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United States – México Border Health Commission

United States – México Border Health Commission. Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994). History of the U.S.-M éxico Border Health Commission (BHC). Public Law 103-400 (October 22, 1994)

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United States – México Border Health Commission

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  1. United States – México Border Health Commission

  2. Border Region – 100 km or 62 miles La Paz Agreement (1983) and P.L. 103-400 (1994)

  3. History of the U.S.-México Border Health Commission (BHC) • Public Law 103-400 (October 22, 1994) • Agreement between the United States of America and the United Mexican States to establish the full Commission (July 24, 2000) • Executive Order by U.S. President George W. Bush (December 21, 2004) designating the BHC as an Public International Organization

  4. Mission To provide international leadership to optimize health and quality of life along the United States – Mexico border.

  5. Goals • Institutionalize a domestic focus on border health that can transcend political changes • Create an effective venue for binational discussion to address key public health issues at the border

  6. Strategic Principles Our Purpose – • Leadership • Focus • Venue

  7. BHC Composition and Structure • Two nations • Ten border states (six Mexican States, four U.S. States) • Two Sections: United States and México Sections • 12 Individual Members each (24 total members) • Includes 10 State Health Officers • Led by two Commissioners: • U.S. Secretary of Health and Human Services • Secretary of Health of México

  8. BHC Roles • Facilitate identification, study and research • Be a catalyst to raise awareness • Promote sustainable partnerships for action • Serve as an information portal

  9. BHC Methods: Committees and Work Groups • Standing Committees • Priority Setting – strategic planning • Program, Planning and Evaluation • Budget • Work Groups • Communication and Outreach • By-Laws • Border Health Research

  10. Strategic Directions Our Focus – • Access to Care • Research and Data Collection • Health Promotion and Education

  11. Commission State Outreach Offices (OROs) Our Linkages to the Community

  12. Strategic Actions Our Actions - • Healthy Border 2010 • Border Binational Health Week • National Infant Immunization Week / Vaccination Week of the Americas • Border Health Research • Pandemic/Avian Influenza Planning • Border Lead Issues • Border Tele-health • Border Health Information Platform

  13. Healthy Border 2010 • Instrument for community assessment, planning and action similar to Healthy People 2010 • 22 General health indicators in 11 focus areas • Access to Care, Environmental Health, Oral Health • Maternal, Infant & Child Health, Mental Health • Cancer, Diabetes, Respiratory Diseases • Immunization & Infectious Disease, HIV/AIDS • Injury Prevention • Healthy Border mid-course review completed in December, 2006

  14. Healthy Border 2010 • Progress toward Year 2010 Goals: • 10 of the 14 have made progress toward 2010 goals • 7 have achieved 60% or more of the goal • Of these seven, 2 have surpassed 2010 goal – • Hepatitis A and Childhood Injury • 4 objectives are moving away from 2010 Goals- • AIDS • Hepatitis B • Tuberculosis • Motor Vehicle Deaths

  15. Border Binational Health Week (BBHW) • Is a week-long series of events on both sides of the border that brings awareness to health needs and issues, begun in 2004 • The annual theme of BBHW is on “Families in Action for Health” • The overall goal is to promote sustainable partnerships • Major events in 2006 included the Border Health Research Forum, TB Forum, Health Policy Forum and Tobacco Forum

  16. National Infant Immunization Week / Vaccination Week in the Americas • A partnership of border agencies and community organizations with the Centers for Disease Control and Prevention and the Pan American Health Organization that works to coordinate activities along the border to promote immunizations • Border specific events began in 2004 with U.S. border states taking the lead each year • Texas took the lead state for 2007 – Hidalgo County, Texas was the lead county for the border • The event was celebrated April 21-28, 2007

  17. Border Health Research Initiative • Focused on the development of a long-term border health research agenda • The initial border Health Research Forum took place in Monterrey, Nuevo León, Mexico in October 2006 • A Border Health Research Advisory Council will be established to assist the BHC in its work • Biennial research forums will be hosted by the BHC

  18. Pandemic Influenza Planning • Joined with the Association of State and Territorial State Health Officers (ASTHO) to host a forum on Binational Public Health Preparedness in August, 2006 • Hosted a federal-state Binational Pandemic Influenza Forum in Hermosillo, Sonora, Mexico in November, 2006 • With support of the states of California and Baja California conducted a federal-state Binational Influenza Table Top Workshop in San Diego, California in February, 2007 • Supported in May 2007, the California – Baja California Binational Avian Influenza Table Top Exercise – focused on the multi-sector approach that included the agricultural and wild life sectors in partnership with health

  19. Lead (Pb) Issues Along the Border • A partnership with the Border States and U.S. and Mexico federal agencies on the issues surrounding lead (Pb) in candy and other non-paint sources • An initial binational discussion took place in January, 2006 led by New Mexico and a follow-up binational work shop was hosted by California in September, 2006 • California is taking the lead in the development of a Binational Lead Work Group, Binational Lead Outreach Project and publication of a binational technical report

  20. Border Tele-health Initiative • Led by the State of Nuevo León and the Autonomous University of Nuevo León • Seeks to promote development of a binational network of Tele-health linkages • Initial planning has included a site visit to the University of Arizona, Tucson in December 2006 • Plans are also underway for a tri-state collaborative among institutions in the states of Nuevo León, Sonora and Arizona • Other interested institutions include Texas Tech Health Science Center – El Paso

  21. Border Health Information Platform • A partnership with the National Center for Health Statistics, CDC and the México Secretariat of Health • Is focused on establishing an electronic web-based border health database • The goal is to improve the capacity for assessment and research of border health problems • Mexico has completed their portion of the electronic database available at www.saludfronteramexusa.org

  22. Web Page - Http://www.borderhealth.org Contact: Amb. Eleazar Benjamín Ruíz y Avila Executive Secretary Mexico Section, BHC Mexico City, Mexico eruiz@saludfronteriza.org.mx Dan Reyna General Manager United States Section El Paso, Texas Dan.Reyna@hhs.gov 915-532-1006

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