Year in Review 2022

The 92nd Annual Meeting & Awards Ceremony 2022

FROM THE ACADEMY/DPHA LEADERSHIP

The year 2022 marked the end of the second year of the COVID-19 pandemic, and a return to “normal” (for varying definitions of the word) With an increasingly vaccinated public, many activities and events in Delaware (including our 2022 Annual Meeting) returned to in-person or offered a hybrid option, and “Zoom Fatigue” became more common

Throughout the year, Academy/DPHA continued to offer educational activities to the lay public and health care providers Our grant-funded healthcare workforce Initiative (called Delaware Health Force) research and data finding project continued unabated, and we were able to hire two new staff members to support this work Additional details on this $5 million initiative are on page XX of this report

The Delaware Journal of Public Health, under Editor-in-Chief Dr Omar Khan, published five issues, one of which was focused on the Healthcare Workforce Initiative We curated new partnerships throughout the state, and strengthened others

S John Swanson, MD President of the Board

Officers

Directors

Timothy E Gibbs, MPH Executive Director

David M. Bercaw, MD

Eric T. Johnson, MD Lee P. Dresser, MD

Joseph Kelly, DDS Joseph F. Kestner, Jr, MD

Brian W. Little, MD, PhD

Daniel J. Meara, MD, DMD

Arun V. Malhotra, MD

Ann Painter, MSN, RN John P. Piper, MD

Charmaine Wright, MD, MSHP

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

BOARD OF DIRECTORS AND STAFF MEMBERS

Staff

DPHA Advisory Committee

Emeritus Member of the Board

Timothy Gibbs, MPH Executive Director, ex officio board member

Liz Healy, MPH Managing Editor

Kate Smith, MD, MPH Program Director

Liz Lenz, BA Operations Manager Matt McNeill, BS Research Associate

Giselle Bermudez, MS Student Financial Aid Coordinator

Barry S. Kayne, DDS

Erin K. Knight, PhD, MPH Melissa K. Melby, PhD Mia A. Papas, PhD Karyl T. Rattay, MD, MS William J. Swiatek, MA, AICP

Louis E. Bartoshesky, MD, MPH

Professor Rita Landgraf, Co-Chair

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

Timothy Gibbs, MPH Executive Director

Gerard Gallucci, MD, MSH

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 2022-2023 is to increase awareness of vaccine development, testing, efficacy and approval in the United States among both the public and healthcare professionals in Delaware

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, and other immunization topics The ICD also publishes its Week in Review on Mondays

On December 12, and in partnership with the Medical Society of Delaware (MSD), the Delaware Division of Public Health (DPH), and the Delaware HIV Consortium, the ICD offered the 2022 Communicable Disease and PrEP Summit This was the first time the Communicable Disease and PrEP Summits were combined The entire conference was offered virtually, and over 120 people attended The Communicable Disease sessions were moderated by the ICD’s program manager, Dr Kate Smith, and the HIV/AIDS and PrEP sessions were moderated by the HIV Consortium’s program manager, Suzan Abdallah Presentations included

• DPH Update on Delaware Health, by Rick Hong, MD; Interim Director of Public Health, Delaware Division of Public Health

• Mpox Update, by Jamie Ahlers; Epidemiologist in the Delaware Division of Public Health and Doug Riley, DVM; Deputy State Veterinarian in the Delaware Division of Public Health

• Disasters of Human Health – Communicable Disease, by Jennifer Horney, PhD; Professor and Founding Director, Epidemiology Program and Core Faculty, Disaster Research Center at the University of Delaware

• Adult Immunizations, by John O’Neill, Jr , DO; Hospitalist at ChristianaCare and Co-Chair of the Immunization Coalition of Delaware

• HIV/AIDS Panel, moderated by Arlene Bincsik, RN, MS, CCRC, ACRN, recently retired from the William J Holloway Program and with panelists Brian Wharton, MSN, RN, CPEN, CPST (Regional Coordinator, AIDS Education & Training Center Program), Tyler Berl, MA (Executive Director, Delaware HIV Consortium), and Deborah Kahal, MD (Physician, William J Holloway Program)

• 2022 HIV Epidemiologic Profile, by James Dowling, MPH; Program Administrator, HIV Prevention Program, Delaware Division of Public Health

