california office of binational border health projects advisory group meeting monday, march 2, 2009...
TRANSCRIPT
California Office of California Office of Binational Border Binational Border Health ProjectsHealth Projects
Advisory Group MeetingAdvisory Group MeetingMonday, March 2, 2009Monday, March 2, 2009
San DiegoSan Diego
Presented byPresented byApril FernándezApril FernándezMichael WeltonMichael Welton
Current ProjectsCurrent Projects
1)1) Binational Cervical Cancer ProjectBinational Cervical Cancer Project2)2) COBBH Web siteCOBBH Web site3)3) Spanish Immunization Web site WorkgroupSpanish Immunization Web site Workgroup4)4) Environmental Health Leadership SummitEnvironmental Health Leadership Summit5)5) Queso Fresco Task ForceQueso Fresco Task Force6)6) Annual Border Health Status ReportAnnual Border Health Status Report7)7) Pesticides ProjectPesticides Project8)8) Border MACH ProjectBorder MACH Project9)9) Lead Outreach ProjectLead Outreach Project10)10) Diabetes Workgroup and Outreach ProjectDiabetes Workgroup and Outreach Project
ProjectsProjects
PurposePurpose
PartnersPartners
OutcomesOutcomes
Next StepsNext Steps
Binational Cervical Binational Cervical Cancer Outreach ProjectCancer Outreach Project
Purpose Purpose To prevent invasive cervical cancer To prevent invasive cervical cancer
among Migrant Latina women in among Migrant Latina women in California and Mexico. California and Mexico.
Project objectives include: Project objectives include:
1) Establish a mechanism (i.e., steering committee and 1) Establish a mechanism (i.e., steering committee and technical advisory committee) for collaboration technical advisory committee) for collaboration between California and Mexico on cervical cancer between California and Mexico on cervical cancer prevention;prevention;
2) Identify or develop and disseminate bilingual 2) Identify or develop and disseminate bilingual outreach materials to raise awareness about outreach materials to raise awareness about cervical cancer cervical cancer
Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project
PartnersPartners
CDPH: STD Control Branch, Health Information CDPH: STD Control Branch, Health Information Unit; Cancer Detection Section, and Office of Unit; Cancer Detection Section, and Office of Women’s HealthWomen’s Health
Public Health InstitutePublic Health Institute Planned Parenthood of SD and Riverside CountiesPlanned Parenthood of SD and Riverside Counties SDSU Institute for Public Health SDSU Institute for Public Health American Cancer Society, and American Cancer Society, and CCLHOCCLHO
Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project
OutcomesOutcomes Produced a 30 sec and 60 sec Public Produced a 30 sec and 60 sec Public
Service AnnouncementsService Announcements
Radio Bilingue Radio Bilingue
Bustos MediaBustos Media Available on the SWAP site (Available on the SWAP site (http://http://
www.stdhivtraining.orgwww.stdhivtraining.org))
Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project
Next StepsNext Steps
Continue disseminating PSA to public health Continue disseminating PSA to public health venuesvenues
Develop a promotora curriculumDevelop a promotora curriculum
Develop informational brochure or cardDevelop informational brochure or card
Develop and implement an evaluation tool Develop and implement an evaluation tool to measure outcomesto measure outcomes
COBBH Web siteCOBBH Web site
PurposePurpose To inform public health professionals on To inform public health professionals on
COBBH projects, outreach materials, and COBBH projects, outreach materials, and serve as a clearinghouse on border health serve as a clearinghouse on border health issues issues
COBBH Web siteCOBBH Web site
Partners Partners
CDPH DCDC Web TeamCDPH DCDC Web Team
Provide links to border health partners, Provide links to border health partners, e.g., Border State Offices, USMBHC, HIA, e.g., Border State Offices, USMBHC, HIA, CDC, etc…CDC, etc…
COBBH Web siteCOBBH Web site
Outcomes Outcomes
http://www.cdph.ca.gov/programs/cobbhhttp://www.cdph.ca.gov/programs/cobbh
Includes: reports, outreach materials, Includes: reports, outreach materials, related links, contact information, Advisory related links, contact information, Advisory Group rosterGroup roster
COBBH Web siteCOBBH Web site
Next StepsNext Steps
Create a Bilingual optionCreate a Bilingual option
Spanish Immunization Web Spanish Immunization Web site Workgroupsite Workgroup
PurposePurpose To produce an immunization web site withTo produce an immunization web site with
accurate and comprehensive information, asaccurate and comprehensive information, as
a “one-stop” health shop for Latinosa “one-stop” health shop for Latinos. .
Spanish Immunization Web site Spanish Immunization Web site WorkgroupWorkgroup
PartnersPartners
CDPH-CID-DCDC-IMM and CDPH-CFH-MCAH-PDCDPH-CID-DCDC-IMM and CDPH-CFH-MCAH-PD San Diego CountySan Diego County San Ysidro Health Center San Ysidro Health Center Imperial Co.Imperial Co. Amador Co. Amador Co. Santa Barbara Co.Santa Barbara Co. Solano Co. Solano Co. L.A. Co., and more…L.A. Co., and more…
Spanish Immunization Web site Spanish Immunization Web site WorkgroupWorkgroup
Outcomes (projected)Outcomes (projected)
Launch Web site by the end of April Launch Web site by the end of April 20092009-Necessary vaccinations-Necessary vaccinations
-Vaccinations for school-Vaccinations for school
-Resources-Resources
Environmental Health Environmental Health Leadership SummitLeadership Summit
PurposePurpose
To bring together environmental health and To bring together environmental health and justice advocates, government agencies, justice advocates, government agencies, and community residents to identify and community residents to identify strategies to address issues in Imperial strategies to address issues in Imperial County through community engagement. County through community engagement.
New RiverNew River Pesticide ExposurePesticide Exposure
Environmental Health Leadership Environmental Health Leadership SummitSummitPartners Partners
Comite Civico del Valle in Imperial CountyComite Civico del Valle in Imperial County Department of Pesticides RegulationDepartment of Pesticides Regulation Department of Toxic Substance ControlDepartment of Toxic Substance Control Environmental Health Protection BranchEnvironmental Health Protection Branch National Latino Research CenterNational Latino Research Center The California EndowmentThe California Endowment The California Wellness FoundationThe California Wellness Foundation California Rural Legal AssistanceCalifornia Rural Legal Assistance American Lung Association in CaliforniaAmerican Lung Association in California New River CommitteeNew River Committee California Hazardous Materials Investigators California Hazardous Materials Investigators
AssociationAssociation
Environmental Health Leadership Environmental Health Leadership SummitSummit
OutcomesOutcomes 150+ Participants150+ Participants COBBH presented on COBBH presented on
Panel with DTSC, DPR, Panel with DTSC, DPR, and EHIBand EHIB
Cancer association with Cancer association with New RiverNew River
Environmental Pollution Environmental Pollution Reporting GuideReporting Guide
Cross-Border Pollution Cross-Border Pollution ProsecutionProsecution
Environmental Health Leadership Environmental Health Leadership SummitSummit
Next StepsNext Steps
DTSC Environmental Justice WorkshopDTSC Environmental Justice Workshop
-4/14/09-4/14/09
Environmental Pollution GuideEnvironmental Pollution Guide
Queso Fresco Task ForceQueso Fresco Task Force
PurposePurpose To confirm that by establishing and To confirm that by establishing and
enforcing a personal use limit at U.S. enforcing a personal use limit at U.S. ports of entry, there will be a significant ports of entry, there will be a significant reduction in commercial trafficking of reduction in commercial trafficking of high-risk raw-milk cheese.high-risk raw-milk cheese.
Queso Fresco Task ForceQueso Fresco Task Force
Partners Partners CA Department of Food & Agriculture, Milk & Dairy BranchCA Department of Food & Agriculture, Milk & Dairy Branch U.S. Food and Drug AdministrationU.S. Food and Drug Administration U.S. Customs and Border ProtectionU.S. Customs and Border Protection Orange County Department of Environmental HealthOrange County Department of Environmental Health Riverside County Department of Environmental HealthRiverside County Department of Environmental Health San Diego County Department of Environmental Health San Diego County Department of Environmental Health San Diego County Office of Border HealthSan Diego County Office of Border Health
Annual Border Health Status Annual Border Health Status Report 2007-2008Report 2007-2008
PurposePurpose
The Border Health Status Report provides The Border Health Status Report provides current data on key border and binational current data on key border and binational health indicators.health indicators.
Maternal and child health, general health Maternal and child health, general health indicators, diabetes, obesity, nutrition, and indicators, diabetes, obesity, nutrition, and
physical activityphysical activity
Annual Border Health Status Annual Border Health Status Report Report
2007-20082007-2008PartnersPartners
CDPH-Maternal, Child and Adolescent CDPH-Maternal, Child and Adolescent
Health Program/Center for Family HealthHealth Program/Center for Family Health CDPH-California Diabetes ProgramCDPH-California Diabetes Program CDPH-Immunization BranchCDPH-Immunization Branch Imperial County Public Health DepartmentImperial County Public Health Department San Diego County Public Health San Diego County Public Health
DepartmentDepartment
Annual Border Health Status Annual Border Health Status Report Report
2007-20082007-2008OutcomesOutcomes
Report to be completed May 2009Report to be completed May 2009
Percent of Teen and Adult (age 12+) Diabetics Who Have Type II Diabetes by Ethnicity and Region (2007)
76.982.2
78.3 78.9
86.9 85.781.8
89.786.7
0
10
20
30
40
50
60
70
80
90
100
Hispanic White All Hispanic White All Hispanic White All
Imperial San Diego California
Per
cen
t o
f P
op
ula
tio
n
.
Percent of Children (age <12) Without Health Insurance Coverage by Ethnicity and Region (2007)
10.2 10.68.3
2.44.8
7.1
3.25.1
~0
5
10
15
20
25
30
35
40
45
50
Hispanic White All Hispanic White All Hispanic White All
Imperial San Diego California
Per
cen
t o
f C
hil
d P
op
ula
tio
n
.
California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure
Prevention ProjectPrevention ProjectPurposePurpose
Implement a binational institutional Implement a binational institutional protocol, and provide tools and training protocol, and provide tools and training necessary for addressing pesticide necessary for addressing pesticide illness recognition, treatment, and illness recognition, treatment, and reporting.reporting.
California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure
Prevention ProjectPrevention ProjectPartnersPartners
U.S.-Environmental Protection AgencyU.S.-Environmental Protection Agency Department of Pesticide RegulationDepartment of Pesticide Regulation Imperial County Public Health DepartmentImperial County Public Health Department Imperial County Agricultural CommissionerImperial County Agricultural Commissioner ComitComité Civico del Valleé Civico del Valle CDPH Occupational Health BranchCDPH Occupational Health Branch Border Environment Cooperation CommissionBorder Environment Cooperation Commission
California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure
Prevention ProjectPrevention ProjectOutcomesOutcomes
Protocol DraftProtocol Draft 4/6 Provider Trainings4/6 Provider Trainings Outreach MaterialsOutreach Materials
Poster/FlyerPoster/FlyerPocket CardPocket CardRadio PSARadio PSA
California-Baja California Integrated California-Baja California Integrated Pesticide Illness Surveillance and Exposure Pesticide Illness Surveillance and Exposure
Prevention ProjectPrevention Project
California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure
Prevention ProjectPrevention Project
Next StepsNext Steps
Distribution and EvaluationDistribution and Evaluation
Implement and Evaluate ProtocolImplement and Evaluate Protocol
Two Provider Trainings in MexicaliTwo Provider Trainings in Mexicali
Border MACHBorder MACH
PurposePurpose
Building and reinforcing sustainable Building and reinforcing sustainable binational collaborative partnerships and binational collaborative partnerships and capacity to share, maximize use and capacity to share, maximize use and translate Maternal and Child Health data translate Maternal and Child Health data into actions for the benefit of communities into actions for the benefit of communities in the Border Regionin the Border Region
Border MACHBorder MACH
PartnersPartners
Centers for Disease Control and PreventionCenters for Disease Control and Prevention USMBHC-TXUSMBHC-TX Imperial County Public Health DepartmentImperial County Public Health Department Others-TX & Mexico - Others-TX & Mexico - To be announcedTo be announced
Border MACHBorder MACH
Outcomes (projected)Outcomes (projected)
TimelineTimelineJune 15-17, 2009June 15-17, 2009
11stst BorderMACH workshop BorderMACH workshopMarch 2010March 2010
2nd BorderMACH workshop2nd BorderMACH workshopAugust 2010August 2010
33rdrd BorderMACH workshop BorderMACH workshop
U.S. Border Lead Outreach U.S. Border Lead Outreach Project:Project:
Lead in Traditional PotteryLead in Traditional Pottery PurposePurpose
To raise awareness in at-risk populations To raise awareness in at-risk populations about lead in traditional potteryabout lead in traditional pottery
To provide information on how to prevent To provide information on how to prevent lead exposure from traditional potterylead exposure from traditional pottery
U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery
PartnersPartners
USMBHC CA Outreach OfficeUSMBHC CA Outreach Office USMBHC AZ Outreach OfficeUSMBHC AZ Outreach Office U.S. Food and Drug AdministrationU.S. Food and Drug Administration Centers for Disease Control and PreventionCenters for Disease Control and Prevention U.S. Environmental Protection AgencyU.S. Environmental Protection Agency New Mexico Department of Public HealthNew Mexico Department of Public Health Texas Department of Health ServicesTexas Department of Health Services CDPH Childhood Lead Poisoning Prevention CDPH Childhood Lead Poisoning Prevention
BranchBranch Universidad Autonoma de Baja CaliforniaUniversidad Autonoma de Baja California
U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery
OutcomesOutcomes
U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery
OutcomesOutcomes
Final Report and all materials available at:Final Report and all materials available at:http://www.cdph.ca.gov/programs/cobbh/Pages/default.aspxhttp://www.cdph.ca.gov/programs/cobbh/Pages/default.aspx
Diabetes Workgroup and Diabetes Workgroup and OutreachOutreachPurposePurpose
To create awareness in the border To create awareness in the border region about the prevalence and risk of region about the prevalence and risk of diabetesdiabetes
Diabetes Workgroup and OutreachDiabetes Workgroup and Outreach
PartnersPartners
CDPH-Diabetes ProgramCDPH-Diabetes Program Radio BilingueRadio Bilingue
Diabetes Workgroup and OutreachDiabetes Workgroup and Outreach
OutcomesOutcomes
Spanish/English Radio PSA to be Spanish/English Radio PSA to be developed for PAHO Binational Health developed for PAHO Binational Health Forum in San Luis, AZ.Forum in San Luis, AZ.