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ACPM Headlines 8/7/15
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August 7, 2015

In this Issue

Top Stories

1. Healthy Aging Summit a huge success

2. 2015 annual fund campaign: delivering on the power of prevention

3. FDA calls for inclusion of added sugars on nutrition fact panel

ACPM News

4. ACPM leads sign-on letter thanking AMA for defending Prevention Fund

5. ACPM Corporate Roundtable members meet at Healthy Aging Summit

6. Recent resident graduate? Join ACPM’s Young Physician Section

7. Interested in health systems transformation? Join ACPM’s HST listserv

Policy and Practice

8. The Clean Water Rule: Clearing up Confusion to Protect Public Health

9. California becomes third state to narrow exceptions to vaccination mandates

10. From the USPSTF: depression, autism, and visual acuity screening

11. Preventing adverse drug events: using health literacy strategies in diabetes care

Research and Reports

12. High soda intake may boost diabetes risk, even without obesity

13. Exercise during teen years linked to lowered risk of cancer death later

14. Absent change, CDC projects increases in drug-resistant infections and C. difficile

Announcements

15. Partnership for Prevention joins forces with Altarum

16. CMS seeks experts for population health Technical Expert Panels

17. Free webinar: calcium supplements and CVD

18. Members in the news: Robert Orford


Top Stories

1. HEALTHY AGING SUMMIT A HUGE SUCCESS

More than 500 people, including over 30 ACPM members, packed the ballroom, hallways, and meeting breakout rooms at the Omni Shoreham in Washington, DC last week to join leading experts in prevention, health care, and aging at the first national Healthy Aging Summit co-hosted by ACPM and the federal Office of Disease Prevention and Health Promotion (ODPHP), U.S. Department of Health and Human Services (HHS). Using a social determinants of health lens, the summit provided a blend of science, policy, and practice to focus on prevention in healthy aging and the upstream factors that contribute to living longer, healthier lives.

Karen B. DeSalvo, MD, MPH, MSc, Acting Assistant Secretary for Health, HHS, and Colin Milner, CEO, International Council on Active Aging, headlined a dynamic keynote session on the first day. Other plenary speakers included Marie A. Bernard, MD, National Institute on Aging; Kathy Greenlee, JD, Administration for Community Living; Jewel Mullen, MD, MPH, MPA, Association for State and Territorial Health Officials; David Reuben, MD, University of California, Los Angeles; Josh Collett, AARP; Susan Dentzer, Robert Wood Johnson Foundation; James Kirkland, MD, PhD, Mayo Clinic; Brian Kennedy, PhD, Buck Institute; and Felipe Sierra, PhD, National Institute on Aging. ACPM was expertly represented by Past President Hugh Tilson, MD, DrPH, FACPM, who served on the summit steering committee and moderated panels on multiple chronic diseases and mental health. Thank you, and kudos Dr. Tilson!

ACPM and ODPHP are just beginning to review conference evaluations, but the early returns are quite positive. Participants raved about "the breadth of the agenda, the depth of the examinations, and the focus on action.” To increase the summit’s impact on policy, education, and programming, the Association of State and Territorial Health Officials convened a follow-up meeting of state health officials the next day to translate what was learned at the summit into action that States can take now.


2
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2015 ANNUAL FUND CAMPAIGN: DELIVERING ON THE POWER OF PREVENTION

Last month ACPM launched the 2015 Annual Fund Campaign, "Delivering on the Power of Prevention.” The campaign highlights ACPM’s commitment to pursue initiatives anddevelop programs to support our members and that positively impact the field of preventive medicine. The campaign gives members an opportunity to demonstrate their commitment to preventive medicine and ACPM with a tax-deductible donation. Learn more about the campaign, or donate online today!


3
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FDA CALLS FOR INCLUSION OF ADDED SUGARS ON NUTRITION FACTS LABEL

In response to growing scientific evidence regarding the risks of added sugars in the diet and increased pressure from public health organizations including ACPM, the Food and Drug Administration (FDA) has announced that the proposed revision of the Nutrition Fact panel should include a percent daily value for added sugars. The percent daily value would be based on the recommendation that the daily intake of calories from added sugars not exceed 10 percent of total calories.

