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departments. The initiative was the result of a January 2001 report
by the Pew Environmental Health Commission stating that existing
environmental health surveillance is neither adequate nor well
organized. The Commission recommended the creation of a “nationwide
health tracking network for disease and exposures.” CDC’s goal is to
develop a tracking system that integrates data about environmental
hazards and exposures with data about health effects that may be
linked to the environment. The system will enable federal, state, and
local agencies to monitor and distribute information about
environmental hazards and disease trends; advance research on possible
linkages between environmental hazards and disease; and develop,
implement, and evaluate regulatory and public health actions to
prevent or control environment-related diseases. In fall 2002, CDC
funded 20 state or local pilot projects to build environmental public
health capacity, increase collaboration between environmental and
health agencies, identify and evaluate existing data systems, build
partnerships with nongovernmental organizations and communities,
develop model systems that link data and that can be applied to other
states or localities, and demonstrate how these model systems can be
used to help plan public health actions. CDC also funded three schools
of public health to establish Centers of Excellence for Environmental
Public Health Tracking. This session will report on CDC’s progress.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Describe the conceptual framework of environmental public health
tracking.
2) Tell how such a framework may be implemented.
Moderator:
Coleen Boyle; PhD; National Center on Birth Defects and
Developmental Disabilities, Centers for Disease Control and
Prevention
Presenters:
Thomas Burke, PhD, MPH; Johns Hopkins University
Suzanne Condon, MSM; Massachusetts Department of Public Health
James VanDerslice, PhD; Washington Department of Health
Randel Stevens, PhD; Nevada Department of Information Technology
T16: All-Hazards
Preparedness and Response: Environmental Health Practitioners in
Emergency Response
Room: WALTON – 2nd Floor
Panelists will explore the role of environmental health practitioners
in emergency response at the local, state, and federal levels. Topics
will include (1) the integration of environmental health practitioners
into emergency response activities and planning, (2) skills and
knowledge required of environmental health practitioners, and (3) the
role of environmental health practitioners in an all-hazards approach
to emergency response.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Discuss the involvement of environmental health practitioners in
emergency response.
2) List ways that environmental health practitioners can become more
involved in emergency response activities and planning.
Moderator:
Mark Miller, RS, MPH; National Center for Environmental Health/Agency
for Toxic Substances and Disease Registry
Presenters:
Richard Wellinghurst, RS, BLS; Louisville Metro Health Department
Eric Faisst, MPH, REHS; Oneida County Health Department
T17: Emerging Issues in
Assessing Human Exposure: Persistent Organic Pollutants
Room: FORSYTHE – 2nd Floor
Persistent organic pollutants (POPs), such as halogenated dioxins,
furans, polychlorinated biphenyls, pesticides, and brominated
flame-retarding chemicals (BFRs), are widespread in the environment.
Their toxicity to certain animals makes ongoing exposure assessment
studies in various population groups critical. New, emerging POPs
(such as BFRs) pose new challenges for scientists from many
disciplines. This session will bring together experts to discuss the
issues related to POPs research and to provide an update on
regulations intended to ban many of these chemicals in various
countries.
Session Objective:
At the end of this session, participants will be able to do the
following:
1) Recognize issues related to POPs in terms of exposure assessment
and regulations to ban their use.
Moderator:
Donald G. Patterson Jr., PhD; National Center for Environmental
Health/Agency for Toxic Substances and Disease Registry
Presenters:
Olaf Papke, ERGO Forschungsgesellschaft
Torkjel Manning Sandanger, PhD; Norwegian Institute for Air Research
T18: The Mold Report:
What’s Up With Damp Indoor Spaces and Your Health
Room: CLAYTON – 2nd Floor
Members of the Institute of Medicine’s Damp Indoor Spaces and Health
Committee will discuss the relation between damp or moldy indoor
environments and the noninfectious adverse health effects of fungi
(particularly respiratory and allergic symptoms), including the
effects of mycotoxins and other biologically active products. Speakers
will do the following:
- Discuss factors that
predispose buildings and ventilation systems to dampness, moisture,
and mold growth.
- Discuss building
ventilation and filtration processes and how indoor pollutants and
moisture distribution may predispose buildings to mold growth.
- Provide opinions on how to
reduce the problems of moisture in buildings in terms of building
design, construction, and maintenance.
- Discuss the relation
between mold growth and environmental conditions and examine
environmental sampling and mold measurement, identification, and
classification.
- Explore the implications of
setting standards for exposure to mold on the basis of current
science.
Session Objectives:
At the end of this session participants will be able to do the
following:
1) Discuss the relation between damp or moldy indoor environments
and the noninfectious adverse health effects of fungi.
2) Identify factors that predispose buildings and ventilation ducts to
mold growth.
3) Discuss issues related to environmental sampling.
Moderator:
Clive Brown, MD, MPH; National Center for Environmental
Health/Agency for Toxic Substances and Disease Registry
Presenters:
Susanna Von Essen, MD; University of Nebraska Medical Center
Terry Brennan, MS, BA; Camroden Associates, Inc.