• PrEParing Primary Care, by Adam Skrzynski, MD; Director, Delaware Regional Partner of the MidAtlantic AIDS Education and Training Center, William J Hollowy Program

• New in the World of PrEP, by Angela Scott, BSN, RN, ACRN; Clinical Programs Manager, Beebe Healthcare The conference was accredited by the Medical Society of Delaware for 7 25 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/upcoming-events/2022-communicable-disease-and-prep-summit/

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 was held on Monday, March 7, 2022 The theme of the virtual conference was “Chronic Disease: From Prevention to Management ” Almost 300 people registered for the event, and over 150 attended

This was the first scheduled conference for the Delaware Public Health Institute in some time Originally scheduled as an in-person event, the planning committee shifted to an entirely virtual platform due to the ongoing COVID-19 pandemic The virtual nature of the conference allowed for attendance from all three Delaware counties, but led to difficulties in networking and advocacy sessions Presentations included:

• Welcome/Introduction by Karyl Rattay, MD, MS, FAAF; Director of the Delaware Division of Public Health

• Morning Keynote by Deborah Brown, MS, CHES of the Delaware Cancer Consortium and the Delaware Chapter of the American Lung Association, and Candace DeMatteis, JD, MPH, Policy Director of the Partnership to Fight Chronic Disease, National Chronic Disease Directors

• Early Detection Panel moderated by Lisa Gruss (Quality Insights) and with panelists Health Bittner-Fagan, MD, MPH (Delaware Cancer Consortium), John Fink, MD (Bayhealth), Don Post (Delaware Division of Public Health), Dinetta Armstrong (Public Health Management Corporation), and Katherine Rogers, MPH (Tidal Health)

• Treatment Panel, moderated by Kate Smith, MD, MPH (Academy/DPHA) and with panelists Erin Kavanaugh, MD (ChristianaCare, Academy/DPHA Board Member), Arun Malhotra, MD (Academy/DPHA Board Member), Angie Alomar Gilbert (Public Health Management Corporation), Harvey Tunstall (Patient Advocate), and Stephanie Guarino, MD (Nemours Children’s Health)

• Management & Connection to the Social Determinants of Health Panel, moderated by Eli Steiker-Ginzberg (Public Health Management Corporation) and with panelists Megan McNamara Williams, DNP (Delaware Healthcare Association), Kim Blanch, RN (Beebe Healthcare), Krista Forbes, MPH (APHA), Aunya Grimsley (Public Health Management Corporation), and Jen Keith (Public Health Management Corporation)

• Afternoon Keynote by Melissa Williams of the National Patient Advocacy Foundation and Matthew Salomon, Associate Director of Advocacy, ALS Association

The conference was accredited by the Medical Society of Delaware for 5.75 AMA PRA Category 1 Credit™ of continuing medical education, and also accredited for 5 7 credits of continuing education in public health by the National Board of Public Health Examiners

EDUCATION & ENGAGEMENT

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) Support Group meetings in 2022 returned to in-person at ChristianaCare’s Christiana Hospital (Newark Campus) in May of 2022

Delaware Health Sciences Alliance

The Academy/DPHA continued to assist the Delaware Health Sciences Alliance (DHSA) with website updates, planning and registration for the 2022 Delaware Day Event and the 2022 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

Conferences and Educational Events

Mid-Atlantic Regional Public Health Conference

Together with the Pennsylvania Public Health Association and the Maryland Public Health Association, the Academy/DPHA offered the first Public Health Conference for the Mid-Atlantic Region This virtual conference was held on January 13-14, and offered two days of content Panels consisting of experts from each state weighed in on topics ranging from Trauma in Children and Adverse Childhood Events, Climate Change and Trauma, and the Needs of Individuals Living with Intellectual and Developmental Disabilities Keynote presentations were given by Senator Sarah McBride of Delaware, Mike Africa, and Rachel Louise Snyder

2022 Climate & Health Conference

Together with the Mid-Atlantic Alliance for Climate and Health, the Academy/DPHA offered the first Virtual Climate and Health Conference on Thursday, August 25, 2022 Over 100 people attended the conference, and the first hour coincided with Internal Medicine Grand Rounds at ChristianaCare, given by Jodi Sherman, MD, Director of the Yale Program on Healthcare Environmental Sustainability and Elizabeth Finkelman, MPP, Director of the Climate Program at the National Academy of Medicine Other presentations included a Healthcare Systems Panel, with leadership from major healthcare institutions in Delaware, an Environmental Justice Panel, with advocates from all over the Mid-Atlantic Region, and a keynote address by Elizabeth A Cerceo, MD of Cooper University

