TEXAS CVD AND STROKE DIGEST JUNE 2009 This Digest is provided by the Cardiovascular Health and Wellness Program at the Texas Department of State Health Services in support of the Texas Heart and Stroke Prevention System Partnership. If you did not receive this Digest as a subscriber and would like to subscribe, please visit http://wwwstage.dshs.state.tx.us/wellness/partnershipdigest.shtm. Information about educational opportunities, resources, tools, and reports is compiled from national, state, and local partners. The Digest does not reflect endorsements by DSHS or the Partnership. REPORTS and DATA Long-term Secondary Prevention Programs After Cardiac Rehabilitation for the Reduction of Future Cardiovascular Events: Focus on Regular Physical Activity. Authors: Domenico Scrutinio; Pier Luigi Temporelli; Andrea Passantino; Pantaleo Giannuzzi. From Medscape Today. http://www.medscape.com/viewarticle/703265?src=mp&spon=17&uac=122388MJ Screening for Cardiovascular Artery Disease in Patients With Diabetes. Author Gregory A. Nichols, PhD. From Medscape Today. http://www.medscape.com/viewarticle/704284?src=mp&spon=17&uac=122388MJ Addressing Lipid Treatment Targets Beyond Cholesterol: A Role for Prescription Omega-3 Fatty Acid Therapy. Authors Dall, Tara L. MD; Bays, Harold MD. From Medscape Today. http://www.medscape.com/viewarticle/704162?src=mp&spon=17&uac=122388MJ The Built Environment: Designing Communities to Promote Physical Activity in Children. Pediatrics; Vol. 123, No. 6; pages 1591-1598; June 2009 The American Academy of Pediatrics’ Committee on Environmental Health issued a policy statement that “highlights how the built environment of a community affects children's opportunities for physical activity. Neighborhoods and communities can provide opportunities for recreational physical activity with parks and open spaces, and policies must support this capacity.” http://aappolicy.aappublications.org/cgi/content/full/pediatrics;123/6/1591 Bill Gives FDA Broad Powers to Regulate Tobacco Washington Post, 06/12/09. The Senate approved landmark legislation today that would give the government sweeping new power to oversee tobacco, a centuries-old product used by 20 percent of Americans yet largely unregulated in this country. The bipartisan measure, approved by a margin of 79 to 17, largely mirrors a measure passed by the House last month. The House has indicated it will accept the Senate version and will vote on it early next week before a bill is sent to President Obama. Obama, a smoker who has struggled to quit, has said he is eager to sign the bill into law. It comes 50 1 years after the surgeon general first warned of the health effects of tobacco. http://www.washingtonpost.com/wp-dyn/content/article/2009/06/11/AR2009061100323_pf.html Chain menus could soon start counting calories Reuters, 06/12/09. Large U.S. chain restaurants, criticized for their role in the country's obesity epidemic, agreed on Wednesday to support legislation that would require them to disclose calories on their menus. Chain restaurants with 20 or more locations would have to list on their menus the number of calories per item and would also have to make available upon request other nutritional information such as the amount of sugar, salt or cholesterol. http://www.reuters.com/article/healthNews/idUSTRE55A3GI20090611 Report on US Tobacco Control Policies and Use Finds Stark Contrasts in Progress Among States. Medical News Today, 06/11/09. The United States is becoming a nation of haves and have-nots when it comes to tobacco control, according to a comprehensive publication on cigarette smoking prevalence and policies in the U.S. which has just been released. The new report, “Cigarette Smoking Prevalence and Policies in the 50 States: An Era of Change—the Robert Wood Johnson Foundation ImpacTeen Tobacco Chart Book,” was presented at the National Conference on Tobacco or Health meeting in Phoenix. http://www.medicalnewstoday.com/articles/153416.php New Poll Finds Disease Prevention Is Top Priority For Americans In Health Reform. Medical News Today, 06/11/09 Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF) released a new public opinion survey today that finds that Americans rank prevention as the most important health care reform priority, and overwhelmingly support increasing funding for prevention programs to reduce disease and keep people healthy. http://www.medicalnewstoday.com/articles/153463.php Weight Management and Cardiovascular Disease: Implications of Recent and Ongoing Clinical Trials. Authors John Wilding; Nick Finer. Medscape Today. http://www.medscape.com/viewarticle/703868?src=mp&spon=17&uac=122388MJ. This article reinforces the need for broad, system level work. Disease Prevention Provides No Cure-All. http://online.wsj.com/article/SB124476182985608115.html Early Childhood Conditions That Lead to Adult Health Disparities Identified. ScienceDaily.com, 06/02/09. The origins of many adult diseases can be traced to early negative experiences associated with social class and other markers of disadvantage. Confronting the causes of adversity before and shortly after birth may be a promising way to improve adult health and reduce premature deaths, researchers argue in a paper published June 2 in The Journal of the American Medical Association. These adversities establish biological "memories" that weaken physiological systems and make individuals vulnerable to problems that can lie dormant for