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ACPM Headlines 1/25/13
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In this Issue

Top Stories

1. White House plan calls for $20 million to expand NVDRS

2. IOM report: Americans die sooner than peers in other countries

3. USPSTF issues final recommendation on intimate partner violence

ACPM News

4. ACPM Board elections now open!

5. ACPM signs letter to HUD urging expansion of smoke-free policy

6. Make a gift in the new year to your College!

7. ACPM recognizes Corporate Roundtable members

8. PM2013 registration deadline draws nearer

Policy and Practice

9. HHS posts new Medicaid and essential health benefits rule

10. USPSTF releases draft research plans/recommendations

11. Community Guide submits 2012 report to Congress

Research and Reports

12. CDC Vital Signs: binge drinking among women/adolescent girls

13. Fewer than half of Americans vaccinated against flu in 2010-2011

14. Food industry reduces spending on marketing to children

Announcements

15. AJPM announces winners of round 2 Childhood Obesity Challenge

16. Connecting Kids to Coverage Outreach and Enrollment Grants

Top Stories

1. WHITE HOUSE PLAN CALLS FOR $20 MILLION TO EXPAND VIOLENT DEATH REPORTING SYSTEM

In direct response to an ACPM–led advocacy campaign through the National Violence Prevention Network (NVPN), the White House plan to reduce gun-related violence calls for an increase of $20 million to the Centers for Disease Control and Prevention’s (CDC) National Violent Death Reporting (NVDRS) to help expand the public health research base for firearm use. Administered by the CDC’s National Center for Injury Prevention and Control, NVDRS is a state-based surveillance program that collects data on the how, when and why violent deaths occur.

Following announcement of Vice President Biden’s interagency task force to reduce gun-related violence, the NVPN, a coalition of roughly 40 national organizations chaired by ACPM, organized a sign-on letter to the administration and Congress calling for expansion of the NVDRS program. The letter noted that, "The surveillance data collected through NVDRS includes information on the type of firearm used when such weapons are found to have caused a violent death. This information can help us better understand how and when firearms are used and can expand the research base needed to identify the evidence gaps in gun violence prevention.”

Currently, NVDRS funding is $3.5 million, which allows just 18 states to participate in the program. CDC has estimated that nearly $25 million is needed for national implementation.

To view the White House gun violence-prevention proposal, visit http://1.usa.gov/SKJIuz.

2. AMERICANS’ HEALTH STATUS LAGS THAT OF PEERS IN OTHER COUNTRIES

Americans die sooner and have higher rates on disease and injury than citizens of many other high-income countries, according to a new Institute of Medicine (IOM) report. Chaired by ACPM Fellow Steve Woolf, MD, MPH, the IOM panel that wrote the report touted it as the first comprehensive review comparing the U.S. with peer nations of multiple diseases, injuries, and behaviors across the life span.

"I personally was stunned by what the disadvantage was across so many topic areas,” Dr. Woolf said. This suggests "something fundamentally is going wrong.”

The report found Americans are more likely to engage in certain unhealthy behaviors, including poor dietary patterns and behaviors that increase the risk of fatal injuries. The authors warned that the findings suggest that the U.S. health system, already the most expensive in the world, is on track to becoming even more expensive. While the report lacked specific recommendations for lawmakers, Dr. Woolf emphasized that Congress needs to be aware that the findings will affect the nation’s economic performance, from both a cost perspective and workforce productivity perspective.

3. USPSTF ISSUES FINAL RECOMMENDATIONS ON INTIMATE PARTNER VIOLENCE AND ELDER ABUSE

The U.S. Preventive Services Task Force (USPSTF) has issued a final statement recommending that clinicians screen all women of childbearing age (14 to 46 years) for intimate partner violence, or domestic violence, and provide or refer women who screen positive to intervention services ("B” recommendation). The Task Force also issued a final statement for screening older and vulnerable adults for abuse or neglect, finding that there is not enough evidence on the benefits and harms of screening to make a recommendation ("I” recommendation).

In 2004, IPV and elder abuse received "I” recommendations as there was insufficient evidence to make a recommendation about screening women for IPV or elderly adults to prevent abuse or neglect.

The final recommendation statement reflects new evidence that screening tools and interventions are available to effectively reduce abuse for women in their reproductive years; however, there is still inadequate evidence on the accuracy of screening instruments to detect abuse in the elderly or vulnerable adult populations.

ACPM News

4. ACPM BOARD ELECTIONS NOW OPEN

Each year, ACPM holds elections for positions on its Board of Regents. These elections are critical to shaping the future direction of the College. Current ACPM members (with the exception of student, resident and emeritus categories) are eligible to vote in this year’s Board of Regents election. The election ballot is now open!

To view biosketches for each candidate, visit our election webpage. Once you have reviewed candidate bios, and made your selections, please proceed to cast your ballot. An email has been sent to each member eligible to vote. The message includes a unique web link to cast your ballot. You must access the ballot using this link.

