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February 20 - February 27, 2008

in this issue

Obesity

HIV & AIDS

Chronic Diseases

Health Insurance Coverage Trends

Aging

Cancer

Recent Reports


 

State Public Health Policy Resources
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Womens Health Issues
This new expanded tutorial on women's health policy by the Kaiser Family Foundation provides an overview of women's health care needs and concerns, discusses health coverage and access to care, and reviews the central policy challenges in improving women's access to care. Click here to access the tutorial.

Expedited Partner Therapy for Sexually Transmitted Diseases: Assessing the Legal Environment
This analysis of laws relevant to expedited partner therapy found that three-fourths of states or territories do not expressly permit expedited partner therapy or do not expressly prohibit the practice. Click here to access the abstract of this recent study.

National Framework to Guide Emergency Response
The U.S. Department of Homeland Security recently released a National Response Framework (NRF) to guide officials in preparing for and responding to all hazardous disasters. Click here to read press release and access the NRF resource center Web site.

Updated Fact Sheets on Women's Health Insurance Coverage
This fact sheet from the Kaiser Family Foundation provides new statistics on health coverage, describes the major sources of health insurance for non-elderly adult women and summarizes the major policy challenges facing women in obtaining health coverage. Click here to access the fact sheet on women's health insurance coverage and click here to access state-by-state data on the insured rate among non-elderly adult women.

Webcast: What are the Current Federal Legislative Efforts to Address Health Disparities between Racial and Ethnic Groups
This webcast, hosted by the Kaiser Foundation, details current federal legislative efforts to address health disparities among racial and ethnic groups. Click here to listen to the complete webcast.


Click here to access the Web-based application.

Recent State Legislation Reports
2007 Trends in State Public Health Legislation
Summaries and lists of state bills in more than 15 public health issue areas including chronic disease prevention, health disparities, oral health, HIV/STD prevention and immunizations.

Talking Points For State Legislators
Get a quick and handy two-page overview of major state public health issues including:
Making HIV Testing Routine

Adolescent Immunizations

Adult Immunization

Exemptions from School Immunization Requirements

Controlling Childhood Asthma

Keeping the Aging Population Healthy

Health Disparities

School Nutrition & Obesity

Expedited Partner Therapy

Childhood Obesity

Colorectal Cancer

High Blood Pressure

Physical Activity

Smoking Prevention Programs

Stroke Prevention

Health Care Worker Flu Vaccination

Coming Soon! Workplace Wellness, Preventing Cervical Cancer, and Diabetes Management.

Legislator Policy Briefs
Concise summaries of key public health issues, including advice from state legislators, how to get involved in your state and programs that work including:
Adult Immunizations

Preventing Asthma Adolescent Health Disparities

New Funding to Discourage Smoking

Keeping the Aging Population Healthy

Exemptions from School Immunization Requirements

Smoking Prevention Programs

High Blood Pressure

Colorectal Cancer

Physical Activity

School Wellness Policies

Health Disparities

Health Care Worker Flu Vaccination

Stroke Prevention

Cardiovascular Disease

School Mental Health Services

Chlamydia Prevention

Coming Soon! Briefs on Workplace Wellness, Preventing Cervical Cancer, and Diabetes Management

Tool Kits
Tool Kit: Preventing Colorectal Cancer
This Tool Kit informs state policymakers about colorectal cancer prevention in people over 50, including state legislation examples and cost-effective strategies for states.

Graduated Driver Licensing (GDL)
Find out why GDL laws are needed and what state legislators can do to save lives by improving their state's laws for teenage drivers.

Preventing HIV/AIDS and Sexually Transmitted Diseases (STDs)
Describes disparities in STDs and includes a checklist for state legislators on how to support STD prevention.

Trends Alerts:
Costs of Chronic Diseases: What Are States Facing?

Using Sound Science to Prevent Chronic Disease: State Policy Implications

Targeting Low Immunization Rates in Adolescents

State Official's Guide to Wellness

Editor's Note
Starting next week we will be transitioning from a weekly newsletter to a free monthly electronic newsletter. We will still be bringing you the latest public health and health policy news, technical reports as well as other material produced by organizations and government agencies that conduct health care policy analysis and research. The new monthly electronic newsletter will come to your e-mail inbox the last Wednesday of each month starting in March 2008.


