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January 2013 E-NEWS

Table of Contents

Advocacy Summit Registration

2013 Federal Budget, the Sequestration and Federal Debt Ceiling

Utah Legislative Session

Weight of the Nation Screening

UPHA Call for Abstracts

SelectHealth Grants

Health Education Association of Utah (HEAU) Call for Abstracts

National Local Boards of Health (NALBOH) Call for Abstracts

Vaccines for Children Program Raises Maximum Administrative Fee

UPHA Board Member Spotlight: Rebecca Giles

Ethical Decision Making in Public Health Workshop Registration Now Available

Student Spotlights: Laura Neville and Cindy Albrecht

2013 Utah Public Health Conference

The Flu is Here! Join Flu Near You!

2013 Federal Budget, the Sequestration and Federal Debt Ceiling

After going a few inches over the fiscal cliff, the 112th Congress passed legislation raising income taxes for the first time in two decades. Targeting the highest earning Americans, it also delayed $109 billion in sequestration cuts scheduled to go into effect January 2nd. The heavy lifting now resides with the 113th Congress to deal with the Sequestration by early March, to finalize the 2013 Federal Budget funded by continuing appropriations resolution that expires March 27th and the need to again raise the Federal Debt Ceiling. Republicans have vowed to block expansion of the Debt Ceiling to force further spending cuts and slow the growth of Medicare and other social programs. The President has pledged to seek new revenue to back fill some of the cuts and vowed to not negotiate over the Debt Ceiling. The stage has been set for an eventful 1st Session for the 113th Congress.

The Sequestration currently schedules public health for a 20% reduction since 2010. NACCHO estimates with the scheduled cuts in the Sequestration, public health funding will fall to 2.8% of the U.S. Gross Domestic Product, its lowest level since the 1960s. Over 70% of the US populace has been negatively impacted by public health budget cuts since 2010 and 15% of the public health workforce lost. Another 15% of the public health workforce is likely to be lost through the sequestration. Given public health spending only accounts for 1.2% of the federal budget, cuts to public health will do little if anything to address the federal budget deficit, but these reductions will create greater downstream costs and poor outcomes.

It'll be up to the professionals in the field to educate Congress of the unintended consequence of short-term cuts to programming that will keep our preventative efforts from avoiding the greater escalation of costs long-term. As the budget debate intensifies and programs targeted for cuts become known, look for "Calls to Action" issued by the APHA and UPHA leadership.

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Utah Legislative Session

The Utah State Legislature begins its annual session starting January 28th and finishing on March 14th. In a typical session, as many as 400 bills are passed and hundreds more considered. A large topic for this year's session will be the Medicaid expansion for adults. Currently, only adults with children are covered and then only those with family incomes below 44% of the federal poverty level (FPL), unless they are pregnant in which coverage extends to those up to 133 %. The Affordable Care Act (ACA) obligates the Feds to fund the entire cost of a Medicaid expansion for all adults up to 133% of the FPL for the first 3 years and then 90% of the costs thereafter. It's optional for States to implement the Medicaid expansion for adults in whole or in part. The Governor has not included funds in his budget for the adult Medicaid expansion; it'll be up to the legislature to correct this should the State choose to move forward. There is significant support within the State to expand adult Medicaid but only up to 100% of poverty.

The ACA includes provisions for the low income uninsured individuals and families over 133% of poverty to gain the ability to purchase health insurance through health insurance exchanges (HIEs) with federal tax credits to families with annual incomes just under $45,000. States can choose that the Feds run the exchange or they can choose to operate their own. Utah has received preliminary approval to operate its own exchange known as Avenue H, one of only 5 States with Republican Governors to do so. Avenue H as proposed by the State does not meet fully with the provisions required within the ACA and will be subject to intense negotiation between the Governor, Legislature and the Feds.

The Policy Unit of UPHA is in the process of identifying specific Utah legislation and will communicate these bills as they become numbered.

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Weight of the Nation Screening

Three years in the making, THE WEIGHT OF THE NATION is a four-part documentary series, featuring case studies and interviews with leading experts and with individuals and families struggling with obesity. The series spotlights the facts and myths of this urgent public health issue, showing how obesity affects the health of the nation and cripples the health care system – and what individuals and communities can do. The screening will feature Part 4.