Thank you to those who have already voted. Reminders with the unique web link will be sent again on Monday, January 28. Your participation in this process of selecting leaders for the College is strongly encouraged and appreciated.

5. ACPM SIGNS LETTER TO HUD URGING EXPANSION OF SMOKE FREE POLICY

ACPM joined partner organizations in medicine and public health on a sign-on letter to Housing and Urban Development (HUD) Secretary Shaun Donovan to encourage broader adoption of smoke free policies in federally assisted, multi-family housing units. HUD has sought public input on efforts to implement smoke free policies in housing units that benefit from federal support.

The letter notes that, "While our organizations believe the health and other benefits of making all HUD-assisted multi-family housing smokefree are overwhelming, it is likely HUD will receive some comments against smokefree housing…One argument that may be raised is that a smokefree policy infringes on a legal activity or a person’s right to smoke. While smoking may be a legal activity, there is no right to smoke. Many jurisdictions in the United States have placed restrictions on where smoking is permitted to protect the health of nonsmokers, and these restrictions have been almost universally upheld in courts.”

ACPM will continue working with its partner organizations to advance smoke-free policies that protect the public from primary and second-hand smoke.

6. MAKE A GIFT IN THE NEW YEAR TO YOUR COLLEGE

ACPM is grateful for the generosity of the individual donors who made a gift to the College in 2012 and encourage members who haven’t made a gift in 2013 to do so today! Your support is critical to advancing the practice, research and teaching of preventive medicine. Simply go to www.acpm.org/donations to make your gift today! Your contribution is 100% tax deductible and helps support your profession in long lasting and meaningful ways.

To learn more about how you may support the ACPM with a one-time philanthropic gift, or to explore planned giving options, please contact ACPM’s Chief Development Officer, Maureen Simmons, MA, CFRE, at msimmons@acpm.org or (505) 220-0605.

7. SPECIAL THANKS TO ACPM'S CORPORATE ROUNDTABLE MEMBERS! 

ACPM would like to recognize its private-sector partners and members of the ACPM Corporate Roundtable who support the work of the College and its mission to improve the health of individuals and populations through evidence-based health promotion, disease prevention, and systems-based approaches to improving health and health care.

We would like to extend special recognition to our Gold Charter members, AstraZeneca and Purdue Pharma, LP, our Silver Charter members, EHE International, Eli Lilly & Company, NuVal, LLC, and PhRMA, and our Bronze Charter members, Bayer HealthCare, Gilead Sciences and Pfizer. ACPM also greatly appreciates the backing of our Supporter members, Pharmavite, LLC, Ardmore Institute of Health, MedImmune, Stayhealthy, and our newest members, RediClinic and UnitedHealth Group.

To learn more about the ACPM Corporate Roundtable and ways your organization can become a supporter, please contact ACPM’s Chief Development Officer, Maureen Simmons, MA, CFRE, at msimmons@acpm.org or (505)220-0605.

8. PREVENTIVE MEDICINE 2013 – LAST CHANCE TO REGISTER AND SAVE

The countdown to PM2013 in Phoenix-Scottsdale has begun! Don’t forget to register now at the regular registration rate and save $50 until February 10, 2013. Once you have registered for the meeting, please be sure to immediately secure hotel accommodations. Space is filling quickly! This is one meeting you can’t afford to miss!

Policy and Practice

9. HHS POSTS NEW MEDICAID AND ESSENTIAL HEALTH BENEFITS RULE

The Centers for Medicare and Medicaid Services (CMS) has released its "Proposed Rule for Strengthening Medicaid, the Children’s Health Insurance Program, and the New Health Insurance Marketplace.” The rule proposes the structure and coordination options for states to determine consumer eligibility for Medicaid, Children’s Health Insurance Program (CHIP), and the health insurance Exchanges (also known as "marketplaces”) prescribed under the Affordable Care Act. The proposed rule provides flexibility for states to implement their own appeals processes for enrollees, modifies "benchmark” regulations for Medicaid programs, and creates standards for certification that will ensure appropriate training for application counselors who will assist consumers in applying for and maintaining health care coverage.

For additional information, please view the brief CMS factsheet.

10. USPSTF RELEASES DRAFT RECOMMENDATION STATEMENT AND RESEARCH PLANS

The U.S. Preventive Services Task Force (USPSFT) has posted a draft recommendation statement and two draft research plans for public comment.

The Task Force has issued a draft recommendation statement for primary care interventions to prevent child maltreatment, concluding that the current evidence is insufficient to recommend primary care interventions aimed at preventing maltreatment of children who do not have signs or symptoms of abuse and neglect ("I” recommendation). This draft statement applies to children from birth to 18 years, and is available for public comment through February 18.

In addition, the Task Force has released a draft research plan for screening for asymptomatic carotid artery stenosis and a draft research plan for interventions to reduce the nonmedical use of drugs in children and adolescent. Both draft research plans are now available for comment through February 11, 2013.