The conference was accredited by the Medical Society of Delaware for 2.75 AMA PRA Category 1 Credit™ of continuing medical education

John Scholz Stroke Education Conference

The 2022 John Scholz Stroke Education Conference was held as a hybrid conference on Saturday, October 22, and over 100 people registered The keynote speaker was Dr Kelly Sloane, Assistant Professor of Neurology at the University of Pennsylvania and Staff Neurologist at the Veterans Affairs Medical Center, who discussed the Stroke Recovery Other speakers included:

• Stroke and Hypertension, by Farhana Chowdhury, MD of Nephrology Associates

• Acute Stroke Management in the Emergency Department, by Jason Nomura, MD of ChristianaCare

• Hyperlipidemia and Stroke, by Joseph Schindler, MD of Yale University School of Medicine

• 2022 Update on Intracerebral Hemorrhage Neurosurgical Management by Mandy Binning, MD, FAANS of the Global Neurosciences Institute

• Thrombectomy for Acute Ischemic Stroke, by Barbara Albani, MD, Director of Neurointerventional Surgery at ChristianaCare

• An Update on the Clinical Approach to Spatial Neglect, by A M Barrett, MD of Emory School of Medicine

• Evaluation and Treatment With Aphasia After Stroke, by Christine Virion Cook, Director of Clinical Research and Services, Communication Sciences and Disorders at the University of Delaware

The conference was accredited by the Medical Society of Delaware for 4.75 AMA PRA Category 1 Credit™ of continuing medical education, as well as 4 75 hours of continuing education for physical therapists and speech and hearing, and 4 8 occupational therapy credits by the Governing Boards of these specialties

Mini Medical School

Mini Medical School, a program of the Academy/DPHA and ChristianaCare, was held on consecutive Thursdays from February 24 to March 31, 2022 Due to the ongoing COVID-19 pandemic, lectures were given via the Zoom platform All 2022 session are posted online at https://delawareminimed.org

Over a thousand individuals registered for the 2022 program; of these, over 300 attended each week Over one hundred people attended all six weeks Many attendees were high school students, and the majority were Delawareans The 2022 program included the following sessions:

• Week 1. Trauma-Informed Care, by Suzanne Bauer, PsyD

• Week 2. Breast Reconstruction & Plastic Surgery, by Stephanie Caterson, MD

• Week 3. Sports Medicine, by Brad Sandella, MD

• Week 4. The Growth of Telehealth and the Virtual Experience, by Vishal Patel, MD

• Week 5. Anesthesiology and the Nurse Anesthetist – The Silent Force Behind the Scenes, by Barbara Evans, CRNA

• Week 6 Childhood Development, by David Paul, MD

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 Eight interns finished their programs in 2022:

Olivia Christman

Undergraduate Student, West Chester University

Screen and Intervene Program: Addressing Food Insecurity on West Chester University’s Campus

Caroline Harrington, BS Graduate Student, University of Delaware

Delaware Diabetes Prevention and Management Program for Providers

Kaitlyn Kreiser

Undergraduate Student, University of Delaware

Neonatal Abstinence Syndrome Awareness for Delaware Public

Kaliyah Peyton-Williams

Undergraduate Student, Delaware State University Lung Cancer Treatment Program for African-Americans

Akshat Kumar, BS Graduate Student, Drexel University Children’s Program for Improved Health and Physical Fitness

Nicole Sabine

Undergraduate Student, University of Delaware

Racism in Medicine: Targeting Microaggressions in Delaware Healthcare

Kelly Shannon

Undergraduate Student, University of Delaware Let It End With Us: Addressing School Shootings in Delaware

Sonia Srikanth

Undergraduate Student, Vanderbilt University

Triple S: Strengthening Sleep Schoolwide

Delaware Health Force

When American Rescue Plan Act (APRA) funding become available we applied, and ultimately approved for funding to not only research and report on the healthcare workforce, but also to activate and/or expand upon existing programs to directly address healthcare workforce shortage areas The funded programs, through the Delaware Department of Labor, include:

