sileno_2015_phap_ summer_ seminar_oral presentation

Using Data to Prevent Sleep-Related Infant Deaths in Baltimore City

Samantha Sileno, B.S.

Public Health Associate

Baltimore City Health Department

Office for State, Tribal, Local and Territorial Support

Centers for Disease Control and Prevention

2015 PHAP/PHPS Summer Seminar

June 2, 2015

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Presentation Overview

Personal Background and PHAP Host Site

Infant Mortality in Baltimore City

B’more for Healthy Babies

Safe Sleep Profile

Results

Barriers and Lessons Learned

Personal Background and PHAP Host Site

Education• Bachelor of Science- Health Education,

University of Florida Class of 2014

o Focus on Community Health

Host Site• Baltimore City Health Department,

Bureau of Maternal and Child Health

• Year 1 Assignment: Fetal-Infant Mortality Review and Child Fatality Review

o Maintain and Expand Safe Sleep Profile

Baltimore City, Maryland

622,000 residents

81 sq. miles

64% of the population are African American

1/3 of households live below the poverty line and have an income less than $25,000/year

*Census Bureau

Baltimore City: High Infant Mortality & Health Disparities in 2009

Baltimore City had the highest rate of infant death in Maryland and the 4th worst infant mortality rate in the U.S. Infant Mortality Rate of 13.5 per 1,000 live births

127 infants died in Baltimore City

African American infants were 5x more likely to die than white infants

20% of infant deaths were attributable to unsafe sleep practices

*Maryland Vital Statistics

Formation of B’more for Healthy Babies (BHB)

Innovative citywide initiative launched in 2009 to improve birth outcomes

Strong emphasis on coordination of efforts, evidence-based interventions, and coalition-building

Baltimore City Health Department creates the Safe Sleep Profile to provide data to the initiative

*Maryland Vital Statistics

Safe Sleep Profile

Data set of all sleep-related infant deaths that occur in Baltimore City

Contains 15 variables that are used to help plan interventions and target media campaigns each year on safe sleep Sleep environment characteristics

These data are obtained from medical records, infant death-scene investigation reports from the medical examiner’s office, and child fatality reviews

Safe Sleep Data

Sleep-Related Infant Deaths in Baltimore City 2000-2014 (N=274)

Safe Sleep Data

Safe Sleep Data

Safe Sleep Data

Results

SLEEP SAFE Campaign : Alone, Back, Crib, No Exceptions is launched in 2010

B’more for Healthy Babies used the Profile to implement new tobacco initiatives, train 4,000 providers and produced 4 targeted SLEEP SAFE videos.

• SRID infant mortality rate (IMR) decreased from 2.8 in 2009 to 1.9 in 2013. The drop in SRIDs was reflected in the 2013 IMR (6.6) for Maryland.

http://healthybabiesbaltimore.com/

Barriers and Lessons Learned

Incorrect or missing information may compromise the usefulness of the Profile and my host site is working to standardize reporting protocols to improve data quality.

A robust Safe Sleep Profile is essential to develop targeted messaging in order to inform an effective, dynamic safe sleep campaign. Strong accountability for agencies and other partners to contribute data to the profile must be established

For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support

4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341

Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348

E-mail: OSTLTSfeedback@cdc.gov Web: http://www.cdc.gov/stltpublichealth

The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Questions?Contact:

Samantha Sileno

ypl0@cdc.govsamantha.sileno@baltimorecity.gov

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support