The Intersection of Medical
           Research and Public Health

                              Kimberly M. Brown

April ...
Research!America



  Make research to improve
   health a higher national
           priority
Interning with Research!America

             Tasks                        Opportunities

• Contributor to the New Voices ...
The Historical Relationship Between
      Medicine and Public Health


                                           Practice...
Rationale-Childhood Obesity

                Year                 Excess Crises               Needless Deaths
            ...
Rationale-HIV/AIDS




Source: El-Sadr, W et al. Aids in America: Forgotten but Not Gone
Methods
•   Literature review
    •   CINHAL
    •   PubMed
•   Research!America fact sheets and poll data
•   Media alerts
Objectives
•   To show how medical research and public
    health intersect to address health problems
    •   Past- Influ...
Influenza
Spanish Influenza (1918-1920)
       • Estimated 50 to
         100 million people
         were killed
         worldwide...
Public Health Achievements
•   Influenza Vaccine-
    1945
•   Sanitation
    •   Hand-washing
    •   Coughing/sneezing
 ...
Medical Advancements
•   Over the counter
    medications
    •   Fever reducers- 1946
•   Anti-virals
    •   Zanamivir (...
Childhood Obesity
Public Health Interventions
                 •   Nutrition programs
                 •   Vending machine
                 ...
Gastric Banding in Severely Obese
     Adolescents


           Gastric Banding                        Lifestyle Change
  ...
First Lady Obama’s Let’s Move
Campaign

       Healthy Choices     Accessible and
       • New easy-to-      Affordable
  ...
HIV/AIDS
Advancements in the Treatment of
      HIV/AIDS
                                                •   1983-Identified the
  ...
Public Health Interventions
•   HIV testing
•   Safe sex education
•   Work with at-risk
    populations
•   Prevention of...
Working Together
     •   Pre-exposure prophylaxis (PrEP)
         •   Using anti-retrovirals (ARVs) as a prevention tool
...
Majority of Americans Want More
   Funding for Research
     How many cents out of each health dollar do you think we SHOU...
Funding for CDC
     CDC implements research-based programs to prevent chronic and infectious diseases,
     lower injury ...
Political Opportunities Supporting
Collaboration
               •   2009 American
                   Recovery and
        ...
Relationship to Public Health
Values
Contribution to the larger field of
public health
Community Dimensions of
                               Systems Thinking
...
Competencies
                 • Informing, educating and empowering
                   people about health issues
  Master...
Competencies

                 • Communicate effectively with
 Biostatistics     investigators in other areas of
         ...
Future Recommendations
•   Working in conjunction with public health and
    medical research organizations in order to fi...
Acknowledgments
Questions?

                      Kimberly M. Brown

April 9, 2010   Spring 2010 Public Health Day
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The Intersection of Medical Research and Public Health

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The purpose of this project is to show the necessity of collaboration between medical research and public health to improve the outlook of our nation’s future. Case studies focusing on influenza, childhood obesity and HIV/AIDS show how the fields have intersected to address health problems in the past, and how they can continue to intersect in the present and the future. Finally, this study identifies key public health advocacy messages that need to be heard on a national level in order to bolster the intersection of medical research and public health.

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Transcript of "The Intersection of Medical Research and Public Health"

