public health response to traumatic brain injury jeneita bell, md, mph medical officer lcdr, usphs...
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Public Health Response to Traumatic Brain Injury
Jeneita Bell, MD, MPHMedical Officer
LCDR, USPHS Commissioned Corps
National Center for Injury Prevention and Control
Division of Unintentional Injury Prevention
Overview
History of CDC TBI Surveillance
Congressional mandates and authorizations
Response to Congress
TBI Model Systems
CDC's Traumatic Brain Injury Surveillance Program
1989 — promoted development of a multistate TBI surveillance program Federal Interagency Head Injury Task Force Report Funding and technical assistance Colorado, Oklahoma, Missouri, and South Carolina
1995 — published Guidelines for Surveillance of Central Nervous System Injury Ensure valid and timely information Define the data elements necessary to describe
TBI Core elements readily available to most State
health departments
The Traumatic Brain Injury Act of 1996
Develop a uniform reporting system
Research effective strategies for preventing
TBI
Implement public information and education
programs
Provide technical assistance to public
entities
Authorized at $3 million for fiscal years
1997–1999
CDC Response – TBI Act of 1996
Report to Congress on TBI -1999
Incidence
Prevalence of TBI
TBI-related disability
TBI surveillance systems funded in 19
states
Follow-up studies Colorado and South
Carolina
TBI Act Amendments of 2000
Signed as Title XIII of the Children’s Health
Act of 2000
Implement national education campaign
Fund States or their designees to operate a
TBI registry
Determine the incidence and prevalence of
TBI in all age groups in the general
population
Determine the incidence and prevalence of
mild TBI
CDC Response – TBI Act Amendment of 2000
CDC Heads Up program (2004)
TBI-related deaths, hospitalizations, and ED
visits
Funded states to link rehabilitation and
social services CDC Mild TBI Work Group
Future of registries State-based CDC surveillance systems as
registries Report to Congress (2003)
South Carolina studies of TBI among
prisoners
Reauthorization of the TBI Act of 2008
Collaboration between civilian and military registries
Determine the incidence of TBI and prevalence of TBI-related disability
Report national trends in TBI
Identify common rehabilitation
interventions Identify interventions that can prevent or
remediate secondary neurologic conditions
Develop practice guidelines TBI
rehabilitation
CDC Response –Reauthorization Act of 2008
Reports to Congress Military (DoD, VA, NIH) Civilian (NIH and Expert panel of research
scientists)
TBI-related deaths, hospitalizations, and ED
visits, 2002–2006 Demographic characteristics External cause of injury Trend data
Interagency Agreement Department of Education, National Institute of
Disability and Rehabilitation Research TBI Model Systems
Thank you
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: http://www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Injury Prevention and Control
Division of Unintentional Injury Prevention