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TPHA TENNESSEE PUBLIC HEALTH ASSOCIATION TheTennessee Public Health Association Presents AchievingTrue in People’s Lives Cool Springs Marriott Hotel & Conference Center | Franklin,Tennessee September 2 - 4, 2009 IMPROVEMENTS

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Page 1: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

TheTennessee Public Health Association Presents

AchievingTrue

in People’s Lives

Cool Springs Marriott Hotel& Conference Center

|Franklin,Tennessee September 2 - 4, 2009

IMPROVEMENTS

Page 2: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

TheTennessee Public Health Association Presents

AchievingTrue

IMPROVEMENTSin People’s Lives

Page 3: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

Come Early, Stay Late!

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Williamson County - Discover a great place to visit, agreat place to shop, and a great place to live.Thehistory of Williamson County and Franklin, its countyseat, dates back more than two centuries to theirfounding in 1799. Step into the past as you stroll theold-fashioned streets of Franklin and experience itsrich history.

Visitors to Historic Downtown Franklin experiencean award-winning Great American Main Street town.TheVictorian commercial district with its beautifullyrenovated historic buildings is the heart of Franklinand Williamson County. Downtown Franklin offers aneclectic mix of antique shops, gift and book stores,art galleries, and clothiers.

History is alive in Williamson County and whetheryour interest lies in beautiful architecture or the CivilWar, there is something for everyone. Must SeeAttractions include:

Battle of Franklin Battlefield SitesCarnton PlantationCarter HouseNatchez Trace ParkwayThe Factory at FranklinVillage of Leiper's Fork

Williamson County invites you to experience all theheritage, beauty, and tradition it has to offer. Formore information on all the attractions and eventsthat Williamson County has to offer, please visitwww.visitwilliamson.com.

This project is partially funded under an agreement with the state of Tennessee.

Conference At-A-Glance

Tuesday, September 1, 2009

Wednesday, September 2, 2009

Thursday, September 3, 2009

Friday, September 4, 2009

2:00 PM - 4:00 PM TPHA Board ofDirectors Meeting

9:00 AM - 4:00 PM Conference Registration10:00 AM 5:00 PM Exhibits10:00 AM 10:45 AM TPHA New Member

Orientation10:00 AM 5:00 PM Poster Session11:30 AM 12:00 PM Opening General Session12:00 PM 12:45 PM Opening Session Luncheon12:45 PM 1:45 PM Plenary Session #11:45 PM 2:00 PM President's Welcome2:00 PM 3:00 PM Plenary Session #23:00 PM 5:00 PM Silent Auction3:30 PM 4:45 PM Concurrent Workshops5:30 PM 6:30 PM Fun & Fitness

7:30 AM 4:00 PM Conference Registration7:30 AM 3:00 PM Exhibits7:45 AM 9:15 AM Nursing Section Meeting8:00 AM 9:15 AM TPHA Section Meetings8:00 AM 3:00 PM Silent Auction8:00 AM 3:00 PM Poster Session9:45 AM 11:00 AM Concurrent Workshops11:30 AM 12:15 PM TPHA Awards Luncheon12:15 PM 1:00 PM Plenary Session #31:00 PM 1:45 PM Awards Presentation2:00 PM 3:15 PM Concurrent Workshops3:45 PM 5:00 PM Concurrent Workshops6:00 PM 8:00 PM President's Reception8:00 PM 9:00 PM Entertainment

7:30 AM 8:30 AM Continental Breakfast8:00 AM 9:00 AM TPHA Business Meeting9:30 AM 10:30 AM Plenary Session #410:30 AM 11:30 AM Plenary Session #511:30 AM 12:00 PM Adjournment

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TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

