Centers for Disease Control

Siddare Wilson, Kimberly Van Oflen,Thomas Van Bergen, Ben Warren

Mission and Purpose

Mission: "Collaborating to create the expertise, information, and tools that people and communities need to protect their health through health promotion, prevention of disease, injury, and disability, and preparedness for new health threats."-accomplishes this Mission by working with partners throughout the world and nation.

Core Value: Accountability, Respect, Integrity

History of the CDC

1946 - Communicable Disease Center organized in Atlanta

1951 - Establishment of the Epidemic Intelligence Service to help protect against biological warfare and manmade epidemics

1963 - Developed the vaccine for smallpox1981- First AIDS Diagnosis2001- First Anthrax Case2003- SARS reported in Asia2006 - 60th Birthday2008- found food gaps in food safety (needs to

improve FDA and food borne illnesses)

How is the CDC divided up?

CDC Facilities

· Headquarters and Emergency Operation Center

· Global Communication Center

· Emerging Infectious Disease Laboratory

· Environmental Health Laboratory

CDC Offices

· Center for Global Health

· National Institute for Occupational Safety and Health

· Office of Infectious Disease

· Office of Noncommunicable Disease, Injury, and Environmental Health

· Office of Public Health Preparedness and Response

· Office for State Tribal Local and Territorial Support

· Office of Surveillance Epidemiology and Laboratory Services

CDC Organizational Chart

Office of Infectious Disease (OID)

• The purpose of the OID is to promote, lead, and facilitate science, programs, and policies to decrease the problem of infectious diseases nationally as well as globally.

• The Office of Infectious Disease includes:- Deputy Director of Infectious Disease (DDID)- Influenza Coordination Unit (ICU)- Infectious Disease National Centers

i. National Center of Emerging and Zoonotic Infectious Disease (NCEZID)

ii. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)

iii.National Center for Immunization and Respiratory Diseases (NCIRD)

Office of Infectious Disease (OID)

• Dr. Rima Khabbaz serves as Director of OID and CDC's Deputy Director of DDID.

• Dr. Khabbaz is currently serving as Acting Director for the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.

• Her role as the principal advisor is to provide strategic leadership to the three Infectious Disease National Centers.

Infectious Disease National Centers

1.NCEZIDo Beth P. Bell is the director over this center.o The center aims to detect, prevent, and

control the spreading infectious disease through the result of terrorism, unintentionally, or naturally occurring.

o Protects within the U.S. and globally through epidemiologic and laboratory studies, applied research, and disease surveillance and outbreak response.

Infectious Disease National Center

2. NCHHSTPo Acting Director is Dr. Rima Khabbazo This center is one of the larger centers at the

CDC, with a budget estimating at $1 billion.o Composed of an Office of the Director and

four divisions where each division is defined by the specific disease addressed.

o Responsible for public health surveillance, prevention research, and programs to control and prevent AIDS and HIV, other STDS, viral hepatitis, and TB

Infectious Disease National Centers

3. NCIRDo Divisions: Bacterial Diseases, Global

Immunizations, Influenza, Viral Diseases, Immunization Services

o Director is Anne Schuchat who is also an Assistant Surgeon General of the U.S. Public Health Service and Acting Director of the Center of Global Health

o Purpose is the prevention of disease, disability through immunization and by control of respiratory and related diseases.

Office of Noncommunicable Disease, Injury, and

Environmental Health

-National Center on Birth Defects and Developmental Disabilities

-National Center for Chronic Disease Prevention and Health Promotion

-National Center for Environmental Health/Agency for Toxic Substances and Disease Registry

-National Center for Injury Prevention and Control

Office of Noncommunicable Disease, Injury, and

Environmental Health

National Center on Birth Defects and Developmental Disabilities

-Established in April 2001-Identify causes of Birth defects and

disabilities-Help children develop to their full

potential-Birth defects affect 1 in 33 infants and

are the leading cause of newborn death-NCBDDD focuses on protecting children

(newborn-5) from health risks

Office of Noncommunicable Disease, Injury, and

Environmental Health

National Center for Chronic Disease Prevention and Health Promotion

- Focus on heart disease, arthritis, strokes, cancer, and diabetes - most common chronic diseases

-Major Functions:Supports implementation of public health programs

Public Health Surveillance Translational Research Developing new Tools and Research

Office of Noncommunicable Disease, Injury, and

Environmental Health

National Center for Environmental Health

-helps to maintain and improve the health of American people by promoting a healthy environment and preventing an early death.

