EHSP Fall Forum. Concentrated Animal Feeding Operations (CAFOs) in North Carolina: hogs farms and health of residential populations
|
|
- Nathan Phillips
- 5 years ago
- Views:
Transcription
1 Concentrated Animal Feeding Operations (CAFOs) in North Carolina: hogs farms and health of residential populations Julia Kravchenko, MD, PHD Assistant Professor, Department of Surgery, Duke University School of Medicine October 27-28, 2016 Museum Hotel, Durham, NC
2 Hogs farming characteristics Hogs and pigs inventory: Duplin county, NC, was ranked 1 st in the U.S. (in 2012) for hog and pig sales with 3% of the U.S. sales (USDA Census of Agriculture, ACH12-4, June 2014). - Farms 11,390 3,582 2,836 2,217 - Pigs number 2,047,098 9, ,887,421 8,901,434 Number of hogs and pigs sold: 3,907,278 36,451,580 43,241,680 34,456,613
3 Study title: Hog CAFOs and health of residential populations Data Sources: Individual level data on disease-specific mortality, emergency departments (ED) visits and hospitalizations in NC (NCHS data, HCUP data) : The State Inpatient Database (H-CUP SID data on disease-specific hospital admissions), The State Emergency Department Database (H-CUP SEDD data on emergency departments visits), State Center for Health Statistics, Vital Statistics-Death, UNC Dataverse. List of animal operations registered with the North Carolina Department of Environmental Quality (NCDEQ), Division of Water Resources (DWR). Adult smoking prevalence (the Behavioral Risk Factor Surveillance System (BRFSS), CDC). For zip code level analysis: Study Group 217 zip codes with hog farms registered with the DWR 15,885,645 person-years, Control group- 591 zip codes without hog farms registered with the DWR 50,150,652 person-years.
4 This is the first study of residential populations exposed to CAFOs Why residential populations? While studies of occupational exposure of swine operation workers exist, few studies investigate the health and medical effects of nearby residents. Residential populations may be more susceptible as they include vulnerable groups: children, people with chronic diseases, and elderly. Characteristics Study groupwith CAFOs Race: White 64.0% 73.6%* Black 28.7% 19.3%* American Indian 2.3% 0.8%* Age structure Control groupwithout CAFOs no significant differences SES factors: Median income $39,013 $46,455** Bachelor or higher degree 16.4% 24.1%** Availability of primary care health providers (per 100,000 residents) Uninsured % Smoking prevalence * - p<0.05; ** - p< ** no significant differences no significant differences Analyses were adjusted by income, education, health insurance, smoking, and availability of primary care providers.
5 Hogs farms in North Carolina Up to 171 CAFOs Up to 113 hogs per each resident (including children). Approximately 190, 000 people live in the areas with >40 hogs per each resident.
6 CAFO s manure contains a variety of potential contaminants: pathogens such as E. coli, growth hormones, antibiotics, and chemicals used as additives to the manure or to clean equipment, etc. CAFO with 800,000 hogs produce 1.6+ million tons of waste a year 1.5 times more than the annual sanitary waste produced by the population of the size of the city of Philadelphia, PA (GAO, 2008). Though sewage treatment plants would be required for human waste of this scale, no such treatment facility is required for this waste because it is from livestock.
7 Example #1: Health outcomes in study vs. control group: multivariate analysis adjusted by income, education, health insurance, smoking, and availability of primary care providers, pooled for Disease (ICD-10 code) OR mortality OR hospital admissions OR ED visits Asthma (J45): all ages 1.27 # 1.17* 1.21* <9 years old n/s 1.19* 1.24* years old n/s 1.12 # 1.24* Previously Tuberculosis (A15-A19): all ages 2.75* 1.46* n/s Hypertension (I10-I15): all ages 1.39* 1.14* 1.16* unrecognized health Ischemic heart disease (I20-I25): all ages n/s 1.12* 1.10* correlations Stroke (I60-I63): all ages n/s 1.02* n/s Diabetes mellitus type 2 (E11): all ages 1.18* 1.14* 1.25* Aplastic anemia (D60-D64): all ages 1.23* 1.13* n/s Nutritional anemia (D50-D53): all ages n/s 1.11* n/s Acute kidney failure (N17-N19): all ages 1.09* 1.07* 1.05 # * - significant under Bonferroni correction (p value less than 10-6 ), #- p<0.001; n/s non-significant
8 Aplastic anemia Among factors that can cause aplastic anemia are: Exposure to toxic chemicals: e.g., used in pesticides and insecticides, benzene (ingredient in gasoline) Medications: gold compounds used to treat rheumatoid arthritis, some antibiotics (e.g., chloramphenicol) Damage occurs to bone marrow, slowing or shutting down the production of new blood cells. People have higher risk of infections and uncontrolled bleeding. Chloramphenicol is used in veterinary to treat respiratory diseases and pneumonia. Was banned in Canada in 1985 (Gilmor, Can Med Assoc J 134: ). In China it was licensed in 1999 for control of infections in swine, cattle, and chicken. In pigs it had dose-independent irreversible aplastic anemia effect (Wang et al, Antimicrob Agents Chemother 56: ). Recent publications studied anti-microbialresistance (AMR) of E. coli to chloramphenicol in swine in NC and Iowa (Keelara et al, Foodborne Pathogenes and Disease 11: ; Zwonitzer et al., J Environ Quality 45: ).
