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USPHS Scientific and Training Symposium Environmental Health Officer Session. CDC Environmental Public Health Leadership Institute May 25, 2010 San Diego, CA. Centers for Disease Control and Prevention National Center for Environmental Health. Environmental Health Services Branch.
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USPHS Scientific and Training SymposiumEnvironmental Health Officer Session CDC Environmental Public Health Leadership Institute May 25, 2010 San Diego, CA
Centers for Disease Control and Prevention National Center for Environmental Health Environmental Health Services Branch
Achievements of Public Health • Vaccinations • Motor-vehicle safety • Safer workplaces • Control of infectious diseases • Decline in deaths from coronary heart disease and stroke • Safe and healthier food • Healthier mothers and babies • Family planning • Fluoridation of drinking water • Recognition of tobacco use as a health issue
Accomplishments Brookings Institute – Governments’ Greatest Achievements of the Past Half-Century • Control of Disease • Improved Air and Water Quality • Food and Drinking Water Safety
Challenge • Environmental antecedents to disease outbreak and emergence • Global climate change • Global economies, migration and trade • Urban to rural and rural to urban • Alternate forms of energy
Challenge United States Infant Mortality per 1000 Live Births and International Rank 1960: 26.0 (12) 2003: 6.9 (28)
Health Disparity Challenge Infant Mortality / 1000 Live Births 2001-2003 All Races = 6.9 White = 5.7 Black or African American = 13.6 Hispanic or Latino = 5.6 American Indian or Alaska Native = 9.0 Asian or Pacific Islander = 4.8
Challenge America’s Environmental Health Gap Environmental connection to disease not understood; fragmentation of public health system hinders response and action
Challenge Rebuilding the Utility of Health and the Environment: A New Vision of Environmental Health for the 21ST Century ..the local infrastructure for delivering environmental health is not working.
CDC’s EHS Strategy • 31 external workgroups participated in development • Over 150 organizations provided comments • Partners include private and public organizations from all levels including tribal • 6 major goals with objectives and activities
EPHLI Objective Enhance and strengthen the national environmental public health services delivery system by strengthening the leadership capabilities of the environmental public health workforce.
Understanding Environmental Systems Water System Food System Air Health Outcomes Sewage System Vector/animal Influence Solid Waste Disposal
Police EMS Corrections MCOs Health Department Philanthropist Churches Community Centers Nursing Homes Home Health Parks Doctors Schools Elected Officials Hospitals Mass Transit Environmental Health Civic Groups CHCs Fire Tribal Health Employers Laboratory Facilities Economic Development Drug Treatment Mental Health The Public Health System
Understanding Systems • A group of interacting, interrelated, or independent elements forming a complex whole • A system is defined by the specific purpose it serves within a larger system
Science of Complex Systems • Determines how parts of a system influence the collective behavior of the system and how systems interact • Understand parts, the whole and relationships
CDC Environmental Public Health Leadership Institute • Year-long learning experience • All expenses paid • 2 onsite seminars • All other work / learning done by teleconferencing, internet and electronic means • All educational materials provided by program
Building teams and partnerships • Persuading, influencing, and generating support • Systems thinking • Problem-solving and decision-making processes • Project – Outcome measure
Long-term Outcomes • Enhance leadership capabilities of environmental public health service providers • Improve the practice of environmental health • Reduce exposure to environmental public health risk factors
Long-term Outcomes • Reduce environmentally related morbidity and mortality • Improve the health of the population • Reduce health care expenditures
Long-term Outcomes Opportunity for environmental public health leader to interact and create a lasting network of leaders who will be instrumental in influencing the future direction of environmental public health.
Solving Problems Without changing our patterns of thought, we will not be able to solve the problems we created with our current pattern of thought. Albert Einstein