Public Health Functions

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Public Health Functions Services The
Integration of Genetics

• Office of Genetics and Disease Prevention
• Centers for Disease Control Prevention

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Goal of this Project

• Develop a taxonomy that
• demonstrates the intrinsic role for genetics in
  achieving public health goals
• can be readily understood and widely accepted for
  use by the public health community
• provides a lasting framework for planning,
  carrying out, and evaluating the integration of
  genetics into CDC activities

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Public Health in America
Assessment
Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Assurance
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Research
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Enforce Laws
Public Health Functions Project, Office of
Disease Prevention Health Promotion, Office of
Public Health Science, US Department of Health
Human Services (1994)
Develop Policies
Policy Development
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The Integration of Genetics??
Assessment
Monitor Health
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Assure Competent Workforce
Diagnose Investigate
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Assurance
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Research
Inform, Educate, Empower
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Develop Policies
Policy Development
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The Integration of Genetics

• Assessment The regular systematic collection,
  assembly, analysis, and dissemination of
  information, including human genome epidemiologic
  information, on the health of the community.
• Human Genome Epidemiology The study of the role
  of genetic factors and their interaction with
  environmental factors in the occurrence of
  disease in human populations.

Assessment
Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Assurance
Link to / Provide Care
Research
Inform, Educate, Empower
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Mobilize Partner-ships
Enforce Laws
Develop Policies
Policy Development
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The Integration of Genetics

• Policy Development The formulation of policies,
  in collaboration with stakeholders, that promote
  the appropriate use of genetic information and
  the effectiveness, accessibility, and quality of
  genetic tests and services.
• StakeholdersGeneral public, patients, health
  professionals, scientists, policy makers,
  pharma/biotech industry, insurance industry

Assessment
Monitor Health
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Assure Competent Workforce
Diagnose Investigate
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Assurance
Link to / Provide Care
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Inform, Educate, Empower
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Mobilize Partner-ships
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Develop Policies
Policy Development
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The Integration of Genetics

• Assurance The assurance to constituents that
  genetic information is used appropriately and
  that genetic tests and services meet agreed upon
  goals for effectiveness, accessibility, and
  quality.

Assessment
Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Assurance
Link to / Provide Care
Research
Inform, Educate, Empower
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Mobilize Partner-ships
Enforce Laws
Develop Policies
Policy Development
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The Integration of Genetics

• System Management Assessing and building the
  capacity of the public health infrastructure to
  integrate information from genetic research into
  public health practice.
• Public Health InfrastructureThe systems,
  competencies, relationships, and resources that
  enable performance of the essential public health
  services in every community.(HP 2010)

Assessment
Monitor Health
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Assure Competent Workforce
Diagnose Investigate
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Assurance
Link to / Provide Care
Research
Inform, Educate, Empower
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Mobilize Partner-ships
Enforce Laws
Develop Policies
Policy Development
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Essential Services Research

• Research A systematic investigation designed to
  develop or contribute to generalizable knowledge
  of the impact of human genetic variation on
  health and disease.

Monitor Health
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Assure Competent Workforce
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Develop Policies
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Essential Services Research

• Epidemiologic Laboratory Research Quantify the
  impact of gene variants on human health, and
  identify and quantify the impact of environmental
  risk factors that interact with gene variants.
• Gene VariantsHeritable mutations or
  polymorphisms
• Environmental Risk FactorsAny exogenous
  factors -- chemical, physical, infectious,
  nutritional

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Essential Services Research

• Epidemiologic Laboratory Research Quantify the
  impact of gene variants on human health, and
  identify and quantify the impact of environmental
  risk factors that interact with gene variants.
• Policy Communications Research Identify and
  analyze the economic, social, ethical, and
  political implications of advances in human
  genetics, including the information and
  communications needs of stakeholders.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Link to / Provide Care
Research
Inform, Educate, Empower
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Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Research

• Epidemiologic Laboratory Research Quantify the
  impact of gene variants on human health, and
  identify and quantify the impact of environmental
  risk factors that interact with gene variants.
• Policy Communications Research Identify and
  analyze the economic, social, ethical, and
  political implications of advances in human
  genetics, including the information and
  communications needs of stakeholders.
• Health Services Research Identify and analyze
  the factors that influence the impact of genetic
  information, and the delivery, utilization, and
  quality of genetic tests and services.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Link to / Provide Care
Research
Inform, Educate, Empower
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Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assessment

• Monitor Health Monitor health status, including
  genetic factors, to identify health problems
  within the community.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Link to / Provide Care
Research
Inform, Educate, Empower
M
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Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assessment

• Monitor Health Monitor health status, including
  genetic factors, to identify health problems
  within the community.
• Diagnose Investigate Investigate the
  distribution of genetic and modifiable risk
  factors within the community to determine their
  contribution to identified health problems and to
  improve health outcomes.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Link to / Provide Care
Research
Inform, Educate, Empower
M
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Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Policy

• Inform, Educate, Empower Facilitate
  communication and education about the integration
  of genetic information into health promotion and
  disease prevention programs.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
e
y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
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n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Policy

• Inform, Educate, Empower Facilitate
  communication and education about the integration
  of genetic information into health promotion and
  disease prevention programs.
• Mobilize Partnerships Foster collaboration among
  public and private agencies and constituent
  groups to promote effective and efficient policy
  making about genetics.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
e
y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
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n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Policy

• Inform, Educate, Empower Facilitate
  communication and education about the integration
  of genetic information into health promotion and
  disease prevention programs.
• Mobilize Partnerships Foster collaboration among
  public and private agencies and constituent
  groups to promote effective and efficient policy
  making about genetics.
• Develop Policies Establish policies and
  guidelines for when and how genetic information
  should be applied to promote health and prevent
  disease.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
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y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
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n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assurance

• Enforce Laws Promote the enforcement of policies
  and standards enacted to ensure the appropriate
  use of genetic information, and the
  effectiveness, accessibility, and quality of
  genetic tests and services.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
e
y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
e
n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assurance

• Enforce Laws Promote the enforcement of policies
  and standards enacted to ensure the appropriate
  use of genetic information, and the
  effectiveness, accessibility, and quality of
  genetic tests and services.
• Link to / Provide Care Ensure the availability
  and accessibility of intervention strategies that
  incorporate genetic information to improve health
  and prevent disease.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
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Link to / Provide Care
Research
Inform, Educate, Empower
M
t
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Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assurance

• Assure Competent Workforce Ensure that present
  and future health professionals have training and
  skills in the appropriate use of genetic
  information to promote health and prevent disease.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
e
y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
e
n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies
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Essential Services Assurance

• Assure Competent Workforce Ensure that present
  and future health professionals have training and
  skills in the appropriate use of genetic
  information to promote health and prevent
  disease.
• Evaluate Evaluate the impact of genetic
  information, and the effectiveness,
  accessibility, and quality of genetic tests and
  services.

Monitor Health
Evaluate
Assure Competent Workforce
Diagnose Investigate
t
s
e
y
m
S
Link to / Provide Care
Research
Inform, Educate, Empower
M
t
n
a
e
n
m
a
e
g
Mobilize Partner-ships
Enforce Laws
Develop Policies