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ACPM Headlines 3/26/12
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In This Issue:

 

Top Stories

1. Circuit Court upholds graphic warning label requirement

2. USPSTF releases cervical cancer screening recommendations

3. ACPM and Careverge offers consumer engagement opportunity

ACPM News

4. ACPM to host pain medication use and abuse webinar: call for experts

5. Don’t miss this opportunity to participate in PM 2013 planning

6. Get your CME from AJPM: March/April editions

Policy and Practice

7. Guidelines focus on newly diagnosed HIV patients

8. Community Guide: Alcohol retail sales and adolescent health

9. CDC public education campaign aims to make tobacco history

10. Using Twitter to deliver health improvement messages

Research and Reports

11. New study shows mammograms benefit women in their 40s

12. Aspirin may counteract trans-fat related stroke risk in older women

13. Report: "Bending the Obesity Cost Curve”

14. Commonwealth Fund releases community health system indicators

Announcements

15. Lifestyle Medicine: Tools for Promoting Healthy Changes

16. Health IT exchange

17. Funding opportunity: tobacco regulation awareness

Top Stories

1. COURT UPHOLDS GRAPHIC WARNING LABEL REQUIREMENT

The U.S. Court of Appeals for the 6th Circuit upheld most provisions of the Family Smoking Prevention and Tobacco Control Act, the landmark law giving the U.S. Food and Drug Administration (FDA) the power to regulate tobacco products, including the requirement for large, graphic warnings on cigarette packs. This ruling marks the second time the FDA law has been broadly upheld and follows two recent rulings in U.S. District Court blocking implementation of the warning labels.

Importantly, the court majority found that the law’s requirement for large, graphic cigarette warning labels "are reasonably related to the government’s interest in preventing consumer deception and are therefore constitutional.” The court found that the warnings "do not impose any restriction on Plaintiff’s dissemination of speech, nor do they touch on Plaintiffs’ core speech. Instead, the labels serve as disclaimers to the public regarding the incontestable health consequences of using tobacco.”

ACPM has been a staunch proponent of the Family Smoking Prevention and Tobacco Control Act and will continue to work with public health partner organizations to counter industry attacks to the law.

To view of copy of the court ruling, visit http://1.usa.gov/FRmCLN.

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2. TASK FORCE RECOMMENDS CERVICAL CANCER SCREENING EVERY THREE YEARS FOR WOMEN 21-65

The U.S. Preventive Services Task Force (Task Force) has released a recommendation statement on cervical cancer screening, recommending women aged 21 to 65 be screened with cytology (commonly known as Pap smear) every three years. As an alternative, women aged 30 to 65 who want to be screened less frequently may choose the combination of cytology and human papillomavirus (HPV) testing every five years, which offers similar benefits to cytology-only. The Task Force graded this with an A (strongest) recommendation, based on a systematic review of the available evidence and consideration of public comments.

Also in the statement the Task Force recommends against screening women who have had a hysterectomy with removal of the cervix, women younger than 21, or women older than 65 who previously have been adequately screened. These are D recommendations (i.e., the evidence showed that the expected harms of screening these populations outweighed the potential benefits). The Task Force also recommends against cervical cancer screening using HPV testing in women younger than 30 (also a D recommendation).

These recommendations have been published online at the Annals of Internal Medicine, and on the Task Force Web site at http://bit.ly/cyDcWj.

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3. ACPM OFFERS CONSUMER ENGAGEMENT OPPORTUNITY

Did you visit the exhibit hall during last month’s Preventive Medicine 2012 conference? If so, we hope you stopped by Audax Health's Careverge™ booth to view this cutting-edge website aimed at health consumers, and for a chance to win an Amazon Kindle. Congratulations to the Kindle raffle winner, Dr. Edward Phillips!

The Careverge platform provides a national audience of health consumers with evidence-based information on disease prevention, health promotion, and healthy lifestyles. Consumers can share health experiences, play online games, and engage with healthcare stakeholders and medical professionals such as YOU!

It's not too late to sign up for Careverge as an ACPM-affiliated physician. Through a partnership with Audax, ACPM members can directly engage with health consumers who join the site. In addition to providing valuable evidence-based guidance and information, your participation as an ambassador of ACPM will build awareness of and value to the field of preventive medicine.

For more information, or if you missed your March 9thinvitation to join Careverge, contact David Dauphinais.

