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Public Health Grand Rounds 2007: Healthy People
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.Coordinated Approach to Child Health: From Research to Practice

A National Live Satellite Broadcast
and Webcast
June 15, 2007
2:00-3:00pm Eastern Time
Public Health Grand Rounds

Grand Rounds Overview.


Healthy People in Every Stage of Life  
Overarching CDC Healthy People Goal
"All people, and especially those at greater risk of health disparities, will achieve their optimal lifespan with the best possible quality of health in every stage of life."
CDC is changing to meet the challenges of public health in the 21st century.  To address the shifting landscape of public health, the CDC is concentrating on improving the health of individuals through a holistic approach instead of focusing on specific diseases.  CDC is using a “life stage approach” to focus its efforts on achieving the highest health status for people in the United States.  People have different health needs and perceptions as they progress through life.
Children, ages 3-11: Grow Safe and Strong  
To achieve true improvements in people’s lives by accelerating health impact and reducing health disparities, CDC has established four Health Protection Goals focusing on healthy people, healthy places, preparedness, and global health. CDC’s Healthy People goals encompass the unique health issues and risk behaviors that affect the quality of health in every stage of life. This Public Health Grand Rounds event will focus on Healthy People and the importance of establishing healthy behaviors during childhood instead of trying to change unhealthy behaviors during adulthood.  Evolving CDC Health Protection Goals for Children (4-11) and Adolescents (12–19) will include major research initiatives and interventions to prevent and reduce unhealthy behaviors that cause and exacerbate chronic diseases.
Adolescents, ages 12-19: Achieve Healthy Independence  

Conditions that lead to chronic diseases, such as cardiovascular disease, can result from behaviors established during childhood, adolescence, or even gestation. Risk factors (biological and behavioral) can start early in life and risk levels generally progress throughout adulthood. Recent studies of children, adolescents, and young adults (less than 35 years) have demonstrated the close link of blood cholesterol level, blood pressure level, smoking, and obesity with the extent and severity of atherosclerosis among people well below 20 years of age. Promoting excellent cardiovascular health encompasses interventions aimed at individuals at any age, including those whose lifestyles and behavior choices may create a greater risk for cardiovascular disease.

Schools and communities, in particular, have a critical role to play in promoting the health and safety of young people and helping them establish lifelong healthy behavior patterns.
CDC promotes the Coordinated School Health Program Model (CSHP) to aid schools and communities in preventing and reducing chronic diseases.  A CSHP consists of eight interactive components, which can help schools create programs that help students establish healthy habits.
Researchers designed and tested a school health program called Coordinated Approach to Child Health (CATCH) to help children improve their diet and increase their amounts of physical activity. CATCH, which now reaches more than half a million children in more than 1,200 schools in Texas, started as a clinical trial and is currently an effective public health intervention program.
In 2001, the Texas state legislature passed a bill authorizing the state Board of Education to require all school systems in Texas to provide 30 minutes per day of school-based physical activity and to implement a coordinated school health curriculum. The Texas Education Agency approved CATCH for this purpose. Researchers have updated CATCH materials and produced a new diabetes education workbook for elementary school children. Work with community partners continues to further the adoption of CATCH in Maine, Florida, and North Carolina.

Public Health Grand Rounds Goal.


Public Health Grand Rounds Goal  
This program will seek to increase knowledge and awareness of how the CATCH program gives schools and communities the tools they need to help children improve their diet and increase the amount of physical activity they engage in.  By addressing chronic disease risk factors at a young age, we can begin to prevent and reduce the chronic disease burden in the U.S.



1. State at least three reasons why it is important to implement evidence-based public health interventions designed to promote healthy lifestyle habits in a person's early years.
2. Describe the Coordinated Approach to Child Health (CATCH) program and how it has been implemented and disseminated in a school district and an organization that serves youth (Austin Independent School District, Austin, Texas, and the Young Men's Christian Association (YMCA) clubs, Rochester, New York).
3. Describe how federal, state, and local health and education agencies, legislators, universities, and community-based organizations can work together to improve health outcomes and leverage resources to implement successful and proven interventions.
4. Describe how a coordinated school health program (CSHP) can improve health outcomes, specifically cardiovascular health, across the life stages.

Target Audience.


Target Audience  
Public Health leaders, managers, professionals from local and state health departments, schools and other academic institutions, hospitals, nutrition, community-based health organizations, boards of health, private physician practices, and federal agencies; and others who are concerned about preventing and reducing chronic disease across the life stages.
In addition to traditional public health professionals, this program shares lessons that will be beneficial to urban planners, architects, accessibility advocates, recreational specialists, community leaders, and related groups.



Edward L. Baker, MD, MPH  
Edward L. Baker, MD, MPH
Director, NC Institute for Public Health
Vice Chancellor for Medical Affairs
UNC School of Public Health

Stephanie B. Coursey Bailey, MD, MSHSA  
Stephanie B. Coursey Bailey, MD, MSHSA
Chief of Public Health Practice
Centers for Disease Control and Prevention

Darwin Labarthe, MD  
Darwin Labarthe, MD
Director, Division of Heart Disease and Stroke Prevention
Centers for Disease Control and Prevention

Steven Kelder, MPH, PhD  
Steven Kelder, MPH, PhD
Professor of Epidemiology
University of Texas Health Science Center
and Houston School of Public Health

Eduardo Sanchez, MD, MPH  
Eduardo Sanchez, MD, MPH
Professor of Management, Policy, and Community Health
Director, Institute for Health Policy
University of Texas School of Public Health at Houston

Photo Not Available  
Kristen Rusho, MS
CATCH Program Director
YMCA of Greater Rochester


Continuing Education Credit.


Continuing education credit will be offered for various professions based on one hour of instruction.  An online registration and evaluation must be completed to receive the appropriate continuing education credit.

Post-Program Discussion Forum.


Centers for Disease Control and Prevention (CDC)  
Content experts from CDC will facilitate an online discussion beginning June 13 and ending June 22, 2007.  You are invited to ask questions and share best practices.

Public Health Grand Rounds Series.


The program sponsors and partners invite you to participate in this satellite broadcast, one of a series of electronically convened, interactive grand rounds that focus on contemporary, strategic public health issues.  Through in-depth analysis of real world issues by experts in the science and practice of public health, these programs will provide a forum through which health professionals and others can develop timely and productive responses to public health challenges of regional, national, and global significance.



Public Health Grand Rounds: Registration  


To register, visit www.PublicHealthGrandRounds.unc.edu. Registration for this program will only be available online. If you do not have Internet access, please seek assistance from a public resource such as a library.

Satellite Coordinates.


Public Health Grand Rounds: Satellite Coordinates  
Satellite coordinates for this course will be available on the program web site no later than June 1, 2007.  Sites registering via the Internet at www.PublicHealthGrandRounds.unc.edu will automatically receive the coordinates.

Course Materials.


Public Health Grand Rounds: Course Materials  
Program handouts will be available at www.PublicHealthGrandRounds.unc.edu on June 15, 2007.  Additional handouts may be added later.



CDC's Six Strategic Imperatives


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Public Health Grand Rounds 2007:
            Global Health

            Healthy People

            Healthy Places

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