Transcript Donna F. Stroup, PhD, MSc

Science at the
Centers for Disease Control and Prevention
Donna F. Stroup, PhD, MSc
Acting Associate Director for Science
West Nile
Anthrax
Smallpox
Listeriosis
E. coli
CDC's Mission
To promote health and quality of life by preventing
and controlling disease, injury, and disability
Scientists are people of very dissimilar
temperaments doing different things in
different ways. Among scientists are
collectors, classifiers, and compulsive
tidiers-up; many are detectives by
temperament and many are explorers;
some are artists and others artisans.
There are poet scientists and philosopher
scientists and even a few mystics.
-- Peter Medewar
CDC Employees and Locations
Approximately 6,700 Employees in 170 Occupations
Ft Collins, CO
Cincinnati, OH
Morgantown, WVa
Washington,
DC
Research Triangle
Park, NC
Atlanta, GA
Anchorage, AK
San Juan, PR
Centers for Disease Control and Prevention
OFFICE OF GLOBAL
HEALTH
OFFICE OF WOMEN’S HEALTH
CDC WASHINGTON
OFFICE
OFFICE OF HEALTH AND SAFETY
OFFICE OF PROGRAM PLANNING
AND EVALUATION
OFFICE OF EQUAL
EMPLOYMENT OPPORTUNITY
OFFICE OF THE DIRECTOR
OFFICE OF
COMMUNICATION
OFFICE OF PROGRAM SERVICES
NATIONAL VACCINE PROGRAM
OFFICE
OFFICE OF MANAGEMENT AND
OPERATIONS
OFFICE OF EXECUTIVE
SECRETARIAT
FINANCIAL MANAGEMENT
OFFICE
OFFICE OF MINORITY HEALTH
OFFICE OF SCIENCE POLICY
AND TECHNOLOGY TRANSFER
NATIONAL CENTER ON
NATIONAL CENTER
NATIONAL CENTER
BIRTH DEFECTS &
FOR CHRONIC
FOR ENVIRONMENTAL
DEVELOPMENTAL
DISEASE PREVENTION
HEALTH
DISABILITIES
& HEALTH PROMOTION
NATIONAL CENTER
FOR HEALTH
STATISTICS
EPIDEMIOLOGY PROGRAM
OFFICE
NATIONAL CENTER
FOR INFECTIOUS
DISEASES
NATIONAL IMMUNIZATION
PROGRAM
NATIONAL CENTER
FOR INJURY
PREVENTION AND
CONTROL
PUBLIC HEALTH PRACTICE
PROGRAM OFFICE
NATIONAL CENTER
FOR HIV, STD, AND TB
PREVENTION
NATIONAL INSTITUTE
FOR OCCUPATIONAL
SAFETY AND HEALTH
Characteristics of CDC Science
• Drive to serve the
public
• Devotion to truth
• Spirit of collaboration
• Professional modesty
• Commitment to fairness
• Sense of responsibility
Guide to Community Preventive Services
Task Force on
Community
Preventive Services
Alice Hamilton
Founder of occupational medicine
First woman professor at Harvard
Medical School
First woman to receive Lasker Award in
public health
NHANES II Blood Lead
Measurements, 1975-1981
110
18
Predicted blood lead
100
16
90
Lead used in 80
gasoline
(thousands 70
of tons)
Gasoline lead
14
12
60
Observed blood lead
50
10
40
30
1975
1976
Source: Pirkle et al JAMA 272:284-91, 1994
1977
1978
Year
1979
1980
1981
8
Mean blood
lead levels
g/dl
STOP Polio
Global AIDS Prevention
Professional Modesty
“ If you really know and understand
science, you realize that nay
contribution you make is very small
compared to the total amount of
information that needs to be added.”
--Dr. Charles Shepard
Number of Years Difference in Life Expectancy
Between Blacks and Whites, by Cause of Death and
Sex — United States, 1998
Life Expectancy Difference (Yrs)
1.5
Male
Female
1
0.5
0
Heart
Disease
Cancer
Adapted from: MMWR 2001;50:780–783
Homicide
Stroke
HIV
Motor
Vehicle
Perinatal
Disease
Anthrax Investigation
Trenton/Princeton, NJ
(Trenton, NJ PMSA - Pop. 328,368)
19% affected
Washington, DC
(Washington, DC PMSA - Pop. 4,739,999)
21% affected
Boca Raton, FL
(West Palm Beach MSA - Pop. 934,331)
9% affected
US Bureau of the Census, 1999; Harvard School of Public Health/Robert Wood Johnson Foundation Survey Project on Americans’ Response to Biological Terrorism, November
29-December 3, 2001.
West Nile Virus
Severe Acute Respiratory Syndrome
EIS Officers Class of 2003
Rachel Nonkin Avchen
Sandra I. Berrios-Torres
Marta Guerra
Jennita Reefhuis
Chronic Diseases and Related Risk Factors
Most Common Causes of Death,
United States, 1996*
Total cardiovascular disease
(includes ischemic heart and stroke)
Cancer
Chronic obstructive pulmonary
disease and allied conditions
Injuries
Actual Causes of Death,
United States, 1990†
Tobacco
Poor diet/lack of exercise
Alcohol
Infectious agents
Pneumonia/influenza
Pollutants/toxins
Diabetes
Firearms
HIV infection
Sexual behavior
Suicide
Motor vehicles
Chronic liver disease/cirrhosis
Illicit drug use
0 5 10 15 20 25 30 35 40
Percentage (of all deaths)
0
5
10
15
20
Percentage (of all deaths)
*National Vital Statistics Report; 47 (9) November 10, 1998
†McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA 1993; 270:2207-12
Note: Dark shading denotes chronic conditions and risk behaviors
Lifestyle Changes that Promote Sedentary Behavior
Comments? Questions?