9 Example #2. The discordance in medical care use and mortality: how we can intervene? Asthma: Living near hog CAFOs - lower rates of ED visits (-5.40%) and lower hospitalization rates (-9.20%). However, they have a higher proportion of ED visits (among all diseases that cased ED visits) (OR=1.20) and hospitalizations due to asthma (OR=1.21). Finally, people living near CAFOs have a higher asthma mortality rate (relative excess of asthma death rate +41%). Outcomes Higher proportion of asthma-related visits/outcomes among people living nearby hog CAFOs Difference in the rates of asthma outcomes (compared to control group) ED visits Hospitalizations Mortality OR=1.20** OR=1.21** OR=1.29* -5.40%** -9.20%** +41%* * p<0.001, **p< Similar patterns of medical care use were observed for: - the whole group of cardiovascular diseases: - hypertension mortality OR=1.39, hospitalizations OR=1.14, ED OR=1.16; - IHD mortality OR=1.11, hospitalizations OR=1.22, ED OR=1.31, - stroke mortality OR=1.19, hospitalizations OR=1.09, ED OR=1.25), - acute kidney failure mortality OR=1.10, hospitalizations OR=1.14, ED OR=1.25.
10 Example #3. Number of hogs, number of hogs farms and health outcomes, multivariate analysis, adjusted for smoking prevalence and median household income. Glomerular diseases (incl. nephritic/nephrotic syndrome and nephropathy): from +11% more hospitalizations (per 100,000 increase in number of pigs), depending on season (highest in spring), from +13% more ED visits (per 100,000 increase in number of pigs), depending on season (highest in spring). Number of hogs was a better predictors of health outcomes among people living in nearby communities than number of hog farms. We hypothesize that the measures protecting the environment could be not sufficient in certain farms.
11 How to effectively protect the environment??
12 Points for discussion Planning of medical resources (number of hospital beds and emergency rooms) and access to medical care with specific focus of high-risk diseases. Children-oriented program for prevention, early diagnosis, and effective treatment of asthma in children living in the communities located in close proximity to hogs CAFOs. Surveys in residential communities to identify whether there are some financial, transformational/related to the distance, or behavioral/cultural factors that prevent the residents from visiting ED and hospitals. Further detailed analysis of associations of air contaminants and water quality with health outcomes in residential communities in NC areas with hogs CAFOs. Medical costs of improvements of access to medical care. To develop recommendations for health care policy in the affected areas.
13 Let s find the ways to co-exist and live a healthier life.
14 Study team: H. Kim Lyerly Julia Kravchenko Sung Han Rhew (post-doc) Pankaj Agarwal We thank Igor Akushevich (Associated Professor at SSRI, Duke University) for his help in analysis. We thanks for information and consultations on the data on hog farms operations and air quality: Amy Keyworth, Christine Lawson, Evan Kane from the NC Division of Water Resources John Walker and Jesse Bash from the U.S. EPA We thank Fred and Alice Stanback for supporting this study with a philanthropic donation.
15 Appendix
16 Cattle and calves (left) and poultry (right) industries on North Carolina, 2012 census. Source: USDA NASS, 2012 Census of Agriculture
Cancer Deaths and the Environment in North Carolina
Cancer Deaths and the Environment in North Carolina H. Kim Lyerly, M.D. Julia Kravchenko, M.D., Ph.D. Sung Han Rhew, Ph.D. Duke University Introduction Environmental risk of cancer recognized by President
More informationImproving air quality in North Carolina: beyond respiratory health effects
Improving air quality in North Carolina: beyond respiratory health effects Julia Kravchenko, MD, PHD Assistant Professor, Department of Surgery, Duke University School of Medicine October 27-28, 2016 Museum
More informationHealtheCNY Indicator List by Data Source
American Community Survey 23 Adults with Health Insurance Children Living Below Poverty Level Children with Health Insurance Families Living Below Poverty Level Homeowner Vacancy Rate Homeownership Households
More informationBiosecurity: Understanding its importance when working on livestock farms
Biosecurity: Understanding its importance when working on livestock farms Kevin Janni, Extension Engineer Abby Neu, Extension Educator 1 2017 Regents of the University of Minnesota. All rights reserved.