Also, the FDA is proposing to change the current footnote on the Nutrition Facts label to help consumers understand the percent daily value concept. The proposed statement on the label would be shorter than the current footnote to allow for more space on the label, stating, "The percent daily value (%DV) tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.”

FDA is seeking public comment on its proposal through October 13, 2015.


ACPM News

4. ACPM LEADS SIGN-ON LETTER THANKING AMA FOR DEFENDING PREVENTION FUND

ACPM led a group of partner organizations in medicine and public health on a sign-on letter to the AMA congratulating the organization for its opposition to tapping the Prevention and Public Health Fund to pay for legislation that sought to repeal the Independent Payment Advisory Board (IPAB). Repeal of IPAB is a priority for the AMA and numerous organizations in organized medicine, which are concerned about an independent body controlling Medicare costs outside the congressional process. The AMA opposed a bill introduced in the House (H.R. 1190) that would have tapped the fund to pay for the costs of IPAB repeal.

The letter notes that, "The Prevention Fund provides opportunities to integrate medicine and public health to create supportive environments for patients to act on the recommendations from their health care providers. States, communities, and tribal organizations have relied on the Prevention Fund for the resources required to implement population-based programs that prevent diabetes, lung disease, heart disease and stroke, among others. Through our collective support, the Prevention Fund can continue to support programs that improve our nation’s health and enhance the quality of care delivered to patients.”

5. ACPM CORPORATE ROUNDTABLE MEMBERS MEET AT 2015 HEALTHY AGING SUMMIT


Metagenics CEO John Troup (middle) with ACPM senior staff
Dani Pere (left) and Mike Barry (right).

ACPM hosted an informal meeting of its Corporate Roundtable on Monday, July 27 at the 2015 Healthy Aging Summit. Dani Pere, Associate Executive Director, Programs and Operations, moderated the meeting that included member attendees, AstraZeneca, UnitedHealth Group, Metagenics, and others. Michael Barry, CAE, ACPM Executive Director, discussed current legislative issues taking place in preventive medicine as well as program updates on ACPM initiatives such the Lifestyle Medicine Curriculum Symposium taking place in Baltimore this month, upcoming launch of the curriculum on ACPM’s e-portal (www.acpm.org), the CDC cooperative agreement, and weight management certification program.

The ACPM Corporate Roundtable will meet again at ACPM headquarters in Washington, DC in October. If you have questions regarding the ACPM Corporate Roundtable, please contact Maureen Simmons, MA, CFRE, Chief Development Officer, at msimmons@acpm.org.


6.
RECENT RESIDENT GRADUATE? JOIN ACPM’S YOUNG PHYSICIAN SECTION

ACPM’s Young Physician Section (YPS) has been a hotbed of activity, and the YPS Governing Council is looking for more ACPM members to join in on the excitement. YPS is open to all ACPM early-career members who are within 8 years of completing their residency. The section holds monthly teleconference meetings at 8:30 pm ET the first Tuesday of every month.

Learn more about YPS and its initiatives at http://www.acpm.org/?page=Young_Physician. Login to www.acpm.org and edit your bio to say yes when it asks you if you would like to be a member of the Young Physician Section. Feel free to contact any of the YPS officers with questions at acpmyps@gmail.com.


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INTERESTED IN HEALTH SYSTEMS TRANSFORMATION? JOIN ACPM’S HST LISTSERV

ACPM has created a listserv to engage members interested in health systems transformation (HST), the role of preventive medicine in the Affordable Care Act rollout, and ACPM’s activities to facilitate the integration of primary care and public health. The activities span a wide variety of topics, including financing and delivery reform, quality of care, and preventive medicine leadership in health systems transformation, among others.

Join the listserv by emailing the group administrator, where you will get to interact and network with other professionals, access ACPM’s HST monthly newsletter, and find opportunities for professional development. Click here to learn more about ACPM’s role in health systems transformation.


Policy and Practice

8. THE CLEAN WATER RULE: CLEARING UP CONFUSION TO PROTECT PUBLIC HEALTH

Trust for America's Health (TFAH) has releaseda new issue brief,The Clean Water Rule: Clearing Up Confusion to Protect Public Health. The brief outlines why the rule was necessary, how it will improve and protect Americans' health, and the status of the rule moving forward. Public health advocates are encouraged to learn more about the health benefits of the rule and take appropriate action to support the Environmental Protection Agency (EPA) and other agencies in its full and timely implementation.


