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Christina DeStefano-Shields graduated with a B.S. in Biochemistry and Molecular Biology from the University of Georgia and then worked as a research assistant at the University of California Berkeley and Davis campuses. She was interested in research that would combine molecular mechanisms of toxicants, understanding toxicants in the environment, and translation of this research to improve human and environmental health. Christina joined the EHS Toxicology PhD program because of its emphasis on an integrative approach that encourages students to pursue not only basic toxicology research but to combine laboratory research with translational studies and broad public health discourse. Christina’s thesis projects in the laboratory of Professor Robert Casero attempt to define some of the specific pathways connecting chronic inflammation and carcinogenesis and. | Whitman County Health Department 2012 Maternal and Child Health Assessment TABLE OF CONTENTS TABLE OF CONTENTS Whitman County Health Department Dr. Brad Bowman Health Officer Fran Martin Director Contact Information 310 N. Main Street Colfax WA 99111 Phone Colfax 509 397-6280 Pullman 509 332-6752 Fax Colfax 509 397-6239 Pullman 509 334-4317 http WhitmanCounty.org December 2012 Prepared by Spokane Regional Health District Disease Prevention and Response Community Health Assessment Planning and Evaluation 1101 West College Avenue 356 Spokane WA 99201-2095 Primary author Adrian E. Dominguez MS Contributing author Amy Riffe MA MPH Report supervisor Stacy Wenzl MHPA Layout and graphic design Stephanie Bultema INTRODUCTION.2 KEY FINDINGS.3 METHODOLOGY.5 POPULATION.7 DEMOGRAPHICS AND SOCIAL CHARACTERISTICS.9 MATERNAL HEALTH.15 General Fertility Rates and Births.15 Service Utilization.18 Medicaid.18 WIC.19 Medical Risks.20 Maternal Mortality.20 Cesarean Section.20 Infectious Diseases and Sexually Transmitted Diseases STDs .21 Gestational Diabetes.23 Previous Preterm Birth.24 High Blood Pressure.25 Group B Strep.26 Behavioral Risks.27 Maternal Smoking.27 Prenatal Care First Trimester.28 Prenatal Care Late or No.29 Folic Acid.30 Interpregnancy Interval.31 INFANT HEALTH BIRTH OUTCOMES.32 Preterm Birth.32 Low Birth Weight.33 Congenital Anomalies.34 Hospitalization.35 Hospitalization Cost.35 Conditions Requiring Medical Attention.36 Newborn Intensive Care Unit NICU .37 Infant Mortality.38 Sudden Infant Death Syndrome SIDS .38 CHILD HEALTH.39 Percent WIC Enrollees 2-5 Years with BMI at or Above 85th Percentile.39 Children with Special Health Care Needs.39 INDICATOR DATA FOR WHITMAN COUNTY AND WASHINGTON STATE.41 GLOSSARY.42 REFERENCES.44 WHITMAN COUNTY HEALTH DEPARTMENT Maternal and Child Health Assessment 2012 Page 1 INTRODUCTION The Public Health Improvement Partnership a collaborative network of local public health agencies tribes and partners released the Agenda for Change .