Page 4: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

Tuesday, September 1, 2009

Wednesday, September 2, 2009

2:00 PM - 4:00 PM TPHA Board of Directors Meeting

9:00 AM 4:00 PM Conference Registration

10:00 AM 5:00 PM Exhibits

10:00 AM 10:45 AM TPHA New Member Orientation

10:00 AM 5:00 PM Poster Session

11:30 AM 12:00 PM

Presiding: Dr. Robert Stolarick,TPHA President

Opening Remarks: Rogers AndersonMayor,Williamson County

Dr. Cheryl EasleyPresident,American Public Health Association

12:00 PM 12:45 PM

12:45 PM 1:45 PM

John M.Auerbach, MBA, Commissioner, Massachusetts Department of PublicHealth, Boston, MA

1:45 PM - 2:00 PMDr. Robert Stolarick,TPHA President

2:00 PM - 3:00 PM

Daniel Levy, MD, Professor of Medicine, Boston University;Associate ClinicalProfessor of Medicine, Harvard University; Cardiologist, Beth Israel DeaconessMedical Center; Director, Framingham Heart Study, Newton, MA

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Opening General Session

Opening Session Luncheon - TICKET REQUIRED

Plenary Session #1

Prioritizing the Elimination of Disparities as a Core Public HealthEffort

President's Welcome

Plenary Session #2

Unraveling the Mysteries of Heart Disease

The elimination of racial and ethnic disparities is an important priority for publichealth officials throughout the country. In general people of color have a larger burden ofdisease and likelihood of premature death than do white people. States can play a majorrole in addressing this issue even in difficult economic times. One approach - that of theMassachusetts Public Health Department - will be shared. Among the efforts of thisDepartment are the following: a change in hiring practices, the release of specialized datareports, the development of specialized, targeted programmatic campaigns, the distributionof funding to community-based agencies to target disparities, and the use of the bully pulpit.

TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

Page 5: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

In the middle of the 20th century little was known about the underlying causes of cardiovasculardisease (CVD).Traditional strategies for CVD prevention are based on understanding risk factorcontributions to the biology of disease including basic science, epidemiology (i.e., observationalstudies), and large-scale clinical trials of interventions. These approaches work but have been slowand are poorly integrated. Future approaches to cardiovascular disease prevention will incorporateinformation from genetics and genomics, proteomics and metabolomics, and systems biology toidentify novel biomarkers for disease and incorporate them into risk assessment and to stimulatenew drug development.

Heart disease was once thought of as an unexpected and unpredictable event that struckpeople in the prime of life and without any advance notice. For this reason, there was nounified strategy for its prevention.We now know that heart disease typically occurs in thesetting of established risk factors. Our ability to identify risk factors for heart disease and toput together risk prediction formulas has greatly improved the identification of high-riskindividuals.This approach allows us to target cost-effective preventive treatment strategies tothose at greatest risk for disease. Risk assessment strategies are rapidly becoming anessential component of evidence-based medicine.

The President and Congress have made health care reform a top priority. Public healthofficials and activists have an important role in this effort although often overlooked in theplanning process.The experience of the state of Massachusetts in implementing the nation'smost ambitious state reform effort may offer some useful insights. Massachusetts now hasthe highest percentage of insured residents of any state - 98% of adults and virtually allchildren. This presentation will highlight the lessons learned in the Massachusettsexperience, particularly those regarding the role of public health. Among the topics that willbe addressed are the importance of prevention, the regulation of health care facilities andthe measurement of health impact.

3:00 PM 3:30 PM Break

3:00 PM 5:00 PM Silent Auction

3:30 PM 4:45 PM

Daniel Levy, MD, Professor of Medicine, Boston University;Associate ClinicalProfessor of Medicine, Harvard University; Cardiologist, Beth IsraelDeaconess Medical Center; Director, Framingham Heart Study, Newton, MA

John M.Auerbach, MBA, Commissioner, Massachusetts Department of PublicHealth, Boston, MA