9.
CALIFORNIA BECOMES THIRD STATE TO NARROW EXCEPTIONS TO VACCINATION MANDATES

An opinion piece in the New England Journal of Medicine touts state action to narrow exceptions to vaccination mandates and highlights the recent action in California, which has joined West Virginia and Mississippi in taking similar action. The opinion piece states: "It's not often that California, West Virginia, and Mississippi are politically aligned, but that unlikely trio formed on June 25, 2015, when California Governor Jerry Brown signed into law Senate Bill (SB) 277, substantially narrowing exceptions to school-entry vaccination mandates. With that law, California becomes the third state to disallow exemptions based on both religious and philosophical beliefs; only medical exemptions remain. The move represents a stunning victory for public health that affects not only California schoolchildren but also the prospects for strengthening vaccination requirements nationwide.”


10.
FROM THE USPSTF: DEPRESSION, AUTISM AND VISUAL ACUITY SCREENING

Depression: The United States Preventive Services Task Force (USPSTF) has released a draft recommendation statement calling for screening for depression in the general adult population, including pregnant and post-partum women. But the screening should be "implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow up,” according to the statement. USPSTF has given this recommendation a B grade, which means there is high certainty that the net benefit is moderate. The draft recommendation and review of evidence for depression screening are currently open for public comment. The deadline for submitting comments is August 24, 2015, 8:00 PM EDT.

Autism: USPSTF has released a draft recommendation statement concluding that currently there is insufficient evidence (‘I’ grade) to assess the balance of benefits and harms for screening for Autism Spectrum Disorder (ASD) among young children who show no symptoms or whose parents or healthcare providers show no concerns. The draft recommendation and review of evidence are open for public comment until August 31, 2015, 8:00 PM EDT.

Visual Acuity: USPSTF has released a draft recommendation statement concluding that there is insufficient evidence (‘I’ grade) to assess the balance of benefits and harms for screening of visual acuity or impairment among older adults. The draft recommendation and review of evidence are open for public comments until August 17, 2015, 8:00 PM EDT.


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PREVENTING ADVERSE DRUG EVENTS: USING HEALTH LITERACY STRATEGIES IN DIABETES CARE

Last year, the U.S. Department of Health and Human Services (HHS) released the National Action Plan for Adverse Drug Event Prevention (ADE Action Plan), which targets diabetes agents as a significant contributor to ADEs and advocates for the use of patient-centered communication strategies to prevent hypoglycemia among patients with diabetes. HHS now offers an interactive eLearning course that teaches health care providers how to reduce hypoglycemic adverse drug events (ADEs) in patients with diabetes.

The course, "Preventing Adverse Drug Events: Individualizing Glycemic Targets Using Health Literacy Strategies,” teaches health care providers how to:

  • Apply health literacy strategies to provide personalized care for patients with diabetes
  • Help patients with diabetes understand and act on information to prevent hypoglycemia
  • Use current, evidence-based guidelines for individualizing glycemic target goals
  • Adopt patient-centered communication strategies (teach back and shared decision making) in the health care setting

To launch the continuing education (CME, CNE, CEU, and CPE) course, visit: http://health.gov/hcq/training.asp#prevent_ades


Research and Reports

12. HIGH SODA INTAKE MAY BOOST DIABETES RISK, EVEN WITHOUT OBESITY

Everyday consumption of sugar-sweetened beverages may increase a person’s likelihood to develop type-2 diabetes, even without taking a person’s weight into account, according to a recent study published in the BMJ July 21, 2015. The study, a systematic review and meta-analysis of 17 observational studies and over 38,200 subjects, found that sugar-sweetened beverages may have led to 2 million additional Type-2 diabetes cases in the United States between 2010 and 2020.

One theory for this association offered by study authors is that high consumption of sugar can cause a spike in blood sugar, which overtime can increase insulin resistance even in people who are of normal weight. One in five people with type-2 diabetes has a healthy weight.


