2021 Year In Review

The 91st Annual Meeting & Awards Ceremony 2021

TABLE OF CONTENTS From the Academy/DPHA Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Board of Directors and Staff Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Officers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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DPHA Advisory Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Emeritus of the Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Education and Engagement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Archives and History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Supporting Tomorrow’s Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Public Health Partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Delaware Journal of Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Volume 7; Issue 1 - Public Health - One Health . . . . . . . . . . . . . . . . . . . . . . . . 17 Volume 7; Issue 2 - Diversability: Thriving with Intellectual and Developmental Disability . . 18 Volume 7; Issue 3 - Technology and Public Health . . . . . . . . . . . . . . . . . . . . . . . 19 Volume 7; Issue 4 - Dementia in Delaware: Perspectives and Progress . . . . . . . . . . . . . 20 Volume 7; Issue 5 - Public Health Genetics/Genomics . . . . . . . . . . . . . . . . . . . . . 21

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FROM THE ACADEMY/DPHA LEADERSHIP

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n 2021, the COVID-19 pandemic continued, so we adapted and grew to meet the challenge. During the spring/ summer “lull” we held our 91st Annual Meeting and thanked Omar A. Khan, MD, MHS for his unprecedented three-year term of office. We were also honored by the presence of Delaware’s Governor and First Lady, John Carney and Tracey Quillen Carney; our Lieutenant Governor, Bethany Hall-Long; Division of Public Health Director, Karyl Rattay, MD, MS; ChristianaCare President and CEO, Janice Nevin, MD, MPH; and honorees Sherman Townsend and the Delaware Rural Health Initiative. Keynote speaker, Geoff Tabin, MD, enchanted the audience with his presentation on the Himalayan Cataract Project. Pictures from this event are on the inside over.

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s we enter 2022, we have started major initiatives initiatives to fund community health workers with partner Public Health Management Corporation, and are finalizing plans for a major healthcare workforce initiative with the State of Delaware. Finally, and in keeping with our two-year pledge to elevate and educate around the challenges of the I/DD (Intellectual and Developmental Disability) community, we are actively incorporating this group into all our educational programming, and supporting them with a contribution to the ARC of Delaware along with ChristianaCare for the development of a social and wellness program for people with disabilities that includes those with significant needs.

S. John Swanson, MD President of the Board

Timothy E. Gibbs, MPH Executive Director

Officers

S. John Swanson, MD, President

Lynn Jones, FACHE, President-Elect

Professor Rita Landgraf, Vice President

Jeffrey M. Cole, DDS, MBA, Treasurer

Stephen C. Eppes, MD, Secretary

Omar A. Khan, MD, MHS, Immediate Past President

David M. Bercaw, MD

Lee P. Dresser, MD

Eric T. Johnson, MD

Erin M. Kavanaugh, MD

Joseph Kelly, DDS

Joseph F. Kestner, Jr, MD

Brian W. Little, MD, PhD

Arun V. Malhotra, MD

Daniel J. Meara, MD, DMD

Ann Painter, MSN, RN

John P. Piper, MD

Charmaine Wright, MD, MSHP

Directors

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BOARD OF DIRECTORS AND STAFF MEMBERS Staff

Timothy Gibbs, MPH Executive Director, ex officio board member

Kate Smith, MD, MPH Program Director

Liz Healy, MPH Managing Editor

Sharon Folkenroth Hess, MA Collections Manager

Liz Lenz, BA Operations Manager

Matt McNeill, BS Research Associate

Timothy Gibbs, MPH Executive Director

Louis E. Bartoshesky, MD, MPH

Stephen C. Eppes, MD

Gerard Gallucci, MD, MSH

Melissa K. Melby, PhD

Mia A. Papas, PhD

Karyl T. Rattay, MD, MS

William J. Swiatek, MA, AICP

DPHA Advisory Committee

Omar A. Khan, MD, MHS, Co-Chair

Professor Rita Landgraf, Co-Chair

Richard E. Killingsworth, MPH Erin K. Knight, PhD, MPH

Emeritus Members of the Board

Robert B. Flinn, MD

Barry S. Kayne, DDS

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EDUCATION & ENGAGEMENT The Immunization Coalition of Delaware Mission: Bring together local, state, and community organizations and individuals to promote education about vaccine preventable diseases and new vaccines, with the goal of improving access and vaccination rates throughout the lifespan.

https://immunizedelaware.org/ The ICD works in partnership with its members and their organizations to advocate for policy issues related to childhood, adolescent, and adult immunizations; reduce disparities in adult access to immunizations; and to shape the healthcare process and outcomes for Delaware residents in relation to vaccine preventable disease.

The ICD’s goal for 2021 was to continue educating the public about COVID-19, as well as provide education about the different COVID-19 vaccines being created, tested, and ultimately approved. It became a member of the Communications Subcommittee of the Delaware Division of Public Health’s Coronavirus Vaccine Taskforce.

Due to the ongoing COVID-19 pandemic, all quarterly meetings of the ICD were held virtually this year. Alongside the standing discussion items (influenza updates, school health, and global emerging infectious disease), the ICD received updates on vaccines, ongoing vaccine education programs, and the state of childhood vaccinations in Delaware.

The ICD’s website is https://www.immunizedelaware.org/, and has sections for both healthcare professionals and the public, with links to immunization stories in the news, a Delaware-specific Coronavirus page, a section on the flu season, and other immunization topics. The ICD also publishes its Week in Review on Mondays.

