2019 Public Health Recognition

William J. Holloway Program honored for leadership in public health

For its history of service and innovation, Christiana Care’s William J. Holloway Community Program has won the Executive Director’s Public Health Recognition Award from the Delaware Academy of Medicine/Delaware Public Health Association. Susan Szabo, M.D., medical director of the program, and Arlene Bincsik, MS, RN, CCRC, ACRN, program director, accepted the award on the program’s … Continue reading

Images from the 89th Annual Meeting of the Academy/DPHA

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DPH LAUNCHES MY HEALTHY COMMUNITY DATA PORTAL

DOVER (May 13, 2019) — Today, the Division of Public Health (DPH) launched a data portal allowing Delawareans to assess the overall health of their communities. The My Healthy Community data portal delivers neighborhood-focused population health, environmental and social determinant of health data to the public. The innovative technological showpiece, which was unveiled at the Rt. 9 Library and Innovation Center in New Castle, allows users to navigate the data at the smallest geographical area available, to understand and explore data about the factors that influence health.

“This is another example of how we are making data more transparent, accessible, and easy to understand,” said Governor John Carney. “Sharing community-level statistics and data allows Delawareans to understand what is occurring in their neighborhoods, make informed decisions about their health, and take steps to continue improving our quality of life.”

Delaware residents are able to explore a variety of data indicators in the following categories: community characteristics, the environment, chronic disease, and mental health and substance use. Air quality data, asthma incidence data, public and private drinking water results, and drug overdose and death data are currently available. Over the next several months, additional categories and data indicators are expected to be added including community safety, maternal and child health, healthy lifestyles, health services utilization, infectious diseases, education, socioeconomic influencers, lead poisoning, suicide and homicide, and populations vulnerable to climate change.

“Our health and the environment in which we live are inherently connected,” said DHSS Secretary Dr. Kara Odom Walker. “The portal will allow communities, governments and stakeholders to better understand the issues that impact our health, determine priorities and track progress. Communities can use the data to initiate community-based approaches, support and facilitate discussions that describe and define population health priorities, and educate residents about their community’s health and the environment in which they live.”

Residents can search health indicators by street address, ZIP code, census tract, neighborhood, town/city, county and state. In addition, they can compare their community’s health measures with other Delaware communities, their county, and the state as a whole, as well as view data trends over time. To ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA), not all data can be made available at the community level therefore, the system is designed to provide data for the smallest geographic area possible.

“Access to data is a key factor in making progress toward a stronger and healthier Delaware. The ability to easily access such crucial information like substance use and overdose data by ZIP code enables Delawareans to compare it to larger areas and examine trends,” said Lt. Governor Bethany Hall-Long. Drug overdose deaths, non-fatal drug overdoses, and youth use of prescription pain medicines are available through My Healthy Community. Also for the first time, Emergency Department non-fatal drug overdose data from DPH, and Prescription Monitoring Program (PMP) data will be available thanks to a partnership with the Division of Professional Regulation.

“Addiction, air quality, chronic disease and drinking water quality impact every one of us,” said DPH Director Dr. Karyl Rattay. “When communities become aware of the level at which these issues are occurring in their neighborhoods, it can spur action that can improve the quality of life for current and future generations.”

“People want to know detailed information about the health of their communities,” said Rysheema Dixon, Wilmington City Council Member At-Large. “Providing this data with a neighborhood lens is going to open Delawareans’ eyes to how healthy – or unhealthy – their communities really are.”

My Healthy Community has been years in the making through a partnership among several DPH programs, the Department of Natural Resources and Environmental Control (DNREC), the Division of Substance Use and Mental Health (DSAMH), and the Delaware Health Care Commission (HCC). $138,500 in seed funding for this project was provided by DNREC in 2016, $79,000 for the initial research phase, and $59,500 for construction of the of the data portal’s framework with supplemental funding from DPH through Centers for Disease Control and Prevention (CDC) grant funds ($30,000 for development). DPH’s contractor for this project was Green River of Brattleboro, Vermont.

“Health and environmental agencies have a long history of separately tracking trends, when, in fact, environmental conditions and health outcomes are often closely related,” said DNREC Secretary Shawn M. Garvin. “This public-access portal brings health and environmental data together and puts this information at the fingertips of all Delawareans, including healthcare and environmental professionals.”

Additional funding was provided by DSAMH for substance use disorder (SUD) data and from the HCC to build in additional health indicators starting this summer, that will also serve to highlight Delaware’s progress in meeting health care benchmarks (obesity, tobacco use, preventable Emergency Department visits, etc.) as part of DHSS’s ongoing efforts to bring transparency to health care spending and to set targets for improving the health of Delawareans. Future funding has been secured from DNREC for data on vulnerable populations and climate change, and from DPH through CDC grants for violent death data and internal sharing of timely SUD data.

