Canadian Task Force (CTF) - Summary Table of "A" Recommendations

Summary Table of "A" Recommendations
Good Evidence to Include in PHE (DO)

CONDITION MANEUVER POPULATION

Accidental injury Counselling, home risk factors Parents of infants

All-cause morbidity and mortality Day care or preschool programs Disadvantaged children

Amblyopia Eye exam Infants

Bacteriuria in pregnancy Urine culture Pregnant women

Breast cancer Mammography and clinical exam Women aged 50-69 yrs

Child maltreatment Home visitation by nurses during
perinatal period through infancy First-time mothers of low socioeconomic
status, single parents or teenaged parents

Cognitive Impairment Follow-up based upon caregiver or informant description of decline Elderly

Colorectal cancer Multiphase screening with the Hemoccult test Average risk adults > age 50

Congenital hypothyroidism Thyroid-stimulating hormone (TSH) test Neonates

D (Rh) Sensitization D (Rh) antibody screening and immunoglobin (D Ig) administration after delivery of D positive infant Pregnant women

Dental caries Community fluoridation, fluoride toothpaste or supplement General population

Dental caries Fissure sealants High-risk children

Dental caries, periodontal disease Brushing and flossing teeth to apply toothpaste (A) and prevent gingivitis (B) but not cariostatic (C) General population

Developmental Hip Dysplasia Timing of abduction therapy (early intervention) - supervised period of observation with detected DDH Normal- or high-risk infants

Falls/injury Multidisciplinary post-fall assessment Elderly

Gastrointestinal and respiratory infection in the newborn Counselling on breast feeding; peripartum interventions to increase frequency of breast feeding Pregnant women (or peripartum period)

Gonorrhea Gram stain/culture cervical or urethral smear High-risk groups

Hearing impairment Noise control and hearing protection General population

Hearing impairment Hearing exam Infants

Hemoglobinopathies Hemoglobin electrophoresis High-risk neonates

Hepatitis B Immunization Infants, children and adolescents

HIV/AIDS Voluntary HIV antibody screening High-risk populations

Household and recreational injury Public education/ Legislation on poison control General population

Hypertension Pharmacologic treatment Elderly, specific subgroups
Adults aged 21-64 yrs with DBP >90 mmHg

Influenza Amantadine chemoprophylaxis High-risk or unvaccinated individuals exposed to index case

Influenza Outreach strategies to reach high-risk groups Specific groups (e.g., diabetics), elderly

Influenza Influenza vaccination General population

Influenza Neuraminidase inhibitor prophylaxis General population

Immunizable infectious disease Immunizations, Childhood Infants and children

Low birth weight/cognitive ability of child Smoking cessation interventions Pregnant women

MVA injury Legislation, restraint use and control of drinking and driving General population

Neural tube defects Folic acid supplementation Women capable of becoming pregnant

Night-time crying Anticipatory guidance on systematic ignoring Parents of infants distressed by crying

Ophthalmia neonatorum Ocular prophylaxis Newborns

Oral cancer mortality Smoking cessation counselling General population

Osteoporotic fractures Screening using the SCORE or ORAI to predict low BMD Postmenopausal women

Osteoporotic fractures Secondary prevention of vertebral fractures using alendronate Postmenopausal women

Osteoporotic fractures Tertiary prevention of vertebral fractures using alendronate Postmenopausal women

Periodontal disease Flossing teeth Adult population

Phenylketonuria Serum phenylalanine screening Newborns

Pneumococcal pneumonia Single dose of 23-valent pneumococcal vaccine Immunocompetent patients >age 55 years in institutions

Progressive renal disease Urine dipstick Adults with IDDM

Suicide Medical treatment for diagnosed depression High-risk group

Tobacco-caused disease Counselling, smoking cessation or offer nicotine replacement therapy Smokers

Tuberculosis INH prophylaxis Household contacts and skin test converters

Tuberculosis Mantoux tuberculin skin test High-risk groups

Varicella vaccine Immunization and catch-up immunization with varicella vaccine 12-15 month old children; 1-12 year old children (catch-up)