On December 13, the ICD was pleased to collaborate with the Medical Society of Delaware (MSD) and the Delaware Division of Public Health (DPH) on the annual Communicable Disease Summit. The theme of the 2021 Summit was “How 2020 Changed the World.” Over 100 people attended virtually, and the event was moderated by the ICD’s program manager, Dr. Kate Smith. Presentations included: • Update on Delaware Health, by Dr. Karyl T. Rattay, Director of the Delaware Division of Public Health; • Delaware Response to the COVID-19 Pandemic, by Dr. Rick Hong, Medical Director of the Delaware Division of Public Health; • Vaccine Hesitancy, by Dr. Jonathan Miller, Medical Director of Value-Based Care for Nemours Delaware Valley Operations; • Vaccine Development, by Dr. Michael J. Smith, Professor of Pediatrics and Pediatric Infectious Diseases at Duke University Medical Center; • A Panel Discussion, featuring most of the speakers, regarding the state of the COVID-19 pandemic locally, nationally, and globally; • Travel Medicine and the Impact of COVID-19, by Dr. Scott Olewiler, Infectious Disease and Travel Medicine Specialist at Beebe Healthcare; and • Pandemics and the Global Response, by Dr. David Weber, the Charles Addison and Elizabeth Ann Sanders Distinguished Professor of Medicine, Pediatrics and Epidemiology at the UNC School of Medicine and UNC Gillings School of Global Public Health.

The conference was accredited by MSD for 6.0 AMA PRA Category 1 Credit™ of continuing medical education.

All presentations were recorded, and they can be accessed on the ICD’s website at https://immunizedelaware.org/2021communicable-disease-summit/.

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Delaware Chronic Disease Coalition Mission: Provide a reliable resource of information about the prevention, diagnosis, and treatment of chronic disease for all Delawareans; and provide ongoing support for those living with chronic disease.

https://dechronicdiseasecoalition.org/ The Academy/DPHA and the Public Health Management Corporation (PHMC), along with the Health Promotion and Disease Prevention Section of the Delaware Division of Public Health, Quality Insights, and We Work for Health began planning a Delaware Public Health Institute Chronic Disease Conference. The virtual conference will be held on March 7, 2022, at the Del-One Conference Center in Dover. The focus of the conference is on health policy, and will include panel discussions on early detection, treatment, and management of chronic disease; as well as the social determinants of health. A portion of the day will also be spent discussing advocacy priorities in Delaware.

Back Office Support Stroke Program http://delawarestrokeresources.org/ The Academy/DPHA continued to assist the Stroke Support Group with both planning speakers and the content of the website (www.delawarestrokeresources.org). All Support Group meetings in 2021 were held virtually, due to the ongoing COVID-19 pandemic.

Delaware Health Sciences Alliance The Academy/DPHA continued to assist the Delaware Health Sciences Alliance (DHSA) with website updates, planning and registration for the 2021 Delaware Day Event and the 2021 Research Competition, and their ongoing work with the Delaware Institute of Medical Education and Research (DIMER) to increase student awareness of the DIMER program and varying pathways to medical school for Delaware students.

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EDUCATION & ENGAGEMENT Conferences and Educational Events John Scholz Stroke Education Conference The 2021 John Scholz Stroke Education Conference was held virtually on Saturday, October 16, and over 100 people attended. The keynote speaker was Dr. Anna Cervantes, Director of the Comprehensive Stroke Center at Boston University, who discussed the Neurologic Complications of COVID-19. Other speakers included: • Aneurysms & Sub-Arachnoid Hemorrhage, by Dr. Sudhakar Satti, Associate Medical Director of Neurointerventional Surgery at ChristianaCare; • The Psychological Effects of Stroke and Post-Stroke PTSD, by Dr. Nancy Devereux, Psychotherapist at ChristianaCare; • An Update on Tenecteplace, by Dr. Sridhara Yaddanapudi, Neurology and Vascular Neurologist at ChristianaCare; • Safe Discharge Planning of Stroke Patients from Acute Care, by Jamir Dobson, Director of Care Management and Manager of Social Services at St. Francis Hospital; and • Technology and Stroke Rehabilitation by Dr. Louis N. Awad, Assistant Professor of Physical Therapy at Boston University.

The conference was accredited for 3.75 AMA PRA Category 1 Credit™ of continuing medical education from the Medical Society of Delaware, and 3.75 hours of continuing education for physical therapists, occupational therapists, and speech pathologists.

Mini Medical School Mini Medical School, a program of the Academy/DPHA and ChristianaCare, was held on consecutive Thursdays from April 15 to May 20, 2021. Due to the ongoing COVID-19 pandemic, lectures were given via the Zoom platform. Participants had three options: watch and/or listen to the presentation live via zoom or telephone, or watch the presentation afterwards online via a YouTube link posted on https://delawareminimed.org.

Overall, 481 individuals registered for the 2021 program; of these, 276 attended at least one session. Many attendees were high school students, and the majority were Delawareans. The 2021 program included the following sessions: • Week 1. The Center for Hope and Healing: The Intersection of Behavioral Health, Social Determinants of Health, and Physical Health, by Dr. Diane Bohner, Medical Director of Patient and Family-Centered Care and Resource Management at ChristianaCare; • Week 2. COVID-19 Update, by Tim Bowers, Vice President of Clinical Effectiveness at ChristianaCare; • Week 3. The Importance of Prostate Screening and the Latest in Treatment Options, by Dr. Mihir Shah, Urologic Surgeon at ChristianaCare; • Week 4. CRISPR and Gene Editing, by Dr. Brett Sansbury, Leader of Discovery Research at the Gene Editing Institute at ChristianaCare; • Week 5. The Global Burden of Stroke, by Dr. Kate Smith, Program Manager at the Academy/DPHA (note: this presentation was a last-minute change due to the unavailability of the scheduled presenter); • Week 6. Racism and Health by Dr. Marshala Lee, Harrington Trust Physician School and Family Medicine Physician at ChristianaCare.

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Medical/Dental Lecture Series at Osher Lifelong Learning Institute The Academy/DPHA led the Medical/Dental Lecture Series for both the Summer (4-week) and Fall (11-week) semesters. These presentations were completely virtual, due to the ongoing COVID-19 pandemic and the increased health risk to the participants of the program, who are adult learners over the age of 65 years.

The pandemic also meant that the traditional guest lecturers were unavailable to discuss proposed topics with students. Thus, presentations were curated from vetted online sources, and question and answer sessions with Dr. Kate Smith and Mr. Tim Gibbs followed.

In the summer, the class met every Tuesday in July.

