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Cardiovascular Coordination Team
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Committee, Work group, Advisory group, or Task Force
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CDC
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NHLBI
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The purpose of the workgroup is to assess the feasibility of conducting an evidence based review to assess the effectiveness of interventions using community health workers for cardiovascular disease prevention. The final review will be included in The Community Guide sponsored by the Community Preventive Services Task Force.
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Carrier Screening Work Group
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Committee, Work group, Advisory group, or Task Force
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HRSA
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NICHD
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The purpose of the committee is to make recommendations to the Secretary''s Advisory Committee for Heritable Disorders in infants and children related to screenable disorder.
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CDC Chronic Kidney Disease Surveillance
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Health Survey
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CDC
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NIDDK
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NIDDK assists CDC in their surveillance program of chronic kidney disease.
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CDC Community Guide: Review Various Interventions to Reduce Alcohol-Related Problems
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Resource Development
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CDC, SAMHSA
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NIAAA, NIDA
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The Community Guide is a free resource to help people choose the most effective programs and policies to improve health and prevent disease in their communities.
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CDC Elimination of Pediatric HIV in US Stakeholders Group
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Committee, Work group, Advisory group, or Task Force
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CDC
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NICHD
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Working group of federal and non-federal individuals to assist the Centers for Disease Control and Prevention (CDC) in developing initiatives to eliminate mother to child HIV transmission in the US.
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CDC-NIH Lyme Disease Serum Sample Repository
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Resource Development
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CDC, OS
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NIAID
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Initiated in 2008, this resource was made available to the scientific community on a broad basis in late 2011. Lyme disease and related serum samples are available upon request for testing and comparison of new and current diagnostic tests with a common serum sample set for standardization. Samples are distributed by the CDC. CDC and NIH both provided support to acquire the samples and continue to work together to ensure the scientific community has access to samples needed for Lyme disease diagnostic test development.
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CDC/NCHS Balance/Dizziness Problems
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Health Survey
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CDC
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NIDCD
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The purpose of this agreement is for NIDCD to provide financial support to the National Center for Health Statistics (NCHS) for the inclusion of a Balance/Dizziness Supplement to a future National Health Interview Survey (NHIS). Previously, NIDCD negotiated an IAA with NCHS for collaboration and funding of the 2008 Balance/Dizziness Supplement to the NHIS. The FY2013 funds will provide partial support for the renewal of this collaborative effort between NCHS and NIDCD to fund a future Balance/Dizziness Supplement to the NHIS. The new NHIS Supplement will include many of the same questions on Balance/Dizziness included in the earlier 2008 study, although revisions are expected to eliminate some questions in order to consider adding new ones high on the current priority list. These questions on the new Balance/Dizziness Supplement will assist NIDCD to make program planning decisions on priorities with respect to the funding of research on the prevention of falls related to dizziness and balance. The results will also be analyzed for use in tracking the Department of Health and Human Services’ (DHHS’) objectives in Healthy People 2020. Results from this nationally-representative survey of the U.S. non-institutionalized, civilian population will help NIDCD make budget allocations to subject areas where needs are found to be most critical.
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CDC/NCHS National Health Interview Survey (NHIS) - 2014 Hearing Supplement
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Health Survey
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CDC
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NIDCD
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NIDCD is added a hearing component to the 2014 National Health Interview Survey (NHIS) by sponsoring inclusion of many additional questions on hearing loss and tinnitus. The hearing loss questions on the 2014 National Health Interview Survey (NHIS) will greatly augment the one basic question on hearing difficulty included in the annual core of the NHIS survey. The NHIS is a large, annual population-based health survey conducted by the National Center for Health Statistics (NCHS). The NHIS is the principal source of information on the health of the civilian, non-institutionalized, household population of the United States. It has been conducted continuously since its inception in 1957. The NHIS is currently designed to collect information from approximately 35,000 households each year and includes an over-sample of the Black, Hispanic, and Asian American populations. The last times NIDCD supported additional hearing questions for NHIS was in 2002 and 2007. Based on the 2002 NHIS, we estimated there were 30.6 million adults in the United States with hearing loss. The additional questions in 2002 included: the use of hearing aids by children (ever; how often in past 12 months); use of hearing aids by adults (ever; how often in past 12 months); age when subject first began to have hearing loss (e.g., at birth, early childhood, adolescence, young adult, middle-aged adult, older adult); the main cause of hearing loss or deafness (e.g., genetic, infection, injury, or noise exposure). For 2007, the hearing questions were developed jointly by NIDCD staff (with the help of expert consultants) and NCHS staff. NIDCD and NCHS have a shared interest in tracking questions over time for trends and in inclusion of new questions to increase our understanding of the burden and societal costs of hearing loss and tinnitus. For the 2014 Hearing Health Supplement, this process was repeated. NIDCD and NCHS have shared interests in obtaining better information on the functional impact of hearing impairment on children and adults (e.g., impact on schooling, working, in social settings), use of hearing aids (and other rehabilitative devices), exposure to loud sounds or noise at work or during leisure activities, use of hearing protection when exposed to loud sounds, and tinnitus (e.g., duration, severity, functional impact, treatments). The NIDCD and NCHS NHIS Hearing Health Supplements have been (and will be) used to track several objectives included in the Hearing and Other Sensory or Communication Disorders focus area of Health People 2020.
