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ACPM Headlines 11/14/11
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In This Issue:


Top Stories

1. CMS releases final decision memo on intensive behavioral therapy for CVD visit

2. Leading Health Indicators announced for 2020

3. USPSTF issues draft recommendation on behavioral counseling to prevent skin cancer

ACPM News

4. Perspectives in Prevention: Dietary Supplements and the Clinical Encounter

5. From AJPM: CME articles online

6. ACPM executive director interviewed for story on lifestyle medicine

7. What’s your specialty?

8. Paying your membership dues online is easy!

9. ACPM attends FDA stakeholders conference

 

Policy and Practice

10. Judge blocks FDA from implementing new graphic cigarette warning labels

11. ACPM signs letter urging full funding for HRSA Health Professions funding

12. President issues executive order on prescription drug shortages

 

Research and Reports

13. The Community Guide issues first report to Congress

14. Prescription drug overdoses skyrocket

15. Report: "Healthier Americans for a Healthier Economy”

 

Announcements

16. Public comments sought on strategies to address pollution

17. Members in the News – Doug Kamerow


Top Stories

1. CMS ANNOUNCES COVERAGE OF INTENSIVE BEHAVIORAL COUNSELING FOR CVD

The Centers for Medicare and Medicaid Services (CMS) has released the final decision memo announcing Medicare recipients will be able to get an annual face-to-face visit each year specifically focused on the best way to prevent cardiovascular disease. The annual visit must be provided by primary care practitioners, such as a family practice physician, internal medicine physician, or nurse practitioner. This new coverage policy will allow providers to screen their patients for hypertension, promote a healthy diet, and counsel about aspirin use as part of an overall initiative to reduce the burden of cardiovascular disease in the United States.

To view the new coverage policy for intensive behavioral counseling, visit http://go.cms.gov/s8Owd7.

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2. PRIORITIES FOR HEALTH: LEADING HEALTH INDICATORS ANNOUNCED FOR 2020

The Assistant Secretary for Health and public health officials unveiled the Leading Health Indicators (LHIs) for 2020 during a press conference at the recent American Public Health Association meeting in Washington, DC. The leading health indicators have been developed to communicate high-priority health issues to the public and actions that can be taken to address them. Based on a Health Determinants and Health Outcomes by Life Stages framework, as well as input from public and federal groups, the indicators will be used to assess the health of the US population over the decade, to facilitate collaboration among diverse groups, and to motivate individuals and communities to take action to improve their health.

The Leading Health Indicators are composed of 26 indicators organized under 12 topics, which include: Access to Health Services; Clinical Preventive Services; Environmental Quality; Injury and Violence; Maternal, Infant, and Child Health; Mental Health; Nutrition, Physical Activity, and Obesity; Oral Health; Reproductive and Sexual Health; Social Determinants; Substance Abuse; and Tobacco. For the full list of indicators under each topic, please visit http://www.healthypeople.gov/2020/LHI/default.aspx.

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3. USPSTF RELEASES DRAFT RECOMMENDATION ON BEHAVIORAL COUNSELING TO PREVENT SKIN CANCER

 

The U.S. Preventive Services Task Force (USPSTF) is inviting public comment on its draft recommendation statement on Behavioral Counseling to Prevent Skin Cancer. This is an update of its 2003 recommendation statement. The updated draft statement recommends primary care clinicians counsel children, adolescents, and young adults aged 10 to 24 years about minimizing exposure to ultraviolet (UV) radiation to prevent skin cancer. However, according to the draft recommendation statement there is not enough evidence to assess the balance of benefits and harms of counseling to prevent skin cancer among adults over the age of 24.

The opportunity to comment on this draft recommendation statement will be available until December 6, 2011. To view the recommendation and provide comments, please go to http://www.uspreventiveservicestaskforce.org/tfcomment.htm.

