Grand Rounds Presentations
The Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues. Each session focuses on key challenges related to a specific health topic, and explores cutting-edge scientific evidence and potential impact of different interventions. The Grand Rounds sessions also highlight how CDC and its partners are already addressing these challenges and discuss the recommendations for future research and practice.
- Advanced Molecular Detection
- Alcohol Use
- Antibiotic Resistance
- Birth Defects Prevention
- Brain Injury
- Cancer Screening
- Childhood Immunization
- Child Maltreatment
- Childhood Obesity
- Child Survival
- Chlamydia Prevention
- Climate Change
- Disability Health
- Drug Overdoses
- Electronic Records
- Folic Acid
- Foodborne Diseases
- HAI Eliminating
- Healthy Aging
- Hepatitis C Virus
- HIV Prevention
- HIV - Pre-Exposure Prophylaxis
- HPV Vaccine
- Infant Mortality
- Injection Practices
- Injury and Violence
- Lyme Disease
- Malaria Eradication
- Million Hearts® - 2012
- Million Hearts® - 2014
- Medical Mysteries
- Multidrug-resistant Tuberculosis
- Newborn Screening
- Partner Violence
- Polio: Global Eradication
- Polio Eradication in India
- Preventing Youth Violence
- Rabies Elimination
- Radiological Disasters
- Resistant Gonorrhea
- Science Impact
- Sodium Reduction
- Targeted HIV Prevention
- TB & HIV
- Tobacco Regulation
- Traffic Deaths
- Teen Pregnancy
- Tobacco Control
- Venous Thromboembolism
- Vitamin D
- Unusual Transplant Infections
Polio is a crippling and potentially deadly infectious disease. The virus spreads from person to person and can invade an infected person’s spinal cord, causing life-long paralysis or in rare instances, death. The eradication of polio remains an important priority for the CDC and many of its global partners. Over the past 25 years, the number of polio cases reported worldwide has fallen from an estimated 350,000 in 1988 to only 407 in 2013—a decline of more than 99%, but there remains work to be done.
CDC and its partners are working together to identify both genetic and environmental risk factors that may contribute to the development of birth defects. Folic acid fortification has been a major success in the prevention of some types of birth defects and there is ongoing research on the impact of interventions that target obesity, smoking, and diabetes. We have made great advances, but there is still much that can be done to understand and prevent birth defects.
Changes occurring in the world’s climate pose significant threats to human health and wellbeing and will have even greater impacts in the future. These threats are wide-ranging, including decreased air quality and increases in extreme weather events, wildfire, and illnesses transmitted by water, and disease-carriers, such as mosquitoes and ticks.
While some organ transplantations are life-saving procedures, serious illness and death can occur from undetected infections in donor organs and tissues.
The expanded role of 21st century pharmacists will position them to have greater impact in the shifting landscape of health care and public health. Beyond the dispensing of medications, pharmacists also provide a spectrum of prevention and treatment services to help improve health outcomes.
Heart attacks and strokes contribute to the almost 800,000 deaths from cardiovascular disease each year. The trauma to families and communities is devastating; the cost to the US economy is nearly $1 billion each day in medical costs and lost productivity. To achieve sustainable prevention, the Department of Health and Human Services launched Million Hearts®, a national initiative to prevent one million heart attacks and strokes by 2017.
Thirty years ago family planning was synonymous with using contraception and the prevention of pregnancy. Today, that definition has changed immensely to recognize the importance of helping couples achieve pregnancy. In general, infertility is defined as not being able to get pregnant (conceive) after one year of unprotected sex (6 months for women 35 or older).
Twenty-five years ago CDC played a pivotal role in the discovery of the virus that causes hepatitis C. After the isolation of HCV, implementation of screening of blood products and organs for donation led to a decrease in rates of HCV infection between 1990 and 2009. In spite of these successes, HCV still remains a serious threat, both domestically and abroad. HCV remains the most common chronic blood borne infection in the United States, affecting approximately 3.9 million individuals.