years. http://www.sciencedaily.com/releases/2009/06/090602181955.htm 2 Aspirin for Primary Prevention of Cardiovascular Disease. Author JoAnn E. Manson, MD, DrPH. Published: 04/03/2009. http://www.medscape.com/viewarticle/590436?src=mp&spon=2&uac=124808MK RESOURCES, TOOLS, EVIDENCE BASED PROGRAMS / PRACTICES Visit CDC's Healthy Communities Program Web site for community resources and other helpful information: www.cdc.gov/HealthyCommunitiesProgram Featured Web Site Item: Link to the Community Health Resources Database from the Tools for Community Action page (http://www.cdc.gov/healthycommunitiesprogram/tools/) to find help with planning, implementing, and evaluating community health interventions and programs that address chronic diseases. Developed by CDC’s Division of Adult and Community Health, the database includes links to hundreds of useful planning guides, evaluation frameworks, communications materials, health risk factors data and statistics, fact sheets, scientific articles, key reports, and state and local program contact information. And check out another CDC Web site… As we venture into the 21st century, the interaction between people and their environments, natural as well as human-made, continues to emerge as a major issue concerning public health. To learn more about healthy places, visit a Web site developed by the National Center for Environmental Health: www.cdc.gov/HealthyPlaces. New Resource Alert: Creating safe places for play: The launch of jointuse.org In partnership with BMSG, PI proudly announces the launch of a new interactive website dedicated to helping create safe places for children in all communities to play and be active. By showcasing successes as well as the problem, Jointuse.org provides the tools and resources advocates need to launch succesful joint use agreements, allowing for shared use of public spaces like schools with community members once schools are closed. The Guide to Community Preventive Services is a free resource to help in choosing programs and policies to improve health and prevent disease in one’s community. The Web page has been redesigned to allow easy access to all the evidence-based recommendations and findings that have been systematically gathered here. More than 200 interventions have been reviewed and the Task Force on Community Preventive Services has issued recommendations for their use. To see all details and explore the resources, visit http://www.thecommunityguide.org Action Strategies Toolkit. A guide for local and state leaders working to create healthy communities and prevent childhood obesity. http://www.rwjf.org/childhoodobesity/product.jsp?id=42514&c=EMC-ADV Preventing Childhood Obesity: A School Health Policy Guide The guide offers the latest policy updates and recommendations about how to promote physical education and activity and healthy eating policies in schools. http://www.rwjf.org/childhoodobesity/product.jsp?id=42472 3 Media Access Guide: A Resource for Community Health Promotion — http://www.cdc.gov/healthycommunitiesprogram/tools/index.htm. Provides helpful hints on developing effective working relationships with the media and gaining valuable news coverage for health-related issues. Stroke Telemedicine. American Stroke Association Scientific Statement - Published in Stroke May 2009. American Stroke Association Policy Statement - Published in Stroke May 2009. ASA Top Things to Know - review of the evidence for the use of telemedicine within stroke systems of care. ASA Top Ten Things to Know - recommendations for the implementation of telemedicine within stroke systems of care. EDUCATION AND TRAINING Meta-Analysis Questions Use of Aspirin in Primary Prevention CME. News Author: Sue Hughes, CME Author: Désirée Lie, MD, MSEd. CME Released: 06/09/2009; Valid for credit through 06/09/2010. This activity is intended for primary care clinicians, cardiologists, neurologists, and other specialists who care for patients at risk for myocardial infarction or stroke. http://cme.medscape.com/viewarticle/704102?src=cmemp New Options for Cardiovascular Safety in Patients With Osteoarthritis CME/CE Carl J. Pepine, MD, MACC, Chair; Andrew Whelton, MD, FACP; William B. White, MD CME/CE Released: 06/15/2009; Valid for credit through 06/15/2010 This educational activity is designed for physicians and nurses who treat patients with hypertension and arthritis. http://cme.medscape.com/viewarticle/703375?src=cmemp. July 27–29, 2009……Washington, District of Columbia Inaugural Conference on Obesity Prevention and Control, “Weight of the Nation,” hosted by CDC. September 15–16, 2009……Chapel Hill, North Carolina Research to Practice Symposium: Promoting Environmental and Policy Change to Support Healthy Aging, sponsored by CDC’s Prevention Research Centers–Healthy Aging Research Network, Healthy Communities Program, and Healthy Aging Program. October 26–28, 2009……Atlanta, Georgia The 2009 National Environmental Public Health Conference, “Healthy People in a Healthy Environment,” sponsored by CDC’s National Center for Environmental Health and the Agency for Toxic Substances and Disease Registry, in conjunction with the National Environmental Health Association. Battle of the Sexes: Disparities in the Care of Men and Women with CVD CME Joanne M. Foody, MD; Jennifer H. Mieres, MD; Rita Redberg, MD CME Released: 06/05/2009; Valid for credit through 06/05/2010 4 This program is intended for cardiologists, primary care physicians, and other healthcare