More informationSE: TE: SE: , 758 TE: SE: , 758 TE: SE: 639, 758 TE: 85 SE: TE: SE: TE: 63-66
Code of Competency/Objective A. ORIENTATION TO AGRICULTURAL TECHNOLOGY 1. Prepare in outline form a typical supervised occupational experience program. 2. Identify occupational opportunities and educational
More informationNew York State Department of Health Center for Environmental Health
New York State Department of Health Center for Environmental Health March 2002 Evaluation of Asthma and Other Respiratory Hospital Admissions among Residents of ZIP Codes 14043 and 14227, Cheektowaga,
More informationEpidemiology of Asthma. In Wayne County, Michigan
Epidemiology of Asthma In Wayne County, Michigan Elizabeth Wasilevich, MPH Asthma Epidemiologist Bureau of Epidemiology Michigan Department of Community Health 517.335.8164 Publication Date: August 2005
More informationTexas Chronic Disease Burden Report. April Publication #E
Texas Chronic Disease Burden Report April 2010 Publication #E81-11194 Direction and Support Lauri Kalanges, MD, MPH Medical Director Health Promotion and Chronic Disease Prevention Section, Texas Department
More informationCFIA Animal Health, Welfare and Biosecurity Division Biosecurity Recommendations for Travellers to Keep African Swine Fever Out of Canada
CFIA Animal Health, Welfare and Biosecurity Division Biosecurity Recommendations for Travellers to Keep African Swine Fever Out of Canada Re: Travellers to Canada - Visitors or returning Canadian residents
More informationOpportunities for Using DDGS in Livestock and Poultry Feeds in Canada. Dr. Jerry Shurson Dept. of Animal Science University of Minnesota
Opportunities for Using in Livestock and Poultry Feeds in Canada Dr. Jerry Shurson Dept. of Animal Science University of Minnesota New Generation vs. Old Generation Lower Quality, Less Digestible High
More informationIowa s Changing Swine Industry
Animal Industry Report AS 652 ASL R2158 2006 Iowa s Changing Swine Industry Mark S. Honeyman Iowa State University, honeyman@iastate.edu Michael D. Duffy Iowa State University Recommended Citation Honeyman,
More informationHospital Discharge Data
Hospital Discharge Data West Virginia Health Care Authority Hospitalization data were obtained from the West Virginia Health Care Authority s (WVHCA) hospital discharge database. Data are submitted by
More information2018 Community Health Assessment
2018 Community Health Assessment Community Health Status Assessment Linn County, IA Prepared by Amy Hockett, PhD, MPH, CHES Epidemiologist Linn County Public Health August 9, 2018 Community Health Status
More informationThyroid Cancer Investigation Update
Thyroid Cancer Investigation Update Department of Environmental Quality Department of Health and Human Services NCDHHS, NCDEQ Thyroid Cancer Investigation Update March 21, 2019 1 Agenda I. Partner organizations
More informationHSI Fact Sheet Human health impacts of odors from industrial farm animal production facilities
HSI Fact Sheet Human health impacts of odors from industrial farm animal production facilities Reports of adverse human health effects associated with odors from industrial farm animal production (IFAP)
More informationChina s Health Reform, Chronic Disease Burden and the Elderly
China s Health Reform, Chronic Disease Burden and the Elderly Shanlian Hu. MD. MSc. Professor School of Public Health Fu Dan University Aging Asia Workshop, Stanford Univ. February 26, 2009 1 Growth Trend
More informationEpidemiology of Asthma. In the Western Michigan Counties of. Kent, Montcalm, Muskegon, Newaygo, and Ottawa
Epidemiology of Asthma In the Western Michigan Counties of Kent, Montcalm, Muskegon, Newaygo, and Ottawa Elizabeth Wasilevich, MPH Asthma Epidemiologist Bureau of Epidemiology Michigan Department of Community
More informationCommunicable Disease. Introduction
Communicable Disease HIGHLIGHTS Seniors have the highest incidence rates of tuberculosis compared to other age groups. The incidence rates for TB have been higher among Peel seniors compared to Ontario
More information2016 Community Service Plan & Community Health Improvement Plan
2016 Community Service Plan & Community Health Improvement Plan A.O. Fox Memorial Hospital The Mary Imogene Bassett Hospital (dba: Bassett Medical Center) & Otsego County Health Department Service Area:
