Caribbean Environmental Health Caribbean Environmental Health InstituteInstitute

Health Disaster Coordinator’s MeetingSaint Kitts and Nevis3 to 4th June 2010Patricia Aquing, Executive Director

About UsAbout Us

Technical Institution of the Caribbean Technical Institution of the Caribbean Community (CARICOM)Community (CARICOM)

Established legally in 1989 to promote Established legally in 1989 to promote Caribbean Environmental Health Caribbean Environmental Health StrategyStrategy

InterInter--Governmental Governmental

16 Member States16 Member States

MandateMandate

Agreement establishing CEHI 1989Agreement establishing CEHI 1989Environmental ManagementEnvironmental Management with with a focus on a focus on Environmental HealthEnvironmental Health

CCH II/III: Lead agency for SubCCH II/III: Lead agency for Sub-- Priority Environmental HealthPriority Environmental Health

SIDS POA: Water and Waste SIDS POA: Water and Waste Management (Ministers of Management (Ministers of Environment)Environment)

CEHI MandateCEHI Mandate

Agreement establishing CEHI 1989Agreement establishing CEHI 1989

•• ““provide technical advisory services to Member States in provide technical advisory services to Member States in all areas of all areas of environmental managementenvironmental management, including , including

•• 1.1. water supplies, water supplies, •• 2.2. liquid waste and excreta disposal,liquid waste and excreta disposal,•• 3. 3. solid waste management,solid waste management,•• 4. 4. water resources management, water resources management, •• 5. 5. coastal zone management including beach pollution,coastal zone management including beach pollution,•• 6.6. air pollution, occupational health, air pollution, occupational health, •• 7.7. vector control *, vector control *, •• 8.8. disaster prevention and preparedness*disaster prevention and preparedness*•• 9. 9. natural resources conservation, natural resources conservation, •• 10. 10. environmental institution development and environmental institution development and •• 11. 11. the sociothe socio--economic aspects of environmental economic aspects of environmental

management.management.””

Caribbean Cooperation in Health (CCH Caribbean Cooperation in Health (CCH II/IIIII/III

SubSub--Priority Environmental HealthPriority Environmental Health-- Water Quality and Water Resources Water Quality and Water Resources

ManagementManagement-- Liquid Waste and Excreta Disposal Liquid Waste and Excreta Disposal -- Solid Waste Management Solid Waste Management -- Workers Health Workers Health -- Vector ControlVector Control-- Sustainable Land ManagementSustainable Land Management

Member StatesMember States

AnguillaAnguilla

Antigua and BarbudaAntigua and Barbuda

BahamasBahamas

BarbadosBarbados

BelizeBelize

British Virgin IslandsBritish Virgin Islands

DominicaDominica

GrenadaGrenada

GuyanaGuyana

JamaicaJamaica

MontserratMontserrat

St. Kitts and NevisSt. Kitts and Nevis

Saint LuciaSaint Lucia

St. Vincent and the GrenadinesSt. Vincent and the Grenadines

Trinidad and TobagoTrinidad and Tobago

Turks and Caicos IslandsTurks and Caicos Islands

Core staff of 20 persons, (10 professionals)Core staff of 20 persons, (10 professionals)(Jamaica, Trinidad & Tobago, Barbados, (Jamaica, Trinidad & Tobago, Barbados, Montserrat, Grenada and St. Lucia.Montserrat, Grenada and St. Lucia.

Expertise in Sanitary/Environmental Engineering; Expertise in Sanitary/Environmental Engineering; Environmental Management; Information Environmental Management; Information Management; Environmental Health; Laboratory Management; Environmental Health; Laboratory Analyses &Training; Project Development & Analyses &Training; Project Development & Management; and Resource Mobilisation; Management; and Resource Mobilisation; Sustainable Land Management, Sustainable Land Management, EIAsEIAs, Indoor Air , Indoor Air Quality; Chemicals Management, Watershed Quality; Chemicals Management, Watershed Management, Water quality, Water resources and Management, Water quality, Water resources and Watershed ManagementWatershed Management

Interns and Associate Interns and Associate ProgrammeProgramme

Accredited Laboratory ISO 17025 Accredited Laboratory ISO 17025

ProgrammeProgramme Support & DevelopmentSupport & DevelopmentFunctional arrangements Functional arrangements withwith National National Sector Agencies e.g. Sector Agencies e.g. -- Ministries of HealthMinistries of Health-- Water AuthoritiesWater Authorities-- Solid Waste Management AuthoritiesSolid Waste Management Authorities-- Environmental Health UnitsEnvironmental Health Units-- Environmental Management AuthoritiesEnvironmental Management Authorities-- Ministries of Health, Ministries of Ministries of Health, Ministries of

Agriculture, Agriculture, Physical Planning, Physical Planning, Environment, Forestry etc.Environment, Forestry etc.