1) Core Data and Research

2) Graduate Medical Education Expansion

3) Delaware Mini Medical School Expansion

4) Student Financial Aid expansion to include a variety of degrees beyond doctorate

Core Data and Research

Delaware Health Force (DHF) is a first of its kind effort to create a public private partnership to gather and aggregate data; introduce geographic mapping and population demographics/trends; all to better inform policy decisions and resource allocations based on the needs of the community Importantly, this system is designed to operate in near real-time with a maximum 45-day lag in primary licensing data

Core data comes from the Delaware Division of Professional Regulation’s DelPros database of publicly available information on all licensed healthcare providers, dentists, therapists, psychologists, and other related practitioners Accessed monthly, DelPros is our “source of truth” that is then significantly augmented with a range of different information types from educational background, specialty and subspecialty, demographic, hospital affiliation, languages spoken, and other information

There are some excellent, recurrent surveys undertaken with target healthcare practitioners Our system is more akin to weather forecasting – pulling information from a variety of sources in (almost) real time to allow response to be both dynamic and data driven

One of the first deliverables was the 2022 “State of the Healthcare Workforce in Delaware: Action and Opportunity” report and website (https://dehealthforce org) The report focuses on select components of the healthcare workforce, including primary care, dentistry, behavioral health, and others It seeks a broader view of the entire healthcare sector, composed of physicians, dentists, nurses, physician assistants, allied therapies, dental hygienists, and a vast ecosystem of providers The website contains this report in its entirety In the near future, updates on core data will be included as well

Work on this initiative was started by the Delaware Academy of Medicine / Delaware Public Health Association (Academy/DPHA) and the Delaware Health Sciences Alliance (DHSA) long before the COVID-19 pandemic changed our world and the landscape of healthcare The pandemic directly and profoundly impacted healthcare systems and individual providers

Before the pandemic, there were tectonic workforce and demographic challenges facing almost every major industry in our State and our nation: the aging of our population, the related increase in the incidence and burden of chronic disease, and the concurrent aging of the healthcare workforce And the financial impact is clear: the healthcare industry is rapidly approaching one-fifth of the United States Gross Domestic Product (GDP)

The contents of this report are based upon an unprecedented collaboration between multiple components of State government including the Delaware Healthcare Commission, the Division of Professional Regulation, the Delaware Institute for Medical Education and Research (DIMER), the Division of Primary Care and Rural Health, and the Departments of Finance and Labor They are joined by the Academy/DPHA, DHSA, and the Delaware Health Information Network, and many other organizations playing essential smaller roles This publicprivate partnership has gathered data on the healthcare workforce and analyzed the needs—both current and future—of the State of Delaware

During the COVID-19 pandemic, we have experienced stress and crisis We now have an extraordinary, federally-funded opportunity to take meaningful action to address the opportunities in our healthcare sector for

employment throughout the workforce, as well as novel models (including telehealth and nurse-led health clinics) leading the way This body of work and website are underwritten by the Delaware Health Care Commission, Delaware Department of Labor ARPA Funding, core support from the supporting trust of the Academy/DPHA, and from the partner organizations of the Delaware Health Sciences Alliance Research reported in this publication and website is supported by the Delaware Health Care Commission [DHCC-22-14] and State and Local Fiscal Recovery Funds thru the Department of Treasury and State of Delaware [SLFRP0139]

Graduate Medical Education Expansion

In partnership with the Delaware Health Sciences Alliance and ChristianaCare, we have embarked on the ambitious and achievable goal of significantly expanding graduate medical education of several types throughout the State, with focus on Kent and Sussex Counties, and areas of critical need in New Castle County

By increasing the number and variety of graduate medical education slots throughout the State we immediately bring newly trained and dedicated Medical Residents, Advanced Practice Clinicians, as well as home health aides and medical assistants to our workforce, many of whom will be immediately employable and placed upon training completion This program creates a sustainable flow of a variety of practitioners with a focus on Behavioral Health providers in both psychology and psychiatry

This model also expands upon the Branch Campus model employed by the DIMER program, and well complements its efforts specific to medical student placements from DIMER institutions in Philadelphia

