1. Using Data to Prevent Sleep-Related Infant Deaths in Baltimore City Samantha Sileno, B.S. Public Health Associate Baltimore City Health Department Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention 2015 PHAP/PHPS Summer Seminar June 2, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

2. Presentation Overview  Personal Background and PHAP Host Site  Infant Mortality in Baltimore City  B’more for Healthy Babies  Safe Sleep Profile  Results  Barriers and Lessons Learned

3. Personal Background and PHAP Host Site  Education Bachelor of Science- Health Education, University of Florida Class of 2014 o Focus on Community Health  Host Site Baltimore City Health Department, Bureau of Maternal and Child Health Year 1 Assignment: Fetal-Infant Mortality Review and Child Fatality Review o Maintain and Expand Safe Sleep Profile

4. Baltimore City, Maryland  622,000 residents  81 sq. miles  64% of the population are African American  1/3 of households live below the poverty line and have an income less than $25,000/year *Census Bureau

5. Baltimore City: High Infant Mortality & Health Disparities in 2009  Baltimore City had the highest rate of infant death in Maryland and the 4th worst infant mortality rate in the U.S.  Infant Mortality Rate of 13.5 per 1,000 live births  127 infants died in Baltimore City  African American infants were 5x more likely to die than white infants  20% of infant deaths were attributable to unsafe sleep practices *Maryland Vital Statistics

6. Formation of B’more for Healthy Babies (BHB)  Innovative citywide initiative launched in 2009 to improve birth outcomes  Strong emphasis on coordination of efforts, evidence-based interventions, and coalition-building  Baltimore City Health Department creates the Safe Sleep Profile to provide data to the initiative *Maryland Vital Statistics

7. Safe Sleep Profile  Data set of all sleep-related infant deaths that occur in Baltimore City  Contains 15 variables that are used to help plan interventions and target media campaigns each year on safe sleep  Sleep environment characteristics  These data are obtained from medical records, infant death- scene investigation reports from the medical examiner’s office, and child fatality reviews

8. Safe Sleep Data

9. Sleep-Related Infant Deaths in Baltimore City 2000-November 2014 (N=101)

10. Safe Sleep Data

13. Results  SLEEP SAFE Campaign : Alone, Back, Crib, No Exceptions is launched in 2010  B’more for Healthy Babies used the Profile to implement new tobacco initiatives, train 4,000 providers and produced 4 targeted SLEEP SAFE videos. SRID infant mortality rate (IMR) decreased from 2.8 in 2009 to 1.9 in 2013. The drop in SRIDs was reflected in the 2013 IMR (6.6) for Maryland.

14. Barriers and Lessons Learned  Incorrect or missing information may compromise the usefulness of the Profile and my host site is working to standardize reporting protocols to improve data quality.  A robust Safe Sleep Profile is essential to develop targeted messaging in order to inform an effective, dynamic safe sleep campaign. Strong accountability for agencies and other partners to contribute data to the profile must be established

15. For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: OSTLTSfeedback@cdc.govWeb: http://www.cdc.gov/stltpublichealthOSTLTSfeedback@cdc.govhttp://www.cdc.gov/stltpublichealth The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Questions? Contact: Samantha Sileno ypl0@cdc.gov samantha.sileno@baltimorecity.gov Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support