NCHHSTP Director s Update

Transcription

1 NCHHSTP s Update Kevin Fenton, M.D., Ph.D., F.F.P.H. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Centers for Disease Control and June 14, 2012 National TB Workshop Atlanta, GA National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Centers for Disease Control and Overview NCHHSTP Budget Update NCHHSTP Structure and Strategic Priorities Highlights from NCHHSTP Divisions of relevance to TB activities NCHHSTP BUDGET UPDATE 1

2 Domestic HIV, Viral Hepatitis, STD, and TB Appropriation, FY 2012 Total: $1.11 billion CDC Proposed FY 2013 Program level* Proposed FY 2013 Program Level HIV/AIDS, STD, TB, & Viral Hepatitis Total is $36 M above FY 2012 HIV and National Programs (two new budget lines) are +$30 M HIV School Health is +$10 M, restored to the FY 2011 level Viral Hepatitis +$10 M from FY 2012 (in Fund) is maintained in Budget Authority TB is reduced (-$5 M) 2

3 NCHHSTP STRUCTURE AND STRATEGIC INITIATIVES National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Associate for Communication Science Susan Robinson Kevin Fenton Associate for Science Benedict I. Truman Associate for Health Equity Ramal Moonesinghe (Acting) Deputy Hazel D. Dean Associate for Laboratory Science Edwin W. Ades Associate for Planning & Policy Coordination Chief Medical Officer Eva Margolies Associate for Program Integration Gustavo Aquino Management Officer Michael Melneck John Douglas Senior Advisor Stuart Berman Divisions HIV/AIDS Viral Hepatitis STD Tuberculosis Elimination Adolescent and School Health Jonathan Mermin John Ward Gail Bolan Kenneth G. Castro Howell Wechsler June 2012 NCHHSTP Strategic Plan, Plan articulates a vision and overarching goals and strategies to guide NCHHSTP programs /publications/ 3

4 National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Strategic Map: A future free of HIV, viral hepatitis, STDs and TB NCHHSTP s mission is to eliminate, prevent, and control disease, disability, and early death caused by HIV/AIDS, non-hiv retroviruses, viral hepatitis, other STDs, and TB, nationally and internationally. Through Healthcare Leverage prevention priorities with HHS Op Divs Advance strategic priorities Monitor performance and quality of prevention services Promote innovative, systems, and health-based approaches Program Collaboration and Service Integration Expand programmatic flexibility for PCSI Align surveillance, policies, standards and procedures for PCSI Promote integrated training Develop policies and activities to enhance PCSI Conduct research and evaluation on PCSI Health Equity Advance science in identifying and eliminating disparities Mobilize partners to promote health equity and social determinants of health Identify and address key social determinants of health for programs Global Health Protection and Systems Strengthening Maximize contributions to PEPFAR II goals Optimize efforts to reduce the impact of focus diseases globally Apply CDC strengths to health strengthening Train health professionals in epidemiology, lab science, and public health administration Conduct operational research and evaluation Partnerships Increase partnership capacity through outreach and communication Increase understanding of our goals among partners Promote use of multi-level, real-time communication technologies Coordinate partnership activities Workforce Development and Capacity Building Attract, and retain a diverse workforce Develop staff for effective delivery of programs Continuously recognize performance, contributions, and achievements of staff through Healthcare NCHHSTP issued report of consultation on through Healthcare: Enhancing health departments preparedness and response ghhealthcare/index.htm Working with HRSA on HIV, Hepatitis, STD Screening in FQHCs Collaborated with CMS to inform state health departments about extending Medicaid for low income TB patients Program Collaboration and Service Integration Online NCHHSTP Internet Atlas Launched new internet-based Atlas to increase the public s access to data across programs Provides HIV, AIDS, chlamydia, gonorrhea, and primary and secondary syphilis surveillance data TB and viral hepatitis data to be included later in as/ 4

5 Program Collaboration and Service Integration Data Security and Confidentiality Guidelines Establish minimum standards to ensure appropriate collection, storage, sharing, and use of data across surveillance and programs areas for NCHHSTP Replace current guidelines for HIV surveillance programs and establish standards for Viral Hepatitis, STD, and TB programs /docs/pcsidatasecurityguidelines.pdf Health Equity NCHHSTP sponsored a supplement to Public Health Reports focusing on data systems and their use in addressing social determinants of health. More than 300 CDC employees attended the 2011 NCHHSTP Health Equity Symposium, August 3, The symposium focused on use of data to inform and shape public health policy, practice, and research. Developed health equity language for funding opportunity announcements Global Health Protection and Health Systems Strengthening Released results of clinical trial showing efficacy of a supervised, 12-dose regimen for latent TB infection Collaborated with WHO to estimate global congenital syphilis burden and respond to gonococcal antimicrobial resistance Participated in HIV Trials Network 052 study, which showed early initiation of antiretroviral therapy for HIV-positive heterosexuals led to reductions in transmission. Published results of TDF 2 Study in Botswana on PrEP for heterosexual couples 5

6 NCHHSTP DIVISION HIGHLIGHTS Division of HIV/AIDS Continued implementation of National HIV/AIDS Strategy and preparation for AIDS2012 Awarded first year of 5-year HIV prevention funds for health departments in January Awards based on geographic burden of HIV Launched new social marketing campaigns Take Charge. Take the Test in 10 cities Testing Makes Us Stronger Collaborated with HRSA to update guidelines on incorporating HIV prevention into medical care of people living with HIV and on postexposure prophylaxis Division of Adolescent and School Health Division of Adolescent Health and School Health recently released a new resource for schools to increase parent engagement in promoting positive health behaviors Parent Engagement alth/pdf/parent_engagement_factsheet.pdf HIV, Other STD, and Pregnancy Education in Public School Secondary Schools-45 States, , MMWR State trends in % secondary schools teaching all essential topics, Decline in middle schools in 11 states Increase for high school in 2 states, decline in 1 6

7 Division of Viral Hepatitis DHV revised HCV screening recommendations Released for public comment in May 2012 Advisory Committee on Immunization Practices has recommended adults with diabetes be vaccinated against Hepatitis B (MMWR, December 23, 2011) More than 150 people participated in DVH s symposium on identification, screening and surveillance of HCV infections in the era of improved therapy for hepatitis C in December Division of STD DSTDP has identified 4 areas of strategic focus: Adolescent Sexual Health MSM Sexual Health Congenital Syphilis Gonococcal Antimicrobial Resistance Scaled up efforts to respond to GC Antimicrobial resistance Published NEJM article raising awareness of multi-drug resistant gonorrhea WHO GC AMR Action Plan Congressional briefing planned Upcoming MMWR Concluding thoughts Challenging times for CDC and NCHHSTP Programs at a time when prevention efforts at state and local levels are especially challenged NCHHSTP continues make progress in meeting Center and Division level priorities, while responding to a range of urgent threats and realities Looking ahead, proactive planning for uncertainty; health system transformation; and additional fiscal challenges will be essential 7

8 Thank you Kevin Fenton, MD, PhD, FFPH National Center for HIV/AIDS, Viral Hepatitis, STD and TB Centers for Disease Control and 8