  • Obesity
  • Mississippi: Schools Invited to Participate in Nutrition Study
    The Agatston Research Foundation invited the Moss Point School District in Mississippi to participate in a study that will test the value of nutrition and lifestyle education and fitness initiatives in the public school setting. The district would be required to alter lunch menus to include more healthy foods and collect weight, height, gender and age data from each student annually during the three- to five-year period of the study.

    Mississippi Press
  • HIV & AIDS
  • New Jersey: State Struggles to Implement Needle Exchange Programs
    New Jersey is struggling to enroll injection drug users in three needle exchange pilot programs due in part to a lack of funding. The state government allocated $10 million toward drug treatment but did not fund the needle exchange programs. According to the Kaiser Family Foundation, at least 43 percent of the state's 48,000 reported HIV/AIDS cases were transmitted through needles.

    Long Island Newsday
  • Chronic Diseases
  • National: Awareness of Heart Attack Signs Lags in U.S.
    According to the Centers for Diseases Control and Prevention, many U.S. residents are not aware of all five warning signs of heart attack. The study found that 30 percent of whites, 16 percent of blacks, and 14 percent of Hispanics were aware of the five warning signs and which actions to take in response. The study also found marked knowledge differences between states.

    U.S. News & World Report
  • Health Insurance Coverage Trends
  • South Carolina: Gov. Sanford to Sign Health-Care Bill for Small Businesses
    This week Gov. Mark Sanford will sign a bill that allows a group of at least 10 small businesses to join together to negotiate cheaper health insurance rates. Current state law allows only businesses with a minimum of 1,000 employees to join together to negotiate cheaper rates.

    The Greenville News
  • Aging
  • Tennessee: Governor Urges Restructuring of Long-term Care
    Gov. Phil Bredesen has recommended restructuring of how long-term care is provided to elderly and disabled residents in the state. The governor proposed a $20.7 million expansion of community care. At present, the state spends 98 percent of its funds for long-term care on nursing home stays. The proposed legislation will create expanded programs for those who need home care.

    The Tennessean
  • Cancer
  • Kentucky: Eastern Kentucky Bears High Cervical Cancer Rate
    Women in Eastern Kentucky have a cervical cancer rate more than one-third higher than the national average. Poverty, lack of health insurance, doctor shortages and transportation problems are some of the reasons for high incidence and mortality from cervical cancer in the region. Using Kentucky tobacco, researchers at the University of Louisville are trying to develop a low-cost version of the vaccine against human papillomavirus (the primary cause of cervical cancer) that would sell for less than $3. The current vaccine called Gardasil costs about $360 for a three-shot series. Also, initiatives such as Faith Moves Mountains are working to improve cervical cancer screening in the region.

    The Enquirer
  • Recent Reports
  • New Generation of Tobacco Products Threatens Efforts to Reduce Tobacco Use, Save Lives in U.S.
    This report describes how tobacco manufacturers take advantage of the lack of government regulation to design and market products that recruit new young users, create and sustain addiction to nicotine, and discourage current users from quitting. The report highlights the request of leading public health organizations urging Congress to pass pending legislation granting the U.S. Food and Drug Administration authority to regulate tobacco products and their marketing.

    New Resource for Preventing Diabetes in African-Americans
    This toolkit by the National Diabetes Education Program is designed to encourage faith-based and community leaders to actively promote diabetes prevention among African-Americans. The toolkit includes 12 interactive group sessions covering topics including how to encourage families and individuals to increase physical activity, to make healthier food choices and to understand food serving sizes.

    State Medicaid Coverage for Tobacco-Dependence Treatments---United States 2006
    This recent report released by the Centers for Disease Control and Prevention underscores the need to increase Medicaid coverage of tobacco-dependence treatments. The report indicates that approximately 35 percent of Medicaid recipients are smokers and an estimated 14 percent of Medicaid costs are attributable to tobacco use. The report also points out that tobacco-dependence treatments are highly cost-effective.

