Injury Control and Emergency Health Services Section Newsletter

Spring 2003

"Injury Prevention Is No Accident"

• Go directly to a few of the articles in this newsletter by clicking the links below or to read everything, scroll down the page or print out the newsletter to read at your convenience.

In this issue:

Section News:

Notes from the Chair
Awards Nominations Due April 30, 2003
APHA Globalization and Health Network
ICEHS Fall 2003 Ballot
ICEHS Invited Sessions, APHA 2003
Call for Student Posters by APHA IHRC
New ICEHS Listserve is here!

News and Meetings:

Data from NEISS All Injury Program Released
UCLA Conference on Public Health and Disasters

Special Commentary: ICEHS Archivist Les Fisher ­
In Memoriam, Sen. DP Moynihan

And Much More!

Reminder about the ICEHS Section Web Site A reminder that much useful information, including an updated list of contacts for Section officers, is available from the section Web site: www.icehs.org

First, we would like to extend many thanks and well wishes to Judy Shaw, who has been diligently distributing our E-News and other announcements. Second, our January APHA ICEHS Electronic News was distributed and posted in March due to some delays at APHA and assorted technical problems. Third, please take the time to look at the APHA ICEHS Web site, which also includes a wonderful piece by ICEHS Archivist, Les Fisher.

The ICEHS E- News distribution schedule for the reminder of 2003 is: April 20, May 20, June 20, August (APHA), Sept. 20, Oct. 20, Dec. 15. Finally, we will be moving to .pdf format to ensure that the ICEHS E-News will arrive in a consistent and legible format. Please send your submissions in Word (attachment) to MGunnels@nhtsa.dot.gov.

By now I am sure you are aware that the CDC's National Center for Injury Prevention and Control is convening a conference, "Safety in Numbers: Working Together from Research into Practice" in April. We would like to highlight the work of our Section members who will be presenting at the Conference in our next newsletter. Please let me know if you are on the agenda. In addition, there will be a mid-year Section meeting at the Conference. The details have not been finalized at this time so please let me know if you will be attending and whether you are on the Program. I look forward to seeing many of you there.

I would like to acknowledge the support of the NCIPC for helping us hold this ICEHS meeting.

Alex Kelter has agreed to serve as our second Governing Council Representative for the remainder of Linda Degutis' term due to her election to the Executive Board. My thanks to Alex on behalf of the Section for stepping in mid-term. Any issues or concerns that you would like to see raised to the Governing Council should be sent to either Alex (akelter@dhs.ca.gov) or Sue Gerberich (sgerb@moose.cccs.umn.edu).

Four months into this year, I would like to thank several of people who have made this experience go a little easier. First, I would like to thank Maggi Gunnels, our newsletter editor, for her valiant efforts to get our newsletters out. Elsewhere in this issue is a brief description of what happened to our Winter Issue and plans for the future. Please send items of interest to the Section to Maggi (MGunnels@nhtsa.dot.gov). However, we are learning the hard way that information that is time sensitive is perhaps better sent through the Section listserve. Any item that you feel the Section should be aware of and to which a response is needed quickly, should be sent to me at janetholden@attbi.com. We expect this long newsletter-less period to be followed by three newsletters in quick succession. The process reminds me of waiting for a bus in Chicago! I also would like to say thanks to Alex Kelter of the California DHS for providing the bridge for our Section leadership conference calls and his administrative assistant, Pam Shipley, for setting up the calls for us. My thanks also to David Lawrence for continuing to be our Webmaster, an often very thankless job! It is this "behind the scenes" work that keeps the Section going.

Take good care, and I hope to see you in Atlanta!
Janet
janetholden@attbi.com
(708) 386-7179

Please send nominations by April 30, 2003.
Now is the time to nominate your colleagues for the ICEHS awards. There are three Section awards:

Distinguished Career Award
For outstanding dedication and leadership in the area of injury research and teaching, with contributions and achievements that have significant and long-term impact on the problem of injury.

