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Introduction

Introduction. Environmental Public Health Tracking Overview Presented at: Planning Consortium Meeting Friday February 18, 2005 Geoffrey Lomax Environmental Health Investigations Branch CA Department of Heath Services glomax@dhs.ca.gov.

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Introduction

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  1. Introduction Environmental Public Health Tracking Overview Presented at: Planning Consortium Meeting Friday February 18, 2005 Geoffrey Lomax Environmental Health Investigations Branch CA Department of Heath Services glomax@dhs.ca.gov

  2. Limited information about exposure to environmental hazards (toxic exposures) No systematic tracking (counting) of many chronic health conditions, including but not limited to: Birth Defects Cancer Neurological diseases including Parkinson’s, MS and Alzheimer’s Fragmented information coordination by public agencies PEW Commission Problem Problem: The environmental health gap is a lack of basic information that could document possible links between environmental hazards and chronic disease.

  3. PEW Commission Solution Solution: Create a federally supported Nationwide Health Tracking Network … that informs consumers, communities, public health practitioners, researchers, and policymakers on chronic diseases and related environmental hazards and population exposures.

  4. The CDC Health Tracking Program Environmental public health tracking is the ongoing collection, integration, analysis, and interpretation of data about environmental hazards, exposure to environmental hazards and human health effects potentially related to exposures to environmental hazards.

  5. The CDC Program Grantees

  6. SB 702 & Expert Working Group build on PEW report to develop CA-specific plan. CDC funding supports planning, implementation and demonstration activities. Current CA Tracking Program is a collaborative with CDHS Cal/EPA CDC University of California Other stakeholders The CA Tracking Program

  7. SB 702 Diseases & Exposures to Track All human disease is multifactorial, resulting from a mixture of environmental, lifestyle, socioeconomic, and genetic factors that act over a lifetime. For any particular individual, specific environmental, social, or genetic factors may be more or less important with regard to disease risk, and in many cases the environment will influence the initiation, progression, or relapse of disease.

  8. Some illnesses are on the rise. Disparities in health persist and environment may play a role. There is evidence of association between exposure to environmental hazards and disease. Better understanding of exposure informs other areas of health research (e.g. gene-environment studies) SB 702 Why Focus

  9. The CA Tracking Program Goals • Track environmental hazards (hazard & exposure tracking); • Track disease trends (disease tracking); • Link environmental-hazard information to support environmental-health research (linkage capacity); • Inform disease-prevention and environmental-protection programs and policies; and • Facilitate public access to information on environmental-health issues.

  10. Emissions for benzene in Oakland Goal 1: Exposure Tracking Source: CA ARB The Community Health Air Pollution Information System

  11. Examples of health tracking activities by CEHTP: Birth outcomes Asthma Autism Infant Death Mental Retardation Goal 2: Health Outcome Tracking Asthma maintenance med fills by children Kaiser Permanente & Medi-Cal Alameda County, 2001

  12. Examining birth weights and exposure to vehicle emissions Goal 3: Linkage Capacity “Smoothed” Low Birthweight Rates, San Diego County, CA, 1990

  13. Evaluating the effectiveness of public health and environmental protection policies. Goal 4: Policy Evaluation Source: California Air Resources Board; http://www.arb.ca.gov/toxics/cti/hlthrisk/hlthrisk.htm

  14. Goal 5: Outreach and Dissemination Stay Tuned for Today’s Meeting

  15. Major Policy Recommendations • Establish interagency Office of Environmental Health Tracking; • Maintain health tracking infrastructure for cancer, birth defects and occupational disease; • Industry should be required to provide basic hazard tracking information; • Enhanced exposure monitoring; and • Track asthma, neurodevelopmental disorders, neurodegenerative disorders; • Others

  16. The CA Tracking Program Structure SB 702 Working Group Work Groups Planning Consortium CA Dept. of Health/OEHHA Tracking Program Staff/Co-Investigators Pilot Projects Alameda County CVSC UC Tracking Center of Excellence

  17. Statewide Needs Assessment activities Phase I Phase II (e.g. today’s meeting) Tribal needs assessment CDC Meetings Planning Consortium Legislative support state and national Opportunities to Get Involved

  18. Opportunities to Get Involved • Program Strategic Plan / Governance • Mission Statement • Guiding Principles • Public Health Data Use • Uniform Hazard / Cluster Response • Protocol (SB 702) • Criteria for Funding / Collaborations • Environmental Justice Working Group • Develop New Collaboratives & Partnerships • CDC Renewal

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