We're Racing Ahead
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We’re racing ahead to solve complex and compelling 21st-century public health problems SPRING 2011 VOLUME 1 · NUMBER 10 Public Health Foundation, Incorporated BOARD OF DIRECTORS Jack E. Wilson, PE, MSENV Fred T. Brown Jr., MPH, FACHE Sandra W. Green, MBA, MHA, BSPH Laura Helms Reece, DrPH President Group Senior Vice President President Chief Operating Officer Member of the Board of Directors Eastern Division East Coast Customer Management Group Rho TEC Inc. Carolinas HealthCare System MedAssets Inc. James Rosen, MBA, MSPH Delton Atkinson, MPH, MPH, PMP Kelly B. Browning, MA C. David Hardison, PhD Partner Vice President Executive Vice President Vice President, Chief Health Scientist Intersouth Partners Deputy Director American Institute for Cancer Research Science Applications International Corp. Jacqueline vdH Sergent, MPH, Division of Vital Statistics P. LaMont Bryant, PhD, RAC Deborah Parham Hopson, PhD, RN RD, LDN National Center for Health Statistics Product Director, Global Marketing Assistant Surgeon General Health Promotion Coordinator/ Centers for Disease Control and Prevention Ethicon Endo-Surgery/Johnson Associate Administrator Health Education Supervisor Barbara K. Rimer, DrPH & Johnson HIV/AIDS Bureau Granville-Vance (N.C.) District Executive Vice President Cynthia H. Cassell, PhD Health Resources and Services Health Department Ex Officio Administration Health Scientist, Epidemiology Team Ilene C. Siegler, PhD, MPH Dean Birth Defects Branch Joan C. Huntley, PhD, MPH Professor of Medical Psychology Alumni Distinguished Professor Division of Birth Defects and Adjunct Professor of Epidemiology Duke University UNC Gillings School of Global Developmental Disabilities UNC Gillings School of Global Public Health Jeffrey B. Smith, MHA, CPA National Center for Birth Defects and Public Health Partner Peggy Dean Glenn Developmental Disabilities Joseph F. John, MHA, FACHE Ernst & Young LLP Executive Director/Secretary Centers for Disease Control and Administrator Ex Officio Prevention Paula Brown Stafford, MPH Clinical Operations Associate Dean for External Affairs President Deniese M. Chaney, MPH The Emory Clinic Inc. UNC Gillings School of Global Clinical Development Partner Public Health Mark H. Merrill, MSPH Quintiles Accenture Health and Public Service Charlotte Nuñez-Wolff, EdD President and Chief Executive Officer John C. Triplett, MD, MPH Stacy-Ann Christian, JD, MPH Valley Health System Treasurer Regional Medical Officer Senior Director Ex Officio Stephen A. Morse, MSPH, PhD Bethesda, MD Research Administration Associate Dean for Business and Finance Associate Director for Environmental New York City Health and G. Robert Weedon, DVM, MPH UNC Gillings School of Global Microbiology Hospital Corp. Veterinary Outreach Coordinator Public Health National Center for the Prevention, Global Alliance for Rabies Control Michael (Trey) A. Crabb III, Detection and Control of Infectious Julie MacMillan, MPH Shelter Veterinarian MHA, MBA Diseases Member Champaign Country Humane Society Ex Officio President Centers for Disease Control and Health Strategy Partners LLC Prevention Alice D. White, PhD Interim Senior Associate Dean Vice President UNC Gillings School of Global Leah Devlin, DDS, MPH Douglas M. Owen, PE, BCEE (Retired) Public Health Gillings Visiting Professor Vice President Worldwide Epidemiology Department UNC Gillings School of Global Malcolm Pirnie Inc. David J. Ballard, MD, MSPH, PhD, GlaxoSmithKline FACP Public Health Jonathan J. Pullin, MS Chen-yu Yen, PhD, PE Senior Vice President and Chief Cynthia J. Girman, DrPH President and Chief Executive Officer President and Chief Executive Officer Quality Officer Senior Director, Department of The Environmental Group of the TerraSure Development LLC Baylor Health Care System Epidemiology Carolinas Inc. Vice President Executive Director and BHCS Merck Research Laboratories Roy J. Ramthun, MSPH Gannett Fleming Inc. Endowed Chair President Senior Vice President Institute for Health Care Research HSA Consulting Services LLC Gannett Fleming Sustainable and Improvement Ventures Corp. UNC Gillings School of Global Public Health ADVISORY COUNCIL Donald A. Holzworth, MS Willard Cates Jr., MD, MPH John McConnell Paul M. Wiles, MHA Chair President, Research Chief Executive Officer President and Chief Executive Officer Chairman FHI McConnell Golf Novant Health Inc. Futures Group International Keith Crisco, MBA Jesse Milan Jr., JD Markus Wilhelm James Rosen, MBA, MSPH Secretary of Commerce Vice President and Director Chief Executive Officer Public Health Foundation Board State of North Carolina Community Health Systems Strata Solar LLC Liaison to Advisory Council Ken Eudy Altarum Institute Derek Winstanly, MBChB Partner Chief Executive