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Tom Frieden

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Tom Frieden
16th Director of the Centers for Disease Control and Prevention
Incumbent
Assumed office
June 8, 2009
PresidentBarack Obama
Preceded byJulie Gerberding
New York City Health Commissioner
In office
2002–2009
MayorMichael Bloomberg
Personal details
Born1960 (age 63–64)
Political partyDemocratic
Education

Thomas R. Frieden has been since 2009 the Director of the U.S. Centers for Disease Control and Prevention (CDC) and Acting Administrator of the Agency for Toxic Substances and Disease Registry (ATSDR). He was appointed by President Barack Obama.[1] He served as Commissioner of the New York City Department of Health and Mental Hygiene from 2002–09.

Education

Frieden graduated from Oberlin College (BA, 1982), Columbia University College of Physicians and Surgeons (MD, 1986) and Columbia University Mailman School of Public Health (MPH, 1985). He completed training in internal medicine at Columbia-Presbyterian Medical Center and sub-specialty training in infectious diseases at Yale University.

Early career

Frieden's work on tuberculosis in New York fostered public awareness and helped improve public funding (city, state and federal) for TB control.[2][3] The epidemic was controlled rapidly, reducing overall incidence by nearly half and cutting multidrug-resistant tuberculosis by 80%.[4] The city's program became a model for tuberculosis control.[5][6]

From 1996 to 2002, Frieden was based in India, assisting with national tuberculosis control efforts. As a medical officer for the World Health Organization on loan from the CDC, he helped the government of India implement the Revised National Tuberculosis Control Program (RNTCP).[7][8][9][10] The 2008 RNTCP status report estimates the nationwide program resulted in 8 million treatments and 1.4 million saved lives.[11] While in India, Frieden worked to establish a network of Indian physicians to help India's state and local governments implement the program[12] and helped the Tuberculosis Research Center in Chennai, India, establish a program to monitor the impact of tuberculosis control services.[13][14]

Impact

Frieden served as head of the New York City DOHMH from 2002–2009.[citation needed] The agency employs more than 6,000 people[15] with an annual budget of $1.5 billion.[16][17]

Ebola outbreak

Frieden is decontaminated after visiting Ebola treatment unit in Liberia, August 2014

Frieden has been a prominent figure in the US and global response to the West African outbreak of Ebola. In a Congressional hearing on 10/16/2014, Frieden was questioned for his handling of the Ebola crisis following the spread of the disease to two nurses from the original patient in the US.[18] The previous day, the response of the CDC to the crisis led Rep. Tom Marino (R-PA) to call for Frieden's resignation.[19]

Tobacco control

Upon his appointment as Health Commissioner in January 2002, Frieden made tobacco control a priority,[20] resulting in a rapid decline[21] after a decade of no change in smoking rates. Frieden established a system to monitor the city's smoking rate, and worked with New York City Mayor Michael R. Bloomberg to increase tobacco taxes,[22] ban smoking from workplaces including restaurants and bars, and run aggressive anti-tobacco ads and help smokers quit.[23] The program reduced smoking prevalence among New York City adults from 21.6% in 2002 to 16.9% in 2007 – a change that represents 300,000 fewer smokers and could prevent 100,000 premature deaths in future years.[21][24] Smoking prevalence among New York City teens declined even more sharply, from 17.6% in 2001 to 8.5% in 2007, and is now less than half the national rate.[25] The workplace smoking ban prompted spirited debate before it was passed by the New York City Council and signed into law by Mayor Bloomberg.[26] Over time, the measure has gained broad acceptance by the public and business community in New York City.[27][28] New York City's 2003 workplace smoking ban followed that of California in 1994. Frieden supports increased cigarette taxes as a means of forcing smokers to quit, saying "tobacco taxes are the most effective way to reduce tobacco use."[29] He supported the 62-cent Federal tax on each cigarette pack sold in the United States, introduced in April 2009.[30] One side-effect of the increased taxes on tobacco in New York is a large increase in cigarette smuggling into the state from nearby states, such as Virginia, which has a much lower tobacco tax. The Tax Foundation estimates that "60.9% of cigarettes sold in New York State are smuggled in from other states".[31] In addition, some New Yorkers have begun to make their own cigarettes, and tobacco trucks have been hijacked. A 2009 Justice Department study found that “The incentive to profit by evading payment of taxes rises with each tax rate hike imposed by federal, state, and local governments”.[32]

Take Care New York

Frieden also introduced Take Care New York, the city's first comprehensive health policy. This program targeted ten leading causes of preventable illness and death for concerted public and personal action.[33][34] By 2006, New York City had made measurable progress in eight of the ten priority areas.[35]