Public Service Award
For outstanding dedication and leadership in injury prevention practice in the context of a governmental or non-profit organization, with contribution and achievements that have a significant and long term impact on the problem of injury prevention.

Excellence in Science Award
For outstanding dedication and leadership in the science of injury control and emergency health services with contributions and achievements that have significant and long-term impacts on the field.

More information and the appropriate forms are available at the Section Web site at www.ICEHS.org/awards.htm.
Questions? Contact Anara Guard at (617) 437-1500 or mailto:Anara@jointogether.org

- Anara Guard

The ICEHS Section supports the APHA Globalization and Health Network, an effort to stay informed about and to have a voice in protecting the world public's health in the era of globalization. So, here is a nutshell, is a summary of developments:

1. Developments in global trade agreements and health
While we APHA members are paying attention to daily duties - research, programs and services - negotiations are going on at a supra-national level about international trade that could undermine the public health and safety of peoples around the world and in this country.

For example, on March 31, trade representatives will announce the latest round of services and rules according to the General Agreement on Trade in Services (GATS), terms for trade by foreign corporations in a range of services, including vital human services such as health care and water as well as finance and telecommunications. In the U.S., Congress and the public will have the opportunity to respond to these announcements until the agreement goes to Congress for a vote in 2005. To this end, we urge the United States to:

1. Call for an assessment of the impact of GATS on population health, as provided for in GATS Article XIX., and assure based on such assessment that policy proposals do not have an adverse impact on health.

2. Exclude vital human services such as health and water, from trade negotiations and challenge under the GATS, both for the U.S. and for all WTO countries.

3. Promote transparency and democratic accountability at all levels of trade negotiations.

4. Support enforceable commitments to advancing population health, and to achieving universal access to health care and to safe, affordable water in the U.S. and internationally.

For updates, please contact Ellen Shaffer of CPATH at ershaffer@cpath.org; work phone: (415) 933-6204; fax: (415) 831-4091.

2. APHA Globalization and Health Network focuses on the following key issues:
a) privatization, deregulation and access to health care, water and other vital human services;

b) international inequality;

c) effects of global trade agreements;

d) access to pharmaceuticals;

e) debt & structural adjustment programs; and

f) occupational and environmental hazards and corporate accountability.

What can you do:
a) SUBSCRIBE: The Globalization and Health listserve - it is a discussion group, an information source, and an organizing tool, for APHA and non-APHA members and people from outside of the US. To sign up to the list serve send a blank message to: globalizationandhealth-subscribe@topica.com

b) ATTEND Sessions at 2003 APHA Annual Meeting. The Network will meet during the APHA meeting in the fall. The CPATH (the Center for Policy Analysis on Trade and Health) Web site will post APHA presentations and abstracts on globalization and health at http://www.cpath.org/. Materials can be submitted to Ellen Shaffer (ershaffer@cpath.org).

c) PUBLICIZE: The Nation's Health assistant editor Kimberly Krisberg (kimberly.krisberg@apha.org) encourages anybody who has relevant stories and news to contact her.

Elizabeth McLoughlin

Chair-Elect (1 Position)

Larry Cohen, MSW
Larry Cohen is founder and executive director of Prevention Institute, a nonprofit organization focused on placing prevention in the center of efforts to improve community health and well-being. He has participated in the Injury Control and Emergency Health Services Section of APHA for over a decade. Larry participates in a range of prevention activities involving injury and violence prevention, fitness and nutrition promotion, youth and community development, and strategy development for city and county governments. His work spans local, state, and national initiatives. He was senior advisor on violence prevention to the Federal Office of Maternal and Child Health, Health and Human Services through the Children's Safety Network and provides technical assistance to the National Highway Traffic Safety Administration Region IX. Mr. Cohen's goal as chair would be to ensure the Section embraces cross-cutting intentional/unintentional injury initiatives and furthers partnerships across APHA regarding issues such as health disparities and the interrelationship of injury with broad community and environmental change.