More informationCANCER. in north carolina Report. cancer and income with a special report on cancer, income, and racial differences
CANCER in north carolina 2008 Report cancer and income with a special report on cancer, income, and racial differences purpose During 2007 cancer passed heart disease as the number one cause of death among
More informationIndiana State Board of Animal Health
Indiana State Board of Animal Health Office of the State Veterinarian Marianne Ash, DVM, MVPH, DACVPM Animal Health Division Director BOAH s Charge the prevention, detection, control and eradication of
More informationBaseline Health Data Report: Cambria and Somerset Counties, Pennsylvania
Baseline Health Data Report: Cambria and Somerset Counties, Pennsylvania 2017 2018 Page 1 Table of Contents Executive Summary.4 Demographic and Economic Characteristics 6 Race and Ethnicity (US Census,
More informationOctober 28, Community-scale impacts of CAFOs in North Carolina
October 28, 2016 Community-scale impacts of CAFOs in North Carolina Christopher D. Heaney, PhD, MS Assistant Professor Environmental Health & Engineering (primary) Epidemiology (joint) Director, Environmental
More informationSouthview Medical Center. Community Benefit Plan & Implementation Strategy
201 4 Southview Medical Center Community Benefit Plan & Implementation Strategy TABLE OF CONTENTS INTRODUCTION... 2 Southview Medical Center Service Area... 2 Community Health Needs Assessment... 2 Data
More informationBlue Ridge Environmental Defense League
Blue Ridge Environmental Defense League Blue Ridge Environmental Defense League www.bredl.org PO Box 88 Glendale Springs, NC 28629 BREDL@skybest.com (336) 982-2691 Salisbury Health Survey In answer to
More informationThe Burden Report: Cardiovascular Disease & Stroke in Texas
The Burden Report: Cardiovascular Disease & Stroke in Texas Texas Cardiovascular Health and Wellness Program www.dshs.state.tx.us/wellness Texas Council on Cardiovascular Disease and Stroke www.texascvdcouncil.org
More informationReport on the Japanese Veterinary Antimicrobial Resistance Monitoring System
Report on the Japanese Veterinary Antimicrobial Resistance Monitoring System 2014 2015 National Veterinary Assay Laboratory Ministry of Agriculture, Forestry and Fisheries 2018 Contents Introduction...
More informationHealthy People Determinants of Health. County Health Rankings. AHR Indicator. Leading Health Indicators (LHI) CROSSWALK
1 of 7 CROSSWALK Crosswalk comparing America's Health Rankings' (AHR) indicators with those used by County Health Rankings (CHR) and Healthy People 2020's Leading Health Indicators (LHI). AHR indicators
More information2017 PRC Community Health Needs Assessment
2017 PRC Community Needs Assessment Obici care Foundation Service Area Western Tidewater, Virginia Prepared for: OBICI HEALTHCARE FOUNDATION By Professional Research Consultants, Inc. The PRC Community
More informationTAHFA-South Texas HFMA Fall Symposium. Tuesday, October 17, from 10:45 AM 11:35 AM.
1 TAHFA-South Texas HFMA Fall Symposium Tuesday, October 17, from 10:45 AM 11:35 AM. Dr. Anil T. Mangla, MS., PhD., MPH., FRSPH Director of Public Health and Associate Professor of Biomedical Science 2
More informationHAMILTON COUNTY DATA PROFILE ADULT CIGARETTE SMOKING. North Country Population Health Improvement Program
HAMILTON COUNTY DATA PROFILE ADULT CIGARETTE SMOKING North Country Population Health Improvement Program HAMILTON COUNTY DATA PROFILE: ADULT CIGARETTE SMOKING INTRODUCTION The Hamilton County Data Profile
More informationSwine Commodity STATUS OF THE PORK INDUSTRY
Swine Commodity STATUS OF THE PORK INDUSTRY The swine industry has experienced tremendous change over the past two decades. Total swine inventory in the US has increased from 55.5 million pigs in 1988
More informationDemographics and Health Data
Demographics and Health Data Information for Local Planners City of Puyallup, WA Demographic Characteristics Environmental Health Division 3629 South D Street, Tacoma, WA 98418 (253) 798-6470 Table 1 presents
More informationPrimary Health Care Initiatives (PHCI) Project Contract No. 278-C Abt. Associates Inc.
