ethics of guatemala experiments

http://www.thetakeaway.org/2010/oct/04/

norway study
clearly acknowledged of dangers of untreated syphilis

http://www.npr.org/blogs/health/2010/10/01/130266301/u-s-apologizes-for-medical-research-that-infected-guatemalans-with-syphilis

speaker:
public state health officer
anthrax attacks
state health department
dept. of human services
new: oregon health authority
launches next july 2011

social services not public health

all of these things affect health

surveillance info is dirty in the sense that it is chaotic but it is useful?

BMI obesity
state govt.
state medicaid
purchasing programs
it turns out the state puchases about 25% health insurance
flu in oregon

beyond H1N1

mmwr

morbid mortality weekly report
overdue for a pandemic

march 2009
near dead november 2009

flu as a pathogen
it changes every year
every 30-50 yrs it changes a lot

and we are

WWI

sequeli occurred htereafter

young hit hard
flu pandemic
in 1918

soldiers hit very hard

fined

by late aft dead

media attention
first press conference
H1N1

bruce goldberg
gary oxberg

epidemiologist by training
2 yr fellowship in applied graphs
the landscape changing
getting ready to
camera

how do you communicate to the public
very scared
weeks in late fall
peak feb march week 9  peak in april

things exploded in the fall

kids a great vector for communicating disease
purple high

patient privacy v. statistics gathering

portability and accountability act
HIPAA
http://en.wikipedia.org/wiki/Health_Insurance_Portability_and_Accountability_Act

for pub health purposes this can be shared

yet we take care to safeguard info

reporting system bases on willingness

AIDS collection
name to code

prior anonymous

at least then some demographic reporting good

data stndpt  need to link reports
multiple viral load tests with AIDS patients.

service
hooked up to services
balancing act