Public Health Response to Traumatic Brain Injury

Jeneita Bell, MD, MPHMedical Officer

LCDR, USPHS Commissioned Corps

National Center for Injury Prevention and Control

Division of Unintentional Injury Prevention

Overview

History of CDC TBI Surveillance

Congressional mandates and authorizations

Response to Congress

TBI Model Systems

CDC's Traumatic Brain Injury Surveillance Program

1989 — promoted development of a multistate TBI surveillance program Federal Interagency Head Injury Task Force Report Funding and technical assistance Colorado, Oklahoma, Missouri, and South Carolina

1995 — published Guidelines for Surveillance of Central Nervous System Injury Ensure valid and timely information Define the data elements necessary to describe

TBI Core elements readily available to most State

health departments

The Traumatic Brain Injury Act of 1996

Develop a uniform reporting system

Research effective strategies for preventing

TBI

Implement public information and education

programs

Provide technical assistance to public

entities

Authorized at $3 million for fiscal years

1997–1999

CDC Response – TBI Act of 1996

Report to Congress on TBI -1999

Incidence

Prevalence of TBI

TBI-related disability

TBI surveillance systems funded in 19

states

Follow-up studies Colorado and South

Carolina

TBI Act Amendments of 2000

Signed as Title XIII of the Children’s Health

Act of 2000

Implement national education campaign

Fund States or their designees to operate a

TBI registry

Determine the incidence and prevalence of

TBI in all age groups in the general

population

Determine the incidence and prevalence of

mild TBI

CDC Response – TBI Act Amendment of 2000

CDC Heads Up program (2004)

TBI-related deaths, hospitalizations, and ED

visits

Funded states to link rehabilitation and

social services CDC Mild TBI Work Group

Future of registries State-based CDC surveillance systems as

registries Report to Congress (2003)

South Carolina studies of TBI among

prisoners

Reauthorization of the TBI Act of 2008

Collaboration between civilian and military registries

Determine the incidence of TBI and prevalence of TBI-related disability

Report national trends in TBI

Identify common rehabilitation

interventions Identify interventions that can prevent or

remediate secondary neurologic conditions

Develop practice guidelines TBI

rehabilitation

CDC Response –Reauthorization Act of 2008

Reports to Congress Military (DoD, VA, NIH) Civilian (NIH and Expert panel of research

scientists)

TBI-related deaths, hospitalizations, and ED

visits, 2002–2006 Demographic characteristics External cause of injury Trend data

Interagency Agreement Department of Education, National Institute of

Disability and Rehabilitation Research TBI Model Systems

Thank you

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

National Center for Injury Prevention and Control

Division of Unintentional Injury Prevention