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    Zero Breast Cancer Looking for Executive Director

    Zero Breast Cancer seeks an experienced Executive Director to drive the direction and expansion of breast cancer prevention research, advocacy and educational programs in the San Francisco Bay Area and beyond.

    Zero Breast Cancer (ZBC) is a community-based, non-profit organization founded in 1995 by a small but committed group of women with invasive breast cancer who set out on a remarkable journey to find the causes for the historically high incidence of breast cancer in Marin County and the San Francisco Bay Area. ZBC exists today because we believe the continued high breast cancer incidence rates are unacceptable.

    From the outset, Zero Breast Cancer has differentiated itself from other breast cancer organizations through its unique involvement in research. For the past 19 years, the primary goal of Zero Breast Cancer has been to prevent breast cancer by participating in research aimed at discovering who develops breast cancer and why and what we can do to eliminate the disease. Over the past two decades, Zero Breast Cancer has partnered with senior academic scientists on more than a dozen breast cancer research grants, bringing over 19 million research dollars to Marin County and the San Francisco Bay Area. These grants are investigating

    KEEP READING: Zero Breast Cancer Looking for Executive Director

    CDPH Smoking

    California Tobacco Control Program RFA’s

    In November 2014, the California Tobacco Control Program (CTCP) plans to release Request for Applications (RFA), #CTCP 15-100, Achieving Tobacco-Related Health Equity among California’s Diverse Populations, with the intent to fund approximately 25 to 50 projects to prevent and reduce tobacco use among groups with high rates of tobacco use.

    The term of the funded projects is anticipated to be July 1, 2015 to June 30, 2020. Approximately $5.3 million per year will be available from the Proposition 99 Tobacco Tax and Health Protection Act of 1988. Funding is contingent upon available revenues and appropriations by the Legislature and the Governor’s Budget for fiscal year (FY) 2015-16 and subsequent FYs. Applications are due in January 2015.

    CDPH Public Health Education

    News  from the CDPH

    The California Department of Public Health (CDPH) is pleased to announce “Stakeholder Brief,” a quarterly update of important upcoming activities, actions and accomplishments from CDPH and involving its partners. Updates include information about meetings, presentations, press announcements, solicitations for input or service.


    CDC CDPH Infectious Disease

    Enterovirus D68 (EV-D68) cases confirmed in California

    The California Department of Public Health (CDPH) has confirmed 4 enterovirus D68 (EV-D68) cases in patients in San Diego (3). These are the first confirmed cases in California in 2014 due to EV-D68.

    There are other specimens from throughout the state being tested at CDPH labs. More cases are anticipated in the coming weeks. CDPH has asked local health departments to submit samples from all rhinovirus/enterovirus positive specimens from hospitalized children less than 18 years of age or from clusters of cases of any age to CDPH for further typing.

    Several specimens have been received by CDPH for testing, and testing is underway. EV-D68 causes respiratory illness and the virus likely spreads from person to person when an infected person coughs, sneezes, or touches contaminated surfaces. Symptoms of EV-D68 include fever (although fever may not be present), runny nose, sneezing, cough, and body and muscle aches.

    Some children have more serious illness with breathing difficulty and wheezing, particularly children with a history of asthma. The best way to prevent transmission of enteroviruses is: Washing hands often with soap and water for 20 seconds, especially after changing diapers; Avoid touching eyes, nose and mouth with unwashed hands; Avoid kissing, hugging, and

    KEEP READING: Enterovirus D68 (EV-D68) cases confirmed in California


    Learning more about Melanoma

    The U.S. Surgeon General’s recent special emphasis on skin cancer is of great importance and comes at the right time. You can gain a better understanding about the most serious form of skin cancer, Melanoma at

    The Aim at Melanoma organization site provides a good review of this form of cancer, including updates on prevention, early detection and the array of options now available for treatment.


    New Publication: Strategies for Healthy Aging

    The Society for Public Health Education (SOPHE) announced the publication of a Health Education & Behavior (HE&B) supplement devoted to the latest research and practice to promote healthy aging. The October 2014 supplement, “Fostering Engagement and Independence: Opportunities and Challenges for an Aging Society,” contains a dozen peer-reviewed articles on innovative behavioral and psycho-social approaches to improve the health of the nation’s fastest growing cohort – older adults.