Secretary-Elect (1 Position)

Maggi Gunnels
Maggi Gunnels joined the Office of Strategic and Program Planning, National Highway Traffic Safety Administration, Washington, DC as a Social Scientist in August, 2003. Dr. Gunnels is Clinical Assistant Professor, Department of Emergency Medicine, Oregon Health and Science University School of Medicine (OHSU) in Portland, Oregon. She began her career as an emergency nurse and has clinical and administrative experience in emergency services, injury prevention and trauma program activities. Research interests include: emergency medicine, EMS, health policy and traffic safety countermeasures and policies. Dr. Gunnels has national service experience as well as service on injury prevention coalitions and task forces at the community and state levels in Oregon and Texas. She currently serves the ICEHS Section as the editor of the electronic newsletter and as a reviewer for the ICEHS scientific program committee. Dr. Gunnels was a volunteer rescuer at Ground Zero in New York City on September 11, 2001.

Section Council (2 Positions)

Maria Anderson
Maria Anderson received her MPH from the University of Texas, School of Public Health. She is currently working on several injury prevention efforts at the Mecklenburg Safe Communities Program in North Carolina. The areas the Safe Communities coalition is currently focusing on are: child safety and other injury prevention efforts for teenagers, traffic safety, domestic violence, and falls among the elderly.

Les Becker
Les Becker has been a member of ICEHS since 1990. His research interests and enthusiasm have been focused on the crossroads of injury control and emergency health services and he continues to work as a paramedic. During his first term as Section Councilor, he began to explore the means to increase our Section's membership and focus with regard to emergency health services. Section membership continues to decline and this is an ideal time to reach out to EMS providers and leaders to join the Section. Les says, "Vote for Les for Section Councilor so that he may continue this important work. Thank You."

Andy Lincoln
Andrew Lincoln, ScD, MS, is a research health scientist at the War-Related Illness and Injury Study Center (WRIISC) in the US Department of Veterans Affairs and specializes in the epidemiology of deployment-related injuries. He is an adjunct assistant professor in the Johns Hopkins Department of Health Policy and Management, Center for Injury Research and Policy, where he teaches prevention of occupational injuries. He has a bachelor's degree in Engineering Science & Mechanics from Virginia Tech, a master's degree in Biomedical Engineering from Louisiana Tech, and a doctorate in occupational injury epidemiology from Johns Hopkins University. He was the 1999 recipient of the ICEHS Student Paper Award. Dr. Lincoln's expertise includes rehabilitation, musculoskeletal disorders, ergonomics, biomechanics and epidemiology. His current research projects include fatal motor vehicle injuries among Gulf War veterans, low-back disability in active duty and veteran Army soldiers, disability following anterior cruciate ligament injury, laser eye injuries in the military and injuries among adolescent lacrosse players.

Steve Luchter
Stephen Luchter has been a member of the ICEHS Policy Committee since joining the Section, and served as co-chair for two years. He was a candidate for Governing Council in 2000, and has been an abstract reviewer for the Scientific Program committee. In 2001 he received the Section's Public Service award, following a distinguished career at the National Highway Traffic Safety Administration, where he headed that agency's program planning and policy analysis activities. His Section involvement also includes co-chairing the ad hoc music committee that performed at last year's annual meeting reception. His current consulting efforts include continuing development of injury outcome measures, as well as advising on a major multi-center study of pediatric injuries.