  1. 1. The Intersection of Medical Research and Public Health Kimberly M. Brown April 9, 2010 University of Florida Spring 2010 Public Health Day
  2. 2. Research!America Make research to improve health a higher national priority
  3. 3. Interning with Research!America Tasks Opportunities • Contributor to the New Voices • National Forum and Advocacy for Research Blog and online Awards advocacy community • Congressional Briefing on • Contributor to the Research Biomedical Research funding Advocate member newsletter • Created and implemented a • Updated the social media marketing Research!America website’s strategy for New Voices for NIH ARRA funding Research initiative • Twitter: @NV4Research • Capital Science 2010 Conference
  4. 4. The Historical Relationship Between Medicine and Public Health Practice Transformation • Advancement • Infectious disease of scientific • Bacteriology knowledge • Mutual dependence Functional Collaboration Separation Source: Lasker R. Medicine and Public Health: The Power of Collaboration
  5. 5. Rationale-Childhood Obesity Year Excess Crises Needless Deaths 2020 600 130 2025 5,400 550 2030 11,000 1,500 2035 37,000 3,700 Sources: Bibbins-Domingo, K et al. Adolescent Overweight and Future Adult Coronary Heart Disease.
  6. 6. Rationale-HIV/AIDS Source: El-Sadr, W et al. Aids in America: Forgotten but Not Gone
  7. 7. Methods • Literature review • CINHAL • PubMed • Research!America fact sheets and poll data • Media alerts
  8. 8. Objectives • To show how medical research and public health intersect to address health problems • Past- Influenza • Present-Childhood Obesity • Future- HIV/AIDS • Identify key public health advocacy messages
  9. 9. Influenza
  10. 10. Spanish Influenza (1918-1920) • Estimated 50 to 100 million people were killed worldwide • Average life span reduced by 10 years • Most deadly for people ages 20 to 40 years old Source: "The 1918 Influenza Pandemic." Stanford University.
  11. 11. Public Health Achievements • Influenza Vaccine- 1945 • Sanitation • Hand-washing • Coughing/sneezing techniques • Alcohol based hand sanitizer • Social Distancing
  12. 12. Medical Advancements • Over the counter medications • Fever reducers- 1946 • Anti-virals • Zanamivir (Relenza)- 1989 • Oseltamivir (Tamiflu)- 1999
  13. 13. Childhood Obesity
  14. 14. Public Health Interventions • Nutrition programs • Vending machine removal • Full calorie sodas removed from schools • Walking school buses • Promotion of physical education
  15. 15. Gastric Banding in Severely Obese Adolescents Gastric Banding Lifestyle Change Group Group • 84% lost more • 12% lost more than 50% of than 50% of excess weight excess weight • Average weight • Average weight loss: 76.1 lbs loss: 6.6 lbs Source: Ogden CL et al. Prevalence of overweight and obesity in the United States, 1999-2004.
  16. 16. First Lady Obama’s Let’s Move Campaign Healthy Choices Accessible and • New easy-to- Affordable understand Healthy Food nutrition • Eliminating food labeling deserts • Medical • Increasing the education on availability of obesity fresh produce Healthier Physical Activity Schools • President’s • Nutrition Physical Fitness education Challenge programs • Presidential • School lunch Active Lifestyle standardization Award
  17. 17. HIV/AIDS
  18. 18. Advancements in the Treatment of HIV/AIDS • 1983-Identified the HIV virus • 1987-AZT became first approved treatment for HIV Source: GH Wynn et al. Antiretrovirals , Part 1: Overview, History and Focus on Protease Inhibitors.
  19. 19. Public Health Interventions • HIV testing • Safe sex education • Work with at-risk populations • Prevention of mother-to-child transmission • Behavior changing
  20. 20. Working Together • Pre-exposure prophylaxis (PrEP) • Using anti-retrovirals (ARVs) as a prevention tool in non-infected communities • Take ARVs prior to HIV exposure • Goal is to lower risk of infection Source: CDC’s Clinical Studies of Pre-Exposure Prophylaxis for HIV Prevention
  21. 21. Majority of Americans Want More Funding for Research How many cents out of each health dollar do you think we SHOULD spend? 26 cents or more 12% 15-25 cents 13% 70% 10-15 cents 9% 7-10 cents 36% 5-6 cents 21% 0-4 cents 9% Source: Your Congress–Your Health Survey, June 2009 Charlton Research Company for Research!America
  22. 22. Funding for CDC CDC implements research-based programs to prevent chronic and infectious diseases, lower injury rates, limit tobacco use, protect the population from pandemics, and mitigate environmental health risks. Which of the following statements most accurately reflects your view? We should increase funding for core 10% programs at CDC to 45% improve public health We should maintain current funding levels for CDC core programs because other budget items take precedence Funding for CDC core programs is not a 45% priority Source: Your Congress–Your Health Survey, June 2009 Charlton Research Company for Research!America
  23. 23. Political Opportunities Supporting Collaboration • 2009 American Recovery and Reinvestment Act • Obama’s proposed FY 2011 budget • Health insurance reform
  24. 24. Relationship to Public Health Values
  25. 25. Contribution to the larger field of public health Community Dimensions of Systems Thinking Practice • Recognizes community • Describes how public linkages and health operates within a relationships among larger system multiple factors • Identifies key values affecting health and a shared vision as • Seeks the collaboration guiding principles for of community partners community action to promote the health of the population
  26. 26. Competencies • Informing, educating and empowering people about health issues Master of • Mobilizing community partnerships and action to solve health problems Public Health • Communicating effectively with public health constituencies in oral and written forms • Identify, retrieve, summarize, manage Management and communicate public health information and Policy • Demonstrate the principles of problem solving and crisis management
  27. 27. Competencies • Communicate effectively with Biostatistics investigators in other areas of public health Social & • Demonstrate communication skills Behavioral key to public health workforce Sciences participation and advocacy • Identify key sources of Epidemiology epidemiologic data and data collection methodology
  28. 28. Future Recommendations • Working in conjunction with public health and medical research organizations in order to find new ways to collaborate • Conduct advocacy trainings for public health and medical professionals
  29. 29. Acknowledgments
  30. 30. Questions? Kimberly M. Brown April 9, 2010 Spring 2010 Public Health Day

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