An estimated 50,000 individuals become infected with the human immunodeficiency virus (HIV) in the United States annually. A new prevention strategy, Pre-exposure Prophylaxis (PrEP), is intended for high-risk populations to reduce their risk of becoming infected with HIV. PrEP includes daily medication and routine follow-up. When used consistently, PrEP is shown to reduce the risk of HIV infection.
Autism spectrum disorder (ASD) is a group of developmental disabilities that can cause significant social, communication and behavioral challenges. Global prevalence of autism has increased twenty- to thirty-fold since the earliest studies 40–50 years ago.
Tuberculosis is an ancient disease that remains an important global cause of morbidity and mortality. In most cases, TB can be treated and cured by taking a combination of several drugs for 6 to 12 months. When inappropriate or incomplete treatment takes place, however, TB bacteria can develop resistance to multiple drugs.
Have you ever wondered what kind of impact CDC science has? Did you ever want to know if your published research is likely to have impact on a significant health outcome? Traditional citation data and journal metrics help us understand how widely the research is disseminated.
For nearly 70 years, community water fluoridation has been used to prevent tooth decay and improve oral health. Community water fluoridation (CWF) is not only safe and effective, but also cost-saving – yielding approximately $38 savings in dental treatment costs for every $1 invested.
This session of Grand Rounds will explore opportunities for CDC to leverage key aspects of Advanced Molecular Detection (AMD), bioinformatics and enhanced molecular tools, such as whole genome sequence, to improve our ability to diagnose/identify infectious diseases, investigate and control outbreaks, understand transmission patterns, develop and target vaccines, and determine antimicrobial resistance—all with increased timeliness, accuracy and decreased costs.
Antibiotics are the most important tool we have to combat life-threatening bacterial diseases, but antibiotic use, especially when not needed, has unintended consequences.
This session of Grand Rounds explored new ways that public health can increase the rate of evidence-based cancer screening, and decrease disparities in screening rates.
This session of Grand Rounds explored new ways that public health can increase the rate of evidence-based cancer screening, and decrease disparities in screening rates.
This session of CDC Public Health Grand Rounds will explore hypertension, or high blood pressure. Having high blood pressure increases the risk for cardiovascular disease, the leading cause of death in the United States. Nearly 800,000 people die in the United States each year from cardiovascular disease, which is 1 out of every 3 deaths.
This session of Grand Rounds examined how immunization has helped reduce infectious disease disparities among U.S. children, reducing infectious disease burdens in children from racial/ethnic populations, and how immunization has, as a result, contributed to health equity.
Teen birth rates in the United States have declined to the lowest rates seen in seven decades, yet they are still nine times higher than in most other developed countries and ethnic disparities continue to persist.
This session of Grand Rounds will explore the burden of human papillomavirus (HPV)-associated cancer and disease in the United States and prevention through HPV vaccination.
December - Where in health is disability? Public health practices to include people with disabilities
This session of Grand Rounds explores Public health practices to include people with disabilities.
This session of Grand Rounds explored how unsafe injection practices which put patients at risk of infection have been associated with a wide variety of procedures and settings.
This session of Grand Rounds explored public health approaches to reducing U.S. infant mortality.
This session of Grand Rounds explored methods of rapid identification of emerging infectious diseases.
This session of Grand Rounds explored the control of tobacco use—the leading preventable cause of premature death and disease worldwide.
This session of Grand Rounds explored Intimate Partner Violence (IPV), a serious, preventable public health problem that affects millions of Americans. The term "intimate partner violence" describes physical, sexual, or psychological harm caused by a current or former partner or spouse. IPV can vary in frequency and severity. It occurs on a continuum, ranging from one episode to chronic, severe battering.