HIV/AIDS

As Health Commissioner, Frieden sought to fight HIV/AIDS with public health principles used successfully to control other communicable diseases.[36] The most controversial aspect of this strategy was a proposal to eliminate separate written consent for HIV testing. He believes the measure would encourage physicians to offer HIV tests during routine medical care,[37] as the CDC recommends.[38] Some community and civil liberties advocates fought this legislation arguing it would undermine patients' rights and lead eventually to forced HIV testing.[39][40] In 2010, New York State passed a new law that eased the requirement for separate written consent in some circumstances.[41] On 14 February 2007, the NYCDHMH introduced the NYC Condom,[42][43] prompting Catholic League president Bill Donohue to respond, "What's next? The city's own brand of clean syringes?"[44] More than 36 million condoms were given away by the program in 2007.[45]

Diabetes

Frieden worked to raise awareness about diabetes in New York City, particularly among pregnant women,[46] and established an involuntary, non-disclosed hemoglobin A1C diabetes registry that tracks patients' blood sugar control over several months and report that information to treating physicians in an effort to help them provide better care.[47][48]

The New York City Board of Health's decision to require laboratories to report A1C test results has generated a heated debate among civil libertarians, who view it as a violation of medical privacy and an intrusion into the doctor-patient relationship. Although patients may elect not to receive information from the program, there is no provision enabling patients to opt out of having their glycemic control data entered in the database.[49][50] NPOV

Food policies

To combat cardiovascular disease, New York City has adopted regulations since 2006 to eliminate trans fat from all restaurants.[51][52][53] The restaurant industry and its political allies condemned the trans-fat measure as an assault on liberty by an overzealous "nanny state"[54][55] and the measure has inspired similar laws in several US cities and the state of California.[56] The Health Department also required chain restaurants to post calorie information to raise consumer awareness of fast food's caloric impact. The measure requires chains with 15 or more outlets to post calorie counts on menus and menu boards. It has prompted two lawsuits by the New York State Restaurant Association. In the first, New York State Restaurant Association v. New York City Board of Health, a U.S. District Court judge ruled that federal law pre-empted New York City's action and overturned it.[57] The NYC Board of Health then repealed and re-enacted the measure.[58] Most chains now post calorie information in their New York City outlets.[59][60] Section 4205 of the Patient Protection and Affordable Care Act, signed into law in 2010, requires menu labeling nationally, for restaurant chains, disclosing on the menu boards, calories, total calories, calories from fat, amounts of fat and saturated fat, cholesterol, sodium, total and complex carbohydrates, sugars, dietary fiber, and protein.[61]

Epidemiology

During Frieden's tenure as Commissioner, the Health Department expanded the collection and use of epidemiological data, launching an annual Community Health Survey[62] and the nation's first community-based Health and Nutrition Examination Survey.[63][64]

Electronic health records

To improve quality and efficiency of medical care, the agency launched a large community-based electronic health records project to improve preventive care for more than one million at-risk New Yorkers.[65]

Director of CDC and Administrator of ATSDR

On May 15, 2009 the White House and the Department of Health and Human Services named Dr. Frieden the 16th director of Centers for Disease Control and Prevention (CDC) and administrator of the Agency for Toxic Substances and Disease Registry (ATSDR); he assumed his position on June 8, 2009 from the acting head, Dr. Richard E. Besser.[66]

On announcing Frieden’s appointment, President Obama said, “America relies on a strong public health system and the work at the Centers for Disease Control and Prevention is critical to our mission to preserve and protect the health and safety of our citizens”.[67] Frieden had previously worked for the CDC from 1990 to 2002 as an Epidemic Intelligence Service Officer in New York City and then as part of CDC’s tuberculosis control program.

Bloomberg philanthropies

Frieden also served as health advisor to New York City Mayor Bloomberg, supporting the Bloomberg Initiative to reduce tobacco use.[67]

Publications

  • Frieden TR, Sterling T, Pablos-Mendez A, Kilburn JO, Cauthen GM, Dooley SW (February 1993). "The emergence of drug-resistant tuberculosis in New York City". New England Journal of Medicine. 328 (8): 521–26. doi:10.1056/NEJM199302253280801. PMID 8381207.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  • Frieden TR, Fujiwara PI, Washko RM, Hamburg MA (July 1995). "Tuberculosis in New York City – Turning the Tide". New England Journal of Medicine. 333 (4): 229–33. doi:10.1056/NEJM199507273330406. PMID 7791840.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  • Ounces of Prevention – The Public Policy Case for Taxes on Sugared Beverages

