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Impact Briefs
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The Impact Brief is the official newsletter for the National Association of Chronic Disease Directors. It is distributed monthly to approximately 4,800 NACDD members, partners, and stakeholders. You can view NACDD's Impact Brief archive here: http://www.chronicdisease.org/members/group_content_view.asp?group=101928&id=160757

 

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Government Affairs: CDC Releases State-specific Data on Obesity

Posted By Administration, Tuesday, October 1, 2019
CDC has released the 2018 adult obesity prevalence map for all 50 states, the District of Columbia, Guam, and Puerto Rico. The new map shows overall adult obesity prevalence ranges from 23.0% to 39.5%. In 2018, nine states reported obesity prevalence above 35%. This up from seven states in 2017. 
 
Updated data demonstrate that obesity continues to threaten the health trajectory of the United States. Growing obesity rates also threaten our military readiness. Nationwide, 71% of young people between the ages 17 and 24 do not qualify for military service, and obesity disqualifies 31% of youth from serving, if they so choose. These ineligibility rates are a major reason why the Army faces challenges meeting its annual recruitment goals. 
 
Additional funding is needed for CDC’s Division of Nutrition, Physical Activity, and Obesity to continue efforts to improve nutrition and increase physical activity across the lifespan, with a special focus on young children ages 0-5 years.

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Gov. Affairs: Trump Administration Proposes Ban on Flavored E-cigarettes

Posted By Administration, Friday, September 27, 2019

President Donald Trump has announced the federal government is moving to ban flavored e-cigarettes (other than tobacco flavors) until products are approved by the Food and Drug Administration (FDA). Guidance is expected from the FDA in coming weeks.

E-cigarettes have come under increased scrutiny due to a cluster of cases of serious lung disease. As of September 11, 2019, the Centers for Disease Control and Prevention (CDC) is reporting 530 cases of lung illness associated with e-cigarette use in 38 states and one territory. CDC has also confirmed seven deaths in six states from illness associated with e-cigarette use.

With federal regulations forthcoming, the battle over e-cigarette use continues in the states. California Governor Gavin Newsom issued an executive order to reduce youth vaping by banning illegal and counterfeit vaping products. Michigan Governor Gretchen Whitmer ordered a six month ban on flavored e-cigarettes, and New York Governor Andrew Cuomo has pushed for a similar ban on flavored products. Other states are considering special legislative sessions to address concerns over e-cigarettes. NACDD will continue to monitor developments at the federal and state level.

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Walking Their Way to Success: The Illinois Physical Therapy Foundation

Posted By Administration, Friday, September 27, 2019

The Arthritis Foundation’s Walk With Ease (WWE) program is an arthritis-appropriate evidence based intervention that reduces arthritis pain and improves overall health. In 2017, the National Association of Chronic Disease Directors (NACDD) gave grants to American Physical Therapy Association (APTA) state chapters, foundations, and other organizations to bring WWE group and self-directed programs to people with arthritis. NACDD looked for grantees that had established relationships with local physical therapy clinics that could implement WWE in the community. The Illinois Physical Therapy Foundation (IPTF) is one of several grantees that fit the bill. Their experience offers insights into how community-clinical linkages can help connect more people with programs like WWE.

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Release of the Million Hearts Tobacco Cessation Change Package

Posted By Administration, Friday, September 27, 2019

CDC’s Office on Smoking and Health (OSH) and Division for Heart Disease and Stroke Prevention announced the release of the Million Hearts® Tobacco Cessation Change Package (TCCP). The TCCP is the third Million Hearts® change package, each of which offers a suite of quality improvement resources designed to help health systems and clinical teams systematically address cardiovascular disease risk factors. The TCCP was developed for use in outpatient, inpatient, and behavioral healthcare settings to increase the reach and effectiveness of tobacco cessation interventions, and to incorporate these interventions into the clinical workflow.

Addressing tobacco use and dependence in health systems: is cost-effective across a variety of settings; helps meet quality measures; can reduce hospital readmission; can increase patient satisfaction with their care; and can save lives and help patients avoid preventable heart disease, stroke, peripheral vascular disease, and other smoking-related diseases.

OSH declared 2019 the Year of Cessation to bring attention to the critical importance of cessation in improving the health of our nation. Smoking cessation also remains a key goal of the Million Hearts® initiative.

Be a part of this movement by supporting implementation of the Million Hearts® TCCP in your health system or practice and by sharing it widely with your partners, stakeholders, and on social media. For shareable content, follow @MillionHeartsUS on Twitter. 

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Successes in Work@Health Program Training

Posted By Administration, Wednesday, August 28, 2019
NACDD is increasing state workplace health expertise by training chronic disease prevention staff to implement Work@Health®. See the latest stats in this infographic.

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Partnerships Result in Improved Lupus Data Collection

Posted By Administration, Wednesday, August 28, 2019

Since 2015, NACDD has collaborated with the American College of Rheumatology (ACR), The Lupus Initiative, The Georgia Council on Lupus Education and Awareness and the Big Bend Rural Health Network to develop state-based plans to address lupus that reflect the strategies identified in the National Public Health Agenda for Lupus.  These partnerships have resulted in improved data collection, as questions about lupus were added to the 2019 BRFSS in both states, and every school district in Florida and two in Georgia now collect data on students with a diagnosis of lupus. 

A training program has been developed for school nurses, complimented by an ACR developed Lupus Care Plan and Transition to Adult Care Plan for use by the nurses, with plans to expand training opportunities, starting in October 2019.