This session of Grand Rounds will explore the development of antibiotic resistance in Neisseria gonorrhoeae as a growing public health concern because the United States gonorrhea control strategy relies on effective antibiotic therapy. Since antibiotics were first used for treatment of gonorrhea, N. gonorrhoeae has progressively developed resistance to the antibiotic drugs prescribed to treat it: sulfonilamides, penicillin, tetracycline, and ciprofloxacin.
Excessive alcohol use, including underage drinking and binge drinking, is responsible for 80,000 deaths and 2.3 million years of potential life lost in the U.S. each year. This powerful session of Public Health Grand Rounds explored the public health impact of excessive alcohol use and evidence-based strategies to prevent it, with specific attention to the role that state and local public health agencies play in addressing this important public health problem.
Heart disease and stroke are, respectively, the first and fourth leading causes of death in the United States. Cardiovascular disease alone is responsible for 1 of every 3 deaths in the U.S. and costs the nation $444 billion per year in health care expenses and lost economic productivity. To reduce this burden, the Department of Health and Human Services (DHHS), CDC, CMS, and a broad range of public and private-sector partners have launched the Million Hearts™ initiative to enhance cardiovascular disease prevention activities with proven, effective, and inexpensive clinical and community interventions.
Worldwide, 5.8 million people die each year from injuries. More than 180,000 fatal injuries occur in the U.S. alone. Motor vehicle crashes, falls, homicides, suicides, domestic violence, child maltreatment, and prescription drug overdoses are just some of the tragedies we hear about every day that affect us all, regardless of sex, race, or economic status.
Traumatic brain injury, or TBI, is a serious public health problem that affects approximately 1.7 million Americans every year. Of all injury deaths in our country, one in three cases are TBI–related, and an estimated 5.3 million Americans are living with a TBI–related disability.
In the last five decades, newborn screening has become a well–defined, nationwide prevention program. Each year, more than 4 million newborns in the United States are screened for hearing loss and certain genetic, endocrine, and metabolic disorders.
Electronic health records (EHRs) allow for the systematic collection and management of patient health information in a form that can be shared across multiple health care settings. By providing easier access to patients’ medical records, EHRs can help improve healthcare quality, efficiency and safety.
Beyond the inherent moral implications, child abuse is a crime, a tragedy, and a significant public health burden. In the United States, approximately 1 in 5 children have experienced some form of maltreatment, including physical and sexual abuse and the often overlooked danger of neglect.
The United States is in the grip of an epidemic of prescription drug overdoses. Over 27,000 people died from overdoses in 2007, a number that has risen five-fold since 1990 and has never been higher. Prescription drugs are now involved in more overdose deaths than heroin and cocaine combined.
Rabies, a viral zoonotic disease, can be spread to humans through bites or scratches from infected wild or domestic animals. Without prompt and proper wound cleansing and immunization, rabies can lead to death in humans — more than 55,000 people worldwide die from this disease every year. Fortunately, rabies is a vaccine-preventable disease. The most cost-effective strategy for preventing rabies in people is by eliminating rabies in dogs through vaccination. However, recent increases in human rabies deaths in parts of Africa, Asia and Latin America suggest that rabies is re-emerging as a serious public health issue.
Approximately half of the world′s population is at risk of malaria. In 2008, malaria caused an estimated 243 million cases of malaria and 863,000 deaths. Although cases occur across the globe, 85% of the world′s malaria deaths occur in Africa, where the disease accounts for up to 40% of public health expenditures.
Sixteen months after reports of a potentially fatal new influenza virus took the world and media by storm, the World Health Organization (WHO) declared an end to the 2009 H1N1 pandemic on August 10, 2010. Although the Phase 6 alert has been lifted and H1N1 is no longer the dominant influenza virus it once was, evidence from prior pandemics suggests that the virus will come to model the behavior of seasonal influenza and continue to circulate for years to come.
Vitamin D has become one of the most controversial nutrition issues of the day. While the vitamin’s role in preventing bone diseases such as osteoporosis is well documented, recent studies suggest that increased intake of vitamin D may also reduce the risk of various cancers, diabetes, and heart disease – a possibility that has many heralding it as a “miracle vitamin.” However, not only are these studies being called into question for their failure to show a direct cause and effect, but there is also evidence that excess intake of vitamin D can be toxic.