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ACPM News

4. ACPM TO HOST PAIN MEDICATION USE AND ABUSE WEBINAR: CALL FOR EXPERTS

ACPM has received an educational grant from Purdue Pharma to support a webinar on the growing public health problem of prescription drug abuse associated with pain management. ACPM will develop and deliver a national webinar to present healthcare providers with the knowledge, skills, and attributes needed to counsel patients about use, abuse, misuse and disposal of prescription pain medication within their daily practice. ACPM will convene an expert advisory panel to oversee development and planning of the webinar as well as provide potential faculty experts. If you are interested in being a speaker or part of the expert panel, please send your CV and contact information to Michele Surricchio at msurricchio@acpm.org by April 13, 2012.

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5. PREVENTIVE MEDICINE 2013 PLANNING UNDERWAY: NOW IS THE TIME TO ENGAGE!

ACPM is calling for volunteers for the Program Planning Committee for Preventive Medicine 2013 in Phoenix/Scottsdale, Arizona, February 20-23, 2013. Participating in ACPM's planning committee is a great way to engage with ACPM, advance the College's strategic plan, and help determine the shape of next year's premier event in preventive medicine. Participatingalso offers the opportunity to learnaboutthe topics and skills that are shaping the specialty.

If you are interested, please send an email to Haydee Barno at hbarno@acpm.org.

Come be a part of the exciting changes in store for 2013 and help create the conference you and your colleagues want to attend!

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6. AJPM CME-ELIGIBLE ARTICLES FOR MARCH AND APRIL

ACPM Members can earn one hour each of CME and MOC credit by reading selected online articles in AJPM each month. The March and April issues of AJPM feature the following articles for CME credit:

  • "Government and School Progress to Promote a Healthful Diet to American Children and Adolescents: A Comprehensive Review of the Available Evidence” (March 2012)
  • "Upstream Intervention in Practice: Health Impact Assessment of the Atlanta BeltLine” (March 2012)
  • "Public Health Interventions for Asthma: An Umbrella Review” (April 2012)
  • "Chlamydia Testing Patterns for Commercially Insured Women, 2008” (April 2012)

These and a whole library of other CME/MOC eligible articles can be accessed online at http://www.ajpmonline.org/cme/home.

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Policy and Practice

7. GUIDELINES FOCUS ON NEWLY DIAGNOSED HIV PATIENTS

Infectious diseases experts have issued guidelines calling on physicians to ensure that newly diagnosed HIV patients start treatment and adhere to life-long drug regimens. The recommendations were developed by a panel of 31 HIV experts on behalf of the International Association of Physicians in AIDS Care. The guidelines urge health professionals to monitor the entry of patients they diagnose with HIV into treatment programs. The guidelines are available online in the March 5 issue of Annals of Internal Medicine athttp://bit.ly/GENqQs.

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8. TASK FORCE ISSUES RECOMMENDATIONS ON ALCOHOL RETAIL SALES AND ADOLESCENT HEALTH

The Community Preventive Services Task Force (Task Force) recently issued findings on the Effects of Alcohol Retail Privatization on Excessive Alcohol Consumption and Related Harms. The Task Force recommends against the further privatization of alcohol sales in settings with current government control of retail sales. The finding is based on strong evidence that privatization results in increased per capita alcohol consumption, a well-established proxy for excessive consumption and related harms.

The Task Force also issued a recommendation in support of person-to-person interventions intended to modify adolescents’ risk and protective behaviors by improving their caregivers’ parenting skills. Such interventions could be conducted either face-to-face or by telephone and occur outside of clinical settings.

To view the Task Force statement on alcohol retail sales visit http://bit.ly/geEste.

To view the Task Force statement on adolescent health visit http://bit.ly/w9cK9C.

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9. CDC PUBLIC EDUCATION CAMPAIGN AIMS TO MAKE TOBACCO HISTORY

In an effort to help stem the national tobacco epidemic, the U.S. Centers for Disease Control and Prevention (CDC) has launched a new multi-channel advertising campaign, "Tips from Former Smokers.” The CDC is following evidence-based science by investing in one of the most important components of an effective comprehensive tobacco control program: a hard-hitting paid national tobacco education campaign that bolsters existing work being done at the state and local levels.

For more information on the campaign, please visit: http://www.cdc.gov/tobacco/campaign/tips/

To view the campaign videos click here: http://bit.ly/xpb1aH

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10. PUBLIC HEALTH AND TWITTER: COMING TOGETHER FOR HEALTH IMPROVEMENT

Do you practice public health? Do you use Twitter? I suspect many of you will answer yes to the first question. I doubt many of you will answer yes to the second. However, this is a gap that should be, if not already, closing, as Twitter and other forms of social media are becoming important tools for health improvement at both individual and population levels. Dubious? Read this physician’s blog from KevinMD.com.

