1. Public Health Response to Traumatic Brain Injury
Jeneita Bell, MD, MPH
Medical Officer
LCDR, USPHS Commissioned Corps
National Center for Injury Prevention and Control
Division of Unintentional Injury Prevention

2. Overview History of CDC TBI Surveillance
Congressional mandates and authorizations
Response to Congress
TBI Model Systems

3. CDC's Traumatic Brain Injury Surveillance Program
1989 — promoted development of a multistate TBI surveillance program
Federal Interagency Head Injury Task Force Report
Funding and technical assistance
Colorado, Oklahoma, Missouri, and South Carolina
1995 — published Guidelines for Surveillance of Central Nervous System Injury
Ensure valid and timely information
Define the data elements necessary to describe TBI
Core elements readily available to most State health departments
Better information on the public health impact of brain injuries

4. The Traumatic Brain Injury Act of 1996
Develop a uniform reporting system
Research effective strategies for preventing TBI
Implement public information and education programs
Provide technical assistance to public entities
Authorized at $3 million for fiscal years 1997–1999

5. CDC Response – TBI Act of 1996
Report to Congress on TBI -1999
Incidence
Prevalence of TBI
TBI-related disability
TBI surveillance systems funded in 19 states
Follow-up studies Colorado and South Carolina
Funded and provided technical assistance

6. TBI Act Amendments of 2000
Signed as Title XIII of the Children’s Health Act of 2000
Implement national education campaign
Fund States or their designees to operate a TBI registry
Determine the incidence and prevalence of TBI in all age groups in the general population
Determine the incidence and prevalence of mild TBI

7. CDC Response – TBI Act Amendment of 2000
CDC Heads Up program (2004)
TBI-related deaths, hospitalizations, and ED visits
Funded states to link rehabilitation and social services
CDC Mild TBI Work Group
Future of registries
State-based CDC surveillance systems as registries
Report to Congress (2003)
South Carolina studies of TBI among prisoners
National Education and awareness campaign which led to heads up
2004 that iIntends to reduce the incidence and the long term consequences of TBI in the US.
that included standard clinical and surveillance definitions for mild TBI and the methods to estimate the burden of this serious public health problem US (NCIPC 2003).
Funded South Carolina to conduct studies of TBI among prisoners

8. Reauthorization of the TBI Act of 2008
Collaboration between civilian and military registries
Determine the incidence of TBI and prevalence of TBI-related disability
Report national trends in TBI
Identify common rehabilitation interventions
Identify interventions that can prevent or remediate secondary neurologic conditions
Develop practice guidelines TBI rehabilitation
Determine the incidence of TBI and prevalence of TBI related disability in all age groups and racial and ethnic minority groups
Develop practice guidelines TBI rehabilitation SUBJECT TO THE AVAILABILITY OF INFORMATION

9. CDC Response –Reauthorization Act of 2008
Reports to Congress
Military (DoD, VA, NIH)
Civilian (NIH and Expert panel of research scientists)
TBI-related deaths, hospitalizations, and ED visits, 2002–2006
Demographic characteristics
External cause of injury
Trend data
Interagency Agreement
Department of Education, National Institute of Disability and Rehabilitation Research
TBI Model Systems

10. Thank you
For more information please contact Centers for Disease Control and Prevention
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Telephone: CDC-INFO ( )/TTY:
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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Injury Prevention and Control
Division of Unintentional Injury Prevention