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ACPM News

4. PERSPECTIVES IN PREVENTION: DIETARY SUPPLEMENTS AND THE CLINICAL ENCOUNTER

The latest ACPM Perspectives in Preventioncolumn, "Dietary Supplements: How to Counsel Patients," by ACPM Fellow Olugbenga Obasanjo, MD, MPH, PhD, CPH, is now available for CME on Medscape/WebMD. The use of dietary supplements has been increasing among all age groups in the United Sates, but many patients do not realize these supplements may have significant adverse effects and interactions with other drugs and the importance of reporting the use of supplements to their physician. The current column reviews the use of dietary supplements in the United States, their regulation, potential adverse effects associated with their use, and safety considerations of which providers should be aware in caring for their patients.

To read the full column (available for CME and non-CME) and access previously publishedPerspectives in Prevention columns, visit http://www.acpm.org/?page=PerspectivesPrevent.

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5. ARTICLES AVAILABLE IN AJPM FOR CME AND MOC

ACPM Members can earn one hour each of CME and MOC credit by reading selected online articles in AJPM each month. The November issue of AJPM features the following articles for CME credit: "Environmental Tobacco Smoke Exposure and Chinese Schoolchildren's Respiratory Health” and "Economic Costs of Excessive Alcohol Consumption in the U.S., 2006.” Both articles (as well as previous month’s articles) can be accessed online at http://www.ajpmonline.org/cme/home.


New recommendations on HPV vaccinations

A CDC advisory committee’s recent recommendation that 11- and 12-year-old boys receive the human papillomavirus vaccine is the latest development in the ongoing discussion of how to stem the spread of HPV. AJPM has been a part of that conversation, most recently with our study that found significant differences by race/ethnicity and poverty in vaccination completion rates. See the CDC advisory committee’s recommendation here.

Listeriosis outbreak spotlights foodborne disease problem
The recent multistate outbreak of listeriosis linked to cantaloupes from a Colorado farm is the latest incident drawing attention to the issue of foodborne and waterborne diseases. AJPM’s editors have compiled a collection of articles on this topic that can serve as useful background for researchers and clinicians. Sample this and our other collections from the drop-down menu above. Have a favorite article we might have missed? Let us know at ajpm@ucsd.edu.

What's hot: the latest media coverage of AJPM reports
Our study that found binge drinking cost the U.S. economy nearly $224 billion sparked extensive national and international media coverage, including by USA Today, Reuters, the Wall Street Journal’s Health Blog, the Voice of America, Huffington Post and the American Pharmacists Association’s pharmacist.com.

Our October report on disabled men being at greater risk of sexual violence was covered by NPR and the National Library of Medicine’s MedlinePlus (citing HealthDay), among other outlets.

Our supplementon ways to better integrate public health and prevention principles and practices into general medical education continues to generate media coverage, including by Medical News Today and the MedIndia website.

Many media outlets, including the Washington Post, covered our study showing that where women live affects how likely they are to exercise. One take on the data—that women who lived closer to shopping centers were better able to reach recommended physical activity level goals than women who lived further away—promoted Rodale News to headline its story: New Study: Shoppers Get More Exercise!

Our April study on the "Diabetes Belt”—the geographic distribution of diabetes and its relationship to obesity—continues to generate coverage, including by the popular website Live Science.


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6. ACPM EXECUTIVE DIRECTOR INTERVIEWED FOR STORY ON LIFESTYLE MEDICINE

ACPM Executive Director Mike Barry recently spoke to the co-host for CommonHealth, a source for health reform news and analysis featured on WBUR.org, the Boston NPR.org affiliate, on lifestyle medicine. The co-host, former Boston Bureau Chief for the New York Times, is working on a full-length feature on the lifestyle medicine movement.

During the lengthy interview Barry provided ACPM’s definition of lifestyle medicine (http://www.acpm.org/?page=LMI_Home); spoke about the growing awareness of and interest in lifestyle medicine among health care professionals, policy makers, the media, and the general public; and described ACPM’s efforts, with its academy partner American College of Lifestyle Medicine, to advocate for and advance the practice of lifestyle medicine across medical specialties, consistent with the competencies published in JAMA in 2010 as a result of the ACPM-led Blue Ribbon Panel on Lifestyle Medicine in 2009.

