MN Tracking Network From Vision to Impact Tracking Facilitated Discussion May 15, 2012.
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Transcript of MN Tracking Network From Vision to Impact Tracking Facilitated Discussion May 15, 2012.
MN Tracking Network
From Vision to Impact
Tracking Facilitated DiscussionMay 15, 2012
Road Map
• Minnesota Tracking Network
• Tracking in Action (examples)
• Questions
Tracking Network (2012)
Network includes 23 states, NYC, and 5 academic partners
MN Legislation
• In 2007 the MN Legislature established the MN Environmental Health Tracking and Biomonitoring Program
o External Advisory Panel
• Goals similar to National Tracking Network; with the addition of 4 biomonitoring pilot projects
Data & Measures
Hazard
•Air Quality
•Drinking Water
•Environmental Tobacco Smoke*
Exposure
(Biomonitoring)
•Lead
•PFCs*
•Mercury*
Health
•Asthma
•COPD*
•Heart attacks
•CO poisonings
•Birth defects
•Reproductive outcomes
•Cancer
•Climate change* Added by Minnesota Tracking Network
Timeline
Outreach & Testing(Spring 2011)
Redesign & Expansion
(Spring 2012)
Portal Launch(Fall 2010)
Coming in 2012New maps & dataE-learning modulesCustom data access
Target Audiences
Local Health Departments
Researchers
Non-Profit Organizations
State & Local Agencies
Public, Policymakers
Audiences (cont’d)
• Local Public Health Association of MN• LHD data user groups• City and county elected officials• Legislators; house/senate research staff• MN Reference Library• MPCA, MDA• American Lung Association• MN Cancer Alliance
Data Portal: https://apps.health.state.mn.us/mndata
Key Features
• One-stop shop for health & environment data
• Nationally consistent measures (indicators)
• Interactive maps & queries
Outreach Tools
• Webinars & demonstrations • Seminars• Email updates• Facebook, Twitter• News articles
Usability Testing
• User-centered testing (interviews) to evaluate portal content
• Analyze data; look for patterns; make enhancements
Lessons Learned
• Avoid long titles
• Use plain language
• Focus on top tasks
Tracking in Action
Tracking = public health surveillance
Evaluation
Tracking in Action
• Use data to evaluate policy: carbon monoxide poisoningso CO poisonings result in hospitalizations,
emergency department visits, and deathso In 2007-2009 MN passed a new CO alarm
law (MS 299F.50 to 299F.51)o Tracking data is used to evaluate trends &
effectiveness of policy
Tracking in Action
• Use data to evaluate priorities: assessment & planningo We are facing challenging economic times;
assessment and planning process requires tough choices
o Tracking data is used to evaluate public health priorities; identify vulnerable areas/populations
Tracking in ActionSecondhand Smoke Exposure*
*Nonsmoking adults in Minnesota, 2003-2010, Minnesota Adult Tobacco Survey
Bridging the Gap
• Exposure data are essential to understand the relationship between health & environment
• Soil• Water• Air• Food
• However, these data (extent and frequency) often are not collected/available
What is Biomonitoring?
Biomonitoring directly measures the amount of an environmental chemical (or chemical breakdown product) in people’s bodies
Use in Public Health Practice
• Track trends over time
• Identify disparities in exposure
• Evaluate interventions to reduce exposure
• Set priorities for public health action, research, and policy
Example: Blood Lead Levels
Source: Murdock, EMBO Reports 2005
Biomonitoring in MNEnvironmental Health Tracking and Biomonitoring (MN Statutes 144.995-144.998)
•MDH will conduct a pilot biomonitoring program of 4 projects in communities “likely to be exposed”
•Develop recommendations for an ongoing state biomonitoring program
Perfluorochemical (PFC) Project
• In 2008 measured 7 PFCs in blood of 196 East Metro residents
• Higher PFOS, PFOA, PFHxS levels compared to US
• Blood levels correlated with concentrations in well water
• Follow-up conducted in 2010
Results: PFCs in Blood
Mercury in Blood*
*Percent of U.S. women of child-bearing age with blood mercury above the health concern level, by race/ethnicity
Biomonitoring Programs
• CDC’s National Biomonitoring Program (NHANES)
• State/local programs: Minnesota, California, Washington, New York City
http://www.cdc.gov/exposurereport/
Next Steps• Expand biomonitoring data on portal
• Maintain program capacity
• Conduct strategic planning for targeted population exposure tracking
o Gather input from stakeholderso Focus on children and pregnant women o Prioritize chemicalso Recommend ongoing program for MN
Measuring Impact: Air quality and Health
• Air quality is associated with a variety of adverse health outcomes
• Exposures to fine particles are a primary driver of air pollution alerts in MNo Sources include: cars, trucks, buses, construction
equipment, electric generators, wood-burning and wildfires, coal and oil industries
Fine Particle Pollution: PM2.5
Measuring Impacts (local level)
Regulatory or Policy Changes
Reductions in Population Exposures
Reductions in Adverse Health
Outcomes
• PM2.5 • Respiratory diseases• Cardiovascular disease• Hospitalizations and
Deaths
MN Air Initiatives
2003 2004 2005 2006 2007 2008 2009Early Implementation Implementation
Project Green Fleet retrofits
Baseline Period
2005-2009 continuous
Heavy Duty Diesel Rule
late 2006
Ultra Low Sulfur Fuel
2007
Clean Air Interstate RuleAdopted 2005; remanded 2008
MERP: Allen S. Kingemissions controls
coal to natural gasMERP: High Bridge
MERP: Riversidecoal to natural gas
24-hr PM2.5 NAAQS revision
Source: MN Pollution Control Agency
Source: MN Pollution Control Agency
AQI: Number of Unhealthy Air Days in MN
Measuring Air Pollution Health Impacts
Hospitalizations Amount attributable to PM2.5 in 2003-2009 Percent # hosp. per year
Total respiratory 1.9% 224COPD + asthma 2.3% 110Asthma 2.3% 54
Associations found in the MSP metro for PM2.5 and respiratory hospitalizations
Air Pollution Health Impacts Over Time
Hospitalizations Time period
Amount attributable to PM2.5
Percent # hosp./yrTotal respiratory 2003-2005
2006-20072008-2009
3.0%2.6%
--
354309
--COPD + asthma 2003-2005
2006-20072008-2009
3.3%2.9%
--
154140
--Asthma 2003-2005
2006-20072008-2009
3.8%----
92----
Coming in 2012• New data & features
o New cancer types (7)o Childhood immunizationso Climate change (heat stress)o Population characteristicso Biomonitoring (additional chemicals)o Air pollution impacts on healtho E-learning modules
• Custom data access
• Expanded outreach & evaluation
Evaluating New Data Topics
• Developmental disabilities (autism)• Pesticide poisonings• Private well water (arsenic)• Radon• Smoking, obesity
Success Stories
Vision
• Access to broad public health data sets
• Inform public health actions; evaluate effectiveness
• Promote healthy choices; protect future generations
Keeping Informed
• Subscribe for email updates
• Attend seminars (quarterly)
• Request a demonstration
Web site: http://www.health.state.mn.us/tracking
Contributors (many!)
• Data stewards (MDH, MPCA)
• National Tracking Network (CDC, grantees)
• LPHA, LHDs, NACCHO
https://apps.health.state.mn.us/mndata
Subscribe for updates at:
Questions?Chuck StroebelJean Johnson