    States Turn Challenges Into Opportunities, Advancing Cervical Cancer Prevention Efforts
    This state-by-state comparison report released by Women in Government shows that states are making progress in the fight against cervical cancer, but still face barriers in terms of racial and socio-economic disparities in cervical cancer incidence, mortality, and a lack of access to care. According to the report, that 37 states received good ratings and 14 states and Washington, D.C. received fair ratings on their efforts to prevent cervical cancer.

    Diabetes-Related Health Costs Soared to $174 Billion in 2007
    According to this recent report by the American Diabetes Association, diabetes cost the United States $174 billion in 2007 in direct medical care costs and lost productivity. Much of the diabetes-related expenses stem from the treatment of complications caused by diabetes, while spending for routine preventive care to treat the condition is relatively low. The report also provides state-by state estimates of the cost of diabetes.

    CDC Awards $24 Million for IT-Driven Pandemic Preparedness Projects
    The Centers for Disease Control and Prevention will award $24 million in grants for projects that use health information technology to help communities prepare for and respond to pandemic flu. The grantees will undertake demonstration projects to create an electronic laboratory data exchange to support influenza surveillance, to integrate state-based immunization systems to track pandemic countermeasures, and to develop a statewide electronic mortality reporting system.

    Average Annual Health Care Use and Expense for Shingles Among U.S. Civilian Noninstitutionalized Population, 2003-2005
    This brief from the Agency for Healthcare Research and Quality estimates that in 2003, 2004 and 2005, 1.1 million persons per year had shingles or its complications and .9 million sought medical treatment. Treatment for shingles cost $525 per person. The estimates are based on data from the Medical Expenditure Panel Survey.

    The American Lung Association's State of Tobacco Control 2007
    This annual report card by the American Lung Association grades each of the 50 states, the District of Columbia and Puerto Rico on their tobacco control policies on smoke-free air, cigarette tax, tobacco prevention spending and youth access to tobacco products. According to the report card, 21 states, the District of Columbia and Puerto Rico have passed comprehensive smoke-free air laws. Twenty five states, the District of Columbia and Puerto Rico have cigarette tax rates of $1 or higher, and nine of those 25 states are at or above $2 per pack.

    Other Resources

    The Synthesis Project
    This brief by the Robert Wood Johnson Foundation provides information on pay-for-performance initiatives being pursued by state Medicaid programs and private health care plans. The brief includes information on the structures and policy as well as implications of the pay-for performance initiatives.

    National President's Challenge
    The National President's Challenge is a new fitness program that begins March 20. It encourages individuals ages 6 and older to register on the President's Challenge web site, be active at least five days a week, and log that activity on their personal activity tracker.

    CSG Annual Meeting Resolutions
    The Council of State Governments monitors a host of issues that impact state governments. These issues are often brought before CSG's task force members at the spring and annual meeting through policy resolutions. At CSG's recent Annual Meeting in Oklahoma City, the Health Task Force considered and passed four policy resolutions. They addressed public health and climate change, smoking cessation, cervical cancer education programs and patient-centered medical homes. Please click on the link above to view the complete text of each resolution.

    CDC Launches Redesigned Spanish Web site 'CDC en Espanol'
    This Centers for Disease Control and Prevention Spanish-language Web site, CDC en Espanol, provides accurate, up-to-date information in Spanish on health issues of special interest to Hispanic communities, including information on a wide range of health promotion and disease prevention topics.

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    Health Policy Highlights/Healthy States e- Weekly is a part of the Healthy States Initiative, a partnership between The Council of State Governments, National Hispanic Caucus of State Legislators, National Black Caucus of State Legislators and the Centers for Disease Control and Prevention. For more information about the initiative for state legislators, please visit http:// www.healthystates.csg.org.

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    Health Policy Highlights/Healthy States e- Weekly is a FREE weekly e-mail service from The Council of State Governments sent to CSG's subscribers free of charge and bringing the latest health policy news, resources, reports and upcoming events straight to your inbox. Funding for this publication is provided by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, under Cooperative Agreement U38/CCU424348. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the U.S. government.


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