Emanuel Finn, DDS, Emanuel Finn, DDS, MSMS Chief, Oral Heath DivisionChief, Oral Heath DivisionDC Department of HealthDC Department of HealthWashington DCWashington DC

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District of Columbia Income and Household Size by Ward

Household Income, 2003 estimates from http://dcbiz.dc.gov/info/pdf/Demographics.pdfAvg. Household Size, 1998 estimates

$0

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Avg Household Income

Avg Household Size

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Is Washington D. C.A Bourgeois Town?

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Dental Administration

Currently DC DOH has embarked on a five year plan to establish a dental infrastructure

Clinical services administered by PBC/DCGH until May 2001

May 2001- DCGH & PBC abolished Clinical services privatized through

a DCDOH Managed Care contract

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W. K Kellogg Foundation

Community Voices Collaborative The Kellogg Foundation working though

the DC Community Voices Collaborative Funded an oral health initiative which

has revived public oral health activities in the District and at the DC DOH

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Public Oral Health in DC

Last Oral Health Needs Assessment conducted in DC was in 1985

Survey of post treatment interviews at the PBC clinics

No local baseline data was available No dental directive at DC DOH or any local

agency for more than a decade and a half The school-based dental program folded in

1981 DC water supply system is 100% fluoridated

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Oral Health Assessment

Used ASTDD “Seven Step Model” Survey of Communities in the various

city wards Survey of DC Based Dental Practices Oral Health Screening of 2nd & 3rd

Graders Focused groups in the Latino,

Elderly, HIV/AIDS & Parents of CSHCNs

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Oral Health Assessment Form

Convenient for parents and providers Improved collection of data to better assist

DOH in developing and improving the healthcare delivery system in the District of Columbia

OHA forms available for public use in Summer 2004

The outcome: A standardized enrollment process for entry into

all DC Public Schools, Head Start, Childcare, camp, after school and sports/athletic programs

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Oral Health Leadership Summit First ever in DC- July 2003 Theme: Building on a Framework for Improving

Oral Health in DC Summit Goals

Broaden ownership for oral health in DC Increase awareness of scope of oral health problems in DC Discuss & develop:

Prevention and access strategies for oral health in DC Strategies that enhance the coordination, distribution or

replication of successful efforts Funded by W. K. Kellogg Foundation and the Association of

State and Territorial Dental Directors

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Inaugural School

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% Children in School Based Program w/ Cavities

54.43

17.73 16.26

2.83

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Decayed Primary Teeth Decayed PermanentTeeth

Filled Primary Teeth Filled Permanent Teeth

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Promoting Oral Health Program

Panelist on the WTUSA-TV 9 Andrea Roane Show - discussion on children’s health in the District

Presented at: National Primary Oral Health Conference (Dallas) PHS Region II Dental Coalition Meeting (Florida) National Oral Health Conference regarding DC

Oral Health Program (Milwaukee) 2004 NASBHC Annual Conference (New Orleans)

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DC Oral Health Coalition Formed Summer 2004 Goals

Increase recognition to public oral health Advancing advocacy and resource development Initiate legislative grassroots action Initiate & engage in multidisciplinary discussions/forums Develop recommendations to improve oral health

Subcommittees: Oral Health Promotion, Prevention & Consumer Education Media, Reimbursement & Improvement Policy & Infrastructure Development

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Public/Private Partnerships

Colgate Palmolive Bright Smiles/Bright Futures Program

DCDS (GKASD), HDA, NDA, Robert T. Freeman Dental Society, ASTDD, HRSA, MCOs

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Where Do We Go From Here?

Certainly Up!!! Disaster Preparedness-

Katrina, Bioterroism, Avian Flu epidemic!!!

Oral cancer cessation in the District

Access issues!!!! More partnerships

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Are We Airborne Yet? 2ND Oral Health Summit – November

2005 (Shaping the Future: From Cavities to Oral Cancer)

Bioterrorism & Dentistry Plan in DC City Council has made more $$

available for adult Medicaid services Need more $$$$ for School Program Oral Health Plan

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Question & Answer

Do I have the bourgeois (public dental health) blues in a bourgeois town?- Huddie (Leadbelly) Ledbetter, December 1938

a) maybeb) sometimesc) most timesd) all the timee) never

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Questions/Comments