Governing Council (2 Positions)

Charlie Branas
Charles Branas is an assistant professor in the Department of Biostatistics and Epidemiology at the University of Pennsylvania. He is also a senior fellow at the Leonard Davis Institute for Health Economics and the lead epidemiologist at the Firearm Injury Center at Penn. Before coming to Penn, he trained and conducted research work at both the Johns Hopkins and University of California, Berkeley Schools of Public Health. A former emergency medical services provider, he has worked for the U.S. Public Health Service, two Injury Control Research Centers, and an Institute for Transportation Studies. As a native of the Philadelphia area, much of his research focuses on improving the health of the local community. This research most prominently includes a National Institutes of Health funded study of alcohol outlets and firearm violence in the City of Philadelphia. Dr. Branas' current research is also national in scope, including a multi-state study of trauma centers and emergency medical services funded by the Agency for Healthcare Research and Quality. He is a member of several national organizations including the American Public Health Association, where he has served as an abstract reviewer, an Awards Committee member, the Policy Committee and ICEHS Co-Chair.

Alex Kelter
Alex Kelter is finishing his third year on the ICEHS Section Council, and his second year of a two-year term as president of the State and Territorial Injury Prevention Directors Association (STIPDA). After 14 years as chief of California's injury prevention program, Dr. Kelter has had the opportunity to see many of the ways in which local, state and federal governments, community-based organizations, professional organizations, academics and other researchers, and even our international counterparts, play their respective roles in prevention of injuries and violence in the contexts of everything else they are doing. In that sense, he sees APHA as a microcosm where those interests combine, cooperate, co-exist and collide. Dr. Kelter enjoys creating ways for old and new partners to make prevention work better. He seeks to serve the Section on Governing Council as a way of working directly with the members of the Section. Secondly, he looks forward to using the perspectives he's gained from his varied public health experience and apply them to helping to steer APHA.

Billie Weiss
Billie Weiss, MPH, is director of Injury and Violence Prevention for L.A. County Department of Health Services and executive director and a founder of the Violence Prevention Coalition of Greater Los Angeles. She has authored numerous papers, three book chapters, and frequently makes presentations to scientific, professional and community conferences and meetings. She received a bachelor's from Cal. State Fullerton, and a master's of public health in epidemiology from UCLA. Ms. Weiss' primary emphasis is "Violence as a Public Health Issue," including the epidemiology of gang homicides and assaults, pedestrian injuries among pre-school children, iron poisoning, drowning, evaluation of programs to reduce teen relationship and gang violence, and parenting for violence prevention. Ms. Weiss serves on the Domestic Violence Council, Los Angeles County Domestic Violence, Suicide and Child Death Review Teams, American Academy of Pediatrics Poison Prevention and Injury Control Committee Region 2, Women Against Gun Violence, National HELP Network, and other organizations.

- Cathy Gotschall

Keep your own membership record updated online! Update your own membership information, such as your postal address or e-mail address, and contact fellow APHA members through the APHA online membership directory. APHA wants to be sure that your membership information is correct and up-to-date. You can now personally update and verify your information quickly and easily online at <www.apha.org/intro_private.cfm>. What this directory does for you The online directory allows members to change their own job titles, home or business phone numbers, addresses, Section affiliations and e-mail addresses. The directory also allows members to search for other members and contact them by e-mail. Because this is accessed through the password-protected members only section, you will need your member identification number to log on to the member directory. Your number can be found above your name on your mailing label for The Nation's Health or the American Journal of Public Health. When logging in, two boxes will pop up. Place your member identification number in the first box and in the "password" box, type the first initial of your first name followed by your last name. Example: jdoe If you do not know your membership identification or have other questions, please contact the APHA Membership Department at (202) 777-2400 or <membership.mail@apha.org>.

Commentary Welcome on Preliminary Ideas for ICEHS Invited Sessions, APHA Annual Meeting 2003

The ICEHS sessions at the 2003 Annual Meeting will again feature one-to-two special invited session(s) on current injury topics of national significance. Expert speakers from the field of injury control will be recruited for this/these session(s). The purpose of special invited session(s) is to highlight the role of injury control in major public health topic(s), and to attract non-ICEHS members to ICEHS sessions.