The screening will be held Jan 15, 2013 at 6:30 PM at Stansbury Elementary, 3050 South 2700 West in West Valley City. Following the screening, hear from a panel of local experts about what we can do to promote health eating and active living! Light Refreshments will be served! See you there!

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UPHA Call for Abstracts

The Utah Public Health Association is announcing the CALL FOR ABSTRACTS for the 2013 Annual Meeting to be held April 8-10, 2013 at the Ogden Eccles Center in Ogden, Utah. The theme for this year's annual meeting is Embrace the Future, Renew Public Health. To learn more about this year's conference, visit www.upha.org/conference. We are seeking innovative proposals for topics relating to the emerging issues and challenges of protecting the public's health in the new decade.

All abstracts must be submitted online. Abstracts are being accepting for poster sessions and break-out sessions. Enter your abstracts online at: www.upha.org/conference/pages/abstracts.htm. Authors must provide complete and accurate contact information in order to be notified of abstract status. You do not have to be a member of UPHA to submit an abstract. However, presenting authors must register for the conference.

The deadline for submission of all abstracts will be 11:59 pm (Mountain Standard Time) on Friday, February 1, 2013.

You will be notified by a member of the planning committee if your abstract has been accepted. We welcome your submissions and look forward to your contribution at the 2013 UPHA Annual Meeting.

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SelectHealth Grants

Friday is the last day to win $2,500 from SelectHealth!!! SelectHealth will award $2,500 to 25 individuals or organizations in Utah that are improving health or serving those with special needs. To learn more, visit www.select25.org. The application deadline is January 11.

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Health Education Association of Utah Call For Abstracts

The 2013 HEAU Spring Conference theme is "Focus on the Future: Emerging Trends in Public Health" The conference will be held March 7, 2013 at the Utah Cultural Celebration Center in West Valley City. Please submit to James Bemel at JBEMEL@uvu.edu no later than Friday, January 11, 2013. Please include the words "HEAU Abstract" in the subject line of the e-mail. Selected abstract authors will be notified by February 5, 2013.

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National Local Boards of Health (NALBOH) Call for Abstracts

UPHA is excited to have a high caliber national conference to be held right here in our own backyard this summer! The National Association of Local Boards of Health (NALBOH) invites you to submit a proposal to present at the 21st Annual Conference. NALBOH conference attendees are seeking information and skills to help them govern and lead more effectively as they serve the public health needs of their communities.

Submit your proposal online at www.nalboh.org

Proposal submissions due: February 1, 2013
All proposal submitters notified: March 15, 2013

Conference Date & Location:
August 14-16, 2013
Hilton Salt Lake City Center
Salt Lake City, Utah

Don't miss out on this unique opportunity!

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Vaccines for Children Program Raises Maximum Administrative Fee

On November 16, 2012, the U.S. Department of Health and Human Services published the new maximum administrative fee for the Vaccines for Children Program (VFC), raising the maximum from $14.52 to $20.72. The maximum administrative fee is the maximum amount that VFC providers can charge per vaccination to uninsured and under insured VFC recipients. This increase offers the potential of greater revenues for underfunded public vaccination programs.

Utah Medicaid has also announced that an enhanced rate will become available for vaccine administration for providers that successfully complete an attestation process. The detail of that process can be found in the January 2013 Medicaid Information Bulletin:

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Board Member Spotlight: Rebecca Giles, MPH

Meet this month's UPHA Board Member Rebecca Giles. Rebecca currently works at the Utah Department of Health. She has worked in several different programs at the UDOH for the past 27 years. Her tenure shows her commitment to the field of public health. When asked why she chose this field, she says "I continue to work in public health because I feel like I make a difference in my little corner of the world."

Rebecca explains that the most rewarding project she has worked on as a public health professional include two different projects. First, as the Tobacco Prevention and Control Program Manager, she worked with a great group of staff and partners to take the program from a small program to a much more well funded program after states received Tobacco Settlement Funds and set in place components that continue to drive the program today. The other project took place just this the last year. Again she was able to work with great UDOH staff and community partners, to develop the Autism Treatment Account funded projects. Rebecca says "I love program planning and the challenges of setting up new programs and projects."