Barry also referred the CommonHealth co-host to several ACPM experts in the field, and the article should be published in the coming weeks.

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7. WHAT’S YOUR SPECIALITY?

A key benefit to membership in ACPM is to provide physicians with opportunities to bring their expertise to bear in and/or represent the College and the specialty at various national forums, advisory capacities, and policy reviews. ACPM staff frequently search the ACPM database looking for members with expertise in various health topics or board certification status to meet these needs. That’s why it is important to complete your profile on the ACPM web site.

To complete your profile, visit www.acpm.org and log in; click Manage Profile (right hand column), and click Edit Bio. You can update everything on this one page, including your board certification, areas of expertise, and type of employment. You can even choose whether or not you want hard copy access to AJPM.

Remember to always log in! You can update your username and password to whatever you would like. Much of the content online is available only to ACPM members, so log in to gain access!

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8. MEMBERSHIP RENEWAL – IT’S THAT TIME

Thank you to all the ACPM members who have already renewed their 2012 membership-year dues! Your quick response to the membership invoice and ongoing support for the College are much appreciated.

If you have not yet paid your dues for the 2012 membership year, you can do so quickly and easily. Simply log in to the ACPM web site at www.acpm.org; click on Manage Profile (right hand column); and scroll down to the Account History/Membership icon. You can also join the Uniformed Services Academy of Preventive Medicine (available to all current and retired uniformed service members) as well as make a donation to the Future Leaders of Preventive Medicine Fund supporting medical student attendance at Preventive Medicine 2012.

Log-in today and update your membership!

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9. ACPM ATTENDS FDA STAKEHOLDERS CONFERENCE

ACPM senior staff recently attended a stakeholders conference hosted by the Food and Drug Administration’s Office of Special Health Issues (OSHI), titled "FDA Health Professional Organizations Annual Conference.” The aim of the conference was to further the public health mission of the FDA through training, collaboration, and structured discussion between health professional organizations and FDA staff. The OSHI serves as a liaison between the FDA Centers and the public on matters involving medical product safety, and also acts as the public’s link to information about the medical product approval process.

The topics of discussion for the conference included three separate panels that highlighted examples of the FDA and health professional organizations collaborating to further public health. The goal of the panel presentations was to exchange ideas, highlight the value of FDA and health professional organizations working together, and encourage collaboration to promote public health.

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POLICY AND PRACTICE

10. Judge blocks FDA from implementing new graphic cigarette warning labels

Based on his conclusion that new graphic FDA warning labels violate the First Amendment, a U.S. District Court judge has issued a decision blocking a federal requirement for tobacco companies to display new warning labels on cigarette packs by September 2012. The current text-only warnings are printed on the side of packs and have not been updated in nearly three decades.

The new FDA labels would have covered the entire top half of each pack, front and back, contained written warnings and a telephone number for a smoking cessation hotline, and displayed graphic color images of dead or diseased smokers. Judge Richard Leon concluded the size and graphic nature of the FDA-approved labels went beyond conveying factual information and into the realm of advocacy, which is a crucial factor in a case about freedom of speech. If this ruling is upheld, it could have significant consequences for future warning labels. The government will be appealing this decision.

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11. ACPM SIGNS LETTER URGING CONTINUED SUPPORT FOR HEALTH PROFESSIONS TRAINING PROGRAMS

As an active member of the Health Professions, Nursing, and Education Coalition (HPNEC), ACPM joined a sign-on letter to leaders of the House and Senate Labor, Health and Human Services, and Education Appropriations Subcommittee urging continued support for all Title VII Health Professions programs at no less than their FY 2011 funding levels. The Title VII health professions programs include the Health Resources and Services Administration (HRSA) program providing support to preventive medicine residency training programs.