Already a Twitter user? Follow ACPM at http://twitter.com/ACPM_HQ.

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Research and Reports

11. NEW STUDY SHOWS MAMMOGRAMS BENEFIT WOMEN IN THEIR FORTIES

While the U.S. Preventive Services Task Force does not recommend routine mammography screening for women in their 40s, a new study from the University of Washington School of Public Health found mammograms of women aged 40 to 49 led to earlier detection of breast cancer and better treatment outcomes.

The study, published in the March edition of Radiology, found that breast cancer detected by mammography was easier to treat and had less recurrence than in cancers first detected by the patient or doctor. The study also found that 4 percent of women whose cancer was detected by mammograms died, compared to 11 percent whose cancers were not.

A copy of the abstract is available here: http://bit.ly/xxRUHY

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12. ASPIRIN MAY COUNTERACT TRANS-FAT RELATED STROKE RISK IN OLDER WOMEN

According to a University of North Carolina at Chapel Hill Gillings School of Global Public Health study, women whose diets include a substantial amount of trans fats yet take aspirin were at lower risk of stroke when compared to their counterparts who were not on aspirin therapy. The study’s findings were contrary to at least two other large studies of ischemic stroke and suggest aspirin may lower the risk of ischemic stroke because of its anti-inflammatory and anti-platelet clumping properties.

The study, "Trans Fat Intake, Aspirin and Ischemic Stroke Among Postmenopausal Women," was published in the Annals of Neurology and can be accessed at http://bit.ly/GNiXf8.

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13. REPORT EXAMINES COST OF OBESITY

The Trust for America’s Health (TFAH) has released a new report, "Bending the Obesity Cost Curve,” which finds that reducing the average body mass index by just five percent in the United States could lead to more than $29 billion in health care savings in just five years, due to reduced obesity-related costs. The analysis found that the country could save $158.1 billion in 10 years and $611.7 billion in 20 years.

To view the TFAH report, visit http://bit.ly/AB3EC8.

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14. COMMONWEALTH FUND RELEASES COMMUNITY HEALTH SYSTEM SCORECARD

The Commonwealth Fund has released the first-ever "Scorecard on Local Health System Performance,” which provides U.S. communities with comparative data to assess the performance of their health care systems, establish priorities for improvement, and set achievement targets. It tracks 43 indicators spanning four dimensions of health system performance: access, prevention and treatment, costs and potentially avoidable hospital use, and health outcomes. The findings show clearly that where one lives matters for health care access and care experiences.

Major U.S. cities showed wide disparities in many key measures of health care, with San Francisco and Seattle ranking among the top 75 local areas in the country, while Houston and Miami ranked in the bottom 75. The report includes an interactive map that compares cities and communities across the United States.

Access the report here: http://ow.ly/9QDxs

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Announcements

15. LIFESTYLE MEDICINE: TOOLS FOR PROMOTING HEALTHY CHANGE

Sponsored by the Harvard Institute of Lifestyle Medicine, "Lifestyle Medicine: Tools For Promoting Healthy Change” is a practice workshop designed to change providers’ competence and performance-in-practice by increasing their knowledge of lifestyle medicine and helping them develop strategies to incorporate into patient care. Faculty from Harvard Medical School and guest faculty will address the needs of all members of the healthcare team, providing the basic science of nutrition, physical activity, and management skills for treating complex medical conditions and strategies to counsel patients to improve their overall lifestyle, including stress management, diet, and exercise. For information on the course and to register, visit http://ow.ly/9QEeH.

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16. HEALTH IT EXCHANGE

The HealthITxChangeis a free online community where health care and health IT professionals share best practices and lessons learned during EHR implementation. ACPM members can become exchange partners, engage in outreach and peer reviews, or possibly sit on an executive committee. Visit at: www.healthitxchange.org.

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17. NEW FUNDING OPPORTUNITY: TOBACCO AWARENESS

The goal of the Tobacco Regulation Awareness, Communication, and Education Program is to educate Americans about the risks of tobacco products. It seeks to increase capacity at the community level in the areas of health communication and education that address federal tobacco regulations and the public health goals of the Tobacco Control Act. The program will help increase knowledge and encourage long term behavior change, which will contribute to reductions in the morbidity and mortality associated with tobacco use in the U.S.

To learn more about the program,

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