Curtis Cude | Oregon Health Authority (original) (raw)
Papers by Curtis Cude
Contemporary clinical trials, Mar 1, 2024
American Journal of Industrial Medicine, 2020
International Journal of Environmental Research and Public Health, 2020
This paper systematically reviews existing United States-based water insecurity literature with t... more This paper systematically reviews existing United States-based water insecurity literature with the goal of understanding the evidence base for developing public health water insecurity intervention strategies in Oregon. The authors conducted the systematic literature review using an adjusted PRISMA reporting checklist to document the review process. Results find 11 public health-related water insecurity interventions including surveillance practices and indicator and policy development. Research on water insecurity health impacts and solutions is still an emerging field. Nevertheless, state agencies perceive a risk to communities from inadequate safe water and are taking steps to assess and reduce these risks. From the review, strategies include improving water affordability, carrying out community education events, documenting drought risk and water loss, and tracking improvements in safe drinking water compliance. The review finds opportunities to take varied approaches that are ...
International journal of environmental research and public health, Jan 8, 2015
State-issued identification cards are a promising data source for neighborhood-level obesity esti... more State-issued identification cards are a promising data source for neighborhood-level obesity estimates. We used information from three million Oregon state-issued identification cards to compute age-adjusted estimates of average adult body mass index (BMI) for each census tract in the state. We used multivariate linear regression to identify associations between weight status and population characteristics, food access, commuting behavior, and geography. Together, home values, education, race, ethnicity, car commuting, and rural-urban commuting area (RUCA) explained 86% of the variation in BMI among tracts. BMI was lower in areas with higher home values and greater educational attainment, and higher in areas with more workers commuting by car. Our findings are consistent with other research on socioeconomic disparities in obesity. This demonstrates state-issued identification cards are a promising data source for BMI surveillance and may offer new insight into the association betwee...
Toxins, Jan 21, 2018
Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-o... more Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-occurrence of (AFA) and cyanotoxins, presenting exposure risk. The authors conducted a systematic literature review using a GRADE PRISMA-p 27-item checklist to assess the evidence for toxigenicity of AFA in both fresh waters and BGAS. Studies have shown AFA can produce significant levels of cylindrospermopsin and saxitoxin in fresh waters. Toxicity studies evaluating AFA-based BGAS found some products carried the gene and tested positive for microcystins at levels ≤ 1 μg microcystin (MC)-LR equivalents/g dry weight. Further analysis discovered BGAS samples had cyanotoxins levels exceeding tolerable daily intake values. There is evidence that spp. are toxin producers and AFA has toxigenic genes such as that could lead to the production of MC under the right environmental conditions. Regardless of this ability, AFA commonly co-occur with known MC producers, which may contaminate BGAS. Toxin...
Abstract: Background: State-issued identification cards are a promising data source for neighborh... more Abstract: Background: State-issued identification cards are a promising data source for neighborhood-level obesity estimates. Methods: We used information from three million Oregon state-issued identification cards to compute age-adjusted estimates of average adult body mass index (BMI) for each census tract in the state. We used multivariate linear regression to identify associations between weight status and population characteristics, food access, commuting behavior, and geography. Results: Together, home values, education, race, ethnicity, car commuting, and rural-urban commuting area (RUCA) explained 86 % of the variation in BMI among tracts. BMI was lower in areas with higher home values and greater educational attainment, and higher in areas with more workers commuting by car. Discussion: Our findings are consistent with other research on socioeconomic disparities in obesity. This demonstrates state-issued identification cards are a promising data source for BMI surveillance ...
ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative... more ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative that involves the ongoing integration, analysis, interpretation and dissemination of data on environmental hazards, human exposures and health effects. Oregon is one of twenty-four grantees funded by the Centers for Disease Control and Prevention to help develop the National Environmental Public Health Tracking Network supporting the continued efforts to examine how environmental exposures and health outcomes are connected. Oregon Tracking made new indicator-based data (including Body Mass Index or BMI) available on their recently enhanced online data portal, providing an interactive search of environmental and public health information through maps, tables, and graphs. Oregon is the first state to incorporate DMV data into the public health tracking system and has put forth the largest validation study conducted on DMV records to date. Public health agencies need reliable local data to guide prevention efforts. State-issued driver licenses and ID cards (DMV data) records can be used to track the population’s weight status at a sub-county level, providing great detail on patterns and disparities. This presentation will cover the Oregon Tracking Program’s work to validate data from DMV records, and will demonstrate several applications to inform research, describe disparities and trends in obesity, and guide public health interventions. DMV data is also useful for evaluating interventions, because we can look at records issued in different years and compare the change over time in the population’s weight status between different areas of the state. Other states should explore using DMV data for obesity surveillance.
ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics ... more ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics Epidemiology Planning of health education strategies, interventions, and programs Public health or related research
Journal of the American Water Resources Association, 2002
Journal of Safety Research
J Am Water Resour Assoc, 2005
In 1996, the State of Oregon adopted a water quality standard based on Escherichia coli (E. coli)... more In 1996, the State of Oregon adopted a water quality standard based on Escherichia coli (E. coli), recognizing E. coli as an indicator of pathogenic potential. The Oregon Department of Environmental Quality (DEQ) began analysis for E. coli that same year. The Oregon DEQ continued collection and analysis of fecal coliform (a prior indicator organism) for data input to bacterial
ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative... more ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative that involves the ongoing integration, analysis, interpretation and dissemination of data on environmental hazards, human exposures and health effects. Oregon is one of twenty-four grantees funded by the Centers for Disease Control and Prevention to help develop the National Environmental Public Health Tracking Network supporting the continued efforts to examine how environmental exposures and health outcomes are connected. Oregon Tracking made new indicator-based data (including Body Mass Index or BMI) available on their recently enhanced online data portal, providing an interactive search of environmental and public health information through maps, tables, and graphs. Oregon is the first state to incorporate DMV data into the public health tracking system and has put forth the largest validation study conducted on DMV records to date. Public health agencies need reliable local data to guide prevention efforts. State-issued driver licenses and ID cards (DMV data) records can be used to track the population’s weight status at a sub-county level, providing great detail on patterns and disparities. This presentation will cover the Oregon Tracking Program’s work to validate data from DMV records, and will demonstrate several applications to inform research, describe disparities and trends in obesity, and guide public health interventions. DMV data is also useful for evaluating interventions, because we can look at records issued in different years and compare the change over time in the population’s weight status between different areas of the state. Other states should explore using DMV data for obesity surveillance.
ABSTRACT The Oregon Climate and Health Profile Report describes likely impacts of climate change ... more ABSTRACT The Oregon Climate and Health Profile Report describes likely impacts of climate change and its influence on health outcomes in Oregon. The report presents a broad, statewide assessment of demographic, geographic and occupational vulnerability to climate change risks. This report will be used in a subsequent, more detailed assessment analyzing social vulnerability, projecting the burden of disease resulting from climate change and identifying interventions likely to reduce negative health impacts. This information will be used to create the Oregon Climate and Health Adaptation Plan to guide climate adaptation activities within Oregon Health Authority and partner agencies.
ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics ... more ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics Epidemiology Planning of health education strategies, interventions, and programs Public health or related research
American Journal of Industrial Medicine, 2020
Background The Oregon Occupational Public Health Program (OOPHP) monitors occupational health ind... more Background
The Oregon Occupational Public Health Program (OOPHP) monitors occupational health indicators (OHIs) to inform occupational safety and health (OSH) surveillance. In 2018, OOPHP evaluated the performance of the OSH surveillance system and identified areas for future improvement.
Methods
Following the Centers for Disease Control and Prevention (CDC) updated guidelines for evaluating public health surveillance systems, the OOPHP evaluation team engaged internal and external stakeholders using a mixed‐methods approach. Operational measures for ten surveillance attributes were developed. Multiple data collection methods resulted in credible evidence for evaluation conclusions. Analyses included summary statistics and qualitative analysis of interviews, a focus group, and online surveys.
Results
Twenty stakeholders took part in this evaluation, with an average participation rate of 55%. Results showed the Oregon OSH surveillance system was simple, flexible, and highly accepted by its stakeholders. Funding security presents challenges for stability. A lack of timeliness of OHIs, low relevance of OHIs to local OSH issues, and the system's ineffectual data dissemination all limit the usefulness of the OSH surveillance system. A review of key data sources for the system showed good data quality and predictive value positive, but relatively poor sensitivity and representativeness.
Conclusions
The evaluation team successfully adapted attributes and examples in the CDC guidelines to this Oregon OSH surveillance evaluation. The evaluation findings have informed the development of recommendations for improvements to OOPHP's OSH surveillance. Future research is needed to develop guidance specific to OSH surveillance evaluation.