Agency for Toxic Substances and Disease Registry

-Provides health information to prevent harmful exposures and disease from toxic substances

Office of Noncommunicable Disease, Injury, and

Environmental Health

National Center for Injury Prevention and Control

-Main Focuses:Car CrashesBrain TraumaPainkiller OverdoseViolence against the youth

-Putting violence and injury on the map as an important public health achievement

The National Institute for Occupational Safety and

Health (NIOSH)Mission

• The mission of NIOSH is to generate new knowledge in the field of occupational safety and health and to transfer that knowledge into practice for the betterment of workers.

• To accomplish this mission, NIOSH conducts scientific research, develops guidance and authoritative recommendations, disseminates information, and responds to requests for workplace health hazard evaluations.

The National Institute for Occupational Safety and

Health (NIOSH)Origins

• The Occupational Safety and Health Act of 1970 created both NIOSH and the Occupational Safety and Health Administration (OSHA).

• NIOSH is part of the Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services.

• Additionally, the Federal Mine Safety and Health Amendments Act of 1977 delegated additional authority to NIOSH for coal mine health research.

NIOSH - LocationsNIOSH headquarters are in Washington, D.C. and Atlanta, GA. With staff in Anchorage, AK; Cincinnati, OH; Denver, CO; Morgantown, WV; Pittsburgh, PA; and Spokane, WA.

• NIOSH has a staff of over 1,200 scientists from the fields of epidemiology, medicine, industrial hygiene, safety, psychology, engineering, chemistry, statistics, economics and administration.

• In addition to its own research, NIOSH also serves as the major support for occupational safety and health research in academic centers in the U.S.

NIOSH - Office of the Director

Dr. John Howard: Director of the NIOSH in the U.S. Department of Health and Human Services in Washington, D.C.

• He served in this capacity from July 2002 to July 2008 and was re-appointed in September 2009.

• Prior, Dr. Howard served as Chief of the Division of Occupational Safety and Health in the California Department of Industrial Relations from 1991 through 2002.

NIOSH - Research

National Occupational Research Agenda (NORA)

• In 1996, NIOSH launched NORA, an innovative public-private partnership to establish priorities for occupational safety and health research both at NIOSH and throughout the country.

• During its first decade, NORA advanced safety and health knowledge in 21 scientific areas by emphasizing priority-driven research.

NIOSH - Research

National Occupational Research Agenda (NORA)

• In 2006, NORA began its second decade by focusing national research on the problems of highest relevance to workers, employers and occupational safety and health practitioners.

• It is NIOSH’s job to ensure that NORA research activities are relevant to the problems of today’s workplaces, conducted using the highest quality science, and having a measurable impact on improving the lives of workers.

NIOSH - Health Hazard Evaluations

• The Health Hazard Evaluation (HHE) Program is at the frontline of NIOSH research and service.

• In response to requests from workers (or their representatives), employers, and other government agencies, HHE scientists conduct workplace assessments to determine if workers are exposed to hazardous materials or harmful conditions and whether these exposures are affecting worker health.

• NIOSH evaluates the workplace environment and the health of employees by reviewing records and conducting on-site environmental sampling, epidemiologic surveys, and medical testing.

Office of Public Health Preparedness and Response

(OPHPR)

Mission

• The mission of OPHPR is to safeguard health and save lives by providing a platform for public health preparedness and emergency response.