Primary Health Care Initiatives (PHCI) Project Contract No. 278-C-00-99-00059-00 Abt. Associates Inc. BASIC EPIDEMIOLOGY LEARNING OBJECTIVES Define epidemiology and its scope and importance Know some of
More informationUSDA APHIS One Health Initiative
Biorisk Management in a One Health World USDA APHIS One Health Initiative Joseph F. Annelli, DVM, MS One Health Coordination Center U.S. Department of Agriculture Animal and Plant Health Inspection Service
More informationNon-covered ICD-10-CM Codes for All Lab NCDs
Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,
More informationE. Coli (Escherichia Coli)
E. Coli (Escherichia Coli) Background: E. Coli is a common kind of bacteria that lives in the intestines of animals and humans and most are harmless. (Mayo Clinic, 2008) The most dangerous strain of E.
More informationHighly Pathogenic Avian Influenza:
United States Department of Agriculture Animal and Plant Health Inspection Service Program Aid No. 1704 Highly Pathogenic Avian Influenza: A Threat to U.S. Poultry A Threat to U.S. Poultry Worldwide, there
More informationDemographics and Health Data
Demographics and Health Data Information for Local Planners City of Lakewood, WA Demographic Characteristics Environmental Health Division 3629 South D Street, Tacoma, WA 98418 (253) 798-6470 Table 1 presents
More informationDepressive Symptoms Among Colorado Farmers 1
February 1995 Depressive Symptoms Among Colorado Farmers 1 L. Stallones, M. Leff, C. Garrett, L. Criswell, T. Gillan 2 ARTICLE ABSTRACT Previous studies have reported farmers to be at higher risk of suicide
More informationLocal Preparedness and Response for Animal Disease Emergencies
Table Top Exercise: Exotic Newcastle Disease MODERATOR BOOKLET **This is an exercise and for official use only ** Local Preparedness and Response for Animal Disease Emergencies IOWA DEPARTMENT OF AGRICULTURE
More informationZhao Y Y et al. Ann Intern Med 2012;156:
Zhao Y Y et al. Ann Intern Med 2012;156:560-569 Introduction Fibrates are commonly prescribed to treat dyslipidemia An increase in serum creatinine level after use has been observed in randomized, placebocontrolled
More informationHow to prevent transmission to/from domestic pigs
Workshop on African swine fever management in wild boar surveillance and prevention of transmission to/from domestic pigs How to prevent transmission to/from domestic pigs Marius Masiulis FAO international
More informationMaryland 4-H Animal Science Livestock Market Project Record
Maryland 4-H Animal Science Livestock Market Project Record Name Calvin Clover 4-H Age Primary Club Name Howard County Bear 4-H Club Years in 4-H 5 Years in this Project 2 I have completed this record
More informationSTATE OF NORTH CAROLINA UTILITIES COMMIISSION RALEIGH DOCKET NO. E-100, SUB 113 BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
STATE OF NORTH CAROLINA UTILITIES COMMIISSION RALEIGH DOCKET NO. E-100, SUB 113 BEFORE THE NORTH CAROLINA UTILITIES COMMISSION In the Matter of: ) Rulemaking Proceeding to Implement ) NC WARN S COMMENTS
More informationSpring Webinar Series. 2 p.m. CST
2019 Spring Webinar Series 2 p.m. CST Zoom Controls Question/ Answer Controls Chat box Mute/unmute Open chat box Please Complete the Survey Please complete the short online survey that will be emailed
More information2014 TRENDS DATA DOCUMENTATION
2014 TRENDS DATA DOCUMENTATION As described at /measuring-progress/rankingsmeasures, we are making trend graphs available this year for 12 measures. In addition, we are making SAS and CSV files of the
More informationFort Ha milton Hospital. Community Benefit Plan & Implementation Strategy
201 4 Fort Ha milton Hospital Community Benefit Plan & Implementation Strategy TABLE OF CONTENTS INTRODUCTION... 2 Fort Hamilton Hospital Service Area... 2 Community Health Needs Assessment... 2 Data Collection...