    Together the articles describe promising advances in research directed at the health and well-being of community-dwelling older adults. The articles address strategies for promoting mobility and physical activity, highlights of a workforce certificate program, community-based efforts and models, uses of technology, and analyses to better understand health disparities in minority populations.

    All articles in the HE&B supplemental issue are provided through open access at Information on related podcasts and webinars are available at .

    This supplement was supported by the CDC’s National Center for Chronic Disease Prevention and Health Promotion; Healthy Aging Program to the Association of State and Territorial Health Officials; and a grant from The Retirement Research Foundation.

    Public Health Education

    SCPHA Annual Meeting October 21

    The Southern California Public Health Assn. is holding their Annual Meeting “Place Matters: Healthography in Southern California” at the California Endowment Conference Center. For information:

    CDC Infectious Disease Prevention

    Epidemics—Calculating the Impact

    The first cases of the current West African epidemic of Ebola virus disease (hereafter referred to as Ebola) were reported on March 22, 2014, with a report of 49 cases in Guinea. By August 31, 2014, a total of 3,685 probable, confirmed, and suspected cases in West Africa had been reported.

    To aid in planning for additional disease-control efforts, CDC constructed a modeling tool called Ebola Response to provide estimates of the potential number of future cases. The Ebola Response modeling tool also was used to estimate how control and prevention interventions can slow and eventually stop the epidemic.

    In a hypothetical scenario, the epidemic begins to decrease and eventually end if approximately 70% of persons with Ebola are in medical care facilities or Ebola treatment units (ETUs) or, when these settings are at capacity, in a non-ETU setting such that there is a reduced risk for disease transmission (including safe burial when needed). In another hypothetical scenario, every 30-day delay in increasing the percentage of patients in ETUs to 70% was associated with an approximate tripling in the number of daily cases that occur at the peak of the epidemic (however, the epidemic still eventually ends).

    Officials have developed

    KEEP READING: Epidemics—Calculating the Impact


    Low treatment rates for many infected with HIV

    A new CDC analysis finds that half of gay and bisexual men diagnosed with HIV are not receiving care and treatment for their infection.

    HIV treatment can suppress the amount of virus in the body to a level low enough to dramatically improve a person’s own health and to greatly reduce their risk of transmitting HIV to others. Yet fewer than half of men who have sex with men (MSM) diagnosed with HIV have achieved viral suppression.

    Using data from CDC’s National HIV Surveillance System and Medical Monitoring Project to determine the proportion of MSM diagnosed with HIV who were engaged at each stage of care in the U.S. in 2010, researchers found across-the-board gaps in important markers of care. Overall, 77.5 percent of these men were linked to care within three months of diagnosis, but only half (50.9 percent) were retained in care.

    Fewer than half of MSM diagnosed with HIV (49.5 percent) were prescribed treatment and only 42 percent achieved viral suppression. Young MSM and African-American MSM were the least likely to receive care and treatment. U.S. clinical guidelines now recommend that everyone with HIV begin therapy upon diagnosis. In conclusion, the authors note that while it is

    KEEP READING: Low treatment rates for many infected with HIV

    Public Health Education

    Implications of Health Literacy for Public Health – Workshop

    Health literacy is the degree to which individuals can obtain, process, and understand the basic health information and services they need to make appropriate health decisions.

    The Institute of Medicine convened the Roundtable on Health Literacy to address issues raised in the report, Health Literacy: A Prescription to End Confusion (IOM, 2004). The roundtable sponsored a workshop in Irvine, CA, on November 21, 2013, that focused on the implications of health literacy for the mission and essential services of public health. The workshop featured the presentation of a commissioned paper on health literacy activities underway in public health organizations.

    Other presentations examined the implications of health literacy for the mission and essential services of public health, for example, community health and safety, disease prevention, disaster management, or health communication. This document provides an overview of the topics discussed.