The special invited session at the 2002 meeting was "Terrorism and Injury Control." The session moderator was J. Lee Annest, PhD, (NCIPC) and the speakers were Lynda Doll, PhD (NCIPC), Susan Mallonee, RN, MPH (Oklahoma State Department of Health), Daniel Budnitz, MD, MPH (NCIPC), and Eric Noji, MD, MPH (Office of Homeland Security). Attendance data is not yet available from APHA, but well over 100 people were present.

Below (in no particular order) is a list of potential topics being currently considered by the Scientific Program Committee Co-Chairs. We invite your comment on these preliminary ideas. We also welcome additional topic ideas, and suggestions for informative and entertaining speakers for any of these topics.

Injury Prevention: Moving from Research to Practice. How do we translate injury research into prevention activity? Case studies from various areas of injury control, followed by a moderated discussion on the linkages between the various success stories.

Violence: Making the Links. Explores the inter-relationships between the different types of violence in U.S. society, highlighting the common themes and linkage between the various types of violence. Sample topics: portrayals of violence in the media, violence in the school, violence against women, child abuse, workplace violence, firearm violence.

Youth Violence: Reports from the CDC-funded Youth Violence Centers. Current activities from these 10 centers, all in their third year of funding.

Alcohol Abuse and Restraint Use: The Problem of Diminishing Returns in Highway Safety. Have we reached a plateau in terms of our ability reduce highway deaths and injuries? Why the last 10 percent of the problem may need 50 percent of our effort.

Highway Safety: Cell-phones and Other Driver Distractions. Should using a cell-phone while driving be illegal? What is the significance of cell-phone use in relation to other sources of driver distraction?

Benefits and Costs of Increased Physical Activity: Are We Creating an Injury Epidemic? Current efforts to increase the level of physical activity in the U.S. population may have an unexpected side-effect: an epidemic of sports and recreational injuries. Does the type of physical activity matter? Is there a net public health loss for some intervention promoting physical activity?

Violence in the Workplace. The workplace is a highly regulated arena in U.S. society, yet there are few regulations concerning weapons in the workplace. How violence outside the workplace spills into the workplace.

Medical Errors and Mistakes. Medical errors and mistakes are an important source of injury morality and morbidity, but have been the subject of limited research efforts. What are the avenues to prevention?

Send your ideas and comments to Steve Marshall. (smarshall@unc.edu).

- Janet Holden & Steve Marshall

The National Center for Injury Prevention and Control, in collaboration with the US Consumer Product Safety Commission has released data from the National Electronic Injury Surveillance System All Injury Program (NEISSAIP). Data on all types and causes of nonfatal injuries treated at a national probability sample of 66 NEISS hospital emergency departments obtained from July 1 through Dec 31, 2000, are now available through the University of Michigan's National Archive of Criminal Justice Data (NACJD) Web site. We are also grateful to the Bureau of Justice Statistics for allowing the data to be made available through NACJD. An annual update of the data is planned.

To access the data go to www.icpsr.umich.edu/NACJD and click on "access data" to retrieve the search page. On the search page enter 3582 in the box under "Simple Search". In the box to the right of where 3582 was entered, use the pull down menu to select "in study number". Once you have entered "3582" and "in study number" in the search boxes, click on the "Search" button.

This data set provides access to much more data on nonfatal injuries than is available from NCIPC's WISQARS Web site (www.cdc.gov/ncipc/wisqars). The documentation that accompanies the data set will give a complete explanation
of what data is available. In general, this data set includes information on age, sex, race, Hispanic origin, major external cause of injury categories, intent of injury, principal diagnosis, primary body part affected, locale where the injury occurred, some sports-related variables, treatment date, sample weights (annualized and non-annualized) and a few other variables. You will also find variables (PSU and STRATUM) needed to compute standard errors. The accompanying documentation has samples of SAS programs for computer standard errors of national estimates.

For confidentiality, all personal identifying information has been removed from the data set. Consumer product codes are not in this data set. If you are interested in consumer product-related injuries, they can be obtained directly from the National Injury Information Clearinghouse (301-504-7921) at CPSC. Due to confidentiality concerns, narrative descriptions of the incidents have been excluded. A system to purge narratives from future releases is in development.

