Post on 13-Mar-2016
description
Public Health Response to Traumatic Brain Injury
Jeneita Bell, MD, MPHMedical Officer
LCDR, USPHS Commissioned Corps
National Center for Injury Prevention and ControlDivision of Unintentional Injury Prevention
Overview
History of CDC TBI Surveillance Congressional mandates and authorizations Response to Congress TBI Model Systems
CDC's Traumatic Brain Injury Surveillance Program
1989 — promoted development of a multistate TBI surveillance program Federal Interagency Head Injury Task Force Report Funding and technical assistance Colorado, Oklahoma, Missouri, and South Carolina
1995 — published Guidelines for Surveillance of Central Nervous System Injury Ensure valid and timely information Define the data elements necessary to describe
TBI Core elements readily available to most State
health departments
The Traumatic Brain Injury Act of 1996
Develop a uniform reporting system Research effective strategies for preventing
TBI Implement public information and education
programs Provide technical assistance to public
entities Authorized at $3 million for fiscal years
1997–1999
CDC Response – TBI Act of 1996
Report to Congress on TBI -1999 Incidence Prevalence of TBI TBI-related disability
TBI surveillance systems funded in 19 states
Follow-up studies Colorado and South Carolina
TBI Act Amendments of 2000
Signed as Title XIII of the Children’s Health Act of 2000
Implement national education campaign Fund States or their designees to operate a
TBI registry Determine the incidence and prevalence of
TBI in all age groups in the general population
Determine the incidence and prevalence of mild TBI
CDC Response – TBI Act Amendment of 2000
CDC Heads Up program (2004) TBI-related deaths, hospitalizations, and ED
visits Funded states to link rehabilitation and
social services CDC Mild TBI Work Group
Future of registries State-based CDC surveillance systems as
registries Report to Congress (2003)
South Carolina studies of TBI among prisoners
Reauthorization of the TBI Act of 2008
Collaboration between civilian and military registries
Determine the incidence of TBI and prevalence of TBI-related disability
Report national trends in TBI Identify common rehabilitation
interventions Identify interventions that can prevent or
remediate secondary neurologic conditions Develop practice guidelines TBI
rehabilitation
CDC Response –Reauthorization Act of 2008
Reports to Congress Military (DoD, VA, NIH) Civilian (NIH and Expert panel of research
scientists)
TBI-related deaths, hospitalizations, and ED visits, 2002–2006 Demographic characteristics External cause of injury Trend data
Interagency Agreement Department of Education, National Institute of
Disability and Rehabilitation Research TBI Model Systems
Thank you
For more information please contact Centers for Disease Control and Prevention
1600 Clifton Road NE, Atlanta, GA 30333Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Injury Prevention and ControlDivision of Unintentional Injury Prevention