5:30 PM - 6:30 PM Fun & Fitness

7:30 AM 4:00 PM Conference Registration

7:30 AM 3:00 PM Exhibits

7:45 AM 9:15 AM Nursing Section Meeting

8:00 AM 9:15 AM TPHA Section Meetings

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Concurrent Workshops

#1 UnderstandingYour Risk for Heart Disease

#2 Public Health's Role in Health Care Reform:The MassachusettsExperience

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Thursday, September 3, 2009

TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

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TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

8:00 AM - 3:00 PM Silent Auction

8:00 AM 3:00 PM Poster Session

9:15 AM 9:45 AM Break

9:45 AM 11:00 AM Concurrent Workshops

Juanita C. Graham, MSN, RN, Health Services Chief Nurse, Mississippi StateDepartment of Health, Jackson, MS

George Luber, PhD, Associate Director for Global Climate Change, NationalCenter for Environmental Health, Centers for Disease Control andPrevention,Atlanta, GA

Terry Allan, BS, MPH, Health Commissioner, Cuyahoga County Board ofHealth, Cleveland, OH

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#3 Assessing the Impact of Natural Disaster on Mississippi Women'sAccess to Reproductive Health Services

#4 The Health Impacts and Public Health Response to ClimateChange

#5 Obesity and Public Policy: DisturbingTrends and PromisingPractices

On August 29, 2005, Hurricane Katrina displaced hundreds of thousands of MississippiGulf Coastal residents, creating major interruptions in access, availability, and utilizationof health care.This study sought to document the impact of the disaster on Mississippiwomen's access to reproductive health services.The research design involvedcompletion of a survey toolkit. One hundred eight women, approached randomly whilevisiting a community health center clinic, completed the survey. Questions were chosenfrom the survey data based on relevance to reproductive health and family planning.

There is scientific consensus that the global climate is changing, with rising surfacetemperatures, melting ice and snow, rising sea levels, and increasing climate variability.These changes are expected to have substantial impacts on human health.There areknown, effective public health responses for many of these impacts, but the scope,timeline, and complexity of climate change are unprecedented.This presentation willprovide an overview of the public health approach to climate change, based on theessential public health services, that extends to both clinical and population healthservices and emphasizes the coordination of government agencies (federal, state, andlocal), academia, the private sector, and nongovernmental organizations.

In the U.S., obesity (BMI 30) has reached epidemic proportions regardless of age,race, ethnicity, socioeconomic status, or education and continues to be a health concernfor adults, children, and adolescents. Health problems resulting from obesity couldreverse many of the health gains achieved in recent decades.The health burdenassociated with obesity will be felt in increased morbidity, premature death anddisability, increased health care costs, lost productivity, and increased stigmatization ordiscrimination.This session will provide a variety of information designed to helpattendees understand the severity of obesity by:

1. Presenting national, state, and local data on obesity rates,2. Describing national, state, and local policies that influence obesity,3. Estimating the economic impact of obesity,4. Identifying promising policies, programs, and practices designed to

combat obesity, and5. Estimating financial benefits from implementing interventions.

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TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

Arturo Brito, MD, MPH, Chief Medical Officer and ExecutiveVice President,The Children’s Health Fund, NewYork, NY

11:00 AM - 11:30 AM Break

11:30 AM - 12:15 PM

12:15 PM - 1:00 PM

Commissioner Susan R. Cooper, MSN, RN,Tennessee Department of Health,Nashville,TN

1:00 PM - 1:45 PM

1:45 PM 2:00 PM Break

2:00 PM - 3:15 PM

Judith A. Monroe, MD, Commissioner, Indiana State Department of Health,Indianapolis, IN

Katherine M. Knapp, MD, Pediatric Infectious Disease Physician, St. JudeChildren’s Research Hospital, Memphis,TN

Terry Allan, BS, MPH, Health Commissioner, Cuyahoga County Board ofHealth, Cleveland, OH

#6 Collaborative Medical and Mental Health Care in a PediatricMedical Home:A Necessity for Medically Underserved Children