Awards

References

  1. ^ "President Obama Appoints Dr. Thomas Frieden as CDC Director". 15 May 2009.
  2. ^ Lobato MN, Wang YC, Becerra JE, Simone PM, Castro KG (2006). "Improved Program Activities Are Associated with Decreasing Tuberculosis Incidence in the United States". Public Health Reports. 121 (2): 108–15. PMC 1525263. PMID 16528941.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. ^ Leff DR, Leff AR (1 November 1997). "Tuberculosis control policies in major metropolitan health departments in the United States. VI. Standard of practice in 1996". American Journal of Respiratory and Critical Care Medicine. 156 (5): 1487–94. doi:10.1164/ajrccm.156.5.9704105. PMID 9372665.
  4. ^ TB Annual Summary: 2006 (PDF). New York: New York City Department of Health and Mental Hygiene. 2008.[page needed]
  5. ^ World Health Organization Tuberculosis Programme (1995). "New York City's Success Story". Stop TB at the Source. Geneva: World Health Organization. ISBN 978-0-11-951529-9. OCLC 181876135.[page needed]
  6. ^ Steinhauer, Jennifer (14 February 2004). "Gladly Taking The Blame For Health In the City". The New York Times. Retrieved 8 July 2009.
  7. ^ Drazen JM (October 2002). "A milestone in tuberculosis control". New England Journal of Medicine. 347 (18): 1444. doi:10.1056/NEJMe020135. PMID 12409549.
  8. ^ Khatri GR, Frieden TR (October 2002). "Controlling tuberculosis in India". New England Journal of Medicine. 347 (18): 1420–25. doi:10.1056/NEJMsa020098. PMID 12409545.
  9. ^ Udwadia ZF, Pinto LM (2007). "Review series: the politics of TB: the politics, economics and impact of directly observed treatment (DOT) in India". Chronic Respiratory Disease. 4 (2): 101–06. doi:10.1177/1479972307707929. PMID 17621578.
  10. ^ Chauhan LS, Tonsing J (2005). "Revised national TB control programme in India". Tuberculosis. 85 (5–6): 271–76. doi:10.1016/j.tube.2005.08.003. PMID 16253562.
  11. ^ TB India 2008: RNTCP Status Report: I am Stopping TB (PDF). New Delhi: Ministry of Health and Family Welfare. March 2008. p. 3. ISBN 81-902652-3-7. Retrieved 8 July 2009.
  12. ^ Frieden TR, Khatri GR (September 2003). "Impact of national consultants on successful expansion of effective tuberculosis control in India". The International Journal of Tuberculosis and Lung Disease. 7 (9): 837–41. PMID 12971666.
  13. ^ Subramani R, Radhakrishna S, Frieden TR, et al. (August 2008). "Rapid decline in prevalence of pulmonary tuberculosis after DOTS implementation in a rural area of South India". The International Journal of Tuberculosis and Lung Disease. 12 (8): 916–20. PMID 18647451.
  14. ^ Narayanan PR, Garg R, Santha T, Kumaran PP (2003). "Shifting the focus of tuberculosis research in India". Tuberculosis. 83 (1–3): 135–42. doi:10.1016/S1472-9792(02)00068-9. PMID 12758203.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  15. ^ Public Health in New York City, 2004–06 (PDF). New York City Department of Health and Mental Hygiene. p. 3. Retrieved 8 July 2009.
  16. ^ Public Health in New York City, 2004–06 (PDF). New York City Department of Health and Mental Hygiene. p. 61. Retrieved 8 July 2009.
  17. ^ Frieden TR, Bassett MT, Thorpe LE, Farley TA (October 2008). "Public health in New York City, 2002–2007: confronting epidemics of the modern era". International Journal of Epidemiology. 37 (5): 966–77. doi:10.1093/ije/dyn108. PMID 18540026. {{cite journal}}: |access-date= requires |url= (help)CS1 maint: multiple names: authors list (link)
  18. ^ Congress Scrutinizes Handling of Ebola Cases in Texas, nytimes.com, October 17, 2014.
  19. ^ "White House scrambles to ease concerns over Ebola, lawmakers demand changes: CDC". Fox News. 15 October 2014. Retrieved 15 October 2014.
  20. ^ Steinhauer, Jennifer (15 February 2002). "Commissioner Calls Smoking Public Health Enemy No. 1 and Asks Drug Firms for Ammunition". The New York Times. Retrieved 8 July 2009.
  21. ^ a b Centers for Disease Control and Prevention (CDC) (June 2007). "Decline in smoking prevalence – New York City, 2002–2006". Morbidity and Mortality Weekly Report. 56 (24): 604–08. PMID 17585290.
