Recent Issues
Chronic Diseases in 2024: Diagnosis, Treatment, and Prevention Health Policy Biotechnology and Public Health Neurological Impairment and Stroke Homelessness, Poverty, and Public Health Oral Health Focus on Delaware’s Workforce Minority Health Place Matters: Geography and Health Behavioral Health and Trauma-Informed Care Vaccine Preventable Disease Genetics / Genomics Dementia in Delaware Technology and Public Health Intellectual and Development Disability One Health Racism & Health Public Libraries – Public Health Part 2, From Cells to Society: Research in the time of COVID-19 Part 1, From Cells to Society: Research in the time of COVID-19 Health Sciences Education Health Policy: The Road to Value-Based Care Disaster Preparedness LGBTQ+ Health Equity Communicable Disease Data to Decision Making Community Engaged Research Global Health Maternal and Child Health Creating Healthy Communities – The Intersection of Planning and Public Health

Current Issue – Chronic Diseases in 2024: Diagnosis, Treatment, Prevention

Six in ten Americans live with at least one chronic disease. Many live with more than one. These diseases have significant health and economic costs, and interventions to prevent, treat, and manage these diseases can make up a large portion of our national and local health care expenditures. These chronic diseases affect the lives of Delawareans in many ways, and also offer the potential for improvement. Often, improving one areas (i.e., diabetes) requires a comprehensive approach uniting medicine and public health, and thus positively impact many other areas of chronic disease as well.

Table of Contents

3 | In This Issue
Omar A. Khan, M.D., M.H.S. and Katherine Smith, M.D., M.P.H.

4| Training the Next Generation of Public Health Leaders to Tackle Chronic Disease in Delaware: Examples and Opportunities
Laura Lessard, Ph.D., M.P.H. and Angela Herman, D.N.P., R.N.

7 | Highlights from the Nation’s Health

8 | Chronic Disease Risk of Family Child Care Professionals: Results of a Statewide Survey of Health and Wellbeing Indicators
Laura Lessard, Ph.D., M.P.H. and Rena Hallam, Ph.D.

12 | A Comprehensive Analysis of the Impact of the COVID-19 Pandemic  on Lung Cancer in Delaware
Brian Nam, M.D., F.A.C.S.; Yeonjoo Yi, Ph.D.; Kevin Ndura, M.B.A.; Krishna Vasireddy, Pharm.D., M.S.; Claudine Jurkovitz, M.D., M.P.H.; Kiran Kattepogu, M.B.B.S., M.P.H.

20 | The DPH Bulletin – February 2024

26 | Social Workers, Burnout, and Self-Care: A Public Health Issue
Michelle Ratcliff, D.M.F.T., L.S.W.

30 | Community Partnership to Co-Develop an Intervention to Promote Equitable Uptake of the COVID-19 Vaccine Among Pediatric Populations
Paul T. Enlow, Ph.D.; Courtney Thomas, M.S.; Angel Munoz Osorio, B.S.; Marshala Lee, M.D., M.P.H.; Jonathan M. Miller, M.D.; Lavisha Pelaez, M.P.H.; Anne E. Kazak, Ph.D., A.B.P.P.; Thao-Ly T. Phan, M.D., M.P.H.

40 | The DPH Bulletin – March 2024

43 | The Burden of Diabetes in Delaware

44 | Pediatric Dentists: Frontline Public Health Providers Leading the Way in Identifying and Preventing Childhood Obstructive Sleep Apnea Syndrome
Bari Levine, D.M.D., M.P.H.; Freda Patterson, Ph.D.; Lauren Covington, Ph.D., R.N.

46 | “We Are All There to Make Sure the Baby Comes Out Healthy”: A Qualitative Study of Doulas’ and Licensed Providers’ Views on Doula Care
Erin K. Knight, Ph.D., M.P.H. and Rebecca Rich, Ph.D., C.H.E.S.

62 | Fogarty International – Global Health Matters

74 | Paving the Way to Active Living for People with Disabilities: Evaluating Park and Playground Accessibility and Usability in Delaware
Cora J. Firkin; Lauren Rechner; Iva Obrusnikova, Ph.D., M.Sc.

86 | How Interprofessional Community Mobile Healthcare and Service-Learning Work Together to Identify and Address Chronic Health Disparities
Emma Mathias; Peyton Free; Abby Storm, M.S.; Heather Milea, M.S.N., F.N.P.-B.C., A.G.A.C.N.P.-B.C.; Christine Sowinski, M.S.M.; Jennifer A. Horney, Ph.D.

90 | A 6-Week Virtual Exercise/Dance Program Impacts Fitness Levels for Adults with Intellectual Disabilities: A DNP Project
Melanie Ayers, D.N.P., R.N., C.N.E.

98 | Navigating Risk: Understanding Chronic Disease Factors in Delaware’s College Population
Amy Gootee-Ash, Ph.D., M.S.W., M.S.; Megan Rothermel, Ed.D., M.S.; Adam Kuperavage, Ph.D.

102 | Implementing a Successful Influenza and Updated COVID-19 Vaccination Campaign Among Healthcare Workers in a Delaware Healthcare Facility
Lija Gireesh, D.N.P., M.B.A., F.N.P.-B.C., N.E.A.-B.C., C.O.H.N.-S.; Tabe Mase, F.N.P.-B.C., M.J., C.H.C., C.O.H.N.-S.; Marci Drees, M.D., M.S., D.T.M.H., F.A.C.P., F.I.D.S.A., F.S.H.E.A.

106 | Mapping Health Disparities: Leveraging Area-Based Deprivation Indicies for Targeted Chronic Disease Intervention
Darrell Dow, M.S.

112 | Review of Pediatric Tracheostomy Trainign Program for Home Discharge Patients
Katlyn L. Burr, M.S.M., R.R.T.-N.P.S., A.E.-C.; Erin Nilson-Italia, R.R.T.-N.P.S.; Michael Treut, R.R.T.-N.P.S., A.E.-C.; Kimberly McMahon, M.D.; Kelly Massa, B.H.S., R.R.T.-N.P.S.

116 | Lieutenant Governor’s Challenge: Motivating and Honoring Delawareans to Improve Their Health and Well-Being
Helen Arthur, M.H.A.; Lauren Butscher, C.H.E.S.; Lisa Moore, M.P.A.; Keith Warren

122 | Advancing Healthy Lifestyles: A Multicomponent Initiative to Reduce the Burden of Obesity in Delaware
Helen Arthur, M.H.A.; Lauren Butscher, C.H.E.S.; Lisa Moore, M.P.A.

130 | The Impact of Diabetes in Delaware

152 | Lexicon

154 | Resources

156 | Index of Advertisers