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State-by-State Reports
Cooperative Agreements
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March
2003—The CDC is providing nearly $3 million in cooperative
agreement funding to 12 states and a U.S. territory to strengthen their
oral health programs and reduce inequalities in the oral health of their
residents. The funding, which is renewable for up to five years, is
designed to improve basic state oral health services, including support for
program leadership and adding additional staff, monitoring oral health risk
factors, and developing and evaluating prevention programs. The following
projects are planned.
- Alaska will establish an oral health program within the state health
department's Maternal, Child and Family Health section, including hiring a
full-time state dental director and other staff. The state plans to develop
an oral health work group to guide development of a state oral health
surveillance system, improve reporting on community water fluoridation, and
initiate education for policymakers on oral health issues.
- Arkansas will
implement an oral health coalition to develop plans to increase access
to oral health services and produce health education materials.
Arkansas also received support to provide training for water plant
operators, promote intra-agency cooperation related to fluoridation of
water systems, and develop communications strategies to promote the
benefits of community water fluoridation throughout the state.
- Colorado will develop a statewide oral health surveillance system to
collect and monitor data about each of the Healthy People 2010 oral health
objectives for the nation, as well as required information related to
maternal and child health, and also will implement a preventive oral health
program targeting high-risk children and adults. Three staff members,
including an epidemiologist and dental hygienist will be hired.
- Illinois
will develop a statewide oral health surveillance system to collect
and monitor data about the oral health of its citizens, employ a
Fluoridation Program data manager, and develop a statewide oral health
education and awareness program. This project also will provide
assistance to the Illinois state oral health coalition that works to
improve the oral health of state residents.
- Michigan
will conduct a baseline assessment and establish an ongoing system to
monitor the oral health of its residents, provide health education on
the benefits of preventive treatment, and prepare a long-range oral
health strategy for the state.
- Nevada
will create a State Office of Oral Health to establish oral health
policies, work with the dental community, recruit dental health
professionals, identify and develop additional resources, and staff a
statewide advisory committee. The state also plans to develop a state
oral health plan. Nevada also received funding to implement a
school-based dental sealant program in 17 school districts.
- New York
will develop a county-specific surveillance system to monitor trends in
oral diseases and use of dental services and establish a statewide
coalition to promote understanding of the importance of oral health and
improve the quality of prevention programs. New York also will provide
technical assistance and training to local agencies on oral health
surveillance and to participate in the CDC Water Fluoridation Reporting
System.
- North Dakota will develop and implement a state oral health surveillance
system; assist communities to develop and implement oral health improvement
plans aimed at increasing access to care; and conduct health communications
activities to inform the public and policymakers to increase awareness of
the importance of oral health. An epidemiologist and health educator will
be hired.
- Oregon will establish a state oral health surveillance system; conduct a
statewide oral health needs assessment in the first and last years of the
project; promote community water fluoridation through health communications
activities and provide technical assistance to community coalitions; establish a
state oral health advisory committee; and convene a state oral health
summit. Oregon also is receiving funds to implement school dental sealant
programs.
- Rhode Island will implement a state surveillance system to monitor oral
disease and identify disparities; develop a state oral health improvement
plan; plan and implement prevention programs; conduct public education
activities to increase awareness about state oral health needs; and expand
the staff to include a full-time state dental director.
- South Carolina will conduct a needs assessment to determine the extent
of oral disease and identify any oral health disparities; develop a state
oral health surveillance system; and develop targeted prevention programs
and specific interventions in schools and communities that involve
public/private partnerships. The state also will hire a fluoridation
coordinator to monitor and report fluoridation and offer mini-grants to
communities for equipment.
- Texas will strengthen its capacity to monitor trends in oral
diseases; improve oral health prevention education in schools; and evaluate
program efforts. Programs will be developed to target schools and
communities where oral health disparities exist.
- The Republic of
Palau will
develop a territorial oral health plan that includes specific objectives
related to the "Healthy Islands Initiative"; develop, pilot
test and implement a statewide oral health surveillance program that
focuses on dental decay in preschool children; and implement a
comprehensive oral health improvement program for new mothers and
infants to reduce early childhood decay.
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