-- Private Sector (joint consultancies, Private Sector (joint consultancies, clients)clients)

ProgrammeProgramme Support & DevelopmentSupport & Development

Participate in or track regional and Participate in or track regional and international EH/EM Agendas: international EH/EM Agendas: MDGsMDGs, CCH , CCH II/III, HEMA, SIDS, OECS St. Georges II/III, HEMA, SIDS, OECS St. Georges Declaration, Declaration, MEAsMEAs

Track Strategies and Track Strategies and ProgrammeProgramme focus of focus of Donor and Technical assistance agencies: Donor and Technical assistance agencies: USAID, OAS, CDB, UNEP, PAHO, UNDP, USAID, OAS, CDB, UNEP, PAHO, UNDP, UNESCO, GTZ, FAO, Health Canada, US UNESCO, GTZ, FAO, Health Canada, US Centers for Disease Control (CDC), GEFCenters for Disease Control (CDC), GEF

Market intelligence, requests from Member Market intelligence, requests from Member States, Sector Group Meetings, informal States, Sector Group Meetings, informal meansmeans

Revenue Generation & Resource Revenue Generation & Resource MobilisationMobilisation

Quota ContributionsQuota Contributions

Consultancies: competitive bidding Consultancies: competitive bidding with regional and international with regional and international partnerspartners

Laboratory Work: Training, Sampling Laboratory Work: Training, Sampling and Analyses, Technical advice (mainly and Analyses, Technical advice (mainly private sector, hotels)private sector, hotels)

Services (e.g. Services (e.g. EIAsEIAs, IAQ assessments), IAQ assessments)

Grant fundingGrant funding

Project : Integrating Watershed and Coastal Areas Project : Integrating Watershed and Coastal Areas Management (IWCAM)Management (IWCAM)

•• Funding: Global Environment Facility (GEF)Funding: Global Environment Facility (GEF)•• Project Cost: US$112M (includes coProject Cost: US$112M (includes co--financing)financing)•• GEF Funding US$14MGEF Funding US$14M•• Implementing Agencies: UNEP & UNDP Implementing Agencies: UNEP & UNDP •• Executing Agencies: CEHI, UNEP CAR/RCU, and Executing Agencies: CEHI, UNEP CAR/RCU, and

UNOPSUNOPS•• Project Coordination Unit: at CEHIProject Coordination Unit: at CEHI•• 13 Countries; 9 Demonstration Projects; 13 Countries; 9 Demonstration Projects;

US$500K+US$500K+•• Largely focused on the LBS Largely focused on the LBS Protocol(CartagenaProtocol(Cartagena

Convention)Convention)•• Objective: to build capacity for holistic, integrated Objective: to build capacity for holistic, integrated

approach to Environmental Managementapproach to Environmental Management

Environmental Health Considerations in Environmental Health Considerations in Disaster Risk ManagementDisaster Risk Management

1.Water Quality/Availability1.Water Quality/Availability2.Waste Management2.Waste Management

-- Solid (incl. Construction debris)Solid (incl. Construction debris)

-- Liquid (ruptured infrastructure)Liquid (ruptured infrastructure)-- Hazardous (incl. Biomedical Waste)Hazardous (incl. Biomedical Waste)

3. Workers Health3. Workers Health4.Vector Control4.Vector Control5.Air Quality (indoor and ambient)5.Air Quality (indoor and ambient)6.Food Safety6.Food Safety

Opportunities for HDRR: Proposal 1.Opportunities for HDRR: Proposal 1. Water Quality/AvailabilityWater Quality/Availability

Assistance to countries to develop Assistance to countries to develop Water Safety Plans Water Safety Plans promoted by promoted by (WHO), supported by US CDC, PAHO(WHO), supported by US CDC, PAHO

Holistic approach from source to endHolistic approach from source to end-- ofof--pipe (household level)pipe (household level)

MultiMulti--stakeholder involvementstakeholder involvement

Led by Ministries of Health and Water Led by Ministries of Health and Water UtilitiesUtilities

Water quality (home treatment and Water quality (home treatment and disinfection)disinfection)

Reduction of water borne diseasesReduction of water borne diseases

Opportunities for HDRR (Opportunities for HDRR (WSPsWSPs))

Methodology: Risk Assessment Methodology: Risk Assessment &Management at critical control points &Management at critical control points (HACCP) in water system(HACCP) in water system

Development of plan through public Development of plan through public consultationconsultation

Awareness and Awareness and SensitisationSensitisation

Household surveysHousehold surveys

Training and capacity buildingTraining and capacity building

Plans completed in Guyana and Plans completed in Guyana and Jamaica; pilot St. LuciaJamaica; pilot St. Lucia

Water Resources (Availability)Water Resources (Availability)

Water Augmentation: Rain water Water Augmentation: Rain water harvesting, storage, treatment & harvesting, storage, treatment & distributiondistribution

RWH Projects in St. Lucia, Grenada, RWH Projects in St. Lucia, Grenada, CarriacouCarriacou; St. Vincent & Grenadines ; St. Vincent & Grenadines funded by UNEPfunded by UNEP

Caribbean EcoCaribbean Eco--Health Project funded Health Project funded by IDRC (socioby IDRC (socio--economic household economic household surveys, testing of cisterns for surveys, testing of cisterns for biological contaminants)biological contaminants)