To view a copy of the letter, visit http://www.acpm.org/resource/resmgr/Policy-Files/2011_Ltr_HPNCEC_Funding.pdf

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12. PRESIDENT ISSUES EXECUTIVE ORDER ON PRESCRIPTION DRUG SHORTAGES

President Obama, along with HHS Secretary Kathleen Sebelius and FDA Commissioner Margaret Hamburg, signed an Executive Order directing the FDA to take specific actions to maximize their ability to reduce and prevent drug shortages. Over a recent period of 5 years, the number of reported prescription drug shortages tripled from 61 to 178. Drug shortages pose a significant public health concern because they lead to delays in treatment or force the utilization of second-choice products.

For more information, visit the web site on the Review of FDA’s Approach to Medical Product Shortages at: http://1.usa.gov/sI7uG8. To download the FDA’s Approach to Medical Product Shortages Report, go to: http://1.usa.gov/twGndx.

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RESEARCH AND REPORTS

13. THE COMMUNITY GUIDE ISSUES FIRST REPORT TO CONGRESS

The Guide to Community Preventive Services has issued its first report to Congress. The report details the Community Preventive Services Task Force’s findings and recommendations and describes the gaps in existing research on community preventive services and priorities for future efforts.

The report’s 218 evidence-based findings and recommendations address the following high priority topics: chronic diseases, including asthma, cancer, depression, diabetes, and heart disease; infectious diseases; behavioral health risks related to diet, physical activity, and alcohol and tobacco use; workplace health promotion; and public health and healthcare systems and supports.

For more information, visit the web site on the Community Preventive Services Task Force First Annual Report to Congress: http://bit.ly/vcYbOU.

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14. PRESCRIPTION DRUG OVERDOSES SKYROCKET

Overdose deaths from prescription pain medications have soared in the past decade to nearly 15,000 each year, according to a recent Centers for Disease Control and Prevention analysis. Prescription pain medications are widely misused and abused and overdosing on these medications continues to be a public health epidemic. CDC’s latest Vital Signs discusses this growing epidemic and suggests measures for prevention. To review the report, visit http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm?s_cid=mm6043a4_w.

ACPM also provides a series of three related Time Tools for healthcare providers with information on medication adherence and over-the-counter and prescription pain medication misuse. All three tools are available online in ACPM's library of Time Tools and can be downloaded by clicking on "Other Time Tools" at:http://www.acpm.org/?TimeTools.

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15. NEW REPORT EXAMINES LINK BETWEEN HEALTH AND THE ECONOMY

A new report from the Trust for America’s Health, "Healthier Americans for a Healthier Economy,” features six case studies focused on the relationship between health and economic development. The report examines how health affects the ability of states, cities and towns to attract and retain employers, and how workplace and community wellness programs help improve productivity and reduce health spending. To view a copy of the report, visit http://bit.ly/sT4itS.

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ANNOUNCEMENTS

16. PUBLIC COMMENTS SOUGHT ON STRATEGIES TO ADDRESS POLLUTION

Each federal agency that is part of the Environmental Justice Interagency Workgroup (EJ IWG) has posted an environmental justice strategy on its website for public comment. The Environmental Protection Agency is leading the effort. To access and comment on these strategies, visit EPA’s EJ IWG website at: http://www.epa.gov/environmentaljustice/interagency/index.html.

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17. MEMBERS IN THE NEWS - KAMEROW

ACPM Fellow Doug Kamerow, MD, MPH, chief scientist at RTI International and professor of clinical family medicine at Georgetown, has a new book, Dissecting American Health Care. The book is a compilation of columns Dr. Kamerow has written for the BMJ and commentaries on NPR. Preventive medicine is a major section of the book, along with pieces on health policy, health care reform, and politics. The book will be available later this month. For more information, early reviews, and to order a copy, see the book’s website: http://tinyurl.com/kamerowbook.


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