Delaware Mini Medical School Expansion

Research conducted by the Academy/DPHA in the summer and fall of 2022 shows that Delaware has a number of “Pathways” programs, including our own Delaware Mini Medical School in operation since 2009 This research is highlighted in the following pdf document – An Environmental Scan of Healthcare Pathways Programs in Delaware

A component of the Delaware Healthforce strategy is to reach out to youth, especially those in areas disproportionately impacted by the COVID-19 Pandemic, encouraging young minds to consider an educational path that leads them to a career in the health sciences

To implement this strategy, we are modeling a version of the Mini Medical School program focused exclusively on middle, junior, high school, and undergraduate students The traditional Mini Medical School program for learners of all ages will continue, including the one we offer in collaboration with ChristianaCare

In 2023, three Delaware Mini Medical School experiences are planned, with the first to launch in early April

Student Financial Aid Expansion

For 30 years the Delaware Academy of Medicine has been a trusted private lender to Delaware residents wishing to attend medical or dental school A portion of the APRA funding expands that program to include other degrees including nursing and physician assistants, medical and dental assistants, and various behavioral health professionals

The program will start making interest-free loans to Delaware residents attending Delaware institutions of higher learning who are willing to commit to a period of practice in Delaware after their graduation Final details are being reviewed now and we have hired a new student financial aid loan coordinator, Giselle Bermudez, to head up this exciting and vital expansion of services to Delawareans

Loans will focus on students from areas disproportionately impacted by the COVID-19 pandemic, marginalized communities, and students who will be first-generation medical professionals in their family

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

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

Public Health Delaware Journal of

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

Now in its eighth year of publication, the Delaware Journal of Public Health has been read on the Issuu com publishing platform over 61,000 times across its 36 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

The DJPH is internationally accessed and read as shown below:

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 Information on how readers find and read the DJPH are below

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 Guest editors this year included:

• Timothy E Gibbs, MPH

• Scott D Siegel, PhD, MHCDS

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

• Marshala R Lee, MD, MPH

• Erin Booker, LPC

• Stephen C Eppes, MD Delaware

Timothy E Gibbs, M P H Publisher

Figure 1 Reading Devices

Figure 2 Sources

March 2022

Vaccines are one of the greatest success stories in public health. Through use of vaccines, we have eradicated smallpox and nearly eliminated wild polio virus. The number of people who experience the devastating effects of preventable infectious diseases like measles, diphtheria, and whooping cough is at an all-time low.

3 | In This Issue

Omar A Khan, M D , M H S

Timothy E Gibbs, M P H

4 | Guest Editors

Stephen C Eppes, M D

Omar A Khan, M D , M H S

6 | Vaccine Communication: Honesty and Analogy

Timothy E Gibbs, M P H

8 | Review of Vaccination Coverage Assessed by the Kindergarten Immunization Survey in Delaware

Nikki Kupferman, M S

12 | Pediatric Vaccines: What’s New for 2022

Michelle Eng, M D

Liza Hashim, D O

14 | The Journey of Your Child’s Vaccine

18 | Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger

28 | Recommended Adult Immunization Schedule for ages 19 years or older

36 | Pneumococcal Immunization for Adults in 2022

John H O’Neill, Jr , D O , M A C P

40 | Travel Vaccination Update

Salwa Sulieman, D O

42 | Immigrants and Immunizations

Katherine Smith, M D , M P H

48 | Global Health Matters

Jan-Feb 2022

Fogarty International Center

60 | An Informed Approach to Vaccine Hesitancy and Uptake in Children

Jonathan M Miller, M D , F A A P

Ricki Carroll, M D , M B E

68 | Vaccines for COVID-19

Stephen C Eppes, M D

69 | COVID-19 Vaccine Interim Immunization Schedule for Ages 5 Years and Older

72 | COVID-19 Vaccine Hesitancy and Refusal: The Same But Different?

