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Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental Health Bureau, Maryland Department of Health and Mental Hygiene
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Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Mar 31, 2015

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Page 1: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Demonstration of MD Environmental Public Health

Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN)

John T. Braggio, PhD, MPH, Environmental Health Bureau, Maryland

Department of Health and Mental Hygiene

Page 2: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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o Environmental Public Health Tracking (EPHT) data accessible from the Maryland Tracking Network (MTN) public and secure portalso Public portal includes county aggregated health data for

o Asthmao Acute Myocardial Infarction (heart attacks)o Birth defectso Low birth weighto All-cause mortalityo Other measures

o Secure portal includes zip code aggregated asthma and acute MI o No restriction on air (fine PM and ozone) and water data displayso Exposure as children’s blood lead test results

Understanding EH Profile, Where We Live:

Page 3: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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o Data analysis tools and metadata permit the discovery of space-time patterns in EPHT datao Answer the user’s questions o Generate ecological hypotheseso Results can be used to

o Inform communities o Basis for interventionso Communicate with policy makers

o MTN data analysis toolso Queries utility (with results in tables and graphs)o GIS utility (three data layers displayed on same computer map)o Download data to user’s computer

Maryland Tracking Network Data Utilities

Page 4: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

MTN Home Page and Queries Utility http://phpa.dhmh.maryland.gov/OEHFP/EH/tracking/SitePages/Home.aspx

MTN Home Page Asthma Data Query

Prevention and Health Promotion Administration[September 11, 2013]

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Page 5: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Asthma Query Results

Results in Table and Graph Risk Communication Message

Asthma is a chronic disease of the lungs in which the airways get narrow and fill with secretions, causing difficulty breathing. People with asthma have shortness of breath, chest tightness, wheezing, and cough, which can be serious or even fatal if not treated. Asthma attacks can be treated effectively and asthma attacks can be prevented by a combination of medication and avoidance of triggers. These triggers include allergens from animals and pests, fine particles (PM2.5), ozone, tobacco smoke, exercise, and stress. Pay attention to the daily Air Quality Index and follow the advice to limit physical activity outdoors on yellow, orange, and red days. For more information, see the MTN Topics Pages on asthma

Bottom of Form  

Prevention and Health Promotion Administration[September 11, 2013]

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Page 6: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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Asthma and Ozone in 2009 (Asthma Legend)

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Prevention and Health Promotion Administration[September 11, 2013]

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Asthma and Ozone in 2009 (Ozone Legend)

Page 8: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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Asthma and PM2.5 in 2009 (PM2.5 Legend)

Page 9: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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Asthma and PM2.5 in 2009 with Poverty in 2008

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Prevention and Health Promotion Administration[September 11, 2013]

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Myocardial Infarction and PM2.5 in 2009 with Poverty in 2008

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Prevention and Health Promotion Administration[September 11, 2013]

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Birth Defects and PM2.5 with Poverty in 2006 

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Prevention and Health Promotion Administration[September 11, 2013]

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 All Types of Cancer in 2006-2009 and PM2.5 in 2009 with Poverty in 2008

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Prevention and Health Promotion Administration[September 11, 2013]

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Low Birth Weight and PM2.5 with Poverty in 2008

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Prevention and Health Promotion Administration[September 11, 2013]

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Air Indicators for Ozone and PM2.5

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Prevention and Health Promotion Administration[September 11, 2013]

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Ozone Days Above EPA Standard

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Prevention and Health Promotion Administration[September 11, 2013]

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Baltimore City Ozone-Days Above EPA Standard

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Prevention and Health Promotion Administration[September 11, 2013]

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PM2.5 Person-Days Above EPA Standard

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Prevention and Health Promotion Administration[September 11, 2013]

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MTN Secure Portal

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Prevention and Health Promotion Administration[September 11, 2013]

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o MTN resources permit the discovery of space-time attributes of EPHT data, including criteria air pollutantso Low-level, long-term exposure can influence the onset of various

chronic diseases such as asthma, acute myocardial infarction, and low birth weight

o One environmental hazard (ozone or fine PM) can affect different multiple chronic diseases or health outcomes

o Multi-year data permit the evaluation of changes over time (years)o Limitations of EPHT data are that they are ecological and

descriptive, and cannot be used to confirm causal effects

Summary

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Questions?

Page 21: Demonstration of MD Environmental Public Health Tracking (EPHT) Public Portal: The Maryland Tracking Network (MTN) John T. Braggio, PhD, MPH, Environmental.

Prevention and Health Promotion Administration[September 11, 2013]

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John T. Braggio, PhD, MPHEPHT Coordinator & Chief, Environmental & Occupational Epidemiology, Environmental Health Bureau, Prevention and Health Promotion AdministrationMaryland Department of Health and Mental Hygiene201 West Preston Street, 3rd FloorBaltimore, Maryland 21201-2301E-mail: [email protected]: 410-767-6661Web Site: http://phpa.dhmh.maryland.gov

Presentation made at the Air Quality & Community Health Workshop, Polish Home Hall in Curtis Bay/Brooklyn (4416 Fairhaven Avenue, Baltimore, Maryland). Workshop sponsored by the Maryland Environmental Health Network and hosted by the Curtis Bay Brooklyn Association .

Contact Information for Presenter: