Bi-State Infectious Disease Conference Awards

Bi-State Infectious Disease Conference Awards
The 19th Annual Bi-State Infectious Disease Conference will be held at the
Marriott St. Louis Airport on Friday, October 17th, 2014. This conference is
jointly provided by Heartland National TB Center, Missouri and Illinois Public
Health, and APIC-St. Louis Chapter 73.
At the conference, the Bi-State Infectious Disease committee would like to
honor individuals who go above and beyond their normal duties to prevent
and control disease. There will be three awards presented at the
conference. Please see the attached nomination form for descriptions of
these awards. Nominations will be reviewed and selected by a group of
their peers in their field. Each award will be presented at the conference by
a Bi-State committee member and/or a state health department
representative. Please consider nominating someone and acknowledging
his/her exceptional work.
Please complete and submit the attached nomination form to Pat or
Linda by September 15, 2014.
Pat Giacin - [email protected] or fax (618) 332-5293
Linda Merz – [email protected] or fax (314) 525-1066
Submit a Nomination
Print Full Name of Nominee:
First and Last Name
Nominee’s Title
Nominee’s Agency/Company
__________________
Please Check One:
Infection Prevention Practitioner Award
Public Health Award
Partnership Award
The Infection Prevention Practitioner Award is given in recognition of one Infection Prevention Professional
who has displayed a profound level of dedication and outstanding performance in the identification and
prevention of healthcare associated infections and the control of communicable diseases.
Criteria: Recipient must be an Infection Prevention Professional who has served the Infection Prevention
community as a whole through education, research and work efforts that positively contributed to the
prevention of infectious disease.
The Public Health Award is given in recognition of one individual who has demonstrated a profound level of
dedication and professionalism to public health and to the identification and control of communicable diseases.
Criteria: Recipient must be a professional in the field of Public Health or Infectious Disease who through
education, research, or practical science has positively contributed to the prevention and control of infectious
disease.
The Partnership Award is given in recognition of the outstanding performance and/or support of an individual,
agency or group in coordination with the infectious disease staff at a local health department or hospital.
Criteria: Recipient must be an individual, agency or group which has contributed to the support of public health
of the St. Louis Metropolitan area through communication, education and prevention/control efforts of
infectious diseases. The emphasis is on the outside synergistic efforts with other entities in the community.
List reasons for nomination:
Personal Information of Submitter:
Full Name/Title
Agency/Company
Email
Telephone Number
Please submit by September 15, 2014. Submissions may be emailed or faxed to Linda or Pat.
Pat Giacin - [email protected] or fax (618) 332-5293
Linda Merz – [email protected] or fax (314) 525-1066