    Read the report:

    Public Health Education

    Pharmacists Can Now Apply for State Loan Repayment Program

    The California State Loan Repayment Program (SLRP) announced that Pharmacists (PharmD) have been added to the list of eligible disciplines and can apply for the SLRP September 15 to November 15, 2014 application cycle at

    Public Health Education

    National Health Service Corps Loan Program Now Open

    The 2015 National Health Service Corps (NHSC) Students to Service Loan Repayment Program (Students to Service) application cycle is now open.

    The National Health Service Corps (NHSC) Students to Service Loan Repayment Program (S2S LRP) provides up to $120,000 to medical students (MD and DO) in their final year of school in return for a commitment to provide primary health care full time for at least 3 years or half time for at least 6 years at an approved NHSC site in a Health Professional Shortage Area of greatest need.

    Awards are subject to the availability of funds. The 2015 Students to Service application cycle closes on November 13, 2014, at 7:30 pm,

    Public Health Education

    Office of State Health Planning Helps Develop Healthcare Workforce

    The Office of State Health Planning and Development (OSHPD) promotes the diversity, supply, distribution, competency, and capacity of health practitioners in California—particularly in underserved communities—to access safe, quality healthcare environments that meet California’s diverse and dynamic needs.

    OSHPD’s Healthcare Workforce Development Division (HWDD) serves as California’s Primary Care Office supporting the state’s healthcare workforce through pipeline development, training and placement, financial incentives, systems redesign, and research and policy with a focus on underserved and diverse communities.

    Specifically, HWDD encourages demographically under represented groups to pursue healthcare careers; deploys primary care and mental health practitioners to underserved communities; evaluates new and expanded roles for health professionals and new health delivery alternatives; designates health professional shortage areas; and serves as the state’s central repository of health workforce and education data.

    Contact them at: 400 R Street, Suite 330 Sacramento, CA 95811-6213 Phone: (916) 326-3700 Fax: (916) 322-2588

    Cancer Women's Health

    Cervical Cancer Screening Tests Continue to Evolve

    Between 1955 and 1992, it is estimated that the rate of cervical cancer mortality decreased by about 70%, due largely to the widespread adoption of the Pap smear as part of the annual Ob/Gyn or well-woman visit. The first big change to the well-woman visit came several years ago when the United States Preventive Services Task Force and the American Cancer Society recommended against routine yearly Pap smear testing and first included HPV testing as part of cervical cancer screening.

    The new guidelines recommended Pap testing every 3 years for women aged 21 to 65 years. With the health care community only just adjusting to these updated screening recommendations, even more changes may be around the corner. In April, the FDA expanded the label for one of the HPV tests available on the market, the cobas HPV Test (Roche), approving it as a stand-alone test for primary screening of cervical cancer.

    Reaction to the FDA approval and the idea of using HPV testing alone to screen for cervical cancer has been mixed, and whether or not professionals will begin to use the HPV test for first-line screening is unknown. The Society for Gynecologic Oncologists and the American Society for Colposcopy

    KEEP READING: Cervical Cancer Screening Tests Continue to Evolve

    CDC Prevention

    CDC Report Finds High Sodium Consumption Among U.S. Kids

    More than 90 percent of U.S. children aged 6-18 years eat more sodium than recommended, putting them at risk for developing high blood pressure and heart disease later in life, according to a new CDC Vital Signs report.

    Key findings in the Vital Signs report include: U.S. children aged 6 to 18 years eat an average of about 3,300 mg of sodium a day before salt is added at the table. The 2010 Dietary Guidelines for Americans recommend that children eat less than 2,300 mg per day total.

    Most sodium is already in food before it is purchased or ordered. Approximately 65 percent comes from store foods, 13 percent from fast food and pizza restaurant foods, and 9 percent from school cafeteria foods.


    Advocacy APHA Prevention Smoking

    Liquid nicotine is poisoning children—prevention efforts needed

    More than 200 calls a month are coming into poison control centers across the country because of childhood liquid nicotine poisonings.