- J Lee Annest

Have you ever had an injury data question but weren't sure who to ask? Or wanted to discuss an injury data issue but didn't want to wait until the APHA Annual Meeting? Well, now you no longer have to wait.

At the 2002 APHA Annual Meeting, the ICEHS data committee, along with roundtable participants, agreed that a data-oriented listserve "just for ICEHS" would serve member needs and keep communication open between Annual Meetings. The purpose of the ICEHS_DATA listserve is to provide a forum to discuss injury-related data activities and questions. This list is only open to current members of APHA's ICEHS and is managed by the "injury team" at NCHS.

Listserv@cdc.gov is the address to send subscription requests. To subscribe, please type in the body of the e-mail "subscribe ICEHS_DATA" followed by your full name. Once subscribed, you will receive confirmation and welcome e-mails. If you have any questions or problems, please e-mail Melissa Heinen (mheinen@cdc.gov) for assistance.

The UCLA Center for Public Health and Disasters will host the Second UCLA Conference on Public Health and Disasters on May 18-21, 2003 in Torrance, Calif. The public health consequences of natural and intentional disasters cut across many substantive areas. This unique multidisciplinary conference will bring together academicians, researchers, practitioners, and policy-makers from public health, mental health, community disaster preparedness, social sciences, disaster response, government, media, and non-governmental organizations. The goal of this conference is to stimulate a dialogue that promotes interdisciplinary collaborations to improve public health preparedness, mitigation, response and recovery to disasters.

We are excited to present keynote speaker Joseph Henderson, associate director, Office of Terrorism Preparedness and Response, Centers for Disease Control and Prevention, and closing keynote speaker Eric K. Noji, MD, MPH, FACEP, principal deputy to the US Surgeon General for Disaster Medicine and Special Assistant for Medical Emergency Preparedness to the Department of Homeland Security.

For detailed information about the program and our distinguished speakers, and to download registration materials, please visit our Web site at www.ph.ucla.edu/cphdr/conference.html or e-mail Tamiza Z. Teja at mailto:tzteja@ucla.edu.

UCLA Center for Public Health and Disasters
Second UCLA Conference on Public Health and Disasters
May 18-21, 2003 at the Torrance Marriott, Torrance
Contact: Tamiza Z. Teja, MPH, http://www.apha.org/private/newsletters/mailtoLtzteja@ucla.edu

Commentary of Les Fisher, Archivist APHA ICEHS Section ­ March 27, 2003, on the death of United States Senator Daniel Patrick Moynihan (any opinions are the writer's alone and do not necessarily represent APHA nor ICEHS)

I, as an historian in Injury Control (IC), would be remorse if I did not comment on Daniel Patrick Moynihan's death and his less known relationship to IC and Haddon. Please feel free to reproduce or use, especially publicly from IC professionals to his family.

A modern leader, (ala Covey, Senge, Heifetz), Daniel Patrick Moynihan (DPM), has left a legacy of passion, imagery, true North direction, continual learning, dedicated to others, conflict orchestration, partnerships and shared vision to all Americans and especially to us in IC community. His early, sometimes, controversial and unorthodox activism for welfare reform and transportation are cited in written press and oral commentaries and obits nationwide, this a.m., March 27, 2003.

What is not too well known is his and Haddon's historical leadership in creating the now NHTSA and its whole change in how we save lives and limbs. Nor how his behind-the-scenes true leadership was accomplished:

In the 1950s, then Connecticut Governor Ribicoff was getting major kudos and public awareness for his traffic safety efforts.
But there was no methodology, just public relations (PR)!

In 1956, in response to the great political PR established in Connecticut, the New York State (NYS) Governor's Traffic Safety Committee (GTSC) was established. And we (DPM) set forth as the National Safety Council (NSC), doing it but with no methodology of any kind. DPM, as Acting Secretary to NYS Governor, Harriman was left alone in the NYS Capital as the politicians were running for re-elections. His job's instructions were to see nothing happened.

