title: Strategies, actions, and outcomes of pilot state programs in public health genomics, 2003-2008.
abstract: State health departments in Michigan, Minnesota, Oregon, and Utah explored the use of genomic information, including family health history, in chronic disease prevention programs. To support these explorations, the Office of Public Health Genomics at the Centers for Disease Control and Prevention provided cooperative agreement funds from 2003 through 2008. The 4 states' chronic disease programs identified advocates, formed partnerships, and assessed public data; they integrated genomics into existing state plans for genetics and chronic disease prevention; they developed projects focused on prevention of asthma, cancer, cardiovascular disease, diabetes, and other chronic conditions; and they created educational curricula and materials for health workers, policymakers, and the public. Each state's program was different because of the need to adapt to existing culture, infrastructure, and resources, yet all were able to enhance their chronic disease prevention programs with the use of family health history, a low-tech "genomic tool." Additional states are drawing on the experience of these 4 states to develop their own approaches.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Jeanette
authors.initials: J
authors.lastname: St Pierre
authors.affiliation: Michigan Department of Community Health, Lansing, Michigan.
authors.forename: Janice
authors.initials: J
authors.lastname: Bach
authors.affiliation: Michigan Department of Community Health, Lansing, Michigan.
authors.forename: Debra
authors.initials: D
authors.lastname: Duquette
authors.affiliation: Minnesota Department of Health, St Paul, Minnesota.
authors.forename: Kristen
authors.initials: K
authors.lastname: Oehlke
authors.affiliation: Oregon Health Authority, Portland, Oregon.
authors.forename: Robert
authors.initials: R
authors.lastname: Nystrom
authors.affiliation: Oregon Health Authority, Portland, Oregon.
authors.forename: Kerry
authors.initials: K
authors.lastname: Silvey
authors.affiliation: Oregon Health Authority, Portland, Oregon.
authors.forename: Amy
authors.initials: A
authors.lastname: Zlot
authors.affiliation: Utah Department of Health, Salt Lake City, Utah.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Giles
authors.affiliation: Utah Department of Health, Salt Lake City, Utah.
authors.forename: Jenny
authors.initials: J
authors.lastname: Johnson
authors.affiliation: McKing Consulting Corporation, Atlanta, Georgia.
authors.forename: H Mack
authors.initials: HM
authors.lastname: Anders
authors.affiliation: McKing Consulting Corporation, Atlanta, Georgia.
authors.forename: Marta
authors.initials: M
authors.lastname: Gwinn
authors.affiliation: Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333. E-mail: msb4@cdc.gov.
authors.forename: Scott
authors.initials: S
authors.lastname: Bowen
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Muin J
authors.initials: MJ
authors.lastname: Khoury
mesh_terms: D057191:Capacity Building; D002487:Centers for Disease Control and Prevention, U.S.; D002908:Chronic Disease / Q000517:prevention & control*; D018672:Community Health Planning; D005820:Genetic Testing; D023281:Genomics / Q000193:education / Q000639:trends*; D016045:Human Genome Project; D006801:Humans; D007857:Leadership; D008824:Michigan; D008910:Minnesota; D009922:Oregon; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010865:Pilot Projects; D011159:Population Surveillance; D016730:Program Development; D011634:Public Health / Q000639:trends*; D013219:State Government; D014481:United States; D014589:Utah; D000078329:Workforce