TPHA Awards Luncheon - TICKET REQUIRED

Plenary Session #3 - Awards Luncheon

AView from the Commissioner’s Chair

Awards Presentation

Concurrent Workshops

#7 INShape Indiana vs. Get FitTennessee

#8 Improved Outcomes in Pediatric and Adolescent HIV/AIDS

#9 Preparing for National Accreditation: Promoting QualityImprovement inYour Health Department

The goal of this workshop is to discuss strategies for improving the early identificationand management of mental health problems in medically underserved children as partof an Enhanced Pediatric Medical Home. During this session participants will have theopportunity to learn about and discuss: (1) existing evidence for the effectiveness ofcollaborative work between primary care medical clinicians and mental healthproviders, (2) different models of collaboration and strategies for their selection, and(3) models currently being used by health care teams supported by the Children’sHealth Fund, a non-profit organization dedicated to improving access to health care forthe nation's most medically underserved children.

INShape Indiana and Get Fit Tennessee (GetFitTN) are both programs designed todecrease the burden of chronic disease and inspire citizens to engage in healthybehaviors.This session will explore the benefits of both programs and the pitfalls.The

challenges of health promotion, policy, priorities and politics at the state level will beviewed through the eyes of Indiana's State Health Commissioner.

The incidence of perinatal HIV infection has dropped dramatically in the United Statesdue to improvements in identification and medical management of HIV-infectedpregnant women. Since HAART (highly-active antiretroviral therapy) has been available,perinatally-infected children are now routinely surviving into adulthood.These facts,coupled with ever-increasing rates of HIV transmission among youth, account for theshift in pediatric HIV programs from care of terminally-ill children to outpatientmanagement of adolescents and young adults.This session will address advances inthe management of pediatric/adolescent HIV/AIDS, prevention of perinatal HIVtransmission, and the challenges of providing care to HIV-infected youth.

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TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

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TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

3:15 PM 3:45 PM Break

3:45 PM 5:00 PM

Margo G.Wootan, DSc, Director of Nutrition Policy, Center for Science inthe Public Interest,Washington, DC

Juanita C. Graham, MSN, RN, Health Services Chief Nurse, Mississippi StateDepartment of Health, Jackson, MS

Judith A. Monroe, MD, Commissioner, Indiana State Department of Health,Indianapolis, IN

Dennis C. Stokes, MD, MPH, Professor of Pediatrics, University of TennesseeHealth Sciences Center, and Chief of Pediatric Pulmonary Medicine,LeBonheur Children's Medical Center, Memphis,TN

The Exploring Accreditation Report (Winter 2006-2007) is the foundational document forthe development of a voluntary national accreditation program and its standards.This sessionwill review the timelines and history from the Exploring Accreditation Report and the eventsand activities leading up to the beginning of the national accreditation application process in2011. Commissioner Allan will describe accreditation activities currently underway at theCuyahoga County Board of Health. Attendees will also learn of activities of the OhioVoluntaryAccreditationTeam (OVAT) and efforts underway to assist Ohio health departments inpreparing for national accreditation.

Healthy eating and maintaining a healthy weight take more than willpower.While foodchoices are ultimately a matter of personal responsibility and personal choice, thosechoices are influenced by the food environment. Dr.Wootan will explore howadvertising, food availability, restaurant foods, portion sizes, food pricing, and schoolenvironments often encourage eating too much.This session will outline promising policyand environmental approaches that can help to reshape the food environment andmake healthier choices easier.

The Mississippi State Department of Health continues to rank infant mortality as theagency's highest priority. Mississippi has experienced little change in infant mortalityover the past decade.The 2007 infant mortality rate was 10.1 per 1,000 live births.

This rate is slightly lower than the two prior years but there continues to be a highproportion of infant deaths related to low birthweight and premature birth.Thisphenomenon is also seen in vital statistics for neighboring southern states.

National voluntary public health accreditation is on the horizon and promises to bringgreater accountability and quality improvement to state and local public healthagencies. This session will explore the challenges and rewards of accreditation, alongwith strategies to prepare for accreditation.