• July 6. Healthy Aging: Promoting Well-Being in Older Adults • July 13. The Surgeon General’s Report on Oral Health • July 20. The Top Ten Medical Advances in History, The Biggest Medical Breakthroughs of the Last Decade, and Medical Technologies of the Future • July 27. Student Choice In the fall, the class met every Tuesday morning from September 8 – November 16. The syllabus for the fall was chosen and confirmed by the class during the second meeting.

• September 21. Alzheimer’s Disease and Dementia • September 28. Diabetes • October 5. Heart Health • October 12. Kidney Health • October 19. Sleep Apnea/Snoring • October 26. Lymphedema • November 2. TMJ and Bone Health • November 9. MS and Other Movement Disorders • November 16. CRISPR and Gene Editing

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ARCHIVES AND HISTORY Delaware Academy of Medicine Archives – 2021 Report Sharon Folkenroth Hess, M.A., Collections Manager

IMPROVING ACCESS TO THE ARCHIVES Since the onset of the pandemic, Academy/DPHA employees transitioned to working remotely with little disruption.

The Archives, however, were closed to both employees and the public. Though the Archives reopened in spring 2021, the ChrisitanaCare campus halts non-essential visitation during periods of increased COVID-19 hospitalizations.

Ongoing and frequent outbreaks rendered the collections and exhibits nearly inaccessible to the public. Unfortunately, global health crises are when historical research and perspectives on medical science and public health are needed most. The documents and objects within the Archives provide the essential social and cultural context to understand the complex and often disparate responses to the pandemic amongst Delaware’s population.

To continue our vital mission to share the history of healthcare and medical science in Delaware, the Archives has committed to digitizing all objects, art, and archival collections and creating an online museum by 2023. Work on the project began in January 2021.

This project is divided into two distinct phases: stewardship and public access. In November 2021, the Archives applied for and received additional funding from the Delaware Humanities’ ARP RECOVER/RENEW Grant. The $11,000 received from the grant will cover staff hours needed to complete the first phase of digitization. Phase one is expected to finish in December 2022.

Figure 1: from the recently photographed Homeopathy Collection

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KIOSK In 2020, the “Wall of Presidents” in the Ammon Center was removed and placed into storage in the Archives. That fall, preparations began for putting an interactive touch screen kiosk in the Ammon Center to display the portraits and provide an additional medium for public education and engagement. Once the Academy purchased the display software in December, the Archives began to design the digital exhibits.

The three presentations on the kiosk include a history of the Delaware Academy of Medicine/Delaware Public Health Association and our mission and programming; a timeline of the history of public health and medicine in Delaware; and biographical sketches of the Academy’s presidents (see image). In fall 2021, a history of the ChristianaCare medical libraries was added once it was determined that the Lewis B. Flinn Library would house the kiosk near the Archives’ display cases.

Though initially projected to be a multi-year endeavor, the kiosk exhibits debuted at the Annual Meeting in June 2021. Modified versions of the presentations are available on the www.delamed.org site.

Figure 2: Biographical sketches featured on the new kiosk

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ARCHIVES AND HISTORY DELAMED.ORG In early 2021, the online finding aids were condensed and edited for more straightforward navigation. Since spring 2021, the Archives has seen a threefold increase in research inquiries.

The Archives added a new page to the website in April under the “Archives and Collections” tab. It features essays on local history topics, showcases objects from the collection, and provides a space for digital versions of the physical exhibitions. As of 2022, there are 13 articles available and a timeline of medicine and public health in Delaware. An online museum portal will replace this page in 2023.

Figure 3: From the Archives: The Healing Arts in History

Funding has been provided from the National Endowment for the Humanities (NEH) and Delaware Humanities as part of the 2021 American Rescue Plan (ARP) Act.

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NEW ACQUISITIONS In February and November 2021, the Archives received two donated collections: the Nancy E. (Johnson) Smith Collection (see Figure 4) and the Smith Pharmacy Collection. The first contains photographs, yearbooks, documents, and nursing ephemera from the nurse and life-long Delaware native Nancy E. Smith. Her husband, Thomas Smith, owned and was the pharmacist of Smith Pharmacy in Claymont from the 1960s through the early 2000s. His father founded the pharmacy Smith & Strevig drugstore in 1917 with a partner.

The Smith Pharmacy collection consists of three main elements: artifacts preserved from the original Smith and Strevig store including chemistry show globes, pharmacy scale (see Figure 5), and pill roller; tools of the trade used

by Tom Smith in his business; and promotional items such as mortars and pestles, Delft pill tiles, and coffee mugs bearing the trade names of particular drug products.

Figure 4: The Nancy (Johnson) Smith Collection

Figure 5: Scale, the Smith Pharmacy Collection 11

SUPPORTING TOMORROW’S PROFESSIONALS Student Internship Program To further its mission of educating the next generation of public health and health providers in Delaware while promoting a “health in all policies” approach to public health, the Academy/DPHA accepts student interns at the high school, undergraduate, and graduate levels on a rolling basis throughout the year. Students of different backgrounds and interests are invited to apply to the program and discover the role public health plays in the Delaware Community. https://delamed.org/programs/student-internship/ During their internship, students research a public health topic of their choice, and create a program to fill a need within that topic. Nine interns finished their programs in 2021:

Kelly Boyle Graduate Student, University of Delaware Racial Disparities in CVD

Danielle Cooper, MPH-c Graduate Student, University of Arizona Medical Respite Program for Homeless Individuals

Natalie Gildea High School Student, Archmere Academy Mental Health in Healthcare Workers

Julia Pascucci Undergraduate Student, University of Delaware COVID-19 Vaccination in Parents

Graciela Rayome Graduate Student, University of Delaware Biden School of Public Policy Health Care Workforce Initiative

Elizabeth Stoecker High School Student, Appoquinimink High School Eating Disorders

Parker Vakili Undergraduate Student, Duke University Mental Health and Social Media

Taylor Waltemire High School Student, Appoquinimink High School Asthma/Allergies in High School

Sarah Wells, Undergraduate Student, University of Delaware Infant Mortality & Prematurity

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Student Financial Aid The Academy’s Student Financial Aid program was established in 1961 to help encourage Delaware students to study medicine and dentistry. To date, over 300 students have received close to $2 million in loans. While the Academy has funds to support both medical and dental students, we have only received applications from medical students for the past several years. Funds are made available through endowments established by doctors, dentists, and other benefactors. The Delaware Academy of Medicine has six separate funds specifically for the purpose of issuing student loans. The program is self-sustaining in that the loans are given based on the amount of money collected annually from the students after they graduate. Any student interested in applying for a loan can submit an application to the Academy by May 15th of each year. To be eligible, students must be Delaware residents enrolled in medicine or dentistry at an accredited graduate school.