My Healthy Community encompasses the Delaware Environmental Public Health Tracking Network (EPHTN), and benefits from participation in an Environmental Public Health Tracking Peer-to-Peer Fellowship program through the Association of State and Territorial Health Officials (ASTHO), with the Kentucky Department of Health as Delaware’s EPHTN mentor.

Access the My Healthy Community data portal at MyHealthyCommunity.dhss.delaware.gov. Comments can be submitted via an online feedback form.

U.S. Surgeon General releases new video “The Doctor Is In”

U.S. Surgeon General Jerome M. Adams, M.D., M.P.H., released a new video, “The Doctor Is In,” on the topic of  vaccinations. As the Nation’s doctor, VADM Adams wants to share the message that vaccines are safe and effective ways to protect your children, your family, your neighbors, and yourself.

This is particularly timely, given that CDC announced yesterday that from January 1 to May 3, 2019, 764 individual cases of measles have been confirmed in 23 states. This is an increase of 60 cases from the previous week. This is the greatest number of cases reported in the U.S. since 1994 and since measles was declared eliminated in 2000.

In the video, Dr. Adams responds to frequently asked questions about vaccination.

APHA Applauds Reversing the Youth Tobacco Epidemic Act of 2019

A focus on prevention can save lives Washington, D.C., April 16, 2019 – The American Public Health Association applauds Rep. Frank Pallone, D-N.J., and Rep. Donna Shalala, D-Fla., for introducing the Reversing the Youth Tobacco Epidemic Act of 2019. This legislation is a major step to address tobacco use, the …

Delaware Day 2019

DHSA’s 2019 Healthcare Job Fair

Calling all residents, DIMER students, nurse practitioners, and physician assistants!  Join the Delaware Health Sciences Alliance and Delaware’s health systems for a networking and recruiting event! 

Take advantage of the opportunity to meet physician recruiters and physicians representing health care organizations in Delaware, and to learn about career opportunities now and starting after graduation in 2020

WHEN: Saturday, July 13, 2019 from 9:00 am – 12:00 pm
WHERE: Del-Once Conference Center, Delaware Technical Community College, Terry Campus

The event is open to:

  • Licensed Physicians
  • Medical Residents and Fellows in Delaware (any specialty)
  • DIMER and Delaware Branch Campus medical students
  • Physician Assistants (licensed and student)
  • Nurse Practitioners (licensed and student)

Sponsor:

Delaware Health Sciences Alliance

Participating Institutions:

  • Alfred I. duPont / Nemours Hospital for Children
  • Bayhealth Medical Center
  • Beebe Healthcare
  • Christiana Care Health System
  • Nanticoke Health Services
  • St. Francis Healthcare

The event is free, but please register here!

If you cant make it to the event, please send your CV and cover letter to ksmith@delamed.org for distribution to all recruiters.

Delaware Mini Medical School Podcast on WDEL

Dr. Omar Khan, President of the Delaware Academy of Medicine / Delaware Public Health Association was interviewed by WDEL regarding the 10th Anniversary of the Delaware Mini Medical School series. Mini Medical School is a collaboration of the Christiana Care Health System and the Delaware Academy of Medicine / Delaware …

Surgeon General’s Message on the Current Measles Outbreaks

Dear Partners,

The Nation’s Doctor would like to share a very important message with you about the current measles outbreaks occurring throughout our country.

Measles is a highly-contagious respiratory disease caused by a virus. It spreads through the air through coughing and sneezing. Measles starts with a fever, runny nose, cough, red eyes, and sore throat, and is followed by a rash that spreads all over the body.

Measles is so contagious that if one person has it, 9 out of 10 people around that person will also become infected if they’re not yet vaccinated. You can get measles just by being in a room where a person with measles has been, even up to two hours after that person has left.  And what is even more worrisome is that an infected person can spread measles to others even before the infected person develops symptoms—from four days before they develop the measles rash through four days afterwards.

The good news is that measles can be prevented with the MMR (measles, mumps, and rubella) vaccine.

The MMR vaccine has an excellent safety record and is highly effective. It is one of the most effective vaccines we have in our country.

Surgeon General Adams hopes you will share his message with your networks. It’s up to us to protect the health of our communities.

For more information, please visit CDC.gov

Office of the Surgeon General

in memoriam – LTG William Herbert Duncan, MD (DE NG Ret.)

 LTG WILLIAM H. DUNCAN. M.D.