With an estimated 8.8 million deaths of children under 5 years of age each year, the challenges of achieving health among the world’s children are rooted in myriad economic, cultural and geographic barriers - 51% of all child deaths occur in Africa and 42% in Asia, while only 7% occur in the rest of the world.
According to the 2007-2008 NHANES (National Health and Nutrition Examination Survey), obesity now affects 17% of all children and adolescents in the United States - triple the rate from just one generation ago. America’s obese children are at an alarmingly heightened risk for elevated blood pressure, cholesterol, diabetes, and becoming obese adults. The financial cost of childhood obesity tips the scales at 3 billion dollars annually.
With over 1.2 million cases reported annually, Chlamydia trachomatis infection (chlamydia) is the most commonly reported notifiable disease in the U.S. Chlamydia, a sexually transmitted infection, can lead to a host of serious reproductive health problems in women, including infertility and pelvic inflammatory disease. The burden of infection is highest among adolescents and there are also substantial racial disparities, with non-Hispanic blacks disproportionately affected.
Chlamydia is easily detected and treated, but recommended annual screening remains underutilized. Lack of awareness, social stigma, barriers to finding and treating sex partners of infected women, and difficulties in measuring public health impact all present challenges and opportunities for chlamydia prevention programs.
Nanotechnology is the science of developing materials at the atomic, molecular or micro-molecular level. From smartphones to skincare, there are currently over 1,000 commercial products containing nanomaterials, with applications as far ranging as the fields of medicine, engineering, electronics and energy production.
This session of Public Health Grand Rounds focused on the current state of knowledge in nanotechnology and discussed concerns about the harmful impact that exposure to some nanomaterials may have on humans and the environment.
Are we, as a nation, prepared for a radiological or nuclear attack?
With concern over continued terrorist threats at home and abroad, “dirty bombs”, and the nuclear armament of rogue states, this question is just as relevant today as it was on September 11. Due to limited resources, emergency management officials from many U.S. cities and states rely on the federal government to intercede in the event of such a catastrophe. However, the federal government is also limited in the support it can provide to states, not to mention that federal radiation programs are often not well integrated with state public health offices. To minimize these gaps, the federal government must enhance collaboration with state public health offices and ensure that the integration of these radiologic preparedness programs with other preparedness activities is effective.
Every year, approximately 300,000 children around the world are born with neural tube defects (NTD), a failure of closure of the neural tube either in the cranial region or along the spine that result in anencephaly and spina bifida respectively. Infants born with anencephaly usually die within a few days of birth, and those with spina bifida typically live with various life-long disabilities and often experience mobility limitations.
The polio crisis of the early 20th century has been largely forgotten in the U.S. due to the creation of the Salk vaccine and the effective immunization campaigns of the 1950s. Unfortunately, the wild poliovirus (WPV) still remains a real public health threat in many corners of the world.
On Thursday, December 17, CDC's National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCZVED) presented the fourth Public Grand Rounds session entitled "Foodborne Diseases: Better Prevention with Better Public Health Information."
On Wednesday, November 18, CDC's Office of Smoking and Health presented the third session of Public Health Grand Rounds entitled “The Public Health Impact of Tobacco Product and Advertising Regulation."
On Thursday, September 17, Dr. Frieden kicked off the first session of the Public Health Grand Rounds entitled “Getting to Zero Traffic-related Deaths,” a presentation on motor vehicle safety sponsored by the Division of Unintentional Injury Prevention (DUIP), National Center for Injury Prevention and Control (NCIPC).
- Page last reviewed: July 7, 2014
- Page last updated: July 7, 2014
- Content source:
- Centers for Disease Control and Prevention
- Page maintained by: Office of the Associate Director for Communication, Division of News and Electronic Media