Rebecca and her husband/best friend have been married for 38 years and love spending time together! She says their favorite vacation spot is anywhere that one or more of their grandchildren lives and breathes! And if time weren't an issue right now, she would be visiting the children and grandchildren more frequently!

Rebecca is an early riser and is up on weekdays at 4:45 AM since she commutes to work! And if she could only eat one food for the rest of her life, it would definitely be pasta or French fries! She loves to read, sew and bake.

If Rebecca could give only one reason why someone should join UPHA, she said, "It is a wonderful place to rub shoulders with like-minded people who are passionate about making a difference in the world!" Thanks for your commitment to the UPHA Board Rebecca! You are definitely making a difference!


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"Ethical Decision-Making in Public Health" Workshop Registration Now Available

Ethical decision-making is especially nuanced in public health as we strive to balance the good of the individual with the good of the population. This interactive workshop will provide a primer on public health ethics that delves into historical missteps, modern-day dilemmas and the inherent ethical tensions between individual and population health. Case studies will be used to engage participants in problem identification, recognition of lessons learned, and strategies for dealing with ambiguity and uncertainty. Most importantly, participants will be able to assess their own ethical strengths and vulnerabilities and create action plans for maintaining high ethical standards for themselves and their profession.

This workshop is well suited for leaders and emerging leaders in the field of public health, including those working with health departments, community organizations, health care institutions, health services programs, emergency medical services, law enforcement, humanitarian and other non-profit organizations, and other similar entities.

This workshop is being held in multiple locations. On January 25, 2013: Salt Lake City, UT. Salt Lake Valley Health Department, 788 Woodoak Lane, Auditorium. --February 8, 2013: Provo, UT. Utah County Health Department, 151 S. University Avenue, Suite 2500.

peopleethics flyer

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Student Spotlights: Laura Neville and Cindy Albrecht

I AM PUBLIC HEALTH- American Samoa

One of the greatest opportunities for senior public health students is that of an internship. Before deciding on American Samoa I researched health problems specific to the U.S. territory and interviewed public health officials in the Division of Public Health Emergency Preparedness. The internship was an amazing success.

In addition to learning about preparedness, response and recovery from natural disasters, I also found time to study man-made disasters involving weapons of mass destruction, radiologic emergencies, and bioterrorism. I was trained in bio-surveillance, FEMA public assistance policy, tobacco prevention and cessation, and tropical disease monitoring and prevention. One of the most exciting opportunities included hands-on wound care for patients at LBJ Tropical Medical Center. Throughout the amazing 6-week experience I gained tremendous respect for health care providers in American Samoa and a deeper understanding of the public health legislation and policy.

I was fortunate to secure housing in a beautiful new home on a banana and coconut plantation. My experience was rich because I was proactive, made a lot of contacts and extended myself in service-learning options in the evenings and on weekends. I immersed myself in the culture, learned how to prepare local cuisine, and kept a detailed journal of all my experiences. I will always treasure the wonderful friends I made and the opportunity to learn more about South Pacific health concerns.

~Laura NeVille, undergraduate student in public health at BYU

Radio Show Radio Talk Show to Promote Tobacco Prevention and Cessation


In October, during "Super Storm Sandy", I had the opportunity to participate in a Cervical Cancer Screen and Treat Training Program in St. Marc, Haiti. The program was developed by Marimed Foundation to train doctors and nurses from the Artibonite region of Haiti in visual inspection with acetic acid (VIA), colposcopy, cryotherapy, and loop electrosurgical excision procedure. VIA allow women to be screened and then treated if necessary during one appointment. According to World Health Organization, "VIA is an attractive alternative to cytology-based screening in low-resource settings". By training Haitian nurses and doctors to screen and treat for cervical cancer with a low cost method, many more women at risk can be reached and Haitians are given the opportunity to raise their standard of health. With my interest in women's issues in global health, it was a great experience to take part in a program that is providing Haitians with the necessary skills to make a difference in the lives of many women in their country.