More informationRisk Assessment in the context of Bio-risk Management
Risk Assessment in the context of Bio-risk Management 1 Some preliminary information 2 Hazard 3 Hazard It is a qualitative notion It is a biological, chemical or physical agent that may have adverse health
More informationSupplementary Online Content
Supplementary Online Content Lee JS, Nsa W, Hausmann LRM, et al. Quality of care for elderly patients hospitalized for pneumonia in the United States, 2006 to 2010. JAMA Intern Med. Published online September
More informationUpdate to Iowa Foot and Mouth Disease (FMD) and Livestock Emergency Management Plans
Update to Iowa Foot and Mouth Disease (FMD) and Livestock Emergency Management Plans James A. Roth, DVM, PhD Center for Food Security and Public Health College of Veterinary Medicine Iowa State University
More information2014 TUBERCULOSIS FACT SHEET A Profile of Mecklenburg County Reported Cases
OVERVIEW T uberculosis (TB) is a disease caused by bacteria called Mycobacterium tuberculosis. TB usually affects the lungs, but it can also affect other parts of the body. TB is spread through the air
More informationGoals. Transboundary or. We are Here to Help. Awareness that animal biosecurity is addressed at the. Who s who during an outbreak
Transboundary or E Emerging i Di Disease E Event: t We are Here to Help Betsy Matos PhD, MPH Goals Awareness that animal biosecurity is addressed at the national ti l llevell ffor ttransboundary b d di
More informationJackson Hospital Community Health Needs Assessment. Fiscal Year 2016
Jackson Hospital Community Health Needs Assessment Fiscal Year 2016 JACKSON HOSPITAL AT A GLANCE Jackson Hospital, located in Montgomery, Alabama, is a not-for-profit organization committed to improving
More informationPotential Hazards in Food: Update Systems in
Potential Hazards in Food: Update Systems in Ensuring the concept of Tayyabab in Food Professor Dr. Mian Muhammad Nadeem Riaz Director, Texas A&M University, TAMU, USA مكامن الخطر على الصحة في الغذاء:
More informationTHE STATE OF ASTHMA IN INDIANA
THE STATE OF ASTHMA IN INDIANA ASTHMA PROGRAM OCTOBER 2015 Jack Kinsey, MPH Asthma Epidemiologist Indiana State Department of Health A healthier and safer Indiana Today s Session Will Cover: Data from
More informationHealth Interventions in Light of New Antibiotic Regulations Chris Rademacher, DVM
Health Interventions in Light of New Antibiotic Regulations Chris Rademacher, DVM Clinical Associate Professor ISU Swine Extension Veterinarian Iowa State University Agenda Effects of new regulations on
More informationAnimal Agriculture s Commitment to Public Health
Animal Agriculture s Commitment to Public Health The topic of public health as it relates to animal agriculture encompasses a broad list of topics including community/respiratory health, the environment,
More informationTrace Elements in Manure
Trace Elements in Manure Purpose: Whenever soil profiles are examined for nutrient trace elements, it has been demonstrated that the metals tend to accumulate in the topsoil. Soil properties affect plant
More informationEnd of Life Care in Nova Scotia: Surveillance Report. Dr. Fred Burge June 13, 2008
End of Life Care in Nova Scotia: Surveillance Report Dr. Fred Burge June 13, 2008 What is the Network for End of Life Studies (NELS)? Research group based at Dalhousie University, Capital Health, Cancer
More informationDiabetes Quality Improvement Initiative
Diabetes Quality Improvement Initiative Community Care of North Carolina 2300 Rexwoods Drive, Ste. 100 Raleigh, NC 27607 (919) 745-2350 www.communitycarenc.org 2007 Background The Clinical Directors of
More informationYour Risk for Stroke and How to Be Prepared
Your Risk for Stroke and How to Be Prepared TABLE OF CONTENTS 01 / 02 / 03 / 04 / 06 / 07 / 08 / 09 / 14 / Stroke Education Stroke: The No. 5 Cause Of Death In The U.S. Is Stroke Preventable? Stroke Risk
More informationThe Power of Pork. Peggy Anne Hawkins, DVM Director of Research for Veterinary Provision Cannon Valley Veterinary Clinic
The Power of Pork Peggy Anne Hawkins, DVM Director of Research for Veterinary Provision Cannon Valley Veterinary Clinic CSNA s 61 st Annual Conference November 17, 2013 Palm Springs, CA Obesity is Increasing
More informationFact Sheet. Data, Information & Economic Analysis Livestock Marketing Information Center
Fact Sheet Data, Information & Economic Analysis Livestock Marketing Information Center www.lmic.info November, 2011 Export Market Recovery Post Livestock Disease Outbreak Swine 1 A UTHORS Kamina Johnson,
More informationChicken: Myths and Facts
Chicken: Myths and Facts University of Delaware Bud Malone Gary VanWicklen Dan Bautista Stephen Collier University of Maryland Nick Zimmermann Nat Tablante Jennifer Timmons Inma Estevez The following poster
More informationFollow-up on Spring Valley Health Study. Community Briefing July 24, 2013
Follow-up on Spring Valley Health Study Community Briefing July 24, 2013 Johns Hopkins Study Team Mary Fox, PhD, MPH Beth Resnick, MPH, CPH Keeve Nachman, PhD, MHS Patti Truant, MPH Meghan McGinty, MBA,
More informationFPP.01: Examine components of the food industry and historical development of food products and processing.