He kept to his routine, including the convening of the GTSC, one day in summer of 1958. DPM had a long agenda but a young man, sent over by NYS Health Commissioner, Dr. Herman Hilleboe; a graduate from the Massachusetts Institute of Technology, Harvard. Haddon was on his first job!

"Hey, I'm sorry, could I ask for the research papers on this?" Haddon would say after each agenda item. DPM would respond: "Sure." And after Haddon repeated his evidence-based question each time a new agenda item came up, DPM offered to grab a few beers with him afterwards to discuss the topic further.

DPM said he thought for sure Haddon was a Republican spy. However, they were on to something together and couldn't stop. DPM wrote Kennedy's statement for a presidential campaign. But, unlike the NSC (and the auto industry), he and Moynihan wrote "that traffic injuries and deaths constitute one of the greatest if not the greatest, of the nation's public health problems - not ACCIDENTS."

DPM, as assistant secretary of labor for policy planning and research in the Kennedy Administration, took up the injury issue under the umbrella of occupational safety. It gave him entry into interdepartmental committees and at no time "we (DPM) had worked out the proposition that there would have to be a new organization, what became the NHTSA."

DPM and Haddon spoke (and wrote ) nationwide on their shared vision: At West Point, at one meeting called with the auto industry, Moynihan told them the industry: "If you don't act on traffic safety and interventions yourself you are going to have it done for you." But, DPM and his partnership did not act; in 1966, the National Highway Traffic and Motor Vehicle Act (Public Law 898-563) was enacted.

DPM laid the groundwork for many other life saving thrusts and federal laws. We in IC stand on DPM's leadership shoulders and should continue to adopt his modern leadership crafts, as feasible, to today's world of IC and public service.

Please consider acknowledging your sympathies and his leadership focus in Injury Control to his family and the public!

- Les Fisher MPH

Research credits: My primary sources: D. P. Moynihan. Keynote Address. Motor Vehicle Injuries. Bulletin NY Academy of Medicine. 64:7 (Sept-Oct 1988),610-616 and Tribute to William Haddon, Jr. 605-606; Fisher L. (MS) NYS Contributions to Safety, 2003; Fisher L. Introductory Comments at Washington DC Annual APHA Meetings of ICEHS Section, Business Meeting. Moynihan and Haddon from NYS. (Nov 16, 1988).

Les Fisher, MPH
Safety/Management Consultant,
(Archivist, APHA ICEHS)
97 Union Avenue, South
Delmar, New York, 12054 USA
phone: (518) 439-0326
<fisher166@juno.com>

Visit The Nation's Health Online
Web pages include articles not found in print edition

Visit The Nation's Health online at <www.apha.org/thenationshealth> to view all the articles and job ads from this month's print issue or browse back issues.

The Nation's Health Web pages also include "Web Exclusives," public health articles from The Nation's Health staff that are found only online, at <www.apha.org/journal/nation/tnhwebexclusives.htm>.

Another feature found only online is "Newsmakers in Public Health." Find out what is going on among the movers and shakers of public health, with briefs on promotions, awards and professional news, at <www.apha.org/journal/nation/tnhnewsmakers.htm>.

Activate Your Access to the American Journal of Public Health Today!

The American Journal of Public Health is now available in full on the Web at <http://www.ajph.org/>. Starting in February, APHA members will need to activate their online access. Once your subscription is activated, this exclusive new member benefit will allow APHA members to search for articles by keyword, browse back issues and print articles at no cost.

APHA members and Journal subscribers will have complete access. All others will be charged to download articles.

To activate your member access, log on to <http://www.ajph.org/>. Enter your member number, which can be found on your mailing label above your name on your print copy of the Journal or The Nation's Health. You will then be given password instructions.

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