The Delaware Academy of Medicine approved loans for four Delaware students studying medicine in 2021. Of the four students, three are enrolled at Sidney Kimmel Medical College and 1 at the University of Pittsburgh.

We are continuing the work to convert the financial apparatus of the SFA program to an electronic platforml.

This platform will allow students to make updates to their contact information, make payments, and see real time loan repayment status. We also hope to see Delaware dental students apply to the program.

We are also keeping a close eye on the economy. With costs and insurance rates increasing, the Delaware Academy of Medicine will continue to work to keep our rates low.

Zach Bopp A third-year medical student at SKMC at Thomas Jefferson University on clinical rotations at ChristianaCare. Currently interested in emergency medicine (EM) or combined EM-IM (internal medicine). His scholarly interest is in population health and has been working on a research project assessing ED utilization of language assistance for patients with limited English proficiency. He is transitioning this to a quality improvement initiative where he will implement a training module for ED staff on the proper use of interpreters. For this project, he received second place at an oral presentation competition at the AAEM22 national conference and recently presented it at the Jefferson Disparities summit. In his free time, you can find him playing club soccer against other graduate programs or exploring new restaurants with family and friends.

Kayla Morrell Kayla attended the University of Delaware with a major in biology and minor in anthropology and is now a third-year student at Sidney Kimmel Medical College of Thomas Jefferson University. She just recently started her clinical rotations with the Branch Campus Program at Christiana Hospital after finishing up a gap year, in which she worked on a project with Nemours Hospital to develop a health education program for elementary-aged students and helped her husband open a second franchise location of The Tutoring Center.

After graduation, Kayla plans to stay local and go into pediatrics.

Alissa Werzen After graduating from the University of Delaware, Alissa attended medical school at Sidney Kimmel Medical College of Thomas Jefferson University in Philadelphia, PA. She pursued medicine-pediatrics residency at the University of Maryland Medical Center (UMMC) in Baltimore, MD. Alissa found herself drawn to Infectious Diseases (ID) cases throughout residency, so she stayed at UMMC to complete fellowship training in ID (during the middle of the pandemic). She also served as a chief resident for patient safety and quality improvement. Alissa is currently in her first year as an attending at Jefferson New Jersey and live in Philadelphia, PA with her husband (a Delaware native).

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PUBLIC HEALTH PARTNERSHIPS Delaware Chapter of the American Planning Association https://delawareapa.wpcomstaging.com/ Continuing the partnership formed in 2016, the Academy/DPHA and the Delaware Chapter of the American Planning Association continue the tradition of holding a joint, annual conference explore and reinforce the deep ties between planning and public health. The 2021 conference focused on COVID-informed planning and implementing Equity in Planning.

Delaware Division of Public Health https://www.dhss.delaware.gov/dhss/dph/index.html Since 2013, the Academy/DPHA has partnered with the Division of Public Health (DPH) to fund the Immunization Coalition of Delaware (ICD). The ICD works to improve access to vaccines and increase vaccination rates across the lifespan for the people of Delaware, attends health fairs, and holds the Communicable Disease Summit every December.

Delaware Health Care Commission https://dhss.delaware.gov/dhcc/ With financial support from the Delaware Health Care Commission (DHCC) the Academy/ DPHA continued its work on the Delaware Health Force (DHF) initiative, a comprehensive workforce development and public health analysis for the State of Delaware. DHF is a first of its kind effort to create a public-private partnership to gather and aggregate data, and introduce geographic mapping of population demographics and trends, all to better inform policy decisions and resource allocations based on the ever-changing needs of the community. Other key components of the initiative include an expansion of the Academy/ DPHA student financial aid program, expansion of Delaware Mini Medical School, and development of specialty residency and fellowship slots in key shortage areas.

Delaware Health Sciences Alliance https://dhsa.org/ The Academy/DPHA assisted the Delaware Health Sciences Alliance (DHSA) with planning and registration for the Delaware Day and Research Competitions, and attended several outreach sessions geared toward high school and undergraduate students interested in the health professions.

Delaware Stroke Initiative https://destroke.org/ Once again, the Academy/DPHA worked with the Delaware Stroke Initiative (DSI) to hold the John Scholz Stroke Education Conference in October. Another key component of this partnership is the Stroke Support Group for stroke survivors, family members, and caregivers held on the first Thursday of each month.

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Delaware Public Health Institute https://www.delawarephi.org/ The Delaware Public Health Institute (DPHI) started as a collaboration between founding partners, Public Health Management Corporation (PHMC), Pennsylvania’s public health institute based in Philadelphia, and the University of Delaware, College of Health Sciences (CHS). DPHI is the first and only public health institute in Delaware. In 2021 the Delaware Academy of Medicine / Delaware Public Health Association entered a strategic alliance with DPHI to introduce and develop new programs and educational opportunities for professionals or all types.

DPHI is recognized by the National Network of Public Health Institutes (NNPHI) as the first institute of its kind in Delaware, due to the unique partnership between the University of Delaware, College of Health Sciences, a state leader in healthcare innovation and education and Public Health Management Corporation, an existing public health institute. DPHI was developed in recognition of the fact that many health needs and services cross state lines between Delaware and Southeastern Pennsylvania. PHMC’s alignment with other agencies serves as a model for the growth of multi-sector partnerships in the development of PHIs. The Academy/DPHA and DPHI plan a series of “institutes” to address fundamental issues common to the region.

