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The Second National CDC Prevention Conference on Heart Disease and Stroke: Charting the Course
Preventive Medicine 39 (2004) S1 – S2 www.elsevier.com/locate/ypmed
Introduction
The Second National CDC Prevention Conference on Heart Disease and Stroke: Charting the Course
Charting the Course, the Second National CDC Prevention Conference on Heart Disease and Stroke, is testimony to the strides we have made in the promotion of cardiovascular health for our nation. Three years ago our first conference brought the public health community together from all states and various health sectors and challenged these professionals to embrace our vision of a heart healthy and stroke free nation. The first conference thus laid the foundation for our present conference, Charting the Course, a demonstration of our continued progress and success. Since then, our state program on heart disease and stroke prevention has expanded greatly to reach 32 states and the District of Columbia. We have also completed and released A Public Health Action Plan to Prevent Heart Disease and Stroke, which charts a course of action for achieving our national goals in heart disease and stroke prevention. This conference is jointly sponsored by CDC’s key partners, the American Heart Association/American Stroke Association (AHA/ASA) and the National Heart, Lung and Blood Institute (NHLBI), and we greatly appreciate their commitment and efforts to make this conference a success. The conference provides an opportunity to explore new ideas, exchange experiences, network, strengthen partnerships, and showcase the successes of our many partners. The abstracts in this special edition of Preventive Medicine reflect the underlying themes of this conference: (i) elimination of disparities in heart disease and stroke; (ii) environmental interventions that impact heart disease and stroke, (ii) policy interventions that impact heart disease and stroke; and (iv) communication strategies for engaging partners, the media, and the public. These themes are addressed in plenary lectures and further expanded in smaller, concurrent sessions and in the poster sessions. The Keynote Address features Christopher J.L. Murray, M.D., D.Phil., Director, Global Health Initiative, Harvard University. He presents his national vision of health disparities, bThe Eight Americas: New Perspectives on Disparities in Heart Disease and Stroke in the United
States.Q He also discusses disability-adjusted life years (DALYs) in public health surveillance and implications of their use for assessing disparities. In Plenary Session I, a panel of three health professionals highlights their experiences and presents their recommendations for the elimination of disparities for heart disease and stroke. Topics include the importance of mobilizing trust to eliminate disparities, current clinical and behavioral approaches to improving blood pressure control in African Americans, and controversies in clinical management that impact heart disease and stroke disparities. Four concurrent sessions follow this plenary session and address themes pertaining to data use, health care systems, employer programs, and community-based interventions. Plenary Session II presents exemplary environmental prevention practices in work site settings and emergency medical service systems. Speakers share promising practices regarding work site health promotion and disease prevention efforts addressing heart disease, stroke, and risk factors and discuss issues related to costs. The interactive concurrent sessions that follow include panel presentations with more detailed examples of successful interventions. Plenary Session III focuses on policy interventions to support heart disease and stroke prevention. Speakers emphasize national and state-level policies and show how effective policies can have a positive impact. Advocacy methods for policy change are also discussed. Four concurrent sessions feature key scientific and programmatic issues related to the Paul Coverdell National Acute Stroke Registry, emergency response to acute cardiac events, successful state approaches to improving acute stroke care, and best practices in health care for preventing heart disease and stroke. Plenary IV spotlights communication strategies for engaging partners, the media, and the public. The featured speaker describes bstorytellingQ as a powerful communications tool for enhancing data and creating a perspective that can strengthen the culture of an organization. The four concurrent sessions address communication strategies for taking action and evaluating communication efforts.