To comment on these research plans and draft recommendation statement, visit http://www.uspreventiveservicestaskforce.org/.

11. COMMUNITY GUIDE ISSUES 2012 REPORT TO CONGRESS

The Community Preventive Services Task Force has updated and issued findings and recommendations for community-based health prevention programs, services, and policies in its 2012 Annual Report to Congress. The Task Force uses a systematic review process to develop evidence based recommendations. The following were identified as the "highest” priority topics for the 2012-2013 review:

  • Cardiovascular Disease Prevention and Control
  • Obesity Prevention and Control
  • Promoting Good Nutrition
  • Worksite Health Promotion
  • Addressing Disparities in Health Status (Health Equity)
  • Promoting Physical Activity
  • Reducing Tobacco Use and Secondhand Smoke Exposure
  • Improving Oral Health
  • Cancer Prevention and Control--Preventing Skin Cancer; and Increasing Appropriate Breast, Cervical, and Colorectal Cancer Screening

Visit the Community Guide website for more task force findings and recommendations.


Research and Reports

12. CDC VITAL SIGNS: BINGE DRINKING AMONG WOMEN/ADOLESCENT GIRLS

The January 2013 issue of the Centers for Disease Control and Prevention (CDC) Vital Signs features binge drinking as a women’s health problem. According to the CDC, 1 in 8 women aged 18 and older as well as 1 in 5 high school girls binge drink or consume four or more alcoholic drinks on a single occasion. High risk groups include high school girls and young women (aged 18-34), Whites and Hispanics, and women living in households with incomes above $75,000.

Further information about who is at risk, what can be done, and the science behind this issue can be found on the CDC Vital Signs page.

13. FEWER THAN HALF OF AMERICANS VACCINATED AGAINST FLU IN 2010-2011

Fewer than half of Americans 6 months and older were vaccinated against the flu in the last two flu seasons, according to Trust for America's Health’s (TFAH) new review of flu vaccination trends and policies. Among TFAH’s recommendations: educating the public, especially at-risk groups, front-line workers, and clinicians, about the seriousness of the flu, need to be vaccinated and the safety of the vaccine; covering flu vaccines under public and private insurance without cost-sharing; investing in research for a universal flu vaccine to replace the annual shot; and sustaining investments, including through the Prevention and Public Health Fund, for immunization programs and to expand vaccination capacity in schools.

14. SPENDING DECLINES ON FOOD MARKETING TO CHILDREN

Total spending by food companies on marketing to children was down 19.5 percent in 2009 from 2006, according to the results of a Federal Trade Commission (FTC) comprehensive study of food and beverage industry marketing expenditures and activities directed to children and teens. The study found that most of that decrease comes from less spending on television ads to youth.

At the same time, food companies stepped up their spending by 50 percent to market to children and teens using online, mobile, and viral marketing strategies. Overall, food companies allocated $1.79 billion on marketing to youth ages 2-17 in 2009.

A Review of Food Marketing to Children and Adolescents: Follow-Up Report gauges the progress industry has made since first launching self-regulatory efforts to promote healthier food choices to kids. It serves as a follow-up to the Commission’s 2008 report on food marketing requested by Congress. Additional information and key findings about the nutritional quality of foods within the product categories most heavily marketed to children or teens is contained in the report.

Announcements

15. AJPM ANNOUNCES WINNERS OF CHILDHOOD OBESITY CHALLENGE, ROUND 2

The American Journal of Preventive Medicine (AJPM) has announced the winner of Round 2 of the Childhood Obesity Challenge: "Healthy Kids Out of School," led by Peter R. Dolan and Christina D. Economos of ChildObesity180. AJPM will feature "Healthy Kids Out of School" in an upcoming issue, and will award them the first-place prize of $2,500.

The Childhood Obesity Challenge, conducted in partnership with the Robert Wood Johnson Foundation, is an online competition for innovators of all backgrounds to submit promising solutions to the nationwide epidemic of childhood obesity. The third and final round of the competition will be open for submissions beginning FEBRUARY 19, 2013. Individuals and teams interested in participating in the upcoming competition are encouraged to consult the Challenge website for more details.

16. CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT GRANTS

The Centers for Medicare and Medicaid Services (CMS) is soliciting proposals for the "Connecting Kids to Coverage Outreach and Enrollment Grants.” These grants are available to states, local governments, Indian health care providers, tribal entities, community-based, and non-profit organizations to assist in efforts to find and enroll eligible children in Medicaid and the Children’s Health Insurance Program (CHIP).

Approximately $32 million is available through the Affordable Care Act to assist organizations with successful proposals, ranging in size from $250,000 to $1 million for a two-year period. Proposals are due February 21 and will support activities such as engaging schools in outreach, bridging health coverage disparities, designing targeted enrollment strategies, insurance application assistance programs, and community training programs.

For more information, please review the full grant announcement.


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