Overview of EPHT in Maryland

1
Overview of EPHT in Maryland

• John T. Braggio, Ph.D., M.P.H.,
• EPHT Coordinator,
• Maryland Department of Health and Mental Hygiene,
  Baltimore

2
CDC EPHT Cooperative Agreement

• Co-Principal Investigators
• Diane L. Matuszak, M.D., M.P.H., Director,
  Community Health Administration, Maryland
  Department of Health and Mental Hygiene
• Phil Heard, M.D., M.P.H., Health Advisor,
  Technical and Regulatory Services Administration,
  Maryland Department of the Environment

3
MD EPHT Workgroup

• MDE, TRSA
• Dr. Betty J. Dabney
• Tanesha Johnson-Bey
• DHMH, CHA
• Dr. John T. Braggio
• DHMH Laboratories
• Dr. Prince Kassim

• DHMH, IRMA
• Sam Allen
• Rashid Malik
• Parveeza Shaikh
• Jim Thomas
• Summer Student Interns
• Andrew Burke
• Maurice Carter
• Hameed Shah
• Andrew Timlek

4
Objectives of Presentation

• Why Environmental Public Health Tracking in
  Maryland?
• Current EPHT Activities
• Related EPHT Issues
• Summary

5
EPHT in Maryland

• Financial Support for a National Tracking System
  (Hazard-Exposure-Health Outcome)
• CDC
• Multiple Environmental Hazard Sources
• Industrial Wastes and Natural Sources
• Contribution of Environmental Hazards to Chronic
  Diseases
• Asthma, Cancer, Birth Defects

6
CDC Cooperative Agreement

• CDC Funding for Three Years, 2002-2005
• Type A GrantPlanning
• Inventory and Evaluate Data Sources
• Develop Biomonitoring Capabilities
• Stakeholder Input
• Analysis of Linked Files
• Share Data

7
Metadata Inventory

• Identify and Evaluate Content of Environmental
  Hazard and Health Outcome Databases
• Tanesha Johnson-Bey (MDE)
• Parveeza Shaikh (DHMH)
• Developed Access Inventory Questionnaire
• Internet Version of Questionnaire

8
Pesticide Exposure

• Laboratory Analysis of Pesticides in Urine
• DHMH Laboratory (Dr. Prince Kassim)
• Capacity Building Activities
• Purchase and Use Equipment
• 2,500 Anonymous Urine Tests in Year 03
• Free Tests to Health Care Providers in State
• Acquire and Analyze Data
• Determine Pesticide Exposure in Maryland

9
Demonstration Project

• Link Environmental Hazards (Ozone, PMlt2.5, Radon,
  Indoor Air Quality Proxy) to Childhood Asthma and
  Leukemia (ALL) in a Tracking Geographic
  Information System
• Determine Asthma Prevalence and ALL Incidence in
  Higher and Lower Environmental Hazard Stratified
  Zip Codes
• Evaluate Asthma-ALL Inverse Association

10
GIS Pesticide Project

• Pesticide Use and Health Outcomes (Andrew Burke,
  Maurice Carter, Hameed Shah and Andrew Timlek,
  DHMH, IRMA)
• Satellite Images of Crops (Proxy for Pesticides
  Used) and MDA Pesticide Use Survey Results
  Related to Health OutcomesBirth Weight and Birth
  Defects
• Develop and Test Methodology

11
Stakeholder Participation

• Planning Consortium (Drs. Dabney and Heard, MDE)
• Data Users Survey (Dr. Dabney)
• Local Health Department Information Technology
  Initiative (Tanesha Johnson-Bey, and Drs. Dabney,
  Heard, Matuszak)
• EPHT Planning Consortium Workgroups

12
Data Sharing Now and Future

• Data Workshops (Drs. Dabney and Heard)
• GIS Training (Thomas, DHMH, IRMA)
• Data Access from Maryland EPHT Website (DHMH,
  IRMA)
• De-Identified Data and Additional Information for
  Registered Users
• Cooperative Agreement Activities
• Tables and Maps

13
Related Issues

• Increased Stakeholder Participation?
• Individual Record for EPHT Tracking?
• Other Health Outcomes?
• IT Infrastructure for Data Sharing
• Within and Between Maryland State Agencies and
  CDC (EPA?)
• EPHT Indicators for State
• Prevention

14
Can We Maintain this EPHT Focus Long-Term?
Barrons, July 5, 2004
15
Questions?

• Contact Information
• John T. Braggio, Ph.D., M.P.H., EPHT
  Coordinator, 6 Saint Paul Street, Suite 1202,
  Baltimore, MD 21202 E-Mail braggio_at_dhmh.state.md
  .us Phone [phone] FAX [phone]