International Journal of Environmental Research and Public Health, 2020
This paper systematically reviews existing United States-based water insecurity literature with t... more This paper systematically reviews existing United States-based water insecurity literature with the goal of understanding the evidence base for developing public health water insecurity intervention strategies in Oregon. The authors conducted the systematic literature review using an adjusted PRISMA reporting checklist to document the review process. Results find 11 public health-related water insecurity interventions including surveillance practices and indicator and policy development. Research on water insecurity health impacts and solutions is still an emerging field. Nevertheless, state agencies perceive a risk to communities from inadequate safe water and are taking steps to assess and reduce these risks. From the review, strategies include improving water affordability, carrying out community education events, documenting drought risk and water loss, and tracking improvements in safe drinking water compliance. The review finds opportunities to take varied approaches that are community-specific, partnership-based and culturally relevant. Recommendations for Oregon include characterizing communities experiencing water insecurity, assessing community needs, tracking regional water scarcity and recognizing the human right to water in Oregon.
Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-o... more Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-occurrence of Aphanizomenon flos-aquae (AFA) and cyanotoxins, presenting exposure risk. The authors conducted a systematic literature review using a GRADE PRISMA-p 27-item checklist to assess the evidence for toxigenicity of AFA in both fresh waters and BGAS. Studies have shown AFA can produce significant levels of cylindrospermopsin and saxitoxin in fresh waters. Toxicity studies evaluating AFA-based BGAS found some products carried the mcyE gene and tested positive for microcystins at levels ≤ 1 μg microcystin (MC)-LR equivalents/g dry weight. Further analysis discovered BGAS samples had cyanotoxins levels exceeding tolerable daily intake values. There is evidence that Aphanizomenon spp. are toxin producers and AFA has toxigenic genes such as mcyE that could lead to the production of MC under the right environmental conditions. Regardless of this ability, AFA commonly co-occur with known MC producers, which may contaminate BGAS. Toxin production by cyanobacteria is a health concern for both recreational water users and BGAS consumers. Recommendations include: limit harvesting of AFA to months when toxicity is lowest, include AFA in cell counts during visible blooms, and properly identify cyanobacteria species using 16S rRNA methods when toxicity levels are higher than advisory levels.
Contemporary clinical trials, Mar 1, 2024
American Journal of Industrial Medicine, 2020
International Journal of Environmental Research and Public Health, 2020
This paper systematically reviews existing United States-based water insecurity literature with t... more This paper systematically reviews existing United States-based water insecurity literature with the goal of understanding the evidence base for developing public health water insecurity intervention strategies in Oregon. The authors conducted the systematic literature review using an adjusted PRISMA reporting checklist to document the review process. Results find 11 public health-related water insecurity interventions including surveillance practices and indicator and policy development. Research on water insecurity health impacts and solutions is still an emerging field. Nevertheless, state agencies perceive a risk to communities from inadequate safe water and are taking steps to assess and reduce these risks. From the review, strategies include improving water affordability, carrying out community education events, documenting drought risk and water loss, and tracking improvements in safe drinking water compliance. The review finds opportunities to take varied approaches that are ...
International journal of environmental research and public health, Jan 8, 2015
State-issued identification cards are a promising data source for neighborhood-level obesity esti... more State-issued identification cards are a promising data source for neighborhood-level obesity estimates. We used information from three million Oregon state-issued identification cards to compute age-adjusted estimates of average adult body mass index (BMI) for each census tract in the state. We used multivariate linear regression to identify associations between weight status and population characteristics, food access, commuting behavior, and geography. Together, home values, education, race, ethnicity, car commuting, and rural-urban commuting area (RUCA) explained 86% of the variation in BMI among tracts. BMI was lower in areas with higher home values and greater educational attainment, and higher in areas with more workers commuting by car. Our findings are consistent with other research on socioeconomic disparities in obesity. This demonstrates state-issued identification cards are a promising data source for BMI surveillance and may offer new insight into the association betwee...
Toxins, Jan 21, 2018
Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-o... more Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-occurrence of (AFA) and cyanotoxins, presenting exposure risk. The authors conducted a systematic literature review using a GRADE PRISMA-p 27-item checklist to assess the evidence for toxigenicity of AFA in both fresh waters and BGAS. Studies have shown AFA can produce significant levels of cylindrospermopsin and saxitoxin in fresh waters. Toxicity studies evaluating AFA-based BGAS found some products carried the gene and tested positive for microcystins at levels ≤ 1 μg microcystin (MC)-LR equivalents/g dry weight. Further analysis discovered BGAS samples had cyanotoxins levels exceeding tolerable daily intake values. There is evidence that spp. are toxin producers and AFA has toxigenic genes such as that could lead to the production of MC under the right environmental conditions. Regardless of this ability, AFA commonly co-occur with known MC producers, which may contaminate BGAS. Toxin...