providers involved in the management of women with or at risk for CVD. http://cme.medscape.com/viewarticle/703531?src=cmemp You are invited to attend the 3rd Annual Southern Obesity Summit: "Highway to Health On the Road Again" . Participants and state teams from 15 southern states will be participating together in this one of a kind Summit hosted in the Live Music Capital of the World, Austin, TX, on October 4-6, 2009. Join Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, South Carolina, Oklahoma, Tennessee, Texas, Virginia, and West Virginia as we gather and network to learn about sustainable community solutions to this growing epidemic. Register now and receive the early registration price of $230. Early registration ends July 10th! Click here for detailed Summit information, including agenda, location and lodging. We are still accepting submissions for Summit Breakout Session Proposals! The deadline has been extended to July 1st. Please click here for proposal form. New AHA/ASA Guidelines on TIA Management and Telemedicine in Acute Stroke Released CME News Author: Susan Jeffrey CME Author: Hien T. Nghiem, MD CME Released: 05/15/2009; Valid for credit through 05/15/2010. This article is intended for primary care clinicians, emergency medicine specialists, neurologists, and other specialists who care for patients with stroke. http://cme.medscape.com/viewarticle/702876?src=cmemp Effective Management of Dyslipidemia in Minority Populations - Applying Current Data to Practice CME Keith C. Ferdinand, MD, FACC, FAHA; Karol E. Watson, MD, PhD; Ryan C. Neal, MD. CME Released: 05/08/2009; Valid for credit through 05/08/2010. The primary audience for this activity are cardiologists. This program may also be of interest to primary care physicians and other healthcare professionals involved in managing patients with dyslipidemia. http://cme.medscape.com/viewarticle/701564?src=cmemp FUNDING AVAILABLE FOR IMMEDIATE RELEASE - June 15, 2009 $10 Million in First EPA Grants to Develop Climate Change Showcase Communities WASHINGTON - EPA is announcing the availability of up to $10 million in first of its kind, "Climate Showcase Communities" grants to local and tribal governments to establish and implement climate change initiatives that will help reduce greenhouse gas emissions. The agency expects to award approximately 30 cooperative agreements, each one ranging from $100,000 to $500,000. Approximately 5 percent of the funds ($500,000) are set-asides for tribal governments. Proposals are due by July 22, 2009, at 4:00 p.m. EDT. Grants are expected to be awarded in January 2010. Additional grant information: http://epa.gov/cleanenergy/energy-programs/state-and-local/showcase.html 5 State/Territory-Level Capacity Building for Built Environment Projects and Health Impact Assessments. REQUEST FOR PROPOSALS The Association of State and Territorial Health Officials (ASTHO), in conjunction with the Centers for Disease Control and Prevention/National Center for Environmental Health, is looking to fund and support state and/or territorial health agencies to develop and implement a plan for strengthening and improving the capacity to provide training and technical assistance on the health consequences of built environment projects and policies at the local level. ASTHO must receive applications by 4 pm Eastern time on Wednesday, July 8, 2009. Please submit an electronic copy of the application and all attachments to kwilliams@astho.org. For questions about this RFP, contact: Kerry Williams, MEM, Senior Analyst, Environmental Health Association of State and Territorial Health Officials (ASTHO) 2231 Crystal Drive, Suite 450 | Arlington, VA 22202. 571-527-3176 kwilliams@astho.org NEWS ABOUT OUR PARTNERS COMMISSIONER STAPLES AWARDS TEXAS SCHOOLS MORE THAN $11 MILLION WORTH OF STIMULUS FUNDS FOR NEW KITCHEN EQUIPMENT Upgrades will allow more nutritious food preparation, increased energy efficiency AUSTIN — Agriculture Commissioner Todd Staples today announced 381 Texas schools will be awarded more than $11 million worth of new kitchen equipment as part of the federal stimulus package administered by the Texas Department of Agriculture. The new kitchen equipment will provide greater energy efficiency and increase the nutritional value of school meals by replacing deep-frying cooking methods and allowing for greater use of fresh ingredients. Eligible school districts are required to participate in the National School Lunch Program. Priority was given to those districts with a significant number of students eligible for free or reduced-cost meals. Funds must be used to improve the quality, safety and efficiency of delivering school meals. The money can be used to replace, upgrade or update food service equipment. A complete list of recipients and equipment can be found at www.SquareMeals.org/ARRA. Disclaimer: Content is selected solely on the basis of newsworthiness and potential interest to readers. DSHS assumes no responsibility for the factual accuracy of the items presented. The selection, omission, or content of items does not imply any endorsement or other position taken by DSHS. Opinions expressed by the original authors of these items, or persons quoted therein, are strictly their own and are in no way meant to represent the official position of DSHS. References to products, trade names, publications, news sources, and non-DSHS Web sites are provided solely for informational purposes and do not imply endorsement. 6