This will start in early 2022 with a conference on Chronic Disease.

MidAtlantic Public Health Professionals https://midlantic.org The Mid-Atlantic Public Health Partnership was established by several state affiliates to the American Public Health Association (APHA) in an effort to collaborate across state lines around common public health challenges. The Delaware, Maryland, and Pennsylvania Public Health Associations founded the group just before the COVID-19 pandemic was declared in 2020.

During the first year and a half of the pandemic, the partnership held weekly meetings via zoom connecting individuals and organizations across the three states for information sharing, best practices, and as a place to safely express the tension, anxiety, and frustration of working on the front lines as public health professionals.

The partnership has also held two conferences – the first about COVID-19, and the second titled “Strengthening Communities Through Trauma-Informed Public Health.” Presenters for each conference equally represented the three founding state members, as well as guest keynote speakers, including the APHA President in 2020 and 2021, respectively.

Public Health Management Corporation https://myvaccinecounts.org Under contract and in partnership with the Public Health Management Corporation, Delaware and Pennsylvania received $11.5 million in funds from the Health Resources Service Administration (HRSA) to mount a COVID-19 intervention leveraging the strength of Community Health Workers (also known as peer educators, health navigators, health coaches and public health aids). The work is focused on engaging hard to reach communities and individuals to: • Have vaccination discussions and administer initial COVID-19 vaccines to adults, • Administer follow-up booster shots, and • Make sure eligible children within these communities have been immunized.

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Delaware Journal of

Public Health

A publication of the Delaware Academy of Medicine / Delaware Public Health Association

Now in its seventh year of publication, the Delaware Journal of Public Health has been read on the Issuu.com publishing platform over 55,400 times across its 30 issues of content focused on Delaware medical, dental, and public health topics, research studies, and interventions.

As Delaware’s only peer-reviewed, PubMed indexed journal under its own publication flag, the editorial staff and volunteers are dedicated to promoting local, regional, national, and even global exposure for the articles published in its electronic pages. In fact, one fifth of the reads of the DJPH over time have been from India, Mexico, Brazil, United Kingdom, Canada, Philippines, Italy, and Indonesia.

In addition, we are pleased to bring local exposure to the activities and publications of key national institutions including the American Public Health Association, National Academy of Medicine, Trust for America’s Health, and the National Institutes of Health - Fogarty International Center.

Desktop devices represent 61% of where readers spend their time, with the remaining 39% enjoying the publication from their mobile devices. The DJPH is always dual open-access, with no fees or paywall for readers or authors, or embargo on content. The Journal also supports links to other articles, data, and resources within its articles. In addition, each issue-specific lexicon of terms and Delaware resources section enhances the readability and usefulness of the publication.

Some DJPH issues are used at Delaware institutions of higher learning, including the University of Delaware, for undergraduate and graduate course reading materials, and as a resource within sections of the State of Delaware’s Departments of Health and Social Services. We are honored by this novel use of the DJPH. As just one example, a Cecil County Public Schools representative said “This is awesome! Are there print copies available? I would love to get a class set for my Honors Anatomy & Physiology students to use each year during our unit on immunity.”

Issue focus areas in 2021 included: • Genetics / Genomics • Technology and Public Health • One Health

• Dementia in Delaware • Intellectual and Developmental Disabilities

The most important aspect of the DJPH remain our dedicated staff, volunteers, guest editors, editorial board, authors and readers. We note the following served as Guest Co-Editors during 2021: • • • •

Louis E. Bartoshesky, M.D., M.P.H., F.A.C.M.G. James M. Ellison, M.D., M.P.H. Karen M. Lopez, D.V.M., M.P.H. Charmaine Wright, M.D., M.S.H.P.

• Patrick Callihan • Randy Gaboriault, M.S., M.B.A. • S. John Swanson, III, M.D., F.A.C.S.

and on behalf of the editorial board and staff of the DJPH we appreciate the support of all the above.

Omar A. Khan, M.D., M.H.S., FAAFP Editor in Chief

Timothy E. Gibbs, M.P.H. Publisher Delaware Journal of Public Health www.djph.org

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Delaware Journal of

Volume 7 | Issue 1

January 2021

Public Health A publication of the Delaware Academy of Medicine / Delaware Public Health Association

www.delamed.org | www.delawarepha.org

January 2021 What is One Health?

One Health is an approach that recognizes that the health of people is closely connected to the health of animals and our shared environment. One Health is not new, but it has become more important in recent years. This is because many factors have changed interactions between people, animals, plants, and our environment.

Volume 7 | Issue 1. Public Health – One Health 3 | In This Issue Omar A. Khan, M.D., M.H.S. and Timothy E. Gibbs, M.P.H. 4 | Guest Editor Karen M. Lopez, D.V.M., M.P.H. 6 | One Health Delaware: A Novel Approach to Health Equity Through Cross Professional Collaboration Kristin Jankowski, V.M.D., C.C.R.P. 8 | Furthering the One Health Mission: Template for Establishing Student-Run One Health Groups on College Campuses Halle Fitzgerald, Mugdha Parulekar, Eliana Schach, Gloria Bachmann, M.D., M.M.S. 14 | Vibriosis: What You and Your Patients Need To Know Andrew Bell, Michael Bott 22 | Microbial Source Tracking in the Love Creek Watershed, Delaware (USA) Christopher R. Main, Ph.D., Robin Tyler, Ph.D., Sergio Huerta, M.D. 32 | Using Meat Labels to Communicate the Risk of Antimicrobial-Resistant Bacterial Infections from Foods of Animal Origin: The Case for a Balanced One Health Approach to Raising Food Animals G. Donald Ritter, D.V.M., A.C.P.V. 38 | COVID-19 Acutely Impacted the Delmarva Poultry Industry in Early 2020 Christopher Brosch, M.Sc., Georgie Cartanza 40 | Global Health Matters Fogarty International Center 52 | Live Bird Markets of the Northeastern United States Jarra F. Jagne, D.V.M., Joy Bennett, D.V.M., M.P.H., D.A.C.V.P.M., Eireann Collins, D.V.M. 58 | Pollinators are Essential Workers Emily Wine, M.S. 62 | COVID-19 Pandemic Strengthens Human-Animal Bond Sheri L. Wood, D.V.M. 64 | Delaware Partnership for One Health Douglas D Riley D.V.M. 66 | Lone Star Ticks (Amblyomma americanum): An Emerging Threat in Delaware Ashley C. Kennedy, Ph.D., M.S., B.C.E., Emily Marshall, M.S. 72 | Sentinel Chickens and Their Role in Mosquito-Borne Virus Surveillance in Delaware Shaun McIntire, Matt Esposito, John Badger 76 | Emergency Patient Voting Initiative in a Community Hospital During a Global Pandemic: Lessons and a Call-To-Action for Expanded Voter Access Carly Chamberlain, D.O., Henrique Jaime, M.D., Diana Wohler, M.D. 78 | From the History and Archives Collection Anthrax Sharon Folkenroth Hess, M.A. 82 | One Health - RESOURCES 83 | One Health - LEXICON 84 | Index of Advertisers