Officer Guy Miller, MD, PhD Executive Vice President Intersouth Partners Capstrat Chairman and Chief Executive Officer Strategic Business Partnerships and Marcia A. Angle, MD, MPH Robert J. Greczyn Jr., MPH Edison Pharmaceuticals Inc. Customer Relationships Adjunct Professor Quintiles CEO Emeritus James Patrick O’Connell, PhD, MPH Nicholas School of the Environment BlueCross and BlueShield of N.C. Chief Executive Officer Louise Winstanly, LLB, MSB Duke University Gillings Visiting Professor Acea Biosciences Inc. Attorney and Medical Ethicist William K. Atkinson, PhD, MPH UNC Gillings School of Global Jane Smith Patterson Chapel Hill, N.C. President and Chief Executive Officer Public Health Executive Director Lloyd M. Yates, MBA WakeMed James R. Hendricks Jr., MS The e-NC Authority President and Chief Executive Officer Joseph Carsanaro, MBA, MSEE Vice President, Environment, Health Virginia B. Sall Progress Energy General Manager and Safety (Retired) Co-founder and Director Pinehurst Advisors LLC Duke Energy MEMBERS EMERITI Sall Family Foundation Gail H. Cassell, PhD, DSc (hon) J. Douglas Holladay, MDiv Nancy A. Dreyer, PhD, MPH Charles A. Sanders, MD Vice President, Scientific Affairs Chairman and Chief Executive Officer Chief of Scientific Affairs Chairman and Chief Executive Officer (Retired) PathNorth OUTCOME (Retired) Distinguished Lilly Research Scholar A. Dennis McBride, MD, MPH Glaxo Inc. Carmen Hooker Odom, MS for Infectious Diseases Health Director President Eli Lilly and Co. City of Milford (Conn.) Milbank Memorial Fund contentsspring 2011 8 features & news 3 FROM THE DEAN’S DESK 4 THE PUBLIC’S HEALTH SHOULD NOT WAIT FOR SOLUTIONS 10 6 TREATMENT AND PREVENTION IN THe ‘BUCKLE’ oF THE STROKE BELT 8 SWA KOTEKa – ‘IT IS POSSIBLE’ tO PREVENT HIV 9 TRAINING PATIENTS TO MANAGE THEIR PAIN 11 10 SETTING THE STANDARD FOR HEALTH DEPARTMENTS 11 REDUCING RISKS AFTER HEAD INJURIES 12 HEALTHY HOSPITAL BOTTOM LINE MEANS HEALTHIER COMMUNITIES 12 13 MOVE TO IMPROVE VETERANS’ hEALTH 14 CLOTHES MAKE THE MAN (OR WOMAN) LESS TASTY TO TICKS 14 16 INTERNET SEARCH DATA PROVIDE TIMELY, ACCURATE PICTURE OF HEALTH BEHAVIOR COVER IMAGE: 17 ALZHEIMER’S DISEASE RESEARCh – aWARENESS, EDUCATION AND CARE RENNIE SOLIS / DIGITAL VISION / GETTY IMAGES 20 EASING THE WHEEZING – ASTHMA CAN BE MANAGED continued 8 CAROLINA PUBLIC HEALTH | 1 DEAN spring 2011 Barbara K. Rimer, DrPH DIRECTOR OF COMMUNICATIONS MANAGING EDITOR Ramona DuBose EDITOR Linda Kastleman 20 28 30 ASSOCIATE DEAN FOR contents, continued EXTERNAL AFFAIRS Peggy Dean Glenn DESIGN AND PRODUCTION UNC Creative center pages PUBLIC HEALTH RESEARCH ANNUAL REPORT CONTRIBUTING WRITERS Ramona DuBose, Whitney L.J. 25 CLUES TO CONTROLLING CANCER Howell, Linda Kastleman, Michele Lynn, Susan Shackelford, JB Shelton, 26 THE WATER INSTITUTE AT UNC – ADAPT AND THRIVE Angela Spivey, Elizabeth Witherspoon 28 BRINGING CLEAN WATER TO SOUTHEAST ASIA Articles appearing in Carolina 30 EXPLORING CAUSE AND EffECT OF CLIMATE CHANGE Public Health may be reprinted with permission from the editor. Send 31 dISEASE MAPPING TO PINPOINT, PREDICT AND PREVENT EPIDEMICS correspondence to Editor, Carolina Public Health, Gillings School of Global Public Health, Campus Box 32 SCHOOL NEWS 7400, Chapel Hill, NC 27599-7400, or email [email protected]. 34 AWARDS & RECOGNITIONS SUBSCRIBE TO CAROLINA PUBLIC HEALTH our donors www.sph.unc.edu/cph 17,000 copies of this document 37 A CAROLINA ANNUITY BENEFITS YOU AND THE SCHOOL were printed at a cost of $16,150 or $0.95 per copy. 38 YOUR GIFT WILL HELP A STUDENT MAKE A DIFFERENCE Carolina Public Health (ISSN 1938- 42 NEW INNOVATION LAB AIMS TO ENSURE SAFER DRINKING WATER 2790) is published twice yearly by the UNC Gillings School of Global Public Health, 135 Dauer Dr., Campus Box 43 WHY NAME A DINNER ‘WORLD OF DIFFERENCE’? 7400, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599- 44 SINGER HONORED AS NAMESAKE OF ENDOWED PROFESSORSHIP 7400. Vol. 1, No. 10, Spring 2011. back cover GIVING BACk – DAVID BALLARD AND MICHELA CARUSO 2 | SPRING 2011 from the Dean’s desk Since the last issue of Carolina Public Health, much has LBERT A ARIE ARIE changed – composition of Congress and our state legislature, M ISA ISA L political uprisings in the Middle East, earthquakes and a tsunami in Japan, and tornadoes and floods in the U.S. The HOTO BY BY HOTO P global economy is improving in fits and starts. Revenue is up in North Carolina, but our state allocation for the School Dr. Barbara K. Rimer will be down. The number of student applications is up, as is the number of jobs our graduates are being offered. Events and information move faster, and we must settings are helping us to think differently about keep up. Speed, innovation, adaptability, flexibility, problems. That can be game-changing. (We also permeability,