Update on CDC efforts in asthma control

Stephen C. Redd, M.D.Chief, Air Pollution and Respiratory Health

Branchscr1@cdc.gov

www.cdc.gov/asthma

Asthma issues

Rising prevalenceRising measures of burden (stabilizing?)Disparity in outcomes 4 year old CDC programHP2010 goals

Aim of CDC asthma program

Reduce the burden of asthma through better application of current knowledge of medical and environmental management

Reduce death rate, hospitalization rate, ED visit rate, missed school and work days, activity limitationImprove adherence to NAEPP guidelinesImprove tracking capability

(www.healthypeople.gov)

Who works on asthma at CDC

National Center for Environmental Health NCCDPHP / Division of Adolescent and School HealthNational Institute for Occupational Safety and HealthNational Center for Health StatisticsAgency for Toxic Substances and Disease Registry

CDC’s asthma program

SurveillanceImplement scientifically proven interventionsPartnership / Training

Components of asthma surveillance system

Assist states in evaluating existing dataMortality data / Hospitalization data

Develop and implement telephone surveys

Behavioral Risk Factor Surveillance SystemNational Asthma Survey (AL, CA, IL, NY, TX)

Develop new tools for trackingSurveillance for incident casesED department surveillance

Identify and implement science-based asthma interventions

IdentifyTranslate into programsFund

Inner City Asthma Intervention (based on NIAID funded research)

Open AirwaysAsthma Care Training

From Research To Practice

Research

Translation

Implementation

Evaluation

Controlling Asthma in American Cities Project

7 city-based collaborative groups funded to plan a broad-based, multi-sector asthma interventionDevelop collaborative group / Define interventions / Determine evaluation Entering 2nd year of planning periodPlanning 5 yr intervention beginning October 2003

Work through partnership / Training

Federal partners: Federal Liaison Working Group on AsthmaState and local public health agencies

Cooperative agreements to 29 states and DC for planning and surveillanceTraining—National Asthma Training Curriculum

Providers and purchasers of health careNAEPP project on essential elements of asthma care

Non-profit and professional organizationsALA, AAFA, AAN/MA, AAAAI, ATS

For information on CDC State Asthma Programs:

Go to: www.cdc.gov/asthmaSelect “State Asthma Contacts and Programs”Click on any state to get contact information for partnership, surveillance and intervention grant activities

www.cdc.gov/asthma/

CDC funded State Asthma Programs, 2002

2000

1999

2001

2002

Hawaii

CDC approach to support state health departments

Hired of epidemiologist in Program SectionAssigned an epidemiologist to each granteeStandard approach to surveillance

Handbook for epi supportNational Asthma Training Curriculum

Standards proposedAdvice on data sources

Program Elements Guidebook for state health department asthma programs

Intended for grant applicants and newly funded programsIdentifies elements of successful programsExamples of overcoming barriers to successful implementation

Future priorities for CDC asthma program

Increase support for state asthma programsImplement National Asthma SurveyImplement tracking for incident cases of asthmaImplement Controlling Asthma in American Cities Project