Abstract: Background: State-issued identification cards are a promising data source for neighborh... more Abstract: Background: State-issued identification cards are a promising data source for neighborhood-level obesity estimates. Methods: We used information from three million Oregon state-issued identification cards to compute age-adjusted estimates of average adult body mass index (BMI) for each census tract in the state. We used multivariate linear regression to identify associations between weight status and population characteristics, food access, commuting behavior, and geography. Results: Together, home values, education, race, ethnicity, car commuting, and rural-urban commuting area (RUCA) explained 86 % of the variation in BMI among tracts. BMI was lower in areas with higher home values and greater educational attainment, and higher in areas with more workers commuting by car. Discussion: Our findings are consistent with other research on socioeconomic disparities in obesity. This demonstrates state-issued identification cards are a promising data source for BMI surveillance ...
ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative... more ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative that involves the ongoing integration, analysis, interpretation and dissemination of data on environmental hazards, human exposures and health effects. Oregon is one of twenty-four grantees funded by the Centers for Disease Control and Prevention to help develop the National Environmental Public Health Tracking Network supporting the continued efforts to examine how environmental exposures and health outcomes are connected. Oregon Tracking made new indicator-based data (including Body Mass Index or BMI) available on their recently enhanced online data portal, providing an interactive search of environmental and public health information through maps, tables, and graphs. Oregon is the first state to incorporate DMV data into the public health tracking system and has put forth the largest validation study conducted on DMV records to date. Public health agencies need reliable local data to guide prevention efforts. State-issued driver licenses and ID cards (DMV data) records can be used to track the population’s weight status at a sub-county level, providing great detail on patterns and disparities. This presentation will cover the Oregon Tracking Program’s work to validate data from DMV records, and will demonstrate several applications to inform research, describe disparities and trends in obesity, and guide public health interventions. DMV data is also useful for evaluating interventions, because we can look at records issued in different years and compare the change over time in the population’s weight status between different areas of the state. Other states should explore using DMV data for obesity surveillance.
ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics ... more ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics Epidemiology Planning of health education strategies, interventions, and programs Public health or related research
Journal of the American Water Resources Association, 2002
Journal of Safety Research
J Am Water Resour Assoc, 2005
In 1996, the State of Oregon adopted a water quality standard based on Escherichia coli (E. coli)... more In 1996, the State of Oregon adopted a water quality standard based on Escherichia coli (E. coli), recognizing E. coli as an indicator of pathogenic potential. The Oregon Department of Environmental Quality (DEQ) began analysis for E. coli that same year. The Oregon DEQ continued collection and analysis of fecal coliform (a prior indicator organism) for data input to bacterial
ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative... more ABSTRACT Oregon Environmental Public Health Tracking (Oregon Tracking) is a nationwide initiative that involves the ongoing integration, analysis, interpretation and dissemination of data on environmental hazards, human exposures and health effects. Oregon is one of twenty-four grantees funded by the Centers for Disease Control and Prevention to help develop the National Environmental Public Health Tracking Network supporting the continued efforts to examine how environmental exposures and health outcomes are connected. Oregon Tracking made new indicator-based data (including Body Mass Index or BMI) available on their recently enhanced online data portal, providing an interactive search of environmental and public health information through maps, tables, and graphs. Oregon is the first state to incorporate DMV data into the public health tracking system and has put forth the largest validation study conducted on DMV records to date. Public health agencies need reliable local data to guide prevention efforts. State-issued driver licenses and ID cards (DMV data) records can be used to track the population’s weight status at a sub-county level, providing great detail on patterns and disparities. This presentation will cover the Oregon Tracking Program’s work to validate data from DMV records, and will demonstrate several applications to inform research, describe disparities and trends in obesity, and guide public health interventions. DMV data is also useful for evaluating interventions, because we can look at records issued in different years and compare the change over time in the population’s weight status between different areas of the state. Other states should explore using DMV data for obesity surveillance.