Neil Rellosa, M D

78 | Meningococcal Vaccination: An Update on Meningococcal Vaccine Recommendations for the Primary Care Physician

Justin Nichols, M D

Stephen C Eppes, M D

80 | Dispelling COVID-19 Myths: Implications of Vaccination Acceptance by African mericans and Others in Marginalized Communities

Marlene A Saunders,

D S W , L M S W , M S W

84 | Towards Eliminating Nonmedical Vaccination Exemptions Among School-Age Children

Neal D Goldstein, Ph D

Joanna S Suder, J D

90 | Mid-Atlantic Public Health Partnership Conference

Isabelle Raynard

Jody Gan, M P H , C H E S

91 | All of Us Research Program,the National Institutes of Health

96 | From the Archives: the Healing Arts in History “Of the Importance of General Vaccination and the Groundlessness of the Prejudices Against It”

Sharon Folkenroth Hess, M A

98 | Vaccines Lexicon & Resources

101| Index of Advertisers

PROVIDING A VOICE AND PLATFORM

Volume 8 | Issue 2. Behavioral Health and Trauma Informed Care

3 | In This Issue

Omar A Khan, M D , M H S ; Timothy E Gibbs, M P H

4 | Guest Editors

Erin Booker, L P C ; Meghan McAuliffe Lines, Ph D

6 | Pediatric Integrated Primary Care: A Population Health Approach to Meeting the Behavioral Health Needs of Children and Families

Meghan McAuliffe Lines, Ph D

14 | Management of Sudden Unexpected Infant Deaths in the Emergency Department: A Family-Centered Care Protocol

Stephanie Anne Deutsch, M D , M S , F A A P ; Jennifer L Macaulay, M S W

Nadine Smith, D O , F A A P ; Allan De Jong, M D , F A A P

22 | Multidisciplinary Team Approach to Addressing Child Sexual Abuse at Nemours Children’s Health, Delaware

Allison T Dovi, Ph D ; Jennifer L Macaulay, M S W

Andrea Repine, A P R N ; Allan De Jong, M D , F A A P

Randall E Williams, M P A ; Stephanie Anne Deutsch, M D , M S , F A A P

May 2022

Adopting a trauma-informed approach is not accomplished through any single particular technique or checklist. It requires constant attention, caring awareness, sensitivity, and possibly a cultural change at an organizational level.

28 | County Health Rankings & Roadmaps; 2022 State Report - Delaware

40 | Actions Against Racism: Bringing Together Trauma-Informed Practices, Social-Emotional Learning, and Racial Socialization to Combat Racism in Schools

Danielle R Hatchimonji, Ph D ; Kira Branch, Psy D

Danika Perry, Psy D ; Tia N Barnes, Ph D

50 | Accommodating Developmental Disabilities in the Social Determinants of Health: A Brief Inquiry into the Applicability of Metrics to the Lives of Individuals with Developmental Disabilities in Delaware

Ankita Mohan ; Jody A Roberts, Ph D

56 | Domestic Violence: A Public Health Problem Requires a Public Health Solution

Erin Ridout, M S W , M P H

58 | Global Health Mattersb March-April 2022

Fogarty International Center

70 | Promoting Burnout Prevention Through a Socio-Ecological Lens

Amy D Habeger, Ph D , L C S W ; Tana D J Connell, Ph D , L M S W

Rona L Harris, M H S , L B S W ; Chanda Jackson, D S W

76 | Disclosure of a Dementia Diagnosis: Minimizing Medical Trauma

James M Ellison, M D , M P H ; Sehba Husain-Krautter, M D , Ph D

78 | Trauma-Related Dissociation and the Dissociative Disorders: Neglected Symptoms with Severe Public Health Consequences

Stacey M Boyer, Psy D ; Jennifer E Caplan, M A ; Lisa K Edwards, M A

86 | Trauma: A Gateway to Substance Use Disorder

Julia Lawes, M S

88 | A Call to Action for Delaware: Why Recruiting and Sustaining a Culturally and Linguistically Diverse Behavioral Health Workforce is Integral to Trauma-Sensitive Care

Kathleen Seipel, L C S W

92 | Trauma-Informed Life

Christopher Moore; Catherine Dukes, Ph D , L C S W

94 | Intervening with Opioid-Exposed Newborns: Modifying an Evidence-Based Parenting Intervention

Christiana Martin, M A ; Hung-Wei Bernie Chen, M A

Mary Dozier, Ph D

106 | From the Archives: The Healing Arts in History

Sharon Folkenroth Hess, M A

108 | Resources

111 | Index of Advertisers

August 2022

Dear Friend, Delaware is making great strides toward addressing place-based disparities, and encouraging community empowerment from the Wilmington Riverfront in New Castle County to Sussex and Kent Counties. Harriet Tubman, whose stamp is used on this postcard, was an American abolitionist and social activist who was all about rescuing and moving enslaved people – many of them came right through Delaware.

