TOTAL EXPOSURE HEALTH INITIATIVE

ColKirkPhillips,MSRichardHartman,Ph.D,CIH,CSP

DisclosureInforma>onKirkPhillips,Col,MSRichardHartman,PhD,MS,CIH,CSP

Wehavethefollowingfinancialrela>onshipstodisclose:→ ConsultantandEmployeefor:USAirForceSurgeonGeneral

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Total Exposure Health What is it?

→ Exci>ngandboldini>a>vetoimprovedeliveryofcare&healthoutcomesprovidingpa>entcentricexposuremonitoring•  Increaseuseofgenomicknowledge/research•  Improveexposuremonitoringthroughsensorsandwearables

•  Be<erunderstandmonitoredexposuretoindividualhealthoutcomes

•  Advanceclinicaldecisionsupportwithdigitalbiodatabank,BigDataanalyAcs,&expertsys

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Total Exposure Health…

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Total Health (TH)

Industrial Hygiene Safety Health Promotion

Clinical Health Mental Health Behavioral Occupational Health Public Health Nutritional Health Financial Health Environmental Health

Providing Proper Interventions Requires an Understanding of Health Effects and their Root Cause – the “Exposure”

Total Worker

Health

“Comptox”

Total Exposure Health

Environmental

Workplace Environment Lifestyles

Total Exposure Health…Origins

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Total Exposure Health…Basics

Total Exposure Health… Improved Information Flow

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Total Exposure Health Why Now?

Healthcare is Changing

Current State… EOSH/Preventive Medicine

Total Exposure Health… Takes Us There

* SEG – Similarly Exposure Group

TotalExposureHealthExample(Today)

→ Enhancepreven>onthrough“Totalawareness”–  Noise–AFmember

•  DebilitaAve,highlycompensable-notjobcentric•  ByissuingportedformfithearingprotecAonwecoverTotalAirForcememberexposure-work,hobby/lifestyle,andenvironment

–  Noise–AllPopulaAons•  OneineightpeopleintheUnitedStatesaged12yearsorolderhashearinglossinbothears

–  Affectsaccessionsandbeneficiarycosts•  Soundlevellockingkioskinclinicsprovidedtopreventhearinglossinchildren&members

•  KnowngeneAcvariance

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TotalExposureHealth(NearFuture)

→ Capturinganddisplayingrootcause“Exposure”enhancesClinicalDecisionSupport–  AddingknownexposurescienceandbiomarkersallowsmoreeffecAve

clinicaltesAng,e.g.,prompts:•  Order/comparecholinesterasetesttobaselinewhenexposedtopesAcides•  labtestwhenexposedtoemergingexposures

→ Sensordevelopmentongoingtocapturetotalcumula>veenv,lifestyle&workexposuresforindividualenhancingclinicalexperience,e.g.,

•  Allorganicvaporandradexposuresonhangtags•  WearabledataintegraAonforlocaAon/envdata

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TotalExposureHealth“notso”DistantFuture

→ TEHwilldrivethedevelopmentofmedicalexpertsystems,sensorsandR&D–  ThroughTEHwewilladvancethescienceandunderstandtheeffectsof

currentlyundetectableexposuresandwhatweclinicallyknowaboutexposure,geneexpressionanddisease

–  ThroughTEHgenomicdatawillbetransparentlyincorporatedintotheclinicaldecisionprocess

–  PaAents/ProvidersaffordedTEHdatareal-AmeintohealthcareenhancingtheDr/PaAentexperience

→ TEHwillincrementallymaximizehumanperformancetonotonlyretainpersonalhealthaXributesbutenhance

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“The Distant Future is Really not that Distant”

Total Exposure Health Tying It Together

Total Exposure Health – the Promise of Big Data

Total Exposure Health Conclusion

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→ AsExposureScien>stweareposi>onedto:–  WeareposiAonedtoeffecAvelycontributetothisfundamentalchange

inourhealthcaresystemas“exposurescienAsts”–  LinkingourEOSHexperAsenotonlytotheoccupaAonaland

environmentalhealthofindividualsbutalsototheiroverallwell-being.

→ Collec>velyWeCan:–  ImprovethedeliveryofcareandhealthoutcomesprovidingpaAent

centricexposuremonitoring–  Advancescienceandtechnologythroughthedevelopmentof

biosensorsandareaSensors–  Increasetheknowledge/researchbasethroughexposomics–  BecomeacriAcaltouchpointtothepaAentandprovider

Questions?