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Introduction

Environmental Public Health Tracking: a cost-effective system for characterising the sources, distribution and impacts of environmental hazards Patrick Saunders. Introduction. What it is Why we should do it How to do it How’s it being done How the outputs can be used

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Introduction

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  1. Environmental Public Health Tracking: a cost-effective system forcharacterising the sources, distribution and impacts of environmental hazardsPatrick Saunders

  2. Introduction • What it is • Why we should do it • How to do it • How’s it being done • How the outputs can be used • CDC definition: the ongoing collection, integration, analysis, and interpretation of data about environmental hazards, exposure to environmental hazards, and human health effects potentially related to exposure to environmental hazards

  3. Why Environment impacts on individual and community health negatively & positively Disproportionately affects the poor But still major gaps in our understanding Statutory and implicit requirements Increased public concerns Prevent inappropriate epidemiological studies ‘We can track flu, West Nile virus, and mad cow disease but not enough of the chronic illnesses that are the biggest killers…because we just don’t have enough of that basic information’

  4. What • Hazards • Contaminated sites • Source of pollution • Nuisance complaints • Access to goods • Unhealthy foods • Air quality • Housing • Crime • Goods • Green space, healthy foods, cycling • Exposures • Largely use proxies • Diseases • Specificcancers, reproductive outcomes, hospital admissions

  5. Bringing Things Together Tracking links different dimensions applying methods from one setting to another

  6. Partners Local authority Public health Environmental health Housing Transport Planning NHS Police Environment Agency Local action groups Universities PHE

  7. How Establish a multi-agency group Think in terms of well being as well as health Integrate into business plans Align to business objectives of participants Make it as easy as possible for participants Add value and generated products Share success Recruit political support Establish a mechanism for the public to register concerns Establish active horizon scanning Persevere

  8. Conclusion • Cost effective? US budget in 2015 $35m • UK budget? Sandwell budget? • Further reading: • Saunders PJ, Middleton JD, Rudge G. Environmental Public Health Tracking: a cost-effective system for characterizing the sources, distribution and public health impacts of environmental hazards. Journal of Public Health 2016; doi: 10.1093/pubmed/fdw130 • Environmental Public Health Tracking in Sandwell. Report of First’s Pilot. Oldbury: Sandwell Metropolitan Borough Council, 2013. ISBN number: 9781900471114.

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