Harriet Burge, PhD; Environmental Microbiology Laboratory, Inc.
T19: Effective
Communication During Environmental Health Emergencies
Room: GWINETT– 2nd Floor
Speakers will explain how to effectively communicate to the public
during environmental health emergencies. Topics will include elements
that should be taken into consideration when relaying such
information—namely, risk communication principles, message timing,
audience segmentation, information needs, and selection of channels.
Speakers will focus on how to reach the public through news media
channels, how to frame messages to respond to needs in the field, and
how to apply specific media strategies during environmental health
emergency situations.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Identify those elements that should be taken into consideration
when relaying information to the public during environmental
health
emergencies.
2) Describe how to reach the public through news media channels,
how to frame messages to respond to needs in the field, and
how
to apply specific media strategies during environmental
health
emergencies.
Moderator:
Ann C. Forsythe, PhD; National Center for Environmental Health/
Agency for Toxic Substances and Disease Registry
Presenters:
Marsha L. Vanderford, PhD; Office of Communication, Centers for
Disease Control and Prevention
Von Roebuck, Office of Communication, Centers for Disease Control
and Prevention
Sean Kaufman, MPH, CHES; Office of Terrorism Preparedness and
Emergency Response, Centers for Disease Control and Prevention
T20: Successful
Industry/Government Collaborations in Environmental Public Health
Room: FULTON – 2nd Floor
The session will highlight industry/government collaborations, past
and present, that have had positive implications for environmental
public health.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Identify instances when industry and government have used their
mutual resources to advance environmental public health.
2) Understand the advantages of collaborations and be receptive to
future opportunities.
Moderator:
Lee Salamone, MA, MS; American Chemistry Council
Presenters:
Marion Balsam, MD, FAAP; The National Children's Study, National
Institute of Child Health and Human Development, National
Institutes
of Health
Peggy Geimer, MD; Arch Chemicals
Steve Russell, American Chemistry Council
T21: What NHANES Is Missing
Room: NEWTON– 2nd Floor
The National Health and Nutrition Examination Survey (NHANES) involves
a statistical sampling of the people in the United States who are 6
years of age and older. The population not sampled comprises toddlers,
infants, and fetuses. The second session will bring together experts
in the area of toddler exposure assessment to discuss their recent
research.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Understand the issues related to toddler exposure assessment.
2) Identify exposure assessment issues related to the National
Children’s Study and new NHANES-type studies being planned by
state health departments.
Moderator:
Donald G. Patterson, Jr., PhD; National Center for Environmental
Health/Agency for Toxic Substances and Disease Registry
Presenters:
Linda Sheldon, U.S. Environmental Protection Agency
Chensheng Alex Lu, PhD; University of Washington
Barry Ryan, Rollins School of Public Health, Emory University
Charon Gwynn, PhD; New York City Department of Health and Mental
Hygiene
T22: Using Surveillance
Data to Evaluate the Emerging Hazardous Threat of Illicit
Methamphetamine Labs and to Formulate Prevention Activities: Lessons
Learned
Room: ROCKDALE – 2nd Floor
Methamphetamine (meth), a powerfully addictive stimulant, can be
easily produced in illicit, makeshift laboratories. Aside from the
inherent physical and physiological dangers of the drug itself, many
of the substances used in the manufacturing process are hazardous.
Volatile air emissions, spills, fires, and explosions can result in
acute human exposures. The Hazardous Substances Emergency Events
Surveillance (HSEES) database, maintained by NCEH/ATSDR, contains data
on emerging environmental health threats such as meth labs. These data
can be used to create injury-prevention strategies. NCEH/ATSDR
interest in these events was sparked by the significant number of
first responders being injured during these events. Because these labs
are often located in homes and apartment buildings, the safety of
others, especially children who reside in these settings, is a major
concern. An overview of the meth problem will be presented, along with
national data from the HSEES system. Additionally, HSEES coordinators
from Washington, Iowa, and New York will present state data and
describe state injury-prevention strategies that are being
implemented.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Identify the dangers that meth labs pose to first responders and
children.
2) Articulate the different characteristics of meth labs events in
different areas of the country.
3) Cite prevention strategies currently in use in different areas of
the
country.
Moderator:
Wendy Wattigney, MS; National Center for Environmental
Health/Agency for Toxic Substances and Disease Registry
Presenters:
Kevin Horton, MSPH; National Center for Environmental Health/Agency
for Toxic Substances and Disease Registry
Debbi Cooper, Iowa Department of Public Health
Rebecca Wilburn, MPH; New York State Department of Health
Theodora Tsongas, PhD; Oregon Health Services, Oregon Department
of Human Services
T23: Epidemiology and
Health Effects of Highway Pollutants
Room: COBB – 2nd Floor
This breakout session will focus on the health effects of highway
pollutants. The moderator will provide an overview of
cardiorespiratory health effects and how residential or occupational
distance from highways influences the severity of such health effects.
The speakers will then present the results of recent and ongoing
studies on the health effects of specific highway-related pollutants,
including carbon monoxide, ultrafine particulates, and diesel
emissions. Panelists will also discuss the toxicologic mechanisms of
effect and methodological challenges associated with measuring highway
pollutants. Presentations in this session will also focus on the
degree to which known health effects of highway pollutants can
influence the types of interventions designed for persons who live or
work near highways.
Session Objective:
At the end of this session, participants will be able to do the
following:
1) Describe the health effects and measurement of highway pollutants
and how such pollutants are measured.
Moderator:
Allison Stock, PhD; National Center for Environmental Health/Agency
for
Toxic Substances and Disease Registry
Presenters:
Thomas Grahame, U.S. Department of Energy
Michael Brauer, PhD; University of British Columbia
Isabelle Romieu, MD, PhD; Pan American Health Organization
T24: LeadSafeHomes.Info
Project
Room: DOUGLAS – 2nd Floor
Three cities (Baltimore, Boston, and Chicago), in collaboration with
the Department of Housing and Urban Development, the National Center
for Healthy Housing, and Abt Associates, are exploring ways to help
families make better informed decisions on lead-safe housing. The
group has envisioned a way to link housing and blood lead surveillance
data in a Web-based, geographic information system (GIS) format to (1)
provide property-specific information about known or suspected
lead-paint problems and (2) identify neighborhoods where childhood
lead poisoning is prevalent. The Web site, LeadSafeHomes.Info, will
provide general educational information about lead in the home; the
site will also provide information about lead, health, and lead laws
as they pertain to the three cities and to a national audience. In
this session, staff from NCEH/ATSDR will describe the status of the
project plus its opportunities and challenges. Staff from Abt
Associates will describe the technical aspects of the project.
Partners from state and local health departments will share their
experiences in overcoming technical, policy, and data-sharing issues.
The session will include a live demonstration of the Web site.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Describe the unique features of LeadSafeHomes.Info project for
Baltimore, Boston, and Chicago.
2) Describe the pros and cons of making lead information available to
the public in a GIS and Web-based format.
Moderator:
Rob Henry, MPH; National Center for Environmental Health/Agency for
Toxic Substances and Disease Registry
Presenters:
Pat McLaine, RN, BSN; National Center for Healthy Housing
Barbara Conrad, Maryland Department of the Environment
Anne Evens, MS; Chicago Department of Public Health
Paul Hunter, Massachusetts Department of Public Health
Dan McMartin, Abt Associates
T25: Water Reuse and Public
Health Issues
Room: FAYETTE – 2nd Floor
Potable water has been reused in the United States for several decades
and continues to be an innovative way of meeting the water demands of
our growing population. Technology has advanced significantly, and
regulations intended to protect human health are periodically amended.
However, the potential health effects associated with drinking reused
water are still undefined, and public perception tends to be
unfavorable. This session will provide an overview of potable water
reuse activities in the United States as well as technological
advances, potential health risks, and public perception.
Session Objective:
At the end of this session, participants will be able to do the
following:
1) Identify water reuse practices, technology, regulations, potential
health risks, and the public’s perception of water reuse.
Moderator:
Lisa Vallejo, MPH; National Center for Environmental Health/Agency for
Toxic Substances and Disease Registry
Presenters:
James Crook, PhD, PE; private water-reuse consultant
Christine Moe, PhD; Rollins School of Public Health, Emory University
John Ruetten, Resource Trends, Inc.
T6: Media 101 for
Environmental Health
Room: JACKSON – 2nd Floor
In 1995, researchers at Duquesne University surveyed journalists,
industry communicators, and the public to learn more about who these
groups considered to be credible sources of information. Respondents
ranked credibility as follows: government officials, 88%;
environmental groups, 78%; and business and industry groups, 53%. This
session will help environmental public health practitioners capitalize
on their credibility by describing how the media operates and how
practitioners can collaborate with members of the media to disseminate
important environmental health messages. The session will include a
presentation from the CDC/ATSDR media office as well as a panel
discussion with state officials and journalists. The panel will review
best practices for communicating information about a variety of
environmental health topics.
Session Objectives:
At the end of this session, participants will be able to do the
following:
1) Develop environmental health messages for various types of media
(print, broadcast, Internet).
2) Discuss how the news media operates and what is considered
newsworthy.
Moderator:
Kathy Skipper, MA, APR; National Center for Environmental
Health/Agency for Toxic Substances and Disease Registry
Presenters:
Kathryn Harben, Office of Communication, Centers for Disease Control
and Prevention
Martha Framsted, Nevada State Health Division
Jim Najima, Nevada Division of Environmental Protection
Maryn McKenna, MSJ; Atlanta Journal-Constitution
Ted Vigodsky, WABE-FM
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