    Liquid nicotine for e-cigarettes is commonly sold in 15 milliliter bottles containing 36 milligrams of nicotine per milliliter of liquid. This enough to kill four young children. The lethal dose of nicotine is 1 to 13 milligrams per kilogram of body weight.

    A large scale public information campaign about this serious hazard to child health is needed along with safer packaging and regulations.

    APHA is supporting the Child Nicotine Poisoning Prevention Act of 2014 (S. 2581).

    Chronic Illness Healthcare Costs

    HHS announces $211 million in grants to prevent chronic diseases

    Funded in part by the Affordable Care Act, the awards will strengthen state and local programs aimed at fighting chronic diseases, which are the leading causes of death and disability in the United States, and help lower our nation’s health care costs.

    A total of 193 awards are being made to states, large and small cities and counties, tribes and tribal organizations, and national and community organizations, with a special focus on populations hardest hit by chronic diseases. The CDC will administer the grants.

    The goals of the grants are to reduce rates of death and disability due to tobacco use, reduce obesity prevalence, and reduce rates of death and disability due to diabetes, heart disease, and stroke and help Americans to live longer, healthier, and more productive lives. California received 28 of the grants for a total of $35,027,710.

    For state-by-state lists of funding awards visit:

    Chronic Illness Prevention Public Health Education

    NEW: Adults Over Age 45 Should be Screened for Diabetes

    Primary care physicians should screen all adults over age 45 for diabetes, according to new recommendations proposed by a government-sponsored panel of experts. The US Preventive Services Task Force, composed of primary care providers, base their new advice on evidence suggesting that diagnosing elevated blood sugar levels before people develop full-blown diabetes can reduce their risk of getting the condition and also developing heart disease.

    Evidence from several recent large clinical trials suggest that those who have moderately elevated blood sugar, a condition called pre diabetes, detected on a routine blood test and treated through a diet and exercise program have a 47 percent reduced risk of developing diabetes over the next several years. The Task Force’s previous recommendations from 2008 only recommended diabetes screening in those at increased heart disease risk due to high blood pressure because studies were lacking to show benefits for screening the general population.

    People who are overweight, have a family history of diabetes, or are African-American, Asian, or Latino, likely need to be screened earlier than 45, the Task Force recommended, because they’re at higher diabetes risk. Women who have polycystic ovarian syndrome or who developed gestational diabetes during pregnancy also fall into the

    KEEP READING: NEW: Adults Over Age 45 Should be Screened for Diabetes

    Cancer Environment Women's Health

    Breast Cancer and the Environment Research Program Conference in SF in November

    The Breast Cancer and the Environment Research Program Conference will be held in San Francisco at the Hyatt Regency Embarcadero on November 20-21, 2014. This is an opportunity for scientists (including students), clinicians and community advocates to come together to discuss the latest research on the role of the environment and genetics in breast cancer, risk factors for early puberty and how to engage and communicate risk with diverse communities.

    We will also discuss the future of the field as the National Institutes of Health begin a new cycle of funding.

    The program is available online: This is a free program, however registration is required.

    APHA Public Health Education

    Essential Public Health References and Resources

    The 20th edition of the “Control of Communicable Diseases Manual” is now available via the APHA Book Store A web version of the manual is also being developed that will have the advantage of more frequent chapter updates as new information becomes available. Ebola and MERS are included in the update.

    Many public health professionals consider this an essential for their book shelf. Another excellent reference for public health professionals is “The Guide to Clinical Preventive Services”….the recommendations of the U.S. Preventive Services Task Force.

    The U.S. Preventive Services Task Force is an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. Sponsored since 1998 by the Agency for Healthcare Research and Quality (AHRQ), the Task Force is the leading independent panel of private-sector experts in prevention and primary care. Their pocket guide covers all USPSTF recommendations from 2002 through March 2010.

    Up-to-date recommendations are available through the A-Z Topic Index on the U.S. Preventive Services Task Force Web Site. Recommendations are organized for quick reference and easy searching. One section matches recommended preventive services to patients—men, women, pregnant women, and children. Print

    KEEP READING: Essential Public Health References and Resources