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PROVIDING A VOICE AND PLATFORM Delaware Journal of

Volume 7 | Issue 2

March 2021

Public Health A publication of the Delaware Academy of Medicine / Delaware Public Health Association

Diversability: Thriving with Intellectual and Developmental Disability

www.delamed.org | www.delawarepha.org

March 2021 The term Diversability is currently a movement as the preferred term to replace the word “disability and disabilities”. The word “disabilities” is said to be associated with the past and people’s negative experiences with institutions. The term Diversability however embraces the uniqueness and potential in every human being, disabled or non-disabled.

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Volume 7 | Issue 2. Diversability: Thriving with Intellectual and Developmental Disability 3 | In This Issue Omar A. Khan, M.D., M.H.S. and Timothy E. Gibbs, M.P.H. 4 | Guest Editors S. John Swanson, III, M.D., F.A.C.S. and Charmaine Wright, M.D., M.S.H.P. 6 | Intellectual Developmental Disabilities: Definitions, Diagnosis, and Delivery of Care Louis E. Bartoshesky, M.D., M.P.H., F.A.C.M.G., Charmaine Wright, M.D., M.S.H.P. 10 | Disability as a Determinant of Health: Lessons from the Pandemic Elizabeth Ashford, Michael Atkins, Marissa Band, J.D., M.P.A.P., David P. Donohue, M.D., F.A.C.P., Robert L. Hayman, Jr., J.D., L.L.M., Shannon Mace, J.D., M.P.H., Maija Woodruff 18 | Project SEARCH Takashi Rhoulac, M.Ed 20 | Person First Language Mary M. Stephens, M.D., M.P.H. 22 | Access to Employment as Access to Health: Revisiting the Better Bottom Line An interview with former Governor Jack Markel and former Secretary Rita Landgraf Jody A. Roberts 28 | Inestimable Harms: COVID-19 Vulnerability Among Delawareans with Disabilities Elizabeth Ashford, Daniel G. Atkins, J.D., Michael Atkins, David P. Donohue, M.D., F.A.C.P., Caleb W. Hayman, Shannon Mace, J.D., M.P.H., Maija Woodruff 34 | Global Health Matters Fogarty International Center 46 | Delaware Foundation Reaching Citizens Anthony Glenn, Ed. D 48 | Let’s Talk About Sex: Sex and Relationship Education for People with Intellectual Disabilities Isabella Weber, M.P.H., Izzy Kaufman, M.Ed. 52 | Special Olympics is a Viable Well-Being Choice for Healthcare Providers’ Patients with Intellectual Disability Jon Buzby 54 | Health Checks for Care Margot West 64 | What 2020 Taught Us about the Politics and Teaching of Public Health Erin Knight, Ph.D., M.P.H., Corinne Bogan 68 | Know As You Go: Pilot Program of Point-of-Care SARS-CoV-2 Antigen Screening Testing in Delaware Schools Richard M. Pescatore, D.O., Dana Carr, M.P.H., Christopher M. Gaeta, Christine Alois, Ed.D., Susan Haberstroh, M.P.A., Ed.D., Kendall Massett, Mitch Weiss, Ed.D., Ann Covey, B.S.N., R.N., N.C.S.N., Karen Kleinschmidt, M.Ed., N.C.S.N., R.N., Rebecca D. Walker, Ph.D., J.D., M.S.N., William Chasanov, D.O., M.B.A., Susan Bunting, Ed.D. Molly Magarik, M.S., Karyl T. Rattay, M.D., M.S., Rick Hong, M.D. 72 | From the History and Archives Collection: One for All and All in One? Sharon Folkenroth-Hess, M.A. 76 | IDD - LEXICON 78 | Delaware Ages 21 and Older Checklist- Intellectual or Developmental Disability 84 | IDD - RESOURCES 85 | Index of Advertisers 96 | Delaware COVID-19 Homeless Community Outreach Partnership 2020 Rita Landgraf, Susan Holloway, Renee Beaman, Ray Fitzgerald 102 | Global Health Matters Fogarty International Center 114 | Delaware COVID - Lexicon 115 | Delaware COVID - Resources 122 | Index of Advertisers

Volume 7 | Issue 3

Delaware Journal of

July 2021

Public Health A publication of the Delaware Academy of Medicine / Delaware Public Health Association

Technology and Public Health

The 91st Annual Meeting www.delamed.org | www.delawarepha.org

page 66

July 2021 The role between technology and public health has never been more critical: how we research, plan, and respond and how we interact and inform are based on our connectedness to the whole. Technology and internet access are now just as important as running water and electricity.

This new social determinant of health moves at the speed of innovation, and can be tailored to a population’s needs in a matter of days.