13
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EXERCISE DURING TEEN YEARS LINKED TO LOWERED RISK OF CANCER DEATH LATER

According to a recent study in Cancer, Epidemiology and Biomarkers Prevention, women who exercised as teens, regardless of whether they exercised as adults, had a 16% lower risk of cancer and 13% lower risk of dying from all causes compared to those who did not exercise as teens. Researchers chose 74,941 women between the ages of 40 and 70through the Shanghai Women’s Health Study, examined the women’s general lifestyle habits as adults and adolescents, and asked additional questions on socioeconomic factors. It was a prospective cohort study and the women were followed for 13 years.

Additionally, for women in the study who exercised during teen and adult years, the risk of dying from all causes was 20% lower compared to women in the study who did not exercise at all.


14
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ABSENT CHANGE, CDC PROJECTS INCREASES IN DRUG-RESISTANT INFECTIONS AND C. DIFFICILE

Using mathematical modeling the CDC is projecting increases in drug-resistant infections and Clostridium difficile (C. difficile) without immediate, nationwide improvements in infection control and antibiotic prescribing, according to the latest CDC Vital Signs.

The promising news is that CDC modeling estimates that health care facilities and health departments working together in a coordinated approach could prevent up to 70 percent of life-threatening carbapenem-resistant Enterobacteriaceae (CRE) infections over five years.Additional estimates show that national infection control and antibiotic stewardship efforts led by federal agencies, health care facilities, and public health departments could prevent 619,000 antibiotic-resistant and C. difficile infections and save 37,000 lives over five years.

Antibiotic-resistant germs cause more than 2 million illnesses and at least 23,000 deaths each year in the United States. C. difficile caused close to half a million illnesses in 2011, and an estimated 15,000 deaths a year are directly attributable to C. difficile infections.


Announcements

15. PARTNERSHIP FOR PREVENTION JOINS FORCES WITH ALTARUM

Altarum Institute and Partnership for Prevention have announced that they have joined forces to advance national health promotion and disease prevention goals. Through this alliance, Partnership's health initiatives—including The Council on Aspirin for Prevention and Health, ActionToQuit (a tobacco cessation-related initiative), and the National Coalition for Sexual Health—will become part of a new Center for Prevention at Altarum. The strategic alliance is now in effect and Partnership staff are part of Altarum's Center for Prevention.

The creation of Altarum's Center for Prevention gives Partnership’s programs access to Altarum's advanced capabilities in research, policy, and economic analysis; program management and evaluation; social media and strategic communications; Web design and digital services; and public health promotion and advocacy.

In the announcement Partnership's Board of Directors chairman and ACPM member Eduardo Sanchez, MD, said "Partnership's alliance with Altarum concludes a long search to find the perfect partner to carry on Partnership's legacy of advancing evidence-based health promotion policies and practices. We could not be more excited that Partnership's programs will continue and prosper in Altarum's Center for Prevention."


16.
CMS SEEKS EXPERTS FOR POPULATION HEALTH TECHNICAL EXPERT PANELS

The Centers for Medicare & Medicaid Services (CMS) is seeking nominees for its Technical Expert Panels to guide the development of outcome measures to assess tobacco use, obesity, and disparities, as well as a multi-sector collaboration to improve community health. The deadline for nominations is August 14. For additional information and to apply, click here.


17.
FREE WEBINAR: CALCIUM SUPPLEMENTS AND CVD

The National Osteoporosis Foundation (NOF) is hosting a free webinar, "Calcium Supplementation: Does Protecting Against Fracture Risk Increase the Risk of Cardiovascular Diseases?,” Monday, August 17th, at 1:00 pm Eastern Time.

Recently, calcium supplementation has been linked to both increased and decreased cardiovascular disease risk creating considerable uncertainty about the effectiveness of calcium supplements to reduce risk of fracture. This webinar will examine the evidence for calcium supplementation and its effect on fracture risk reduction and the potential increase in coronary heart disease and mortality.


18.
ACPM MEMBERS IN THE NEWS: ROBERT ORFORD

ACPM Fellow, Robert Orford, MD, MPH, MS, FACPM, was elected to the Board of the International Commission on Occupational Health (ICOH) during the recent ICOH meeting in Seoul, Korea, for a three-year term from 2015 to 2018. ACPM congratulates Dr. Orford on this achievement!


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