  22. ^ Altman, Alex (6 June 2008). "When Are Cigarette Taxes Too High?". Time. Retrieved 8 July 2009.
  23. ^ Frieden TR, Mostashari F, Kerker BD, Miller N, Hajat A, Frankel M (June 2005). "Adult Tobacco Use Levels After Intensive Tobacco Control Measures: New York City, 2002–2003". American Journal of Public Health. 95 (6): 1016–23. doi:10.2105/AJPH.2004.058164. PMC 1449302. PMID 15914827.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  24. ^ "Michael Bloomberg and Bill Gates Join to Combat Global Tobacco Epidemic" (Press release). Bill & Melinda Gates Foundation. 23 July 2008. Retrieved 8 July 2009.
  25. ^ The Lancet (January 2008). "New York City's bold antitobacco programme". Lancet. 371 (9607): 90. doi:10.1016/S0140-6736(08)60078-1. PMID 18191665.
  26. ^ Chang C, Leighton J, Mostashari F, McCord C, Frieden TR (August 2004). "The New York City Smoke-Free Air Act: second-hand smoke as a worker health and safety issue". American Journal of Industrial Medicine. 46 (2): 188–95. doi:10.1002/ajim.20030. PMID 15273972.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  27. ^ Cooper, Michael (23 October 2003). "Poll Finds Smoking Ban Popular". The New York Times. Retrieved 8 July 2009.
  28. ^ Rutenberg, Jim; Lily Koppel (6 February 2005). "In Barrooms, Smoking Ban Is Less Reviled". The New York Times. Retrieved 8 July 2009.
  29. ^ Altman, Alex (6 June 2008). "When Are Cigarette Taxes Too High?". Time. Retrieved 11 August 2010.
  30. ^ Jonsson, Patrik (17 November 2009). "Federal and state governments look to smokers for more tax revenue: Though they hit poor Americans hardest, stiff taxes on tobacco can reduce healthcare costs by billions". Christian Science Monitor. Retrieved 8 August 2010.
  31. ^ Smith, Aaron (10 January 2013). "60% of cigarettes sold in New York are smuggled: report". CNN Money. Retrieved 4 December 2014.
  32. ^ Mathias, Christopher (3 April 2014). "Inside New York City's Dangerous, Multimillion-Dollar Cigarette Black Market". Huffington Post. Retrieved 4 December 2014.
  33. ^ "Cause of Death or Illness, New York City, 2002, and Amenability to Intervention". Take Care New York: A Policy for a Healthier New York City (PDF). New York City Department of Health and Mental Hygiene. March 2004. pp. 57–61. Retrieved 9 July 2009.
  34. ^ Pérez-Peña, Richard (24 March 2004). "City sets goals for the health of New Yorker". The New York Times. Retrieved 8 July 2009.
  35. ^ Take Care New York: A Policy for a Healthier New York City (Third Year Progress Report) (PDF). New York City Department of Health and Mental Hygiene. August 2007. p. 2. Retrieved 9 July 2009.
  36. ^ Frieden TR, Das-Douglas M, Kellerman SE, Henning KJ (December 2005). "Applying public health principles to the HIV epidemic". New England Journal of Medicine. 353 (22): 2397–402. doi:10.1056/NEJMsb053133. PMID 16319391.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  37. ^ Mandavilli, A (April 2006). "Profile: Thomas Frieden". Nature Medicine. 12 (4): 378. doi:10.1038/nm0406-378. PMID 16598275.
  38. ^ Branson BM, Handsfield HH, Lampe MA, et al. (September 2006). "Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings". Morbidity and Mortality Weekly Report. 55 (RR–14): 1–17, quiz CE1–4. PMID 16988643.
  39. ^ Chan, Sewell (25 December 2006). "Rifts Emerge on Push to End Written Consent for H.I.V.Tests". The New York Times. Retrieved 9 July 2009.
  40. ^ Fairchild AL, Alkon A (August 2007). "Back to the future? Diabetes, HIV, and the boundaries of public health". Journal of Health Politics, Policy and Law. 32 (4): 561–93. doi:10.1215/03616878-2007-017. PMID 17639012.
  41. ^ "HIV Testing Is Now a Routine Part of Health Care in New York" (Press release). New York City Department of Health and Mental Hygiene. 1 September 2010. Retrieved 8 February 2011.
  42. ^ Chan, Sewell (15 February 2007). "A New Condom in Town, This One Named 'NYC'". The New York Times. Retrieved 8 July 2009.