• To carry out its mission, OPHPR:o provides direction and management for the CDC's

preparedness and response effortso delivers critical medical assets to the site of a national

emergencyo provides CDC's core incident management structure to

coordinate and execute preparedness and response activitieso regulates the possession, use and transfer of select agents

and toxins and the importation of etiological agents, hosts, and vectors of human disease

Office of Public Health Preparedness and Response

(OPHPR)

• Established in 2002

• Annual Congressional Funding ~$1.5 billiono ~ 3/4 of funds designated to:

Public Health Emergency Preparedness Cooperative Agreement

Strategic National Stockpile

• All-hazards approach to preparedness o Focuses on threats from natural, biological,

chemical and radiological eventso Provides strategic direction, coordination and

support for all of CDC’s terrorism preparedness and emergency response activities.

OPHPR - Office of the Director

Ali S. Khan (RET), MD, MPHU.S. Assistant Surgeon General:Director of CDC's Office of PublicHealth Preparedness and Response

• Became director in August 2010

• Most recently, Deputy Director of the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)

• One of the main architects of CDC's public health bioterrorism preparedness program

• Designed CDC's joint global field epidemiology and laboratory training program.

Office of Public Health Preparedness and Response

(OPHPR)

Divisions

• Division of Emergency Operations (DEO)

• Division of State and Local Readiness (DSLR)

• Division of Strategic National Stockpile (DSNS)

• Division of Select Agents and Toxins (DSAT)

Office of Public Health Preparedness and Response

(OPHPR)

Division of Emergency Operations (DEO)• Responsible for overall coordination of CDC's

preparedness, assessment, response, recovery, and evaluation prior to and during public health emergencies

• Responsible for CDC Emergency Operations Centero Command center for monitoring and coordinating CDC's

emergency response to public health threats in the United States and abroad

o provides worldwide situational awareness and coordinates CDC's preparedness, assessment, response, recovery, and evaluation for public health emergencies.

Office of Public Health Preparedness and Response

(OPHPR)

Division of State and Local Readiness (DSLR)• Manages the Public Health Emergency

Preparedness (PHEP) Cooperative Agreemento Supports preparedness nationwide in state, local, tribal, and

territorial public health departmentso As of 2002, provided nearly $9 billion to these public health

departments to upgrade their ability to effectively respond to the public health consequences of all hazards, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events

o provides guidance and coordinates technical assistance through CDC project officers and subject matter experts to the 62 fund awardees (including all 50 states, eight U.S. territories and freely associated states, and four localities)

Office of Public Health Preparedness and Response

(OPHPR)

Division of Strategic National Stockpile (DSNS)• Mission: to deliver critical medical assets to the

site of a national emergency

• manages and maintains the Strategic National Stockpile (SNS)o National repository of critical medicines and medical supplies

established to protect the American public if there is a public health emergency severe enough to cause state and local supplies to run out

o DSNS procures, stores, and delivers these assets, which are designed to supplement state and local public health agencies in the event of a large-scale public health emergency in the United States or its territories

Office of Public Health Preparedness and Response

(OPHPR)

Division of Select Agents and Toxins (DSAT)• Oversees the CDC Select Agent Program

o Regulates all entities that possess, use, or transfer biological agents or toxins that could pose a severe threat to public health and safety

o Select agents include the bacteria that cause anthrax and plague and the virus that causes smallpox

o The program helps ensure compliance with select agent regulations by providing guidance to registered entities and conducting evaluations and inspections

References

• http://www.cdc.gov/phpr/

• http://www.cdc.gov/about/organization/cio.htm

• http://www.cdc.gov/NCBDDD/AboutUs/index.html

• http://www.cdc.gov/chronicdisease/about/index.htm

• http://www.cdc.gov/nceh/

• http://www.atsdr.cdc.gov/

• http://www.cdc.gov/ViolencePrevention/overview/index.html

• http://www.cdc.gov/niosh/about.html

• http://www.cdc.gov/about/leadership/leaders/howard.htm