Asthma is a disease that affects the lungs and is one of the most common long-termdiseases of children. It causes repeated episodes of wheezing, breathlessness, chesttightness, and nighttime or early morning coughing. Asthma can be controlled byfollowing a medical management plan and by avoiding contact with environmental“triggers.” This discussion will summarize the current status of pediatric asthmaoutcomes in Memphis andWestTennessee and efforts to improve asthma careoutcomes in the inpatient and outpatient setting, schools, and community.

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#10 Supporting American’s Efforts to Eat Well and WatchTheir Weight

#11 Infant Mortality: A Discussion of Birth Outcomes AcrossMississippi and Neighboring Southern States

#12 Realizing the Promise of Public Health Accreditation

#13 Improving Pediatric Asthma Outcomes in Memphis and WestTennessee: What Would Elvis (and Danny) Do?

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TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

Page 9: TheTennessee Public HealthAssociation Presents ... · Unraveling the Mysteries of Heart Disease The elimination of racial and ethnic disparities is an important priority for public

TheTennessee Public Health Association

2009 Annual Conference

Achieving In People’s LivesTrue Improvements

5:30 PM - 6:00 PM TPHA Board of Directors Meeting (if necessary)

6:00 PM - 8:00 PM

8:00 PM - 9:00 PM

7:30 AM - 8:30 AM Continental Breakfast

8:00 AM - 9:00 AM

9:00 AM - 9:30 AM Break

9:30 AM - 10:30 AM

Margo G.Wootan, DSc, Director of Nutrition Policy, Center for Science in thePublic Interest,Washington, DC

10:30 AM - 11:30 AM

Paul E. Jarris, MD, MBA, Executive Director, Association of State and TerritorialHealth Officials, Arlington,VA

11:30 AM - 12:00 PM Installation of 2009 -10 PresidentDoor Prizes and Adjourn

President’s Reception -TICKET REQUIRED

Entertainment -TICKET REQUIRED

TPHA Business Meeting

Plenary Session #4

Advocacy 101: Educating Policy Makers about Nutrition and Obesity

Plenary Session #5

How Can We Make Public Health Better?

Constituent engagement is key to implementing strong nutrition policies. Policy makers needto hear and learn from health professionals and concerned citizens. Come and learn tips andtools for supporting policies to make it easier for Americans to eat well and watch theirweight.

This presentation will make a case for improving the governmental public health system. Itwill explain the importance of tying the national experience to theTennessee experience inthe field of public health.The presentation will include national topics such as tobacco

legislation, menu labeling and healthcare for the unemployed.,

Friday, September 4, 2009

TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

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Conference Need-to-Know Information

Cool Springs Marriott Hotel &Conference Center

700 Cool Springs Blvd.Franklin,Tennessee 37067

Hotel Information

Conference Registration

Cancellations and Refunds

Registration Materials

Continuing Education

TPHA Membership

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All meetings, educational sessions, and special events at the 2009 TPHAConference will be held at the Cool Springs Marriott Hotel & ConferenceCenter in Franklin,Tennessee. A block of rooms has been reserved at theCool Springs Marriott at a special rate of $125 per night (single or doubleoccupancy).The overflow hotel,Wingate Inn at Cool Springs, located at 1738Carothers Parkway, is $99 per night. Reservations can be made by calling theMarriott at (615) 261-6100 or the Wingate at (615) 277-8700. Please specifyyou are attending the TPHA Conference.The deadline for making hotelreservations is August 10, 2009. In order to avoid a penalty, you must notifythe hotel at least two weeks in advance of the conference if you have tocancel the reservation.

Registration for the full conference includes all educational sessions and meal functions, exhibits, poster session, and thereception and entertainment on Thursday night. Additional guest tickets for the evening social event can be purchased asindicated on the registration form. Pay the daily registration rate only if you will be attending the conference for fewerthan three days and indicate which days you plan to attend. If you register for the full conference, do not pay the dailyrate. Attendance at the conference is limited; individuals who register for the full conference will be given priority. If theconference is sold-out, your full payment will be refunded.

