Positioning Epidemiology for a Changing Environment—the Next 25 Years

Attachment 1

 

Breakfast Roundtables:

1. Kristi L. Lewis, PhD MPH
Importance and impact of influenza surveillance in the United States

Seasonal influenza leads to high levels of morbidity and mortality each year in the United States. Each year the United States conducts surveillance beginning in early October to monitor the spread of influenza. At this roundtable, we will discuss the trends related to 1) influenza-like illness and 2) influenza strains. The importance and impact of influenza surveillance will also be discussed.

2. Bonnie C. Yankaskas, PhD
Breast Cancer Surveillance Consortium

Participants will gain knowledge about the national project that has been collecting prospective data from mammography facilities related to breast imaging and linking these data with population-based cancer registries. Studies since 1995 have evaluated performance of screening mammography and outcomes from breast imaging (screening and diagnostic). Data include women-level demographics and risk factors, breast imaging level data on what was done, results and recommendations, and pathology data from the state Central Cancer or SEER registries, as well as pathology laboratories.

The roundtable has three main objectives:
1. highlight the rich data resource created by the BCSC
2. highlight some of the research results over the past 10 years, and the potential for new research collaborations for the future
3. describe the national dataset, and how others may use it for research

Participants will:
1. be able to identify the data that makes up the BCSC registries
2. become familiar with the types of studies that have been, and can be done with this resource
3. will help explore new uses of data and methods for accessing the resource

3. Kayla D. Collins and John Knight
Secondary Use of Administrative Data for Epidemiological Research: Opportunities and Challenges

The Centre for Health Information is custodian to several provincial databases including mortality, birth, hospital discharge, outpatient physician visits, Statistics Canada’s survey data, as well as several composite databases. We use these provincial administrative databases and health surveys to carry out applied health research across a broad range of areas. The Centre also has expertise in data linkage and acts as a trusted third party that makes possible for other researchers to access de-identified linked administrative data from a multitude of internal and external sources.

4. Ping Yang, MD PhD
Pharmacogenomic research on disease outcomes

The areas covered in this discussion will include the design, conduct, and results-interpretation and application.

5. Maurizio Trevisan, MD MS
Systemic and Oral Health

There has been a lot of interest regarding the potential association between oral and systemic health (i.e. periodontal disease has been associated with diverse health outcomes like cardiovascular disease, diabetes, pre-term birth, kidney disease etc.) however most of these findings are observational in nature and data from clinical trials are limited. There is a fair amount of skepticism regarding the cause-effect relationship. This roundtable aims to stimulate discussion around this topic and see what other people think about it.

6. Pat Buffler, PhD MPH and Jay Wilkinson
Curriculum development and competencies - including credentialing exams.

7. Doug Weed, MD MPH PhD
Epidemiology and the current state of corporate-sponsored science

Industry-funded science is under attack by a loose but powerful alliance of NGO's, academics, the media, and plaintiffs' attorneys. What's an epidemiologist to do in this environment? How does this situation affect professional epidemiologists working in academia, the public sector, and especially, the private sector?

8. Julie Magri, MD MPH and Diana Bensyl, PhD MA
Using Case Studies as an Epidemiology Teaching Tool

Government agencies, academia, and other training programs can benefit from using Case Studies to teach applied epidemiology to trainees. This roundtable will talk about settings appropriate for case studies, tips for using them effectively, and how to access case study materials.

9. Setting up Consortiums: Bob Hoover

10. Latebreaking topics TBD

Luncheon Roundtable Topics

1. Impact of Mandatory and/or Universal Immunization for HPV on the Epidemiology of Cervical Cancer. Dr. Patricia Buffler, Dr. Eduardo Franco and Melinda Aldrich.
Dr. Buffler is the North American Councillor for the International Epidemiology Association (elected to represent North America) and Dr. Franco previously served as the North American Councillor.

This roundtable on HPV could cover the following important policy questions:
1) What are the implications of not adopting universal HPV vaccination, i.e., allowing it to be opportunistic, based on the decision that health care providers will make with their clients?
2) What are the costs to society of a mandatory HPV vaccination policy vis-a-vis its benefits?
3) What are the changes that need to be made to traditional cervical cancer screening programs to permit an overall cost-effective prevention of cervical cancer following the introduction of HPV vaccines?
4) Are there technical issues that need to be addressed, such as, the need for vaccinating boys and to conduct catch-up vaccination of women ages 13-26 years?

 
© 2004 by the American College of Epidemiology
Updated 05/16/07 fdk