DPH Receives Top Scores For Public Health Preparedness

Delaware’s Division of Public Health scored 98 out of 100 in a national report on public health preparedness programs released Sept. 20. The Center for Disease Control and Prevention’s report, “Public Health Preparedness: 2011 State-by-State Update on Laboratory Capabilities and Response Readiness Planning” also shows that the Delaware Public Health Laboratory passed all four proficiency tests and received 100 percent on using advanced DNA tests to correctly identify a strain of E. coli.

The new report features national-level data on activities from 2007- 2010 in the 50 states and four localities supported by the Public Health Emergency Preparedness (PHEP) cooperative agreement.

“The scores show that our Division of Public Health is serving Delaware citizens well,” said Governor Jack Markell. “A strong state public health system is vital to our wellbeing. This report tells us Delaware is ready to respond to unexpected health threats that no one ever wants to see happen, but we need to be perpetually prepared for.”

“I’m very proud of DPH’s performance,” said Dr. Karyl Rattay, DPH director. “The ability to detect and respond to health threats, whether confined to a limited area or widespread such as the one featured in the current movie ‘Contagion,’ depends on the availability of laboratory equipment, a trained workforce, accurate and consistent methods, and rapid data systems. We have all the right pieces in place.”

“Contagion” is a movie thriller centered on the threat posed by a deadly disease and an international team of doctors contracted by the CDC to deal with the outbreak. Life and death situations and heroic scientists battling against time and heavy odds to track the source of killer diseases and contain them before they wipe out entire communities are not just movie plots. It’s what the CDC and state public health agencies prepare for every day.

DPH’s review scores are as follows:

  • Developing a Plan with Strategic National Stockpile (SNS) Elements- 100
  • Management of Strategic National Stockpile – 100
  • Requesting Strategic National Stockpile – 100
  • Communications Plan (Tactical) – 100
  • Public Information & Communication – 100
  • Security – 100
  • Receipt/Store/Stage – 94
  • Controlling Inventory – 92
  • Repackaging – 100
  • Distribution – 100
  • Dispensing Prophylaxis – 100
  • Hospital & Alternate Care Facilities Coordination – 100
  • Training Exercise and Evaluation – 100

In addition to its 98 percent average, the local jurisdiction received a 98 percent average on its Cities Readiness Initiative (CRI) jurisdiction preparedness assessment.

To see the complete report, go to http://www.cdc.gov/phpr/pubs-links/2011/

Delaware Only State To Meet Benchmarks In Cancer

Delaware leads the nation in enacting cancer laws and policies that save lives and money, according to a report by the American Cancer Society’s Cancer Action Network (ACS CAN). The report “How Do You Measure Up? A Progress Report on State Legislative Activity to Reduce Cancer Incidence and Mortality” ranks Delaware the highest in state policies in five cancer priority areas: breast and cervical cancer early detection program funding; colorectal screening coverage laws; smoke-free laws; tobacco prevention program funding; and tobacco taxes.

“We are moving forward in the fight against cancer,” said Governor Jack Markell. “In public policies and in personal lives, we must continually support prevention, early detection and healthy lifestyles. Many have confronted this disease with courage and we are committed to making progress in their name.”

Since its establishment in 2001, the Delaware Cancer Consortium, made up of volunteers from all walks of life, has worked with policymakers to establish innovative programs that increase access to services, improve affordability and quality of life, resulting in significant declines in cancer rates in Delaware.

“I’m pleased to learn that our policymakers efforts and the hard work of the Consortium continue to be recognized,” said Dr. Karyl Rattay, DPH director. “DPH will work tirelessly to maintain Delaware as a trend setter in the fight against cancer.”

Delaware’s accomplishments in the five legislative areas included in the Aug. 11 report are as follows:

  • State appropriations for breast and cervical cancer screening programs: More than half of the funding for Delaware’s breast and cervical cancer screening programs – $1,562,473 – is provided by the Delaware General Assembly. The federal Centers for Disease Control and Prevention provide $1,063,668. Because of this significant support, Delaware has seen the percentage of breast cancers diagnosed in the late stage decrease from 52 percent for 1980-1984 to 34 percent for 2003-2007.
  • Insurance coverage for colorectal cancer screening: Delaware has strong screening laws that ensure comprehensive coverage for the full range of tests. These include colonoscopy, sigmoidoscopy, mammography and clinical breast exam, Pap test, HPV test, prostate specific antigen and others. The 2010 Behavior Risk Factor Survey indicated that colorectal cancer screening rates increased by 32 percent, from 56 percent in 1999 to 74 percent in 2010. The number of colorectal cancers diagnosed in the local stage also increased from 32 percent for 1980-1984 to 39 percent for 2003-2007.
  • Smoke-free legislation at state, county and city levels: Delaware is 100 percent smoke-free in non-hospitality workplaces, restaurants, and bars.
  • Funding for tobacco prevention: Delaware’s FY 2011 state funding of $8.3 million was 59.5 percent of the CDC’s recommended funding level of $13.9 million for Delaware. Only seven states were funded at levels 50 percent or higher for their respective states.
  • Tobacco taxes: Delaware’s cigarette tax rate of $1.60 per pack is above the current average state tax of $1.46 per pack.

For more information on cancer treatment services call the Delaware Helpline at 2-1-1. Call the Delaware QuitLine, 1-866-409-1858, for help to quit smoking.

For state-by-state details of the complete report, please visit: www.acscan.org/static/measure/

d in Aptos, Calif. News and information are available at www.greenwichaerogroup.com.