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CONDITION	MANEUVER	POPULATION
Accidental injury	Counselling, home risk factors	Parents of infants
All-cause morbidity and mortality	Day care or preschool programs	Disadvantaged children
Amblyopia	Eye exam	Infants
Bacteriuria in pregnancy	Urine culture	Pregnant women
Breast cancer	Mammography and clinical exam	Women aged 50-69 yrs
Child maltreatment	Home visitation by nurses during perinatal period through infancy	First-time mothers of low socioeconomic status, single parents or teenaged parents
Cognitive Impairment	Follow-up based upon caregiver or informant description of decline	Elderly
Colorectal cancer	Multiphase screening with the Hemoccult test	Average risk adults > age 50
Congenital hypothyroidism	Thyroid-stimulating hormone (TSH) test	Neonates
D (Rh) Sensitization	D (Rh) antibody screening and immunoglobin (D Ig) administration after delivery of D positive infant	Pregnant women
Dental caries	Community fluoridation, fluoride toothpaste or supplement	General population
Dental caries	Fissure sealants	High-risk children
Dental caries, periodontal disease	Brushing and flossing teeth to apply toothpaste (A) and prevent gingivitis (B) but not cariostatic (C)	General population
Developmental Hip Dysplasia	Timing of abduction therapy (early intervention) - supervised period of observation with detected DDH	Normal- or high-risk infants
Falls/injury	Multidisciplinary post-fall assessment	Elderly
Gastrointestinal and respiratory infection in the newborn	Counselling on breast feeding; peripartum interventions to increase frequency of breast feeding	Pregnant women (or peripartum period)
Gonorrhea	Gram stain/culture cervical or urethral smear	High-risk groups
Hearing impairment	Noise control and hearing protection	General population
Hearing impairment	Hearing exam	Infants
Hemoglobinopathies	Hemoglobin electrophoresis	High-risk neonates
Hepatitis B	Immunization	Infants, children and adolescents
HIV/AIDS	Voluntary HIV antibody screening	High-risk populations
Household and recreational injury	Public education/ Legislation on poison control	General population
Hypertension	Pharmacologic treatment	Elderly, specific subgroups Adults aged 21-64 yrs with DBP >90 mmHg
Influenza	Amantadine chemoprophylaxis	High-risk or unvaccinated individuals exposed to index case
Influenza	Outreach strategies to reach high-risk groups	Specific groups (e.g., diabetics), elderly
Influenza	Influenza vaccination	General population
Influenza	Neuraminidase inhibitor prophylaxis	General population
Immunizable infectious disease	Immunizations, Childhood	Infants and children
Low birth weight/cognitive ability of child	Smoking cessation interventions	Pregnant women
MVA injury	Legislation, restraint use and control of drinking and driving	General population
Neural tube defects	Folic acid supplementation	Women capable of becoming pregnant
Night-time crying	Anticipatory guidance on systematic ignoring	Parents of infants distressed by crying
Ophthalmia neonatorum	Ocular prophylaxis	Newborns
Oral cancer mortality	Smoking cessation counselling	General population
Osteoporotic fractures	Screening using the SCORE or ORAI to predict low BMD	Postmenopausal women
Osteoporotic fractures	Secondary prevention of vertebral fractures using alendronate	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of vertebral fractures using alendronate	Postmenopausal women
Periodontal disease	Flossing teeth	Adult population
Phenylketonuria	Serum phenylalanine screening	Newborns
Pneumococcal pneumonia	Single dose of 23-valent pneumococcal vaccine	Immunocompetent patients >age 55 years in institutions
Progressive renal disease	Urine dipstick	Adults with IDDM
Suicide	Medical treatment for diagnosed depression	High-risk group
Tobacco-caused disease	Counselling, smoking cessation or offer nicotine replacement therapy	Smokers
Tuberculosis	INH prophylaxis	Household contacts and skin test converters
Tuberculosis	Mantoux tuberculin skin test	High-risk groups
Varicella vaccine	Immunization and catch-up immunization with varicella vaccine	12-15 month old children; 1-12 year old children (catch-up)