Volume 7 | Issue 3. Technology and Public Health 3 | In This Issue Omar A. Khan, M.D., M.H.S. and Timothy E. Gibbs, M.P.H. 4 | Guest Editors Patrick Callihan and Randy Gaboriault, M.S., M.B.A. 6 | The Value (and Nuances) of Mapping as a Public Health Tool James P. Highberger, M.P.A. and Sharon Merriman-Nai, M.C. 10 | W hat is the Delaware SEOW? Sharon Merriman-Nai, M.C. 14 | Poverty, Racism, and Its Impact on Riverside Logan Herring 16 | A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware Rini Jose, M.P.H., Deborah Kahal, M.D., M.P.H., Karla Testa, M.D., Neal D. Goldstein, Ph.D., M.B.I. 24 | Bayhealth, COVID-19 and Technology – Safely Discovering our New Normal Richard Mohnk, M.S.A., M.T.(ASCP) 28 | The Data Dilemma: How Delaware is Responding to the CDC’s Recommendations on Gun Violence Meghan Wallace 32 | COVID-19, Preparedness, and Technology: Meeting Access and Functional Needs at Vaccine Points of Dispensing and Beyond Debra Young, M.Ed., O.T.R./L., S.C.E.M., A.T.P., C.A.P.S., F.A.O.T.A. 36 | Evolution of the Delaware Epidemiology Response to COVID-19 Erica Smith, M.P.H., Ph.D and Tabatha N. Offutt-Powell, Dr.P.H., M.P.H., B.S. 50 | Beyond COVID-19: Technology and Connectivity Help Bridge the Divide in Equitable Care Sharon Anderson, R.N., B.S.N., M.S., FACHE 58 | Delaware’s My Healthy Community Data Platform: At The Intersection of Public Health Informatics and Epidemiology Tabatha N. Offutt-Powell, Dr.P.H., M.P.H., B.S., Marcy Parykaza, M.G.A., Michael Knapp, M.E.M Cassandra Codes-Johnson, M.P.A., Ian Kozak, B.A., Matt Muspratt, M.E.M. 66 | The 91st Annual Meeting 67 | Inaugural Address S. John Swanson, M.D. 68 | A Glace at the Rear View Mirror Omar A. Khan, M.D., M.H.S. 69 | 91st Annual Meeting Pictures 70 | New Board Memebers 71 | 91st Annual Meeting Program 88 | Global Health Matters Fogarty International Center 100 | Educational Interventions to Promote COVID-19 Vaccination Among Parents Julia Pascucci 112 | Medical Respite Programs for People who Experience Homelessness Danielle Cooper 118 | From the History, Archives, and Collection: One for All and All in One? Sharon Folkenroth-Hess, M.A. 120 | Index of Advertisers

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PROVIDING A VOICE AND PLATFORM Delaware Journal of

Volume 7 | Issue 4

September 2021

Public Health A publication of the Delaware Academy of Medicine / Delaware Public Health Association

Dementia in Delaware:

Perspectives and Progress

Special Section on page 38

www.delamed.org | www.djph.org

September 2021 Dementia, also known as Major Neuraocognitive Disorder, is an acquired impairment of cognitive, emotional, and behavioral function that affects an estimated 50 million people worldwide. The most common dementia is Alzheimer’s Disease. Family caregivers, health care providers, and public services are working to improve the lives of the 19,000 people with dementia who live in Delaware.

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Volume 7 | Issue 4. Dementia in Delaware: Perspectives and Progress 3 | In This Issue Omar A. Khan, M.D., M.H.S. and Timothy E. Gibbs, M.P.H. 4 | Guest Editor James M. Ellison, M.D., M.P.H. 6 | The State of Dementia in Delaware: History and Efforts to Ensure Availability of Necessary Supports and Services Julie P. Devlin, Esq. and Sydney Garlick, M.P.H., M.S.W. 16 | Advocacy for Alzheimer’s Aimee Isaac, M.S 20 | On the Frontlines of the Alzheimer’s Crisis: Advocacy Organizations in Delaware and Nationwide Urge Public Health Intervention to Curb Staggering Disease Trends Katie Macklin, M.P.A. 24 | Expanding Alzheimer’s Research at the University of Delaware and Beyond: Proposed Delaware Center for Cognitive Aging Research (DECCAR) Christopher R. Martens, Ph.D., Matthew L. Cohen, Ph.D., Alyssa M. Lanzi, Ph.D., Curtis L. Johnson, Ph.D. 32 | An Innovative Non-Pharmacologic Treatment for Delusional Misidentification in Persons with Major Neurocognitive Disorder Anne E. Adams, Ph.D., Jennifer Rittereiser, M.P.H., Alisha Garcia, M.S., L.P.C., N.C.C., Melany Sattler, M.S.W., James M. Ellison, M.D., M.P.H. 38 | Speak for Health: An Initiative of the American Public Health Association 72 | Interview with Lieutenant Governor Bethany Hall-Long James Ellison, M.D., M.P.H. 74 | Diagnosis and Treatment of Alzheimer’s Disease: An Update Emily Bomasang-Layno, M.D., M.Sc. and Rachel Bronsther, M.D. 86 | My Loved One Has Dementia; Is In-Home Care An Option?