0091-7435/$ - see front matter D 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved. doi:10.1016/j.ypmed.2004.06.023
S2
Introduction
The conference ends with a Closing Plenary interchange among some of our nation’s public health leaders, as they discuss their commitment to the prevention of heart disease and stroke. This publication is a valuable resource providing readers with invaluable programmatic, epidemiologic, and applied research information in cardiovascular health promotion and disease prevention, emphasizing the overarching areas of policy and environmental strategies. The Cardiovascular Health Branch is committed to continuing and strengthening our partnerships and to providing the public health community with the tools and strategies that promote successful implementation of A Public Health Action Plan to Prevent Heart Disease and Stroke to achieve our vision of a heart healthy and stroke free nation. On behalf of CDC’s Cardiovascular Health Branch, I extend my deep appreciation to our abstract contributors, our co-sponsors and staff at both AHA/ASA and NHLBI, and our state health departments, whose contributions and collaborations make this conference a success. I also thank Dr. George A. Mensah, Acting Director of the National Center for Chronic Disease Prevention and Health Promotion, and Virginia Bales Harris, Director of the Division of Adult and Community Health, for their support of this conference. In addition, a special thanks to my colleagues at CDC who served on the abstract review committee: Shifan Dai (Co-Chair), Nora Keenan (Co-Chair) Lynda Anderson, Carma Ayala, J. Nell Brownstein, Clark Denny, Sandra Dunbar, Bernadette Ford Lattimore, Alexandra Hyduk, Ahmed Liban, Sara McNary, Belinda Minta, Cynthia
Morrison, and Diane Orenstein. The steering committee and planning committee members deserve our gratitude for an outstanding job in developing the conference program. These CDC staff include George A. Mensah, Diane Orenstein (Co-Chair), Bernadette Ford Lattimore (CoChair), Nora Keenan (Scientific Program Chair), Marsha Houston (Communications Chair), Janet Croft, Shifan Dai, Sandra Dunbar, Kurt Greenlund, Lazette Lawton, Margaret Malone, Dyann Matson Koffman, Nancy Watkins, and ZhiJie Zheng. Our conference co-sponsor representatives on these committees made significant contributions and include Mark Schoeberl (AHA/ASA), Rob Fulwood (NHLBI), and Margaret Casey (Cardiovascular Health Council). And last, special thanks are extended to Clemmie Render-Kemp for excellent administrative and logistic support. To all our participants and conference attendees, we are grateful for your continued commitment and unwavering efforts to improve the health of all Americans. Hats off to you all!
Darwin R. Labarthe, M.D., Ph.D., M.P.H. Cardiovascular Health Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30341, USA Web site: www.cdc.gov/cvh
Introduction
The Second National CDC Prevention Conference on Heart Disease and Stroke: Charting the Course
Charting the Course, the Second National CDC Prevention Conference on Heart Disease and Stroke, is testimony to the strides we have made in the promotion of cardiovascular health for our nation. Three years ago our first conference brought the public health community together from all states and various health sectors and challenged these professionals to embrace our vision of a heart healthy and stroke free nation. The first conference thus laid the foundation for our present conference, Charting the Course, a demonstration of our continued progress and success. Since then, our state program on heart disease and stroke prevention has expanded greatly to reach 32 states and the District of Columbia. We have also completed and released A Public Health Action Plan to Prevent Heart Disease and Stroke, which charts a course of action for achieving our national goals in heart disease and stroke prevention. This conference is jointly sponsored by CDC’s key partners, the American Heart Association/American Stroke Association (AHA/ASA) and the National Heart, Lung and Blood Institute (NHLBI), and we greatly appreciate their commitment and efforts to make this conference a success. The conference provides an opportunity to explore new ideas, exchange experiences, network, strengthen partnerships, and showcase the successes of our many partners. The abstracts in this special edition of Preventive Medicine reflect the underlying themes of this conference: (i) elimination of disparities in heart disease and stroke; (ii) environmental interventions that impact heart disease and stroke, (ii) policy interventions that impact heart disease and stroke; and (iv) communication strategies for engaging partners, the media, and the public. These themes are addressed in plenary lectures and further expanded in smaller, concurrent sessions and in the poster sessions. The Keynote Address features Christopher J.L. Murray, M.D., D.Phil., Director, Global Health Initiative, Harvard University. He presents his national vision of health disparities, bThe Eight Americas: New Perspectives on Disparities in Heart Disease and Stroke in the United