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CDC/NIOSH for Audiometric Support for 3 NIDCD-Sponsored, Population-Based Surveys
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Health Survey
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CDC
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NIDCD
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The purpose of this agreement is to provide funding for scientific and technical support as well as quality assurance of three large audiometric examination surveys funded by NIDCD. These health surveys are: (i) The National Health and Nutrition Examination Survey (NHANES), (ii) Age, Gene/Environment Susceptibility Study–Reykjavik Study (AGES–RS), and (iii) the Early Childhood Longitudinal Study – Kindergarten Class of 2010/2011 (ECLS–K:2010/2011). The Audiometry Components of all three health examination surveys were previously developed by NIDCD in collaboration with NIOSH and other consultants. NIOSH collaborated on the design of the experimental protocol and provided the equipment specifications, oversight of maintenance and calibration, technician training and oversight, operations manual development, and quality assurance for the NHANES. As well, NIOSH provided similar support to AGES and ECLS–K:2010/2011, including setting-up training sessions and observing/monitoring technical competence in obtaining audiometric measurements, technical assistance as needed, and limited quality assurance. The NHANES scientific goals are to establish a statistically accurate, demographically representative baseline on the general health (including Hearing Health) of the U.S. population. NHANES is now a continuous survey and while general health issues are always under investigation such as height, weight and blood pressure, there are also elements that track individual health outcomes that move in and out of the NHANES as it cycles. NHANES consists of two major components: the household interview and the physical examination in the NHANES Mobile Examination Centers (MECs) that are set up in various areas around the country. The data from the NHANES elements are collected, weighted, and made available to the government and the public as a database on which analysis may be performed. Recently, the data have been released every two years with collaborating agencies receiving the data six months prior to the public release of the data sets. The AGES–RS scientific goals are: 1) to identify genetic and new risk factors for selected diseases including atherosclerosis, cognitive impairment, dementia, stroke, hearing loss, visual impairment, sarcopenia, osteoporosis, and obesity, 2) to characterize phenotypes for these diseases and conditions, and 3) to identify contributory molecular markers associated with these conditions. The proposed ECLS:K-2011 audiometry protocol for the third-grade data collection includes four components: pre-test questions, otoscopy, wideband reflectometry with tympanometry, and pure tone audiometry. (1) Pre-Test Questions: Children will be asked a series of short questions regarding conditions which could affect the test results (cold or earaches, noise exposure within past 24 hours, presence of pe tubes, and whether one ear is better than the other); (2) Otoscopy: Children will receive a brief visual examination of the ear, primarily to assure a clear sound path. In addition, the technicians will note the presence of excessive cerumen or any other gross abnormality which could affect interpretation of audiometric findings. The otoscopic exam will not be diagnostic; it will simply be observational; (3) Wideband Reflectometry, including Tympanometry: An automated wideband reflectometric/tympanometric evaluation of the middle ear will be conducted bilaterally. Analysis and interpretation of the results will be done remotely; (4) Pure Tone Audiometry: Pure tone air conduction thresholds will be obtained bilaterally at 1000, 2000, 3000, 4000, 6000, and 8000 Hz insofar as time and the child’s attention permits. A retest threshold will be obtained in both ears at 2000 Hz as a measure of test reliability. The thresholds will be obtained manually using a modified Hughson-Westlake technique. The first test ear will be alternated to avoid learning effect bias in the thresholds. Frequencies will be tested in a specified order to obtain the more important frequency data first in case time or the child’s attention runs out before all frequencies are completed. All three health surveys share similar hearing exam components, developed collaboratively by NIDCD, NIOSH, NCHS, WESTAT, the Icelandic Heart Association Research Institute, and the Department of Education, National Center for Education Statistics. The hearing component consists of: 1) a set of questionnaires relating to hearing, noise exposure, and other factors relating to hearing, and 2) audiometric examinations consisting of otoscopy, acoustic immittance (bilateral tympanometry or wide-band reflectometry and screening for ipsilateral acoustic reflexes at 1000 and 2000 Hz), and 3) pure-tone, air-conduction audiometry to determine the hearing thresholds in each ear at several frequencies, such as 500, 1000, 2000, 3000, 4000, 6000, and 8000 Hz. A repeat threshold test is obtained at 1000 Hz or 2000 Hz as a measure of test reliability. When significant inter-ear differences are found, then retests may be performed using insert earphones to maximize the inter-aural attenuation rather than using a noise masker of the non-test ear to obtain what is referred to as masked threshold in the test ear to avoid recording of a “shadow audiogram” from the better non-test ear.
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CDC’s Field Epidemiology Training Program (FELP) Cancer Curriculum
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Training Initiative
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CDC
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NCI
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CDC and NCI (Center for Global Health and Cancer Prevention Fellowship Program) are collaborating to add a cancer curriculum to CDC’s Field Epidemiology Training Program.
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