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Evelyn Talbott, Dr. P.H., MPH Beyond Host-Agent-Environment

University of Pittsburgh Graduate School of Public Health Academic Partner for Excellence in Environmental Public Health Tracking (UPACE-EPHT). Evelyn Talbott, Dr. P.H., MPH Beyond Host-Agent-Environment. April 18, 2007. National Environmental Public Health Tracking Network.

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Evelyn Talbott, Dr. P.H., MPH Beyond Host-Agent-Environment

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  1. University of PittsburghGraduate School of Public Health Academic Partner for Excellence in Environmental Public Health Tracking (UPACE-EPHT) Evelyn Talbott, Dr. P.H., MPH Beyond Host-Agent-Environment April 18, 2007

  2. National Environmental Public Health Tracking Network • Institute of Medicine (1988) noted that “the removal of environmental health authority from public health agencies has led to fragmented responsibility, lack of coordination, and inadequate attention to the health dimensions of environmental problems.” • In 2001, the Pew Environmental Health Commission issued the report “America’s Environmental Health Gap: Why the Country Needs a Nationwide Health Tracking Network”, which stated that “the existing environmental health system is neither adequate nor well organized, recommended the creation of a Nationwide Health Tracking Network for disease and exposures.”

  3. National Environmental Public Health Tracking Network • In fiscal year 2002, Congress provided CDC with funding of $17.5 million to do the following: • begin developing a nationwide environmental public health tracking network • develop capacity in environmental health within state and local health departments. • Several state and local health departments, including PADOH and ACHD, were funded to build capacity in environmental health

  4. Epidemiology Evelyn Talbott, Dr. P.H. MPH (PI) Jeanne Zborowski, Ph.D ,MS (Co-PI) Environmental Exposures Conrad Volz, Dr.P.H. Arthur Frank, M.D., Ph.D. (Drexel) Hernando Perez, Ph.D., M.P.H. (Drexel) Bernard Goldstein, M.D. (Dean, GSPH) Data Linkage/Statistical Algorithms and Analysis Richard Bilonick, Ph.D. Gary Marsh, Ph.D. Geographic Information Systems (GIS) and Spatial Data Analysis Ravi Sharma, Ph.D. B.Parmanto,PHD Xiaohui Xu, M.P.H. (Ph.D. candidate) Center for Environmental Oncology Devra Davis, Ph.D. (Director) Center for Healthy Environments and Communities Robbie Ali, M.D. (Director) Global Health Network Ronald LaPorte, Ph.D. (Director) U of P/Drexel Public Health Alliance StaffJean Lennon, C.M.A., Judy Rager, M.P.H, Juley Rycheck-Stragand, MPH Current Collaborators Allegheny County (PA) Health Department Bruce Dixon, M.D., Director, Gerald Barron, M.P.H., Deputy Director, Luann Brink, Ph.D., Jo Ann Glad, M.P.H. PA Department of Health James Logue, Dr.P.H., M.P.H., Director Environmental Epidemiology University of Pittsburgh/ Drexel Environmental Public Health Academic Partner (Consortium)

  5. University of Pittsburgh/Drexel UPACE-EPHT Team

  6. Environmental Public Health Tracking Network: Data Acquisition and Linkage: The Challenge Hazard databases: TRI, EPA air toxics, water quality measures, etc. Exposure databases: Biomonitoring information- Blood lead, arsenic, mercury, etc. Health outcomes databases: Mortality, morbidity (admissions, ED visits, office visits, medication usage, etc) Data linkage strategies Evaluate associations Direct Research and Interventions

  7. University of Pittsburgh/Drexel University Environmental Public Health Academic Partner (Consortium) Overview • “…uniquely positioned to broaden resource coverage for public health agencies in the northeastern corridor and across the nation…” • “…and to act as an academic partner in a local, state, regional and national initiative to facilitate environmental capacity building, to evaluate existing surveillance methodologies and to develop and/or extend innovative strategies and tools to link hazards, exposures and health effects databases.” • “…participate in the development and/or modification of easily accessible, web-based applications for environmental health tracking, disease surveillance and data linkage by public health agency personnel…”

  8. Environmental Interests(Abbreviated) • Three Mile Island: Long-Term Health Effects 20-Year Follow-Up • Leaking Underground Storage Tanks (LUSTs): Benzene and Leukemia Risk (Local Municipalities) • Coal-Fired Power Plants, Speciated PM2.5, and Health Effects in the Pittsburgh Region (DOE) • Adult and Childhood Asthma and Ambient Air Pollution in Allegheny County, PA (ACHD) • Arsenic Exposure from Contaminated Wells: Biomonitoring and Chronic Disease Associations (PADOH, USGS)

  9. Proposed Environmental System Modeling for Asthma: General Schematic:

  10. Mary E. Northridge, PhD, MPH Mailman School of Public Health, Columbia University Editor-in-Chief, American Journal of Public Health

  11. Conceptual Frameworkfor study of environmental influences for chronic disease

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