Food Products and Processing Systems AG3 and AG4 Essential Questions: 1. How do the components and history of the food industry affect the development of food products and processing? 2. How do safety
More informationData for Healthy Insights
Data for Healthy Insights South Carolina Association for Community Economic Development (SCACED) and MITRE Partnership Funded by the Robert Wood Johnson Foundation 2016 The MITRE Corporation. ALL RIGHTS
More informationTHE BURDEN OF ASTHMA IN WEST VIRGINIA
THE BURDEN OF ASTHMA IN WEST VIRGINIA Bob Wise Governor Paul L. Nusbaum, Secretary Department of Health and Human Resources Chris Curtis, M.P.H. Acting Commissioner, Bureau for Public Health Catherine
More informationPreventing Legionella Transmission An Environmental Health View
Preventing Legionella Transmission An Environmental Health View April 25, 2013 Erin Reinsborough Environmental Health Specialist Mission Statement Together with the Halton community, the Health Department
More informationRacial and Socioeconomic Disparities in Appendicitis
Racial and Socioeconomic Disparities in Appendicitis Steven L. Lee, MD Chief of Pediatric Surgery, Harbor-UCLA Associate Clinical Professor of Surgery and Pediatrics David Geffen School of Medicine at
More informationCommunity Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 2006
Community Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 26 This report is produced by: The Great Lakes EpiCenter If you would like to reproduce any of the information contained in
More informationCASINO REVENUE AND AMERICAN INDIAN HEALTH
CASINO REVENUE AND AMERICAN INDIAN HEALTH The Link Between Tribal Gaming and the Health Status and Behaviors of American Indians Barbara Wolfe Jessica Jakubowski Robert Haveman Hannah Goble Marissa Courey
More informationPHACS County Profile Report for Searcy County. Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center
PHACS County Profile Report for Searcy County Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center Contents Introduction... Page 2 Demographics...Page 3 Social Environment
More informationA. No. There are no current reports of avian influenza (bird flu) in birds in the U.S.
Bird Flu FAQ 2 Frequently Asked Avian Influenza Questions Avian influenza in birds Q. What is avian influenza? A. Avian influenza is an infectious disease of birds caused by type A strains of the influenza
More informationFDA/NSTA Web Seminar: Teach Science Concepts and Inquiry with Food
LIVE INTERACTIVE LEARNING @ YOUR DESKTOP FDA/NSTA Web Seminar: Teach Science Concepts and Inquiry with Food Tuesday, December 4, 2007 Outbreak Investigation Be the Detective Sherri A. McGarry Food & Drug
More informationCanadian census mortality and cancer cohort: A linked cohort for the surveillance of occupational exposure and cancer
1991 2010 Canadian census mortality and cancer cohort: A linked cohort for the surveillance of occupational exposure and cancer Jill Hardt Occupational Cancer Research Centre Cancer Care Ontario November
More informationHealth Consultation SUMMARY SEPTEMBER 30, 2008
Health Consultation ANALYSIS OF LUNG CANCER INCIDENCE NEAR CHROMIUM-CONTAMINATED SITES IN NEW JERSEY (a/k/a Hudson County Chromium Sites) JERSEY CITY, HUDSON COUNTY, NEW JERSEY SUMMARY SEPTEMBER 30, 2008
More informationThe Health Consequences of Secondhand Smoke Exposure: What It Means To You
The Health Consequences of Secondhand Smoke Exposure: What It Means To You Steve Babb, MPH CDC Office on Smoking and Health National Association of County and City Health Officials webcast January 24,
More informationAmerican Fats and Oils Association Animal Protein Forum, October 9, 2013
American Fats and Oils Association Animal Protein Forum, October 9, 2013 David L. Meeker, Ph.D., MBA Senior Vice President, Scientific Services National Renderers Association The Rendering Industry (U.S.