To bring home how important the work is we are doing, the co-chair of the Georgia Council on Lupus Education and Awareness conducted a presentation on lupus from the patient perspective to the entire DeKalb County School Health staff.  During the Q&A, one nurse stated that she took all of the information from the first school nurse lupus presentation in March, went to a rheumatologist and was diagnosed with lupus. Another nurse stated that she was able to have a parent send their child to a rheumatologist for a positive diagnosis.

Although lupus is most common in women between the ages of 18-45, it can affect men also.  Lupus can affect almost any organ in the body. The symptoms of lupus may differ from person to person. For example, one woman with lupus may have swollen knees and fever while another may be tired all the time or have kidney trouble. Someone else may have rashes. Over time, new symptoms can develop, or some symptoms may happen less often.  Lupus symptoms also usually come and go, meaning that you don’t have them all of the time.

Systemic lupus erythematosus (SLE), is the most common type of lupus. SLE is an autoimmune disease in which the immune system attacks its own tissues, causing widespread inflammation and tissue damage in the affected organs. It can affect the joints, skin, brain, lungs, kidneys, and blood vessels. There is no cure for lupus, but medical interventions and lifestyle changes can help control it.  The causes of SLE are unknown, but are believed to be linked to environmental, genetic, and hormonal factors.

Recent studies indicate that lupus incidence rates are almost three times higher in black women than white women and affect 1 in 537 young African American women. Minority women tend to develop lupus at a younger age, experience more serious complications and have higher mortality rates—up to three times the mortality rate of white women.

For more information, visit chronicdisease.org, thelupusinitiative.org, and cdc.gov/lupus.

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CDC Investigates Death Possibly Linked to Vaping

Posted By Administration, Wednesday, August 28, 2019

We know that there are serious risks associated with e-cigarette use, including exposure to harmful chemicals, ultrafine particles, heavy metals, and volatile organic compounds. The Centers for Disease Control and Prevention (CDC) is investigating an outbreak of reported cases of severe lung illness that may be related to vaping. A patient in Illinois has died from a severe respiratory illness that may be associated with e-cigarette use, and there have been 193 reported cases, primarily in young adults, reported in 22 states. CDC is working with the Food and Drug Administration, the federal agency responsible for overseeing e-cigarettes, and state officials to gather more information on the devices and substances used by the patients.

CDC Director’s Statement on the first death related to the outbreak of severe lung disease in people who use e-cigarette or “vaping” devices

CDC, FDA, States Continue to Investigate Severe Pulmonary Disease Among People Who Use E-cigarettes

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NACDD Submits Comments on Proposed Changes to Discrimination Protections

Posted By Administration, Wednesday, August 28, 2019

Section 1557 of the Affordable Care Act prohibits covered health care providers and insurers from discriminating against anyone based on race, color, national origin, sex, age, or disability. Additional regulatory language expanded the definition of discrimination based on sex to include discrimination based on gender identity. In addition, the current regulations require covered entities to inform people with limited English proficiency about language assistance services using taglines provided in the top 15 languages spoken in their state.

On May 24, 2019, the Office of Civil Rights in the Department of Health and Human Services issued a proposed rule that would make substantial revisions to Section 1557 by eliminating the regulatory definition of sex discrimination and removing the prohibitions on discriminating based on gender identity. The proposed rule would also eliminate requirements around providing non-English taglines.

NACDD submitted comments on the proposed rule to bring attention to the affect these changes would have on barriers to preventive care as well as ensuring equitable access to health care. All people should have access to preventive health care services in order to prevent the development of chronic disease, and these changes will negatively impact the ability of vulnerable populations to get the preventive care they need.

NACDD and our Members are dedicated to identifying and working together with vulnerable and at-risk populations and creating and maintaining conditions that allow everyone to reach their full health potential. NACDD remains committed to ensuring broad and equitable access to programs and services that promote health. 

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Federal Appropriations Update

Posted By Administration, Wednesday, August 28, 2019

After returning from August recess on Sept. 9, Congress will have three weeks to pass 12 appropriations bills or a continuing resolution before government funding runs out on Sept. 30. Last month, both chambers of Congress passed the Bipartisan Budget Act of 2019 which raises the caps for discretionary spending for two years, provides funding for the Census, and suspends the debt limit until July 31, 2021. This legislation also ends sequestration on discretionary spending permanently. The passage of this budget deals sets the stage for the ongoing appropriations process.

The House of Representatives has passed 10 appropriations bills including the Labor, Health and Human Services, and Education bill which provides funding for the CDC. The Senate Appropriations Committee has yet to pass any appropriations bills and will spend September holding markups. As the process continues, NACDD will continue to work with members of Congress to address our funding requests.

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Diabetes Council Welcomes New Leadership

Posted By Administration, Wednesday, August 28, 2019

For more than 30 years NACDD’s Diabetes Council has provided leadership, learning, and networking opportunities for staff in State Health Departments working in diabetes prevention and management. The Diabetes Council includes about 260 participants and is governed by the Leadership Group, which is elected by Members. The Leadership Group identifies issues that are important to their colleagues in other states and work with each other, NACDD, and CDC representatives to discuss state and national issues and how best to support states with information and learning opportunities. The Leadership Group sponsors webinars, peer learning opportunities, and information on emerging topics. Their latest product is an introduction to working with Third Party Organizations (TPO). The document discusses what a TPO does, and how they can assist community-based organizations offering the National Diabetes Prevention Program with administrative and programmatic needs.

Learn more about the Diabetes Council and how to get more involved. State staff managing a project, providing evaluation, or working on any diabetes strategies are eligible to run for a position in the Diabetes Council Leadership Group. Become active now and prepare for spring elections!

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