18 February 1930 – 19 December 2018

Authored by Joseph Kestner MD; Past-President (2006-2008) and current Board member, Delaware Academy of Medicine / Delaware Public Health Association

Bill was a native Delawarean hailing from New Castle.  He attended the William Penn High School and graduated from the PS DuPont High School in Wilmington.  After a year at the University of Delaware he entered the U.S. Military Academy by means of a competitive appointment as the son of a deceased veteran of WW II.  Following graduation from West Point in 1952 and some training which included jump school he was sent to Korea as an infantry lieutenant.  At the completion of his military obligation he entered Temple University Medical School graduating in 1959.  An internship at the Delaware Hospital followed.  Bill then opened a family medicine practice at Foulk and Silverside Roads in North Wilmington.  Shortly thereafter Bill was appointed the part time supervisor of the Delaware Hospital ER.  Following the merger of the Delaware, Memorial and Wilmington General Hospitals, Bill became the director of ambulatory and emergency services of the Wilmington Medical Center, a full time position.  In 1975 Bill was appointed vice president for medical affairs at St. Francis Hospital

This is when I first met Bill.   He and I interacted on the credentials committee where applications to join the medical staff were reviewed and evaluated.  On occasion there was controversy.  Bill always valued the perspective of the committee members. Bill was also a source of advice on dealing with hospital administrators.  If there was an adverse event or unexpected death (prior to review committees) Bill would be on the phone wanting to know the details.  As an examiner for the FAA and air traffic controllers he would follow up on patients he referred.  We worked together on nominating committees where he was transparent and open to advice and suggestions.  Bill retired from St. Francis in 1993.

All during this time Bill was active in the PA and later the DE National Guard eventually as commanding officer of the 116th Surgical Hospital (Mobile Army) and later as commander of the 261st Signal Command.  During his military career Bill served in three branches of the army:  Infantry, Medical Corps and Signal Corps.  He retired from the National Guard in 1987 receiving many recognitions and awards.  Bill was appointed a charter member of the Army Historical Foundation.  His lifelong interest in the military also continued with the Delaware National Guard Heritage Committee and the Delaware Military Museum.

Bill was the 19th president of the Delaware Academy of Medicine in 1976 and 77.  He was chairman of the planning committee for the Academy’s 50th anniversary celebration in 1980.  This three day event included cultural, educational and social activities.  Some notable speakers included Isaac Asimov, Ph.D., Eli Ginsberg, Ph.D., and Edmond Pelligrino, M.D.  Bill believed his most significant accomplishment while president of the Academy was to stabilize a precarious financial situation.

Bill was an author.  His Founders of the Medical Society of Delaware, was published in 2017.  He was working on a biography of James Tilton, M.D., a founder of the Medical Society of Delaware and its 1st president at the time of his death.  He documented the service of Delaware Physician Veterans of WW II (1994) and the Korean War (2000) in the Delaware Medical Journal.  His most recent effort, the Contemporary Veterans Project published in the Delaware Medical Journal in Nov-Dec 2018 was to recognize the service of those Delaware Physician Veterans post Korean War.  This is where Bill and I reconnected.  It was my honor to assist Bill in completing this project and identifying every possible Delaware physician veteran post Korean War.  This collaboration was interesting, rewarding and fun – all because of Bill Duncan.

Bill was a leader.  He was open, transparent, articulate and he listened.  He had a vision of what was to be accomplished.  He led infantry units, medical services, the St. Francis Hospital Medical Staff, Temple University Alumni, a U.S. Army Mobile Surgical Hospital and Signal Battalion, the Medical Society of Delaware and the Delaware Academy of Medicine.  One thing to recognize is whatever Bill did – he did well.

He would on occasion speak of his Dad, a soldier and veteran of WW I and WW II who died when Bill was quite young.  I can just imagine what Bill’s Dad might say if he was here today, “Well done, son.  Mission accomplished.”

Ted Kestner, M.D.

To see an interview of Bill Duncan, MD, taped in 2012, click here

June Awareness

June is…

Aphasia Awareness Month – http://www.strokeassociation.org/
Congenital Cytomegalovirus (CMS) Awareness Month – https://www.nationalcmv.org/
Fireworks Safety Month – https://www.consumersafety.org/news/products/national-fireworks-safety-month/
Great Outdoors Month – http://www.greatoutdoorsmonth.org/
Men’s Health Month – http://www.menshealthmonth.org/
Migraine & Headache Awareness Month – http://www.headaches.org/
Myasthenia Gravis Awareness Month – http://www.myasthenia.org/
National Safety Month – http://www.nsc.org
Pride Month – https://www.loc.gov/lgbt-pride-month/about/
Scleroderma Awareness Month – http://www.scleroderma.org/
Scoliosis Awareness Month – http://www.srs.org

