vaccine Availability and Utilization” (retitled since 11/03) and it will be published in the May issue of the American Journal of Preventive Medicine.

Practice Policy and Patient Education Statements

Since November, progress has been made on two statements being drafted on asthma prevention measures in children. The first statement is a practice policy statement tentatively titled "Asthma Prevention Measures in Children." The statement is intended to provide physicians and other providers with guidelines and recommendations for optimal asthma education and management in children, with an emphasis on effective prevention measures. The paper will assess the effectiveness of different prevention strategies based on recent and ongoing clinical trials worldwide.

The second statement is a patient education statement and will include: a consumer-oriented explanation of asthma, a summary of effective preventive measures, recommended guidelines for clinical management, and the expected goals of treatment. The statement will not be a complete self-management reference, but rather will serve as a useful guide for parents and families in achieving optimal clinical and preventive asthma care for children. This will be developed following the completion of the practice policy statement.

In the fall the authors of the patient education statement on Type 2 Diabetes revised the statement based on comments from members of the Prevention Practice Committee.  In December, the paper was again circulated to the PPC for comments.

Statements in Development

The following outlines all position statements, practice and public policy statements, and patient education statements currently in the pipeline. 

Topic                                                                                      Author
Position Statements
Counseling Children/Adolescents about Obesity                                PPC
Obesity and the Prevention of Diabetes                                          PPC
HRT/ERT                                                                                   PPC
Physical Activity                                                                         PPC

Practice Policies
Asthma Prevention Measures in Children                                        Novotny, Nunez, Kennedy
Screening for Hepatitis C                                                            Hill, Henry, Schweikert
Counseling Children/Adolescents for Osteoporosis Prevention             Fleming, Almeida, Patrick
Varicella Vaccination                                                                  Nawaz

Public Policies
Adolescent Sexuality Education in Schools                                     Masui

Patient Education Statements

Asthma Education                                                                     Novotny, Nunez, Kennedy
Type 2 Diabetes                                                                       Benoit, Zisook