ABSTRACT The Oregon Climate and Health Profile Report describes likely impacts of climate change ... more ABSTRACT The Oregon Climate and Health Profile Report describes likely impacts of climate change and its influence on health outcomes in Oregon. The report presents a broad, statewide assessment of demographic, geographic and occupational vulnerability to climate change risks. This report will be used in a subsequent, more detailed assessment analyzing social vulnerability, projecting the burden of disease resulting from climate change and identifying interventions likely to reduce negative health impacts. This information will be used to create the Oregon Climate and Health Adaptation Plan to guide climate adaptation activities within Oregon Health Authority and partner agencies.
ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics ... more ABSTRACT Learning Areas: Chronic disease management and prevention Communication and informatics Epidemiology Planning of health education strategies, interventions, and programs Public health or related research
American Journal of Industrial Medicine, 2020
Background The Oregon Occupational Public Health Program (OOPHP) monitors occupational health ind... more Background
The Oregon Occupational Public Health Program (OOPHP) monitors occupational health indicators (OHIs) to inform occupational safety and health (OSH) surveillance. In 2018, OOPHP evaluated the performance of the OSH surveillance system and identified areas for future improvement.
Methods
Following the Centers for Disease Control and Prevention (CDC) updated guidelines for evaluating public health surveillance systems, the OOPHP evaluation team engaged internal and external stakeholders using a mixed‐methods approach. Operational measures for ten surveillance attributes were developed. Multiple data collection methods resulted in credible evidence for evaluation conclusions. Analyses included summary statistics and qualitative analysis of interviews, a focus group, and online surveys.
Results
Twenty stakeholders took part in this evaluation, with an average participation rate of 55%. Results showed the Oregon OSH surveillance system was simple, flexible, and highly accepted by its stakeholders. Funding security presents challenges for stability. A lack of timeliness of OHIs, low relevance of OHIs to local OSH issues, and the system's ineffectual data dissemination all limit the usefulness of the OSH surveillance system. A review of key data sources for the system showed good data quality and predictive value positive, but relatively poor sensitivity and representativeness.
Conclusions
The evaluation team successfully adapted attributes and examples in the CDC guidelines to this Oregon OSH surveillance evaluation. The evaluation findings have informed the development of recommendations for improvements to OOPHP's OSH surveillance. Future research is needed to develop guidance specific to OSH surveillance evaluation.
International Journal of Environmental Research and Public Health, 2020
This paper systematically reviews existing United States-based water insecurity literature with t... more This paper systematically reviews existing United States-based water insecurity literature with the goal of understanding the evidence base for developing public health water insecurity intervention strategies in Oregon. The authors conducted the systematic literature review using an adjusted PRISMA reporting checklist to document the review process. Results find 11 public health-related water insecurity interventions including surveillance practices and indicator and policy development. Research on water insecurity health impacts and solutions is still an emerging field. Nevertheless, state agencies perceive a risk to communities from inadequate safe water and are taking steps to assess and reduce these risks. From the review, strategies include improving water affordability, carrying out community education events, documenting drought risk and water loss, and tracking improvements in safe drinking water compliance. The review finds opportunities to take varied approaches that are community-specific, partnership-based and culturally relevant. Recommendations for Oregon include characterizing communities experiencing water insecurity, assessing community needs, tracking regional water scarcity and recognizing the human right to water in Oregon.
Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-o... more Previous studies of recreational waters and blue-green algae supplements (BGAS) demonstrated co-occurrence of Aphanizomenon flos-aquae (AFA) and cyanotoxins, presenting exposure risk. The authors conducted a systematic literature review using a GRADE PRISMA-p 27-item checklist to assess the evidence for toxigenicity of AFA in both fresh waters and BGAS. Studies have shown AFA can produce significant levels of cylindrospermopsin and saxitoxin in fresh waters. Toxicity studies evaluating AFA-based BGAS found some products carried the mcyE gene and tested positive for microcystins at levels ≤ 1 μg microcystin (MC)-LR equivalents/g dry weight. Further analysis discovered BGAS samples had cyanotoxins levels exceeding tolerable daily intake values. There is evidence that Aphanizomenon spp. are toxin producers and AFA has toxigenic genes such as mcyE that could lead to the production of MC under the right environmental conditions. Regardless of this ability, AFA commonly co-occur with known MC producers, which may contaminate BGAS. Toxin production by cyanobacteria is a health concern for both recreational water users and BGAS consumers. Recommendations include: limit harvesting of AFA to months when toxicity is lowest, include AFA in cell counts during visible blooms, and properly identify cyanobacteria species using 16S rRNA methods when toxicity levels are higher than advisory levels.