Disability Activities at CDC

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(No Transcript)
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Disability Activities at CDC

• Ed Brann, MD, MPH, Director,
• Division of Human Development and Disability

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Todays Presentation

• Explain CDCs Role in the Primary Prevention of
  Disabilities
• Explain CDCs approach to ensuring people with
  disabilities have the same access to public
  health as people without disabilities.

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Primary Prevention of Disability Activities

• HIV
• Injury (Intentional and Unintentional)
• Workplace Injury
• Diabetes (weight loss/diet)
• Arthritis (physical activity)
• Cancer Screening

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Primary Prevention of Disability Activities

• Reproductive Health (low birth weight and
  perinatal infections)
• Birth Defects
• Neural tube defects
• Etiology of birth defects and developmental
  disabilities
• Fetal Alcohol Syndrome
• Kernicterus

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Health Promotion Activitiesfor People With
Disabilities

• Spinal cord injury (includes decubiti prevention)
• Traumatic brain injury
• Diabetes
• Arthritis
• Obesity
• Aging

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Health Promotion Activitiesfor People With
Disabilities

• Early Hearing Detection and Intervention
• Newborn Screening
• Attention Deficit Hyperactivity Disorder
• Down Syndrome
• Fetal Alcohol Syndrome

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Health Promotion Activitiesfor People With
Disabilities

• Mental Retardation
• Muscular Dystrophy
• Autism
• Disability and Health

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CDCs Disability and Health Program

• Approximately 50 million people in the U.S. have
  a disability
• Disability refers to limitations in carrying out
  socially defined tasks or roles that are related
  to impairments in physical or cognitive structure
  or function caused by one or more health
  conditions

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CDCs Disability and Health Program

• If a person with a disability maintains good
  health, he or she will be more likely to
  participate in socially defined roles such as
  working and going to school

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CDCs Disability and Health Program

• Program Focus
• Examine the health of people with disabilities
  and then establish useful interventions and
  health promotion programs
• Promote accessible public health programs for
  people with disabilities

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Disability and Health ProgramGuiding Principles

• Disability does not equate to poor health
• People with disabilities deserve the same access
  to health as people without disabilities
• Many health conditions that diminish the quality
  of life for people with disabilities can be
  prevented
• Improvements in or maintenance of health promotes
  better functioning and participation in society

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Disability and Health ProgramGuiding Principles

• Interaction between the environment and the
  person functioning. The effects of disability
  can be mediated by supportive environments and
  assistive technology.
• Quality of life and functioning are diminished by
  preventable health conditions secondary to the
  persons disability

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Two Major Foci

• State capacity building
• Research

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Steps in the Process

• Health surveillance in people with disabilities

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Data Collection on Disability

• National Health Interview Survey (NHIS)
• National Health and Nutrition Examination Survey
  (NHANES)
• State and Local Area Integrated Telephone Survey
  (SLAITS) national survey of children with special
  health care needs
• Behavioral Risk Factor Surveillance System
  (BRFSS)

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Source Behavioral Risk Factor Surveillance
System, NCCDPHP, 2001
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Steps in the Process

• Health surveillance in people with disabilities
• Epidemiologic studies of disability and comorbid
  conditions

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Source Behavioral Risk Factor Surveillance
System, NCCDPHP, 2001
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Steps in the Process

• Health surveillance in people with disabilities
• Epidemiologic studies of disability and comorbid
  conditions
• Intervention developmental and testing evaluation

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Health interventions

• Eight-week workshop
• that emphasizes
• Goal setting and clarification
• Health awareness
• Connection between health and functioning
• Health behaviors

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Health Interventions

• Savings of 250-1,000 per participant per year,
  above program costs

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Health Intervention Evaluation

• Effectiveness of health communication materials
  in NC, NY and NM
• Establish guidelines for future materials

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Steps in the ProcessHealth Services
DeliveryEliminating Disparity in Screening
Collaboration with Breast and Cervical Cancer
Early Detection Program in NCCDPHP
Support to state Disability Health programs to
acquire adaptive screening tables
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Barriers to Breast Cancer Screening

• Difficulty with positioning
• Inaccessible facilities and equipment
• Provider attitudes

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Steps in the Process

• Workforce Development

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Other Activities

• Workforce development curriculum
• Cost studies
• QoL studies
• Improvement measurement (NCHS, NCBDDD, ICF)
• Academic Excellence
• Focus of health and public health community
• State and local emphasis
• Partners and advisory groups
• International collaborations

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Wrap Up

• Public health approach to disability
• People with disabilities have many of the same
  health concerns as people without disabilities
• CDC is working to identify and eliminate barriers
  to good health for people with disabilities

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• More information about CDCs disability
  activities is available at ww.cdc.gov/ncbddd

Ed Brann, MD, MPH, Director, Division of Human
Development and Disability ebrann_at_cdc.gov