  43. ^ "Health department launches the nation's first official city condom" (Press release). New York City Department of Health and Mental Hygiene. 14 February 2007. Retrieved 8 July 2009.
  44. ^ "NYC-Branded Condoms Are a Big Apple First". Gothamist. Retrieved 13 October 2014.
  45. ^ "Health department releases new NYC Condom wrapper" (Press release). New York City Department of Health and Mental Hygiene. 13 February 2008. Retrieved 8 July 2009.
  46. ^ Kleinfield, N.R. (22 February 2006). "City to Warn New Mothers of Diabetes Risk". The New York Times. Retrieved 9 July 2009.
  47. ^ Steinbrook R (February 2006). "Facing the diabetes epidemic – mandatory reporting of glycosylated hemoglobin values in New York City". New England Journal of Medicine. 354 (6): 545–48. doi:10.1056/NEJMp068008. PMID 16467539.
  48. ^ "The New York City A1C Registry". New York City Department of Health and Mental Hygiene. Retrieved 9 July 2009.
  49. ^ Goldman J, Kinnear S, Chung J, Rothman DJ. "New York City's Initiatives on Diabetes and HIV/AIDS: Implications for Patient Care, Public Health, and Medical Professionalism". American Journal of Public Health. 98 (5): 807–13. doi:10.2105/AJPH.2007.121152. PMC 2374815. PMID 18381989. {{cite journal}}: |access-date= requires |url= (help)CS1 maint: multiple names: authors list (link)
  50. ^ Frieden TR (September 2008). "New York City's Diabetes Reporting System Helps Patients And Physicians". American Journal of Public Health. 98 (9): 1543–44, author reply 1544. doi:10.2105/AJPH.2008.142026. PMC 2509589. PMID 18633070.
  51. ^ "Healthy Heart – Avoid Trans Fat". New York City Department of Health and Mental Hygiene. Retrieved 9 July 2009.
  52. ^ Okie S (May 2007). "New York to trans fats: you're out!". New England Journal of Medicine. 356 (20): 2017–21. doi:10.1056/NEJMp078058. PMID 17507699.
  53. ^ "Calorie Posting". New York City Department of Health and Mental Hygiene. Retrieved 9 July 2009.
  54. ^ Lueck, Thomas J.; Kim Severson (6 December 2006). "New York Bans Most Trans Fats in Restaurants". The New York Times. Retrieved 9 July 2009.
  55. ^ Halpern, Dan (17 December 2006). "Dr. Do-Gooder". New York. Retrieved 9 July 2009.
  56. ^ Steinhauer, Jennifer (26 July 2008). "California Bars Restaurant Use of Trans Fats". The New York Times. Retrieved 9 July 2009.
  57. ^ Feuer, Alan (12 September 2007). "Judge Throws Out New York Rule Requiring Restaurants to Post Calories". The New York Times. Retrieved 9 July 2009.
  58. ^ Rivera, Ray (25 October 2007). "New York City Reintroduces Calorie Rule". The New York Times. Retrieved 9 July 2009.
  59. ^ Barron, James (19 July 2008). "Restaurants That Lack Calorie Counts Now FaceFines". The New York Times. Retrieved 9 July 2009.
  60. ^ Rabin, Roni Caryn (16 July 2008). "New Yorkers try to swallow calorie sticker shock". MSNBC. Retrieved 9 July 2009.
  61. ^ "Menu & Vending Machines Labeling Requirements". FDA. Retrieved 16 October 2014.
  62. ^ "Community Health Survey". New York City Department of Health and Mental Hygiene. February 2009. Retrieved 9 July 2009.
  63. ^ "NYC HANES Datasets and Related Documentation". New York City Department of Health and Mental Hygiene. Retrieved 9 July 2009.
  64. ^ Thorpe LE, Gwynn RC, Mandel-Ricci J, et al. (July 2006). "Study Design and Participation Rates of the New York City Health and Nutrition Examination Survey, 2004". Preventing Chronic Disease. 3 (3): A94. PMC 1637802. PMID 16776895.
  65. ^ "Primary Care Information Project". New York City Department of Health and Mental Hygiene. Archived from the original on 16 April 2009. Retrieved 9 July 2009. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)
  66. ^ Profile, foxbusiness.com; accessed October 16, 2014.
  67. ^ a b "President Obama Appoints Dr. Thomas Frieden as CDC Director". The White House. 15 May 2009.
Wikimedia Commons has media related to Tom Frieden.
Awards and achievements
Preceded by New York City
Department of Health and Mental Hygiene
Commissioner
2002–2009 		Succeeded by
Preceded by
Monique Dixon
Diana Reyes
 NY1's New Yorker of the Year Succeeded by
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