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Oklahoma Birth Defects Registry (OBDR)
The Oklahoma Birth Defects Registry (OBDR) is an active, population-based surveillance system. State Statute 63 O.S. Section 1-550.2 gives the Oklahoma State Department of Health the responsibility for operating the registry and assuring confidentiality of the data collected. Inclusion diagnoses comprise those listed in the Birth Defects and Genetic Diseases Branch 6-Digit Code modifications for classification of diagnoses. Currently, a case entered into the OBDR must meet the following criteria: 1) was born on or after January 1, 1994; 2) mother was an Oklahoma resident at the time of birth; 3) was born in an Oklahoma hospital (expanded to Fort Smith, Arkansas in 1995); 4) diagnosed with, or having signs and symptoms of, an inclusion diagnosis prior to the second (2nd) birthday; 5) identified as an OBDR case prior to the child’s sixth (6th) birthday; 6) gestational age of 20 weeks or greater. All cases in the OBDR are matched against birth and fetal death certificates. It takes six years for a birth year to be considered complete. The OBDR was one of only eight registries in the nation to receive an “A” grade from the PEW Environmental Health Commission in 1999, and again in 2002 from the Trust for America’s Health.
Oklahoma Lead Poisoning Prevention Program (OLPPP)
The Oklahoma Lead Poisoning Prevention Program currently maintains two surveillance systems, the Childhood Lead Poisoning Prevention Program (CLPPP) surveillance system and the Adult Blood Lead Epidemiology and Surveillance Program (ABLES) surveillance system. Oklahoma has a state law requiring reporting to the Oklahoma State Department of Health all blood lead test results. Results that are >= 10 micrograms per deciliter (µg/dL) are to be reported weekly and other results are to be reported monthly. However, results that are >= 20 µg/dL in children up to 72 months of age, are to be reported within 24 hours of the date of analysis. The main focus of these programs is to monitor elevated blood lead levels in children and in adults, and to provide information regarding the health effects of elevated blood lead levels. Additionally, the CLPPP provides medical case management and environmental investigations in the homes of children with elevated blood lead levels. Currently, the Lead Poisoning Prevention Program is working toward the following Healthy People 2010 goals: #8-11-Eliminate elevated blood lead levels in children, and #20-7-Reduce the number of adults who have blood lead concentrations of 25 µg/dL or greater of whole blood.
Oklahoma Central Cancer Registry (OCCR)
The Oklahoma Central Cancer Registry (OCCR) is a statewide, population based system for the collection, management, and analysis of information on incidence and treatment of cancer cases among Oklahoma residents. Oklahoma State law (Oklahoma Statute 63 OS 1-551) requires all health professionals in Oklahoma to report information on all cases of cancer they diagnose or treat within the state. While cancers are identified primarily through reports from hospitals, pathology laboratories, mammography centers, radiation oncology centers, ambulatory surgical centers, cancer treatment centers, and physicians, any other health care professional who diagnoses or treats a cancer case must also submit information on that case. Once the case is identified, an abstract of cancer information is required to be completed and submitted to the OCCR within six months, at which time the data is checked for quality. Data files or paper abstracts are transmitted to the state on a regular basis. OCCR is responsible for merging the data and finalizing the statewide data set, as well as overall data quality assurance in accordance with national standards. The Oklahoma Central Cancer Registry has received the highest level of certification available (Gold) from the North American Association of Central Cancer Registries. The certification is based on quality, completeness and timeliness of data collected for 2001 and 2002.
Oklahoma Asthma Surveillance System (OASS)
The Oklahoma Asthma Prevention and Control Program, supported by Cooperative Agreement from the Centers for Disease Control and Prevention, have had an operational asthma surveillance system since 2002. The program has facilitated the Data and Surveillance Committee of the Oklahoma Asthma Initiative and the committee members (included staff from divisions within OSDH and staff from external organizations) have provided technical assistance in gathering data sets and the review of data for appropriateness. Current available data for the Oklahoma Asthma Surveillance System includes data from internal and external partners. The latest surveillance report reflected the adult asthma morbidity data updated from the Behavioral Risk Factor Surveillance System (BRFSS), an annual telephone survey, with Adults Asthma History and Childhood Asthma Modules of 2003 and 2004; Child asthma data is reported from the 2002 Youth Tobacco Survey (YTS). The YTS is conducted every two years and includes asthma prevalence of middle school and high school students; Hospital Discharge data reports on number of hospital discharges, length of stay and charges with asthma as diagnosis for the years of 2001 through 2002; Mortality data is reported from 2001 though 2003. Future sources of data include Medicaid data, the Oklahoma Minority Behavior Risk Factor Survey, and Emergency Medical Service Data and work-related asthma data.
Department of Environmental Quality (DEQ): Environmental Hazards Data
The vision of the Department of Environmental Quality is to eliminate the effects of unintended consequences of historic development, to prevent new adverse environmental impacts and to provide significant input into national decision making, while enhancing both the environment and the economy of Oklahoma. DEQ has five divisions: Air quality, water quality, land protection, customer service, and environmental complaints and local services.
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