Investigating Two-Stage Meta-Analytic Copula Modelling Approach
Investigation into evaluating time-to-event surrogate endpoints in drug development, efficiency improvement, public demand, FDA actions, and need for accurate prediction of surrogates at individual and trial levels.
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Civil Registration, Vital Statistics and Identity Management in the U.S. Alvin T. Onaka, PhD Hawaii State Department of Health U.S.A. Technical Seminar on Legal Framework for Civil Registration Vital Statistics and Identity Management Systems Manila, Philippines July 17 19, 2017
Civil Registration is a State Function in the United States 57 Vital Registration Jurisdictions 50 States 5 Territories District of Columbia New York City
CRVS Authority and Function State Departments of Health National Vital Statistics are a compilation of information from the 57 jurisdictions U.S. Standard Certificates
Real ID Act Driver s Licenses State Identification Documents
Vital Statistics Law First Model Public Health Law 1907 Serves as Resource Guidelines for States to improve uniformity and standard definitions
2011 Model Vital Statistics Law Revision Chair of National Model Law Revision Work Group Law gives the authority to do something Regulations are more specific on how accomplished Operating procedures provide more details
Challenges Reduce the burden on the family in civil registration Focus on the Movement of Information not people Sex/Gender Reassignment Same Sex Marriage Assisted Reproductive Technology Surrogacy Balance of Access to Information and Privacy/Confidentiality Cybersecurity
Opportunities Electronic Registration Systems Improve Timeliness of Information Improve Quality of Information Public Health Surveillance Government Efficiencies Enumeration at Birth Verification of Vital Event
Lessons Learned Change is the only constant in Society Advances in Medical and Information Technology present unique challenges Use changes in law in other areas of government to help you move forward Keep the law simple and flexible providing authority and use the regulations and operating procedures to implement the details Legal advice is invaluable in developing ways that enable rather than prevent you from doing what you need to do