More informationFDA Foodborne Illness Risk Factor Study Data Collection Form
APPENDIX O 2105 Data Collection Wake County Facility ID# Sample # QA FDA Foodborne Illness Risk Factor Study Data Collection Form Date: Time In: Time Out: Inspector: Establishment: Manager: Physical Address:
More informationNutritional and Feeding Strategies to Minimize Nutrient Losses in Livestock Manure
Nutritional and Feeding Strategies to Minimize Nutrient Losses in Livestock Manure Mindy J. Spiehs, Regional Extension Educator, Livestock Manure Systems Introduction The livestock industry has undergone
More informationIndustrial Hog Barns - Communicable Diseases Occupational Health Considerations
Industrial Hog Barns - Communicable Diseases Occupational Health Considerations MFL Occupational Health Centre, Inc April 2007 Introduction Workers in industrial hog barns will most directly and probably
More informationOFFICE OF THE TEXAS STATE CHEMIST
OFFICE OF THE TEXAS STATE CHEMIST Texas Feed and Fertilizer Control Service Agricultural Analytical Service 445 Agronomy Road College Station, TX 77843-2114 Mailing Address P. O. Box 3160 College Station,
More informationFood Safety and the SPS Agreement. Dr Gerald G. Moy Manager, GEMS/Food Department of Food Safety World Health Organization
Food Safety and the SPS Agreement Dr Gerald G. Moy Manager, GEMS/Food Department of Food Safety World Health Organization Constitution of the World Health Organization Article 2 (U) develop, establish
More informationName Age Birthday / / Sex Last First MI. Home Address Street Apt City State Zip Code Home phone: ( ) Cell phone: ( ) Name of parent(s) or guardian:
I. HEALTH HISTY- To be completed by the STUDENT (Required of all full-time students) Please answer all questions. Information requested in this form is strictly for the use of the Health Center in providing
More informationWellness County Profile ROGERS
Wellness County Profile 2018 ROGERS OKLAHOMA MAPS This image cannot currently be displayed. ROGERS Insurance Coverage Population 91,766 Unemployment Rate (2013-2015) High School Dropouts: Class
More informationWellness County Profile STEPHENS
Wellness County Profile 2018 STEPHENS OKLAHOMA MAPS STEPHENS Insurance Coverage Population 44,090 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 15.9% Stephens
More informationWellness County Profile JOHNSTON
Wellness County Profile 2018 JOHNSTON OKLAHOMA MAPS JOHNSTON Insurance Coverage Population 11,087 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 19.1% Johnston
More informationWellness County Profile CRAIG
Wellness County Profile 2018 CRAIG OKLAHOMA MAPS CRAIG Insurance Coverage Population 14,625 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 18.1% Craig 5.6
More informationNEAR-ROADWAY AIR POLLUTION AND CHILDHOOD ASTHMA Challenges for Policy Makers
NEAR-ROADWAY AIR POLLUTION AND CHILDHOOD ASTHMA Challenges for Policy Makers Rob McConnell Director, Southern California Children s Environmental Health Center Children s Health Study Communities CHILDREN
More informationPolicy Department Structural and Cohesion Policies REGULATION IN AUSTRALIA, CANADA, JAPAN AND UNITED STATES OF AMERICA ON FISHMEAL USE FOR FEEDSTUFF
Directorate-General Internal Policies of the Union Policy Department Structural and Cohesion Policies FISHERIES REGULATION IN AUSTRALIA, CANADA, JAPAN AND UNITED STATES OF AMERICA ON FISHMEAL USE FOR FEEDSTUFF
More informationWellness County Profile GARFIELD
Wellness County Profile 2018 GARFIELD OKLAHOMA MAPS GARFIELD Insurance Coverage Population 62,603 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 16.5% Garfield
More informationWellness County Profile GARVIN
Wellness County Profile 2018 GARVIN OKLAHOMA MAPS GARVIN Insurance Coverage Population 27,838 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 16.7% Garvin
More informationLEADING CAUSES OF DEATH, EL DORADO,
LEADING CAUSES OF DEATH, EL DORADO, 2006-2010 EL DORADO COUNTY HEALTH SERVICES DEPARTMENT DIVISON OF PUBLIC HEALTH Date: 05/12/2011 CREATED BY OLIVIA BYRON-COOPER, MPH EPIDEMIOLOGIST LEADING CAUSES OF
More informationWellness County Profile BECKHAM
Wellness County Profile 2018 BECKHAM OKLAHOMA MAPS BECKHAM Insurance Coverage Population 22,519 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 15.2% Beckham
More informationWellness County Profile SEMINOLE
Wellness County Profile 2018 SEMINOLE OKLAHOMA MAPS SEMINOLE Insurance Coverage Population 25,207 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 18.9% Seminole
More informationSURVEILLANCE & EPIDEMIOLOGIC INVESTIGATION NC Department of Health and Human Services, Division of Public Health
Part B. SURVEILLANCE & EPIDEMIOLOGIC INVESTIGATION NC Department of Health and Human Services, Division of Public Health The NC Division of Public Health (NC DPH) conducts routine influenza surveillance
More informationExecutive Summary To access the report in its entirety, visit
Executive Summary To access the report in its entirety, visit http://www.hpcswf.com/health-planning/health-planningprojects/. Demographic and Socioeconomic Characteristics Population Demographics has a
More informationWellness County Profile SEQUOYAH
Wellness County Profile 2018 SEQUOYAH OKLAHOMA MAPS SEQUOYAH Insurance Coverage Population 41,294 Unemployment Rate (2013-2015) High School Dropouts: Class of 16 Uninsured Insured 18.1% Sequoyah
More information