Waste ManagementWaste Management

Solid Waste disposal Solid Waste disposal espesp from from shelters and health facilitiesshelters and health facilities

Public SW disposal: SWMA must Public SW disposal: SWMA must have developed contingency planshave developed contingency plans

Offer options in the case of Offer options in the case of infrastructure destruction (what to infrastructure destruction (what to do with pile up of domestic wastedo with pile up of domestic waste

Biomedical Waste Management Biomedical Waste Management plans developed or modified with a plans developed or modified with a disaster componentdisaster component

Enhancing Health Sector disaster Enhancing Health Sector disaster preparedness for Floods in the Caribbean preparedness for Floods in the Caribbean

((DiPECHODiPECHO Floods)Floods)

Objectives:Objectives:

To strengthen capability of the health sector to To strengthen capability of the health sector to deal with environmental health issues related to deal with environmental health issues related to flood due to hurricanes or torrential rain.flood due to hurricanes or torrential rain.

Specific objective:Specific objective:

Institutional strengthening of environmental Institutional strengthening of environmental health units in health units in MoHsMoHs

Develop subDevelop sub--regional guidelines for regional guidelines for environmental health plansenvironmental health plans

Develop rapid assessment toolsDevelop rapid assessment tools

Provide basic training for environmental health Provide basic training for environmental health officers.officers.

Organize contingency planning workshops in 4 Organize contingency planning workshops in 4 countries to assist countries to update countries to assist countries to update environmental health plans and integrate into the environmental health plans and integrate into the National plan National plan

Floods Phase 1Floods Phase 1

Develop/ write Guidelines, Rapid assessment Develop/ write Guidelines, Rapid assessment tools and training course for tools and training course for MoHMoH personnel personnel

Develop 1st draft of the guidelines (source Develop 1st draft of the guidelines (source documents from the documents from the ““Disaster preparedness Disaster preparedness and environmental healthand environmental health”” workshop held in workshop held in Barbados April 6Barbados April 6--7 2000. (Using additional 7 2000. (Using additional written resources as necessary).written resources as necessary).

Develop Environmental Rapid Assessment Develop Environmental Rapid Assessment tools for use in damage and needs after tools for use in damage and needs after floods.floods.

Develop Environmental Health Training Develop Environmental Health Training course for course for MoHMoH officers officers

Workshop draft guidelines and rapid Workshop draft guidelines and rapid assessment tools (by assessment tools (by MoH):finalMoH):final review and review and codificationcodification

Floods Phase 2Floods Phase 2

Implement basic training for Implement basic training for environmental health officers in environmental health officers in Caribbean countriesCaribbean countries

Organize contingency planning Organize contingency planning workshops to update environmental workshops to update environmental health disaster plans and integrate health disaster plans and integrate into national plan into national plan

Floods (contFloods (cont’’d)d)

Manual Contingency Planning for FloodsManual Contingency Planning for Floods-- For use by EH Units as planning guidelines prior to a flood event and in the field as an assessment tool during

and after flood events

Drinking Water Quality and SupplyDrinking Water Quality and Supply

Vector ControlVector Control

Food SafetyFood Safety

Sanitation and HygieneSanitation and Hygiene

Chemical HazardsChemical Hazards

Surveillance and Disease Control Surveillance and Disease Control

Safe Hospitals/SheltersSafe Hospitals/SheltersEstablishment/Review of EMSEstablishment/Review of EMS

Waste ManagementWaste Management-- Biomedical Waste Biomedical Waste

Water SafetyWater Safety

Workers safety and healthWorkers safety and health

Sewage treatmentSewage treatment

Environmental Health Training in Environmental Health Training in Emergency ResponseEmergency Response

55thth Biennial Caribbean Environmental Biennial Caribbean Environmental Forum and Exhibition (CEFForum and Exhibition (CEF--5) 5) organized by CEHI and partners, to organized by CEHI and partners, to be held during the week of June 21be held during the week of June 21stst

2010.2010.

1. The EHTER course :June 211. The EHTER course :June 21stst 2010 2010 PrePre--Conference Session. Delivered Conference Session. Delivered by CDCby CDC’’s Environmental Health s Environmental Health Services Branch (EHSB), Services Branch (EHSB),

EHTER COURSEEHTER COURSE

5 modules. Focuses on a specific 5 modules. Focuses on a specific topic related to environmental health topic related to environmental health emergency response. emergency response.

Disaster ManagementDisaster Management

Responder SafetyResponder Safety

Potable WaterPotable Water

WastewaterWastewater

Vector Control and Pest ManagementVector Control and Pest Management

Thank YouThank You Any Questions?Any Questions?

Caribbean Environmental Health InstituteCaribbean Environmental Health InstituteP.O. Box 1111P.O. Box 1111

Castries, Saint LuciaCastries, Saint LuciaTel: 758 452 2501 or 1412Tel: 758 452 2501 or 1412

Fax: 758 453 2721Fax: 758 453 2721Email: Email: cehi@candw.lccehi@candw.lcpaquing@cehi.org.lcpaquing@cehi.org.lc

Website: Website: www.cehi.org.lcwww.cehi.org.lc