Day of…

June 2:  National Trails Day (http://nationaltrailsday.americanhiking.org/)
June 3:National Cancer Survivor’s Day (http://www.ncsd.org/)
June 5: World Environment Day (http://worldenvironmentday.global/)
June 10: National Children’s Day (https://www.nationaldaycalendar.com/childrens-day-second-sunday-in-june/)
June 14: World Blood Donor Day (http://www.who.int/campaigns/world-blood-donor-day/)
June 16: Father’s Day
June 19: World Sickle Cell Day (http://www.sicklecelldisease.org/)
June 21: National ASK (Asking Saves Kids) Day (http://www.bradycampaign.org/)
June 27: National HIV Testing Day ( http://www.aids.gov)

Innovative Discoveries Series

Exploring the Geography of Health in the US: the Impact of Health Factors and County-level Demographics

Improving population health requires a firm understanding of geographic influences of modifiable health factors, and, to do so, requires measuring and mapping the relationship between health outcomes, factors, as well as demographics. Using 2017 County Health Ranking data for 3,108 US counties, we investigated the spatial patterning in these relationships using spatial regression methods. Although we found that spatial patterning in health outcomes was substantially explained by spatial differences in levels of health factors, substantial residual spatial patterning remained. Findings suggested that both the outcomes and the health factors of neighboring counties have an impact on the outcomes for a given county. Finally, using geographically weighted regression models, we found that the associations of health factors with outcomes showed substantial spatial patterning and varied significantly across the US. Greater understanding of the spatial heterogeneity we observed is important to identifying the most effective interventions and evidence-based policies to improve population health.

Presented By:

Loni Tabb, PhD, MS

Associate Professor, Biostatistics, Department of Epidemiology and Biostatistics, Drexel University

Free!  Lunch will be served!

This activity has been approved for AMA PRA Category 1 Credit.

REGISTER ONLINE TODAY!

Friday, June 21, 2019
Noon to 1 p.m.
In-person: Christiana Hospital,Room 1100
Online: Watch live at https://bluejeans.com/361095905
Or join meeting ID 361095905 on the BlueJeans app on your smartphone or tablet

This activity has been approved for AMA PRA Category 1 Credit.

Upcoming Lectures:

June 28: CANDOR: Christiana Care’s Journey to Communication and Resolution

CCHS Global Health Residency Track

GLOBAL HEALTH SERIES

Please join us for this month’s global health talk!
The Global Health Residency Tracks of Christiana Care Health System, in partnership with the Delaware Academy of Medicine / Delaware Public Health Association, are pleased to invite you to this month’s global health talk.

Wednesday, May 15, 2019
5:30 – 6:30 pm
LIVE: Ammon Medical Education Center Room 14

Eligible but excluded: The protection of unaccompanied refugee minors in Greece

As an unprecedented number of refugees washed ashore Greek islands in 2015, numerous humanitarian organizations launched response efforts to provide displaced people with aid. Among these efforts were child protection projects for unaccompanied minors, who by some estimates made up 35% of the new arrivals in 2015. This talk presents the findings of a 2018-2019 study exploring how the development of immigration and refugee assistance policies systematically excluded certain categories of unaccompanied minors from accessing child protection programs that they were eligible for. Using the situation of unaccompanied refugee minors in Greece as a case study, this talk discusses how limited local knowledge in humanitarian response situations can lead to unintended consequences, and highlights management strategies that can respond to unexpected information.

Speakers:
Divya Mishra, PhD

REGISTER ONLINE

The CCHS Global Health Curriculum is an interdepartmental collaboration, supporting the Global Health Tracks in the Depts. of Medicine and Family Medicine, and the Med-Peds Residency, with the support of the Delaware Academy of Medicine, Delaware Public Health Association, and Delaware Academy of Family Physicians.

All are welcome to attend this talk.  Global Health Curriculum residents are required to attend.  There is no charge to attend this event, but registration is required. Food and Refreshments will be served.

Trauma Informed Delaware

In October, 2018, Governor Carney signed Executive Order 24, making Delaware a trauma-informed state.  This order directs the Family Services Cabinet Council to develop tools for training state employees and community partners on the impact of exposure to adverse childhood experiences (ACEs), to promote ACE awareness, and to improve services and  interventions for children and families exposed to trauma. The Family Services Cabinet Council is leading efforts to ensure that Delaware becomes a trauma-informed state
by promoting a Trauma Awareness Month in Delaware.

Since that time, First Lady Tracey Quillen Carney has brought together a variety of partners to launch Trauma Informed Delaware (TID), a statewide public-private-nonprofit coalition. The goal is to coordinate a sustainable, community-based trauma awareness, prevention, and early intervention system that advances resilience through:
• Access to quality behavioral and integrated health care
• Strength-based services for youth and adults
• Education for providers and the community

 

APHA Call for Abstracts

Present on Behalf of DPHA at the APHA Annual Meeting (Scientific Sessions, Posters) Public Health 3.0 builds on the past successes and provides a new focus where public health is no longer defined solely by the public health department and its traditional programs. The APHA Council of Affiliates (CoA) is …