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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
Achievements of Public Health
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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 HalfCentury
• 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.
ENVIRONMENT
Disease
Causation
Triad
AGENT
HOST
Understanding Environmental Systems
Water System
Food System
Air
Health
Outcomes
Sewage System
Vector/animal
Influence
Solid Waste Disposal
The Public Health System
Police
EMS
Community
Centers
MCOs
Health
Department
Home Health
Churches Corrections
Parks
Schools
Elected
Hospitals
Officials Nursing Mass Transit
Doctors
Philanthropist
Homes
Environmental
Civic Groups
Health
CHCs
Fire
Tribal Health
Economic
Laboratory
Employers
Drug
Mental
Development
Facilities
Treatment
Health
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.
Thank you for your attention
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