States.Q He also discusses disability-adjusted life years (DALYs) in public health surveillance and implications of their use for assessing disparities. In Plenary Session I, a panel of three health professionals highlights their experiences and presents their recommendations for the elimination of disparities for heart disease and stroke. Topics include the importance of mobilizing trust to eliminate disparities, current clinical and behavioral approaches to improving blood pressure control in African Americans, and controversies in clinical management that impact heart disease and stroke disparities. Four concurrent sessions follow this plenary session and address themes pertaining to data use, health care systems, employer programs, and community-based interventions. Plenary Session II presents exemplary environmental prevention practices in work site settings and emergency medical service systems. Speakers share promising practices regarding work site health promotion and disease prevention efforts addressing heart disease, stroke, and risk factors and discuss issues related to costs. The interactive concurrent sessions that follow include panel presentations with more detailed examples of successful interventions. Plenary Session III focuses on policy interventions to support heart disease and stroke prevention. Speakers emphasize national and state-level policies and show how effective policies can have a positive impact. Advocacy methods for policy change are also discussed. Four concurrent sessions feature key scientific and programmatic issues related to the Paul Coverdell National Acute Stroke Registry, emergency response to acute cardiac events, successful state approaches to improving acute stroke care, and best practices in health care for preventing heart disease and stroke. Plenary IV spotlights communication strategies for engaging partners, the media, and the public. The featured speaker describes bstorytellingQ as a powerful communications tool for enhancing data and creating a perspective that can strengthen the culture of an organization. The four concurrent sessions address communication strategies for taking action and evaluating communication efforts.
0091-7435/$ - see front matter D 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved. doi:10.1016/j.ypmed.2004.06.023
S2
Introduction
The conference ends with a Closing Plenary interchange among some of our nation’s public health leaders, as they discuss their commitment to the prevention of heart disease and stroke. This publication is a valuable resource providing readers with invaluable programmatic, epidemiologic, and applied research information in cardiovascular health promotion and disease prevention, emphasizing the overarching areas of policy and environmental strategies. The Cardiovascular Health Branch is committed to continuing and strengthening our partnerships and to providing the public health community with the tools and strategies that promote successful implementation of A Public Health Action Plan to Prevent Heart Disease and Stroke to achieve our vision of a heart healthy and stroke free nation. On behalf of CDC’s Cardiovascular Health Branch, I extend my deep appreciation to our abstract contributors, our co-sponsors and staff at both AHA/ASA and NHLBI, and our state health departments, whose contributions and collaborations make this conference a success. I also thank Dr. George A. Mensah, Acting Director of the National Center for Chronic Disease Prevention and Health Promotion, and Virginia Bales Harris, Director of the Division of Adult and Community Health, for their support of this conference. In addition, a special thanks to my colleagues at CDC who served on the abstract review committee: Shifan Dai (Co-Chair), Nora Keenan (Co-Chair) Lynda Anderson, Carma Ayala, J. Nell Brownstein, Clark Denny, Sandra Dunbar, Bernadette Ford Lattimore, Alexandra Hyduk, Ahmed Liban, Sara McNary, Belinda Minta, Cynthia
Morrison, and Diane Orenstein. The steering committee and planning committee members deserve our gratitude for an outstanding job in developing the conference program. These CDC staff include George A. Mensah, Diane Orenstein (Co-Chair), Bernadette Ford Lattimore (CoChair), Nora Keenan (Scientific Program Chair), Marsha Houston (Communications Chair), Janet Croft, Shifan Dai, Sandra Dunbar, Kurt Greenlund, Lazette Lawton, Margaret Malone, Dyann Matson Koffman, Nancy Watkins, and ZhiJie Zheng. Our conference co-sponsor representatives on these committees made significant contributions and include Mark Schoeberl (AHA/ASA), Rob Fulwood (NHLBI), and Margaret Casey (Cardiovascular Health Council). And last, special thanks are extended to Clemmie Render-Kemp for excellent administrative and logistic support. To all our participants and conference attendees, we are grateful for your continued commitment and unwavering efforts to improve the health of all Americans. Hats off to you all!
Darwin R. Labarthe, M.D., Ph.D., M.P.H. Cardiovascular Health Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30341, USA Web site: www.cdc.gov/cvh