All cancellations must be received in writing for consideration. If TPHA is notified by August 18, 2009, a full refund will beissued, less a $25 non-refundable fee, for all cancellations. No refunds will be granted after August 18, 2009.

Name badges, tickets, programs, and other conference materials will not be mailed in advance. Attendees who haveregistered in advance can pick up their registration materials on-site at the registration area.

Continuing education credit has been requested for conference attendees in the following professions: physicians,dentists, nurses, pharmacists, veterinarians, nutritionists, certified health education specialists, dental hygienists, dentalassistants, emergency medical technicians, paramedics, environmental health specialists, and social workers.

The Tennessee Public Health Association is the official professional organization for those engaged or interested in publichealth services and is the voice for public health in Tennessee. Endorsed by the Tennessee Department of Health,TPHA isan organization where different disciplines work together to secure administrative policies and legislative actions that willafford all Tennesseans a safer and healthier life.TPHA, an affiliate member of the American Public Health Association andthe Southern Health Association, provides opportunities for health professionals representing diverse service areas tomeet and share ideas in an effort to maintain high standards of quality in all aspects of public health. Membership isencouraged for any person, organization, or agency interested in the advancement of public health in Tennessee.Additional information about TPHA and the benefits of membership are located at the Association's website:

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The Marriott can be accessed from I-65 South at Exit #68A, EastCool Springs Blvd.

The Wingate Inn can be accessed from I-65 South at Exit #69 Eastby following Moores Lane as it curves into Carothers Blvd.

www.tnpublichealth.org

Mail completed registration forms to:

If you have questions or need additional information, visit the TPHA website at www.tnpublichealth.org, orcontact the TPHA office at (615) 646-3805 or by e-mail: [email protected].

Doris Spain,TPHA Executive DirectorP.O. Box 210147Nashville,TN 37221

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Registration Application

(Please print legibly)

Wednesday, September 2, 2009

Thursday, September 3, 2009

Friday, September 4, 2009

* $10 must be added to each function if pre-registration is postmarked after August 18, 2009.

Name ______________________________________________________ Degree(s) _________________________________

Title ____________________________________________ Organization __________________________________________

Work Address ___________________________________________________________________________________________

Office Phone ________________________ Fax ________________________ E-Mail ________________________________

Enter Amount

TPHA Member Non-Member

TPHA Membership Dues:

Online registration with credit card payment is available at www.tnpublichealth.org.

TPHA Member $125 ($175 if postmarked August 18, 2009) $_____________

Non-TPHA Member $155 ($205 if postmarked August 18, 2009) $_____________

$_____________

$_____________

$_____________

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$_____________

$_____________

$_____________

$_____________

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after

after(To become a member of TPHA, see below.)

(includes lunch)

(includes lunch)

(includes breakfast)

Do you plan to attend Thursday evening activities? Yes No

Sessions $40* $50*

Sessions $50* $60*

Reception/Entertainment $30* $50*

Sessions $30* $40*

Thursday night: ____ @ $50 each

New member $30

Renewal membership $40 (includes $10 late fee)

ONE REGISTRANT PER FORM – PHOTOCOPIES ACCEPTED

Total Amount Enclosed(Make check payable toTPHA.)

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Full Conference:

AdditionalTickets:

Includes all sessions, meals, evening reception, and entertainment.

Single-Day Registration: If space is available registrants for entire conference receive priority.

Do not register for individual functions if you have registered for the full conference.

Deadline - August 18, 2009

2009TPHA Annual ConferenceSeptember 2-4, 2009

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TPHATENNESSEE PUBLIC HEALTH

ASSOCIATION

P.O. Box 210147Nashville,TN 37221

PRSRT STD

U.S. POSTAGE

PAIDLEBANON, TN

PERMIT#112

CUSTOMER NAME

123 EASY STREET

ANY TOWN, USA 12345