Anne Eidschun, C.S.A. and Jamie Ramage 90 | Dementia Care in Delaware: The Role of Long-Term Care Resources Cheryl Heiks 92 | Palliative Care of the Patient with Dementia Raja Malhi, M.D., Jennifer McElveen, D.N.P., Linsey O’Donnell, D.O. 100 | Interview with Maggie Goonan James Ellison, MD, M.P.H. 104 | Global Health Matters – May-June Fogarty International Center 116 | Now is the Time for Delaware Families to Catch Up on Missed Immunizations Kate Smith, M.D., M.P.H. 118 | Prevention of and Early Intervention for Cognitive Decline Due to Alzheimer’s Disease and Related Disorders Matthew L. Cohen, Ph.D., Alexis C. Ryan, M.A., Alyssa M. Lanzi, Ph.D., CCC-SLP3 124 | Lifelong Learning: A Key Weapon in Delaware’s Fight Against Cognitive Decline Ruth Flexman, Ph.D. 128 | Down Syndrome and Dementia: A Patient and Care-Giver Centered Approach Mary M. Stephens, M.D., M.P.H., F.A.A.F.P., F.A.A.D.M., Eileen Herge,Charmaine Wright, M.D., M.S.H.P. 132 | Global Health Matters – July-August Fogarty International Center 144 | Estate Planning to Protect Yourself and Your Assets in the Event of Incapacity as a Result of Dementia Jennifer Smith, J.D., LL.M and Jeremy Riley, J.D., LL.M 148 | Scams and Exploitation: A Growing Hazard for Delaware’s Older Population Craig Weldon and Jack Berlin, D.O. 150 | Interview with Dr. Patricia Curtin James Ellison, M.D., M.P.H. 152 | Helping Mothers Have Healthy Babies Sarah Wells 160 | Post-Traumatic Bio-Behavioral Rehabilitation of Adult Female Victims Kathleen Brewer-Smyth, Ph.D., R.N., C.R.R.N., F.A.A.N., Harold G. Koenig, M.D., Katherine Kafonek, Ph.D., M.S., Tyler Adams, B.A., Adrian Raine, D. Phil, Douglas A. Granger, Ph.D. 168 | COVID-19 Vaccine Hesitancy in Delaware’s Underserved Communities Sharron Xuanren Wang, Ph.D., Nicole Bell-Rogers, Ed.D., F.N.P.-c, R.N., Dorothy Dillard, Ph.D. Melissa A. Harrington, Ph.D. 176 | Dementia Lexicon & Resources 180 | Index of Advertisers

Delaware Journal of

Volume 7 | Issue 5

December 2021

Public Health A publication of the Delaware Academy of Medicine / Delaware Public Health Association

Public Health/ Population Health

Genetics/Genomics

www.delamed.org | www.djph.org

December 2021 The convergence of public health and genetics holds the possibility of improved understanding of the etiology, prevention, and management of complex diseases such as diabetes, dementia, heart disease, cancer including oral cancers, dental diseases, and syndromes.

Volume 7 | Issue 5. Public Health Genetics/Genomics 3 | In This Issue Omar A. Khan, M.D., M.H.S. and Timothy E. Gibbs, M.P.H. 4 | Guest Editor Louis E. Bartoshesky, M.D., M.P.H., F.A.C.M.G. 5 | Guest Editor Eric B. Kmiec, Ph.D. 6 | Recent Scientific Breakthroughs Applying CRISPR Gene Editing in Neurological Disorders, Mitra Assadi-Khansari, M.D., F.A.A.N., London Pamela McGill, M.S. 10 | Impact of Genetic Testing on Human Health: The Current Landscape and Future for Personalized Medicine Vicky L. Funanage, Ph.D. 12 | Realities of Pharmacogenomic and Minimizing Misconceptions and Medication Misadventures Benjamin Duong, Pharm.D. 20 | The Genetic Testing Stewardship Program: A Bridge to Precision Diagnostics for the Non-genetics Medical Provider Morgan Thomas, M.G.C., C.G.C., Louise Amlie-Wolf, M.S., C.G.C., Laura Baker, M.G.C., C.G.C., Karen W. Gripp, M.D., F.A.C.M.G. 24 | Molecular Genetic Testing for Kidney Disorders During the COVID-19 Pandemic Susan M. Kirwin, Katherine M. Robbins, Ph.D., Kathleen M.B. Vinette, Lee Hirata, Karen W. Gripp, M.D., Vicky L. Funanage, Ph.D. 32 | Development of Cell Lines for use in COVID-19 Drug Development and Research London McGill, M.S. 36 | Accelerating the Pace of Newborn Screening Research to Advance Disease Understanding and Improve Health Outcomes: Key Efforts of the Newborn Screening Translational Research Network (NBSTRN) Amy Brower, Ph.D., Kee Chan, Ph.D., M.P.H., Jennifer Taylor, Ph.D., Ross Wiebenga, Galata Tona, M.S., Yekaterina Unnikumaran, M.S., LaStephanie Barnes 38 | Life Sciences at Delaware Technical Community College Mark T. Brainard, Ph.D. 40 | Impact of the Access to Genetic Counselor Services Act Carol Nowlen, M.S. and Kendra Flores, M.S., C.G.C. 42 | CRISPR In A Box™ and the Journey Toward Inspiring New Scientists and Kristen Pisarcik 44 | An Examination of Seasonal Trends in Delaware Drug Overdoses, 2016-2020 Aswini Abraham, M.S., Andrew C. Gray, M.A., Jascha Wagner, Ph.D., Tammy L. Anderson, Ph.D. 52 | Global Health Matters – Sept-Oct 2021 Fogarty International Center 64 | Disparities in Delaware Caregiver Beliefs about the COVID-19 Vaccine for their Children Thao-Ly Tam Phan, M.D., M.P.H., Paul T. Enlow, Ph.D., Michael K. Wong, Amanda M. Lewis, M.P.H. Anne E. Kazak, Ph.D., A.B.P.P., Jonathan M. Miller, M.D. 72 | Characteristics and Outcomes of SARS-CoV-2 Infection Among Adults Living With HIV In Delaware: The Story of a Syndemic During the First 12 Months of the SARS-CoV-2 Pandemic Adam K Skrzynski, M.D., Brooke L Darmstadter, Pharm.D., A.A.H.I.V.P., Sharon P Miner, A.G.P.C.N.P.-B.C., Keshab Subedi, M.S., M.Sc., Deborah Kahal, M.D., M.P.H., F.A.C.P. 80 | Team Up For Quality Care: The Role of Primary Care Teams in Prevention Of Cardiovascular Disease Cindy Biederman, M.S.N., R.N. 92 | History & Archives: Letter to the Editor Sharon Folkenroth-Hess, M.A. 94 | Genetics Lexicon 96 | Genetics Resources 96 | Genetics More Information 97 | Index of Advertisers

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