at the Baltimore City Health Department Elizabeth Toure MPH Candidate 2016 Preceptor Dr Darcy Phelan Emrick Chief Epidemiologist 6 month internship at the Baltimore City Health Department BCHD ID: 525182
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Slide1
Current Epidemiology Projects
at the Baltimore City Health Department
Elizabeth Toure, MPH Candidate 2016
Preceptor: Dr. Darcy Phelan-Emrick, Chief EpidemiologistSlide2
6 month internship at the Baltimore City Health Department (BCHD)Epidemiology Services
Epidemiology potpourri
3 major projectsSide projects
BackgroundSlide3
Background
Healthy Baltimore 20152016 Neighborhood Health Profiles
Syndromic surveillance of synthetic cannabinoidsConclusion
OutlineSlide4
Set targets for10 priority areas
Healthy Baltimore 2015
2011Slide5
Healthy Baltimore 2015
2011
Promote
Access to Quality Health Care for All
Be Tobacco Free
Redesign Communities to Prevent Obesity
Promote
Heart Health
Stop the Spread of
HIV
and Other STIs
Recognize and Treat
Mental Health
Needs
Reduce
Drug Use
and Alcohol Abuse
Encourage Early Detection of
Cancer
Promote
Healthy Children
and Adolescents
Create Health Promoting
NeighborhoodsSlide6
Set targets for10 priority areas35 goals & indicators
Decrease percent of adults who are obese by 15%
Decrease percent of teens who currently smoke by 20%
Healthy Baltimore 2015
2011Slide7
Healthy Baltimore 2015
2013
2011Slide8
Healthy Baltimore 2015
2013
2016
2011
2015 data not yet available
Trends from 2010-2014
Summary for each indicator
Highlighting work underwaySlide9
Healthy Baltimore 2015Slide10
Healthy Baltimore 2015Slide11
Healthy Baltimore 2015 - RESULTS
11/35 indicators met or exceeded targetsSlide12
Healthy Baltimore 2015 - RESULTS
11/35 indicators met or exceeded targets
Health insurance coverage
New HIV cases
Rates of adolescent gonorrhea
and
chlamydia
I
nfant
mortality rate among black
infantsSlide13
Healthy Baltimore 2015 - RESULTS
11/35 indicators met or exceeded targets
Some surprising/alarming resultsSlide14
Healthy Baltimore 2015 - RESULTS
11/35 indicators met or exceeded targets
Some surprising/alarming results
Rate of syphilisInfant morality rate among white infants
Emergency Department visits for chronic conditionsSlide15
Stay tuned for
Healthy Baltimore
2020Slide16
Background
Healthy Baltimore 20152016 Neighborhood Health Profiles
Syndromic surveillance of synthetic cannabinoidsConclusion
OutlineSlide17
Neighborhood Health Profiles
Collection of 55 reports
Neighborhood – level health indicators
DemographicsSocio/economic factorsBuilt and social environmentHealth outcomes
2008Slide18
Neighborhood Health Profiles
2008
2011Slide19
Neighborhood Health Profiles
2016 Neighborhood Health
Profiles
2008
2011
2016Slide20
Neighborhood Health Profiles
Indicator selection
Research other cities’ neighborhood indicators
Avoid duplication from Baltimore Neighborhood Indicators Alliance Vital Signs
Internal and external stakeholder inputData availabilitySlide21
Neighborhood Health Profiles
Preliminary indicators (30)
Percent
of uninsured residentsRate of 311 calls for
rodentsPercent of neighborhood
covered by green space
P
ercent
of
neighborhood
in a food
desert
M
otor
vehicle traffic mortality
rate Slide22
Neighborhood Health Profiles
Next steps
Finish collecting data
Draft reports and report layoutApproval within BCHD and Mayor’s OfficeCommunity engagement & rolloutSlide23
Background
Healthy Baltimore 2015
2016 Neighborhood Health ProfilesSyndromic surveillance of synthetic cannabinoidsConclusion
OutlineSlide24
Synthetic cannabinoidsSlide25
Synthetic cannabinoids
The current outbreak of illnesses associated with synthetic cannabinoid use in Mississippi is part of a larger multistate outbreak. To date, this is the
largest outbreak of synthetic cannabinoid-associated adverse events ever recorded. Slide26
Synthetic cannabinoidsSlide27
Synthetic cannabinoidsSlide28
Synthetic cannabinoidsSlide29
Synthetic cannabinoidsSlide30
Synthetic cannabinoidsSlide31
Synthetic cannabinoidsSlide32
Synthetic cannabinoids
Syndromic surveillance dashboardSlide33
Synthetic cannabinoids
Syndromic
s
urveillance dashboardMaryland Poison Control (MPC) – weekly call dataSlide34
Synthetic cannabinoids
Syndromic surveillance dashboard
Maryland Poison
Control (MPC)Twitter Tracker using R softwareSlide35
Synthetic cannabinoids
Syndromic surveillance dashboard
Maryland Poison
Control (MPC)Twitter Tracker using R softwareSlide36
Synthetic cannabinoids – MPC results
31 weeks of data
95 cases
48 (50.5%) with moderate or major clinical effectsOnly 85 cases had treatment data66 (78%) were treated in ED11 (13%) were admittedSlide37
Weekly Exposure Calls for Synthetic Cannabinoids in Baltimore City
(Aug. 30, 2015 - April 9, 2016)Slide38
Synthetic cannabinoids
Next steps
Continue weekly surveillance – find additional data sources
Monitor for changes after new Baltimore law banning sale of synthetic drugs Establish plan for how to respond to outbreaksSlide39
Background
Healthy Baltimore 2015
2016 Neighborhood Health ProfilesSyndromic surveillance of synthetic cannabinoidsConclusion
OutlineSlide40
Fast-paced environment at the city-level: be flexibleCarefully record data sources and methods to ensure reproducibility
Difficulty sharing data
Conclusion – lessons learnedSlide41
Darcy Phelan-
Emrick
Chris FullerJonathan GrossPaulani Mui
Beth ResnickThank you all very much for your support, mentorship and encouragement throughout out this internship.
AcknowledgementsSlide42
Elizabeth Toure
MPH Candidate, 2016
etoure1@jhmi.eduQuestions?
Thank You!