~Cindy Albrecht, Cervical Cancer Prevention Program in Haiti, MPH student at Westminster

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2013 Utah Public Health Conference

UPHA Conference Save the Date

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Flu Near You

Flu season is off to an early start this year - its earliest in nearly a decade - and several states are reporting higher than normal numbers of suspected flu cases.

While some media outlets fear that this early start means that it will be a bad flu season, Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention reminds us that "only time will tell." He is also optimistic about the level of preparedness in the United States. This year, the flu vaccine is well matched to the strains of flu seen circulating so far, and we have plenty of vaccines available. How can you protect yourself, your family, and your community from the flu? We challenge you to join Flu Near You (www.FluNearYou.org). In doing so, you will help provide an early warning signal of flu spread. That warning signal not only tells you when something is spreading in your community, it also helps officials plan for vaccines and medicines, public awareness campaigns, and other public health measures.

While improved surveillance will help us track and prepare for the flu, the best protection is vaccination. If you haven't received a flu vaccine yet, check out UDOH's Vaccine Locator (www.Immunize-Utah.org) to find the right flu vaccine for you and where in your area you can get vaccinated (you can also use the widget to the left to find a vaccination location near you).



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Calling for 2013 HEAU Award Nominations

If you would like to nominate someone for the Rookie of the Year Award, the Catherine Summerhays Distinguished Service Award, the Shelley Fuller Health Education Scholarship Fund, or the Innovations in Education Award, nominations will be accepted through January 18, 2013 and will be announced at the Spring 2013 HEAU Conference. E-mail Patty Cross at PattyC@UtahCounty.gov for an application and additional information.

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Save the Dates!

Don't forget to mark your calendars, and share these events with your colleagues!

UPHA's Annual Advocacy Summit
Friday, January 18, 2013
8:30 a.m. - 2:00 p.m.
State Office Building Auditorium, Capitol Complex
Registration at www.UPHA.org/advocacysummit.html.

The University of Utah, Health Policy and Leadership Course
Consecutive Wednesdays now until January 30th
6:30 to 8:30 p.m.
375 Chipeta Way, Classroom 203, Salt Lake City
Free seminars to the public at no cost. Topics include:

"Milestones in Public Health", and the Structure of Health-Related Agencies in Governments (too many cooks in the kitchen?) -- Jan 16th
"Health Care Financing in the U.S. and Utah- Trends, Revenue Streams, and Challenges" -- Jan 23rd
"Health Information Technology (HIT)- Where Are We in the Quest for Universal Adoption and "Meaning Use" of EMR's And Information Exchange" -- Jan 30

Free Webinar -- UPHA Legislature Webinar
Friday, February 15th
Time: TBA
Expert update on current public health legislation in the 2013 Utah session.

UVU Conference on Addictions
February 22nd
9 a.m. to 4 p.m.
Utah Valley University's Sorensen Center
In an effort to provide information on a wide-range of issues specific to the topic of addiction, the conference seeks to meet the needs of university students, addiction professionals and community participants. Sessions will provide information to anyone with an interest in substance abuse or compulsive addiction. For more information or to register, go to www.UVU.edu/chss/addiction.

Free Webinar -- Mastering Public Health: Essential Skills for Effective Practice
Friday, March 8th
Time: TBA
Dr. Barry Levy and Joyce Gaufin -- coauthors of Mastering Public Health: Essential Skills for Effective Practice -- will share insights to public health practitioners and students. Stay tuned for details.

2013 UPHA Conference
April 8-10, 2013
Location: Ogden Eccles Center
If anyone has suggestions for fabulous keynote speakers, the planning committee would love to hear your ideas! Send your suggestions to Audrey Stevenson at AStevenson@slco.org. More details coming soon at www.upha.org/conference/index.htm.

Public Health Grand Rounds and Global Public Health Grand Rounds are held at the University of Utah on the 2nd Tuesday of the Month.
Public Health Grand Rounds 8:00 AM – 9:00 AM
Global Health Grand Rounds: 5:30 PM – 6:30 PM
More information available at: http://medicine.utah.edu/dfpm/DivisionPH/news-events.htm

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