Overview of the Lifecourse Epidemiology & Genomics Division
Our mission is to provide statewide leadership and expertise essential for integrating both, genomics and epidemiologic science into maternal, child health, chronic disease and other related public health programs.
- Follow-up of individuals with heritable disorders; through the statewide Newborn Screening (NBS) program
- Prevention and education strategies targeted to cancer (breast and ovarian) and birth defects.
- Monitoring of risk factors and population health through the following:
- Case review systems (i.e., sudden cardiac death review, maternal death review).
- Routine epidemiologic surveillance to document trends and to assess disparities in morbidity, mortality, and costs in disease topic areas including but not limited to cardiovascular, diabetes, arthritis, osteoporosis, and for different populations from infants, children, pregnant women, childbearing age women and men to the elderly.
- Evaluation of the impact of health programs, interventions, and services related to chronic disease maternal and child health, and genomics.
- Promotion of translation of research and evidence based prevention strategies into public health policy and practice as it pertains to chronic disease, maternal and child health, and genomics.
- Promotion and implementation of innovative projects related to the life span approach to public health.
- Two major surveys funded by the Centers for Disease Control and Prevention, Behavioral Risk Factor Survey (BRFS) and Pregnancy Risk Assessment Monitoring System (PRAMS), are housed and administered in this Division.
- The Division also assists in the department's response to inquiries regarding local adverse health events (disease clusters), and collaborates on the development and enhancement of surveillance indicators and systems.
- Recently, the Division has been intensively involved in the development of BioTrust for Health that through a better storage of the residual dried blood spots (DBS) from newborn screening (NBS) make them more useful for medical and public health research.
The Genomics/Genetics program supports a network of clinical sites for genetic diagnosis and counseling, as well as provides information about birth defects and inherited diseases. Recently, with federal funding, the program has made considerable progress in developing strategies and partnerships to integrate genomics and the use of family history and similar tools throughout other public health programs, including chronic disease programs.
The newborn screening program, conducted jointly with the state public health laboratory, provides follow up, medical management and quality assurance for all Michigan newborn infants identified with one of more than fifty disorders, such as phenylketonuria, congenital hypothyroidism, galactosemia, biotinidase deficiency, maple syrup urine disease, sickle cell anemia, medium chain acyl-coenzyme A dehydrogenase deficiency, citrullinemia, argininosuccinic aciduria, homocystinuria, and congenital adrenal hyperplasia.
Responsibilities include epidemiological studies and surveillance of adverse maternal-child health outcomes. Epidemiological analyses are conducted using established data sources, including vital records, registry data, hospitalization data, Pregnancy Risk Assessment Monitoring System (PRAMS), Children's Special Health Care Services program, Hospital discharge data, Medicaid and Women, Infants and Children program, etc. Specific diseases surveillance activities include the Michigan Maternal Mortality Surveillance system designed to identify all deaths that occur in pregnant women or in women who gave birth within the 12 months prior to death.
Responsibilities include epidemiological studies and surveillance of chronic diseases and health disparities. Epidemiological analyses are conducted using established data sources, including vital records, registry data, hospitalization data, Behavioral Risk Factor Survey (BRFS), and other Specific disease surveillance activities include the conduct of the Michigan BRFS, an annual statewide telephone survey of over 3,500 households.
Lifecourse Epidemiology & Genomics Division
P.O. Box 30195
333 S. Grand Ave.
Lansing, Michigan 48909-30195