Governor Signs Law to Protect Student Athletes from Concussions

NFL-backed law requires more education, formalizes DIAA rules

Photos available for media use on Flickr

image: Governor Markell signingDOVER – Junior high and high school athletes and their parents will get more information on concussions and their effects and coaches will be getting more training on how to spot a possible concussion under a law signed Tuesday by Governor Jack Markell.

The new law also formalizes the Delaware Interscholastic Athletic Association’s existing policy on requiring a medical clearance before athletes who have received a concussion can return to play.

“When you look at the data and the long-term effects of concussions – especially repeat concussions – it paints an alarming picture,” Markell said. “Sports has gone beyond outdated adages about getting ‘dinged,’ ‘playing tough,’ and getting back into the game. Concussion can be serious, potentially life-changing injuries. We’re stepping up and treating them with the seriousness they deserve.”

The Governor was joined at the signing by Philadelphia Eagles legend Vince Papale as well as lawmakers, coaches, student athletes, representatives of the DIAA and medical community.

Under the new law, athletes and their parents will get information on concussions when they sign sports consent forms. Coaches will be required to receive training on how to spot possible concussions. The new law also puts into state law the DIAA’s current rule requiring athletes, who have sustained a concussion or are believed to have sustained a concussion to receive a medical clearance before they can resume play.

image: Vince PapalePapale said the putting the rule into the law is a good move.
“It is the nature of an athlete to want to stay in the game,” Papale said. “The invincible attitude is why great athletes perform as they do. We need to make sure that when it comes to kids especially, that we look out for their long-term health. We owe them that much.”

An estimate from the Centers for Disease Control and Prevention says there are between 1.6 million and 3.8 million sports-related concussions nationally each year, and the CDC says about 135,000 athletes involved in youth sports are taken to hospitals to be checked for brain injuries.

“My son plays a number of sports, including football,” said Sen. Bethany Hall-Long, D-Middletown, the bill’s prime sponsor. “I think he’s learned a lot of valuable lessons from them, but as much as we like seeing our children do something they enjoy, we need to do as much as we can to make sure our children are safe when they’re playing. I think this law helps us down that path by giving coaches the training they need as well as educating parents and athletes about concussions.”

Rep. Rebecca D. Walker, D-Middletown, shepherded the bill though the House and said she thinks it will help keep young people healthier.

“As a nurse and mother of athletes, I know the importance of ensuring the safety of our young people following an injury,” Walker said. “We need to make sure that our kids no longer will be returned to the fields without being properly and carefully examined. This is the type of legislation that will protect our young people and have an everlasting effect on our athletes’ wellbeing. This type of legislation I came to Dover to introduce and have passed and signed into law.”

Studies have shown that young people can take longer to recover from concussions than adults. And, when someone has suffered a concussion, the odds of getting a second concussion increase – especially if they haven’t fully recovered from their earlier concussion. There’s also a growing body of scientific evidence linking concussions to problems, including memory loss and changes in behavior.

And as athletes become more physically powerful, Sen. Joe Booth, R-Georgetown, agreed that protections are needed.

“In my years of playing contact sports, it would seem like this legislation is overdue,” said Booth, who co-sponsored the measure. “The players are bigger, faster and the prevention and attention this bill provides will be a positive step forward.”

The new law also meshes with the NFL’s national effort to encourage greater awareness of concussions and their effects. And Jeff Miller, a senior vice president with the league, praised the state for taking action
“The NFL is changing the culture of sports as it relates the head injuries,” he said. “Laws like the one Governor Markell signs today will do just that by making youth sports safer for the boys and girls who play them.”

NFL Press Release


image: Jeff Miller, NFL Senior Vice PresidentThe NFL offered its support and thanks to Delaware governor Jack Markell who will sign on August 30 a law that will protect young athletes.

The law, Senate Bill 111, mandates a more formal and aggressive approach to the management and treatment of concussions. The law stipulates that athletes, parents and coaches must be educated about the dangers of concussions each year and if the athlete is suspected of having a concussion, he/she must be removed from a game or practice and not be permitted to return to play. In addition, a licensed health care professional must clear the young athlete to return to play in the subsequent days or weeks. Coaches must also be trained in these new procedures.

The bill’s co-sponsors include Senator Bethany Hall-Long, Senator Joseph Booth, Representative Rebecca Walker and Representative Biff Lee. The new law will be implemented under the auspices of the Delaware Interscholastic Athletic Association.

Former Philadelphia Eagles player VINCE PAPALE, who inspired the movie Invincible, and NFL Senior Vice President of Government Relations and Public Policy JEFF MILLER will join Governor Markell at the signing on Tuesday.

The NFL has actively supported the passage of this law. “It’s important that each state works to protect young athletes from head injury,” said Milller. “Laws like this one are a major step in concussion treatment and prevention, and we applaud the Delaware state government for their proactive stance.”

The law is inspired by Zackery Lystedt who, in 2006, suffered a brain injury following his return to a middle school football game after sustaining a concussion. Zackery, his family and a broad range of medical, business and community partners, including the NFL, lobbied the Washington state legislature for a law to protect young athletes in all sports from returning to play too soon.

In May 2010, NFL Commissioner Roger Goodell sent letters to governors of 44 states that did not have concussion laws urging them to pass a law similar to the Lystedt Law. In the letter, Commissioner Goodell said sports and political leaders can help raise awareness of concussions while ensuring proper and effective treatment.

Since the passage of the Lystedt Law in 2009, 28 states have passed similar laws protecting young athletes with Delaware set to become the 29th.

“It makes me feel proud when I hear about Lystedt Laws being passed in other states,” said Zack Lystedt. “Sharing my story is important.”

To learn more about the NFL’s commitment to health and about the Lystedt Law, visitwww.nflhealthandsafety.com .