From all of us.

Volume 8 | Issue 3. Place Matters – Geography

3 | In This Issue

Omar A Khan, M D , M H S ; Timothy E Gibbs, M P H

4 | Guest Editor

Scott D Siegel, Ph D , M H C D S

6 | Partnership for Healthy Communities: Utilizing an Equity, Place-Based Approach to Guide Our Collaborative Work on Health Equity in Delaware

Kalyn McDonough, Ph D , M S W

10 | Healthy Communities Delaware: Accelerating Place-Based Efforts to Improve the Vital Conditions for Health, Well- Being and Equity

Kate Dupont Phillips, M P H

14 | What Shapes People Living with HIV’s Experiences of HIV Stigma in Delaware?

A Qualitative Exploration of Place and Social Position

Xueli Qiu, M S ; Natalie M Brousseau, Ph D ; E Carly Hill, B S

Ismael Medina, M S W ; Karen R Swanson, R N , B S N , A C R N , C C R C

Arlene K Bincsik, R N , M S , C C R C , A C R N ; Valerie A Earnshaw, Ph D

20 | Policy Recommendations for Reducing Tobacco Exposure for Youth and Adults in Wilmington, Delaware

Jason Bourke, Ph D ; Madeline M Brooks, M P H

Scott D Siegel, Ph D , M H C D

28 | Aging in Place: Are We Prepared?

Maggie Ratnayake, L P C M H , A T R , N C C ; Shay Lukas, P A /M P H Candidate

Sachi Brathwaite, M S ; Jessica Neave, M S ; Harshitha Henry, B S -c

32 | The Changing Landscape of Healthcare and the Need to ; Focus on Local Geography

David Tam, M D , M B A , C P H E , F A C H E

34 | Prior Evictions Among People Experiencing Homelessness in Delaware

Stephen Metraux, Ph D ; Olivia Mwangi, M S ; James McGuire

42 | Shining the Light on You: An Evidence-Based Program Designed to Improve the Health and Wellbeing of Family Child Care Professionals

Laura Lessard, Ph D , M P H ; Rena Hallam, Ph D ; Sarah Albrecht, M S

Eric Plautz, M S ; Kyma Fulgence-Belardo, B A

48 | Global Health Matters July/August 2022

Fogarty International Center

60 | The Benefits of Community Engaged Research in Creating Place-based Responses to COVID-19

Dorothy Dillard, Ph D ; Matthew Billie; Nicole Bell-Rogers, Ed D , F N P -C , R N

Sharron Xuanren Wang, Ph D ; Melissa A Harrington, Ph D

68 | A Reflection on the Relationship Between Place and Health: Understanding Undergraduate Student Experiences and Priorities During the COVID-19 Pandemic

Abhigna Rao, B A ; Lindsay Hoffman, Ph D ; Amy Bleakley, Ph D , M P H ; Allison Karpyn, Ph D

78 | Greening, Revitalization, and Health in South Wilmington, Delaware

Victor W Perez, Ph D ; William Swiatek, M A , A I C P

86 | The Case Against Race-Based GFR

Prabhdeep Uppal, D O ; Benjamin L Golden, M D ; A Panicker, M D

Omar A Khan, M D , M H S ; M Burday, M D

90 | The Where and the How: Ensuring those with Disabilities have the People Power for Healthy Living Charmaine Wright, M D , M S H P ; Verna Hensley; Neal Emery, M D ; Pat Swanson, B S N , R N

94 | Impact of Neighborhood Sociodemographic Characteristics on Food Store Accessibility in the United States Based on the 2020 US Census Data

Allison Y Zhu

102 | Let It End With Us

Kelly Shannon

108 | Pre and Post-Lockdown Cesarean Deliveries and Perinatal Quality Indicators During the COVID-19 Pandemic

Khaleel S Hussaini, Ph D ; Rui Li, Ph D ; Jennifer Miles, B S ; Maridelle Dizon, B S

Mathew K Hoffman, M D , M P H , F A C O G

114 | Lexicon & Statistics Definitions

116 | The Healing Arts in History: Location, location, location!

Sharon Folkenroth Hess, M.A.

119 | Index of Advertisers

PROVIDING A VOICE AND PLATFORM

3 | In This Issue

Omar A Khan, M D , M H S

Timothy E Gibbs, M P H

4 | Guest Editor

Marshala Lee, M D , M P H

6 | HIV Prevention Programs for Racial and Ethnic Minority Communities Do The Right Thing

4LIFE: An African American Prevention/Outreach Program Utilizing Barbershops and Beauty Salons

Frank Hawkins, M S

Derrick Reed

8 | Peer Mediated Groups: Nonpharmacologic Management of Pain for and By Those with Sickle Cell Disease

Stephanie Guarino, M D , M S H P

Charmaine S Wright, M D , M S H P

Lee M Pachter, D O

Sophie M Lanzkron, M D , M H S

October 2022

The data show that racial and ethnic minority groups, throughout the United States, experience higher rates of illness and death across a wide range of health conditions, including diabetes, hypertension, obesity, asthma, and heart disease, when compared to their White counterparts. (CDC.gov)

16 | The Fight to Dismantle Systemic Racism and for Racial Justice in Delaware As Seen Through the Eyes of the Delaware Racial Justice Collaborative

Emily Kauffman

Raina Allen

20 | The Migrant Crisis and Access to Health Care

Fabricio J Alarcon, M D , F A C P

26 | Evaluating Characteristics in Lung Cancer Screening Program Participants and Non-Small Cell Lung Cancer (NSCLC) Patient Populations

Iftekhar Khan, M D

Rishi Sawhney, M D

Stephanie McClellan, M B A , M S N , R N , C M S R N , N E -B C

Kathrina Chua, M D

Abeer Alfaraj, M D

John Shevock, F A C H E , F A C M P E

Dain Chun, M S

30 | Delaware Mombinus Addresses Health Inequities in Vulnerable Communities

Melissa Minor-Brown

Marie Pinkney

32 | Global Health Matters

July/August 2022

Fogarty International Center

44 | It Takes ALL of US: Promoting Preconception Health in Delaware

LaToya Brathwaite, M S N , R N -F N P

48 | Developing a Storytelling Study for African Americans with Hypertension: A Study Protocol

Yendelela L Cuffee, Ph D , M P H

Natasha Renee Burse, Dr P H

Rachel Jaffe

J Lee Hargraves, Ph D

60 | COVID-19 Pandemic Experience: A Collaborative Approach to Eliminate Health Disparities

Eunice Gwanmesia, Ph D , M S N ,

M S H C A , R N

Alicia Clark

62 | Firearm Violence in Wilmington, DE: An Update on 2020

David D Chen, M D , M P H

Toba Bolaji, D O

70 | Racism in Medicine: Targeting Microaggressions in Delaware Healthcare (TMDH)

Nicole Sabine

78 | Lexicon & Resources

82 | Edgewood: The Black Sanitorium for the White Plague

Sharon Folkenroth Hess, M A

84 | Index of Advertisers

December

It

more,

3 | In This Issue

Omar A Khan, M D , M H S ; Timothy E Gibbs, M P H

4 | Executive Summary

Richard J Geisenberger; Nicholas A Moriello, R H U

5 | Delaware Department of Health and Social Services

Molly Magarik, M S

6 | U.S. Health Resources & Services Administration

Michelle M Washko, Ph D

7 | Delaware Healthcare Commission Workforce Subcommittee

Richard J Geisenberger; Nicholas A Moriello, R H U

8 | From the Delaware Academy of Medicine/ Delaware Public Health Association

S John Swanson, M D ; Timothy E Gibbs, M P H

10 | Welcome from the Delaware Health Sciences Alliance

Omar A Khan, M D , M H S ; Pamela Gardner

11 | Delaware Division of Professional Regulation

Geoffry Christ, R Ph , J D

12 | Delaware Nurses Association

Christopher E Otto, M S N , R N , C H F N , P C C N , C C R N

13 | Medical Society of Delaware

Mark B Thompson, M H S A

18 | Origins of the PCP Shortage

Sharon Folkenroth Hess, M A 20 | Delaware Healthcare Workforce Vital Statistics

Campaign ran from July 25, 2022 - October 10, 2022.

Phase 2 ran from November 16, 2022 - February 6, 2023.