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The Association of State and Territorial Health Officials (ASTHO) - February 11, 2010

Who are the members of the leadership team at Who are the members of the leadership team at ASTHO?What is the presidential challenge?What investment has ASTHO made toward the presidential challenge?How will our successes be measured?Who are ASTHO’s supporters of the challenge?How can you become involved?

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Dr. Paul Halverson (AR) –PresidentDr Judy Monroe (IN) – Past PresidentDr. Judy Monroe (IN) – Past PresidentJanet Olszewski (MI) – Secretary TreasurerDr. David Sundwall (UT) – Past PresidentMr. John Auerbach (MA) – Incoming President

ASTHO’s Regional RepresentativesASTHO’s Regional Representatives

Region I: David Gifford (RI) Region II: Richard Daines (NY) Region III: Karyl Rattay (DE) Region IV: Susan Cooper (TN)Region V: Alvin Jackson (OH) Region VI: David Lakey (TX) Region VII: Joann Schaefer (NE) Region VIII: Brent Sherard (WY)Region IX: Mark Horton (CA) Region X: Mary Selecky (WA)

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As president of ASTHO I have pchallenged state health leaders to study the data, assess their state, and consider adopting at least one policy strategy this year that could lessen the burden of

t bl i j d d th i preventable injury and death in their home state.

ASTHO is partnering with the CDC/NCIPC, STIPDA and others to create a nationwide initiative. A special focus area is on evidence based interventions pertaining to injuries and death due to motor vehicle crashes. ASTHO urges the states to focus on interventions pertaining to motor vehicle crashes if it makes pertaining to motor vehicle crashes if it makes sense for their state.

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As of today over As of today over twenty four ASTHO members have signed the presidential pledge sheet. About the challenge:

Sign Here

ghttp://www.astho.org/ASTHO-Presidential-Challenge/

January 2010 Pledges Collected fromJanuary 2010 Pledges Collected from23 States23 States

(*Missing Commonwealth of Mariana Islands)

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Focus groups, meetings, pledges, technical support, a commitment to publish a guide and plans for a national policy forum.

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June 16June 16th th 2009 Focus Group ASTHO, CDC & 2009 Focus Group ASTHO, CDC & STIPDASTIPDA

PPartnersCase studiesDataInteractive toolsReportsPolicySHO KIT

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Translating Data into

Policy

Injuries Due to Motor

Vehicle Crashes

Teen Dating and

Violence Prevention

Falls Prevention

Child Maltreatment

Home and Recreational

Nov. 2009 Dec. 2009 Jan 2010 Feb 2010 Mar 2010 Apr 2010

May 2010 June 2010 July 2010 Aug 2010 Sep 2010 Oct 2010

Crashes

Traumatic Brain Injury

Child Safety Equity & Social Determinants

Substance Abuse and

SuicideElder

MaltreatmentUnintentional

Poisonings

A Presidential Challenge to Health Officials & Their Policy LiaisonsInjury & Violence Interventions as Effective Prevention Strategies

Publication with CDC UnderwayPublication with CDC UnderwayFocus Areas Focus Areas -- Motor Vehicle, Falls & Child SafetyMotor Vehicle, Falls & Child Safety

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National Policy Forum with Partners National Policy Forum with Partners ––Target Date Fall 2010 Target Date Fall 2010

There are many ways in which we will be able to There are many ways in which we will be able to gauge how the challenge made a difference. Some results will surface prior to the challenge ending in October 2010 and others will take longer to emerge. If we all move in the same direction, together, inevitably our combined effort will

k diffmake a difference.

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There are over 123 injury related interventions -the cost-outcome analyses of those interventions

can be calculated to measure effectiveness

The Best Interventions are Cost Effective (BCR >1) and Cost Saving

(cost/QALY $ 0)

In general interventions with a BCR > 2 and a cost/QALY In general interventions with a BCR > 2 and a cost/QALY < $50,000 are considered acceptable interventions … and,

improve health outcomes

Source: Injury Prevention What Works? CSN,PIRE

Zero alcohol tolerance for drivers under 21 yields Zero alcohol tolerance for drivers under 21 yields a cost savings of $850 for a cost of only $34 per driver.Midnight driving curfew combined with provisional licensing for teens yields an estimated cost savings of $600 for a cost of only $74 per child.On average a $31.00 booster seat generates $2,200 in benefits to society.

Source: Injury Prevention What Works? CSN, EDARC, PIRE

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Share your ideas with usShare your ideas with usBring us success stories from your state Serve on the committee for our policy forumEmail or call ASTHO’s director of injury prevention, Denise Osborn and introduce yourself to explore opportunities dosborn@astho.org or p pp g571.522.2310 .

CDC/NCIPCSTIPDA

SAVIRNCSLSTIPDA

NHTSAHRSA/MCHBChild Welfare Information GatewayCSNSafe KidsAMCHP

NCSLCSGCSTEDepartments of Health: FL, MN, MA, NY, ARJohns Hopkins, Bloomberg School of Public HealthColumbia School of Public

l hNCOANACCHO

HealthHarvard School of Public Health

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The attendee who registered first.The attendee who registered last.The attendee who was the 10th to register.The attendee who was the The attendee who was the 20th to register.

Leading, convening & advocating for the health of our nation.