Transcript Greener Idaho: An Update

Idaho Nurses Association
September, 2011,
Ingrid Brudenell, PhD, R.N.
Kenally Creek, Idaho
Upstream Health Care: Protecting the environment
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Identify environmental health issues relevant
to Idaho nurses.
Discuss strategies to address current
environmental health issues in Idaho.
Form a committed group in INA for advocacy,
service, research and education.
4th of July lake , Idaho
In the end we will conserve only what we love. We will love only what we understand.
We will understand only what we are taught.”
Baba Dioum quote
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Assessment of Idaho
Nurses and their
environmental
knowledge and
concerns.
Online Modules
developed on land,
air and water.
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Formation of the
Greener Idaho INA
Environmental Task
Force
All Objectives not
met- Few completed
modules, no task
force
Grant funds returned.
RNs and a Greener Idaho
Environmental Concerns
35
30
25
20
15
10
5
0
Work
Community
Pattillo & Brudenell
04/30/2010
6
RNs and a Greener Idaho
Sources of Environmental Concerns
40
35
30
25
Air
Land
Water
20
15
10
5
0
Pollution
Agriculture
Pharmaceuticals
Climate change
Pattillo & Brudenell
04/30/2010
7
RNs and a Greener Idaho
Workplace Activities
40
35
30
25
20
15
10
5
0
Yes
No
Medical
Rx waste
Mercury
waste
Chemical
exposures
Cleaning
agents
Energy use
Other
Pattillo & Brudenell
Green
Team
04/30/2010
8
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Health care without Harm Grant- 2009-2010
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What happened? What worked and didn’t?
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Lessons learned?
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What is next?
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Online sign up for Greener Idaho INA Task
Force.
Sign up at the 2011 conference- now.
Decide level of involvement and your passion
and skills.
Core Issues in this presentation and next
steps?
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The primary dictum for registered nurses, as health care
professionals, is
. In the increasingly
complex environment in which health care is delivered
today, registered nurses are the premier advocates for:
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The safety and quality of patient care.
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The health and safety of registered nurses and other
health care professionals and health care workers.
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Health care practices which do no harm to the public
health environment outside the settings in which health
care is delivered.
from: www. ANA,COEH.
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ANA –COEH www.nursingworld.org
Pennsylvania Nurses Association- Kaktins,N.
(2011) Drilling the Marcellus Shale for
Natural Gas: Environmental Health Issues for
Nursing see web site for conferences and
issues
www. healthyfoodaction.org
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Commends the U.S. Department of Health and Human Services (HHS) on
the release of the 12th Report on Carcinogens (ROC). 6/30/11
The report added the chemicals styrene and formaldehyde to the list of
possible carcinogens.
A coalition partner in Safer Chemicals, Healthy Families advocates for
greater public health protections from exposures to chemicals.
Registered nurses, who comprise the nation’s largest group of health
care professionals, have a crucial role in assessing and addressing
environmental health issues and their impact on the public’s health.
ANA has been a leader and advocate for public policy that preserves and
improves environmental protections vital to a healthy and productive
society.
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Alliance of Nurses for a Healthy Environment
e-commons.org/ANHE or
[email protected]
Environmental working group- personal care
products www.ewg.org
Health care without harm www.noharm.org
and www.H2E-online.or
Government- EPA, CDC, FDA,IDEQ, Bureau of
Preventive Health, Medicaid
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Healthy Homes www.healthyhomes.org
Healthy Communities
www.healthycommuniites.org
APHA, local IPHA
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Chemical exposureslead, mercury, arsenic,
BPA, Dioxin, etc
And Radiation
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Energy Use
Carbon Footprint
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Global climate change
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2010
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Water- pharmaceutical
and agriculture
pollution
Air Quality and health
effects, Auto emissions
Natural Gas and Oil
production- “ fracking”
2011
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Cradle to Cradle
Stewardship in health
care
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Reducing Medical and
Health care waste.
Reprocessing single
use devices
2010
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Healthy Housing and
Schools, Play areas
Walk able/rideable
neighborhoods
Safe and sustainable
food supply Year of
Idaho Food
2011
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Cradle to Cradle Stewardship in health care
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Reducing Medical and Health care waste.
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Reprocessing single use devices
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Eliminate exposure of nurses and health care
workers to chemicals and radiation.
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Energy Use – Calculate your home, work place
and community energy uses.
Carbon Footprint- reduce the carbon foot
print.
Global climate change is occurring and will
effect each of us.
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EPA. Household Emissions Calculator.
Available at
http://www.epa.gov/climatechange/emission
s/ind_calculator.html
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Safer Chemicals Act of 2011.
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Toxic Substance Control Act (1976)
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Why Reform is Needed? 80,000 new chemicals
introduced
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What is expected by reform? Better information
and protection of the public and workers
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What can you do ? National and state effortsStroller brigades, Letters, Op Ed, events
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Nurses and Chemical exposures- lead,
mercury, arsenic, BPA, Dioxin, formaldehyde
Associated with increasing rates of cancer,
neurological and reproductive problems.
Nurses are advocates for the workforce as
well as patients.
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Transportation, petroleum products, air and
water pollution
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Petroleum Production- “ fracking”
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Fracking is a process for releasing natural gas
from shale and rock.
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EPA is conducting case studies to determine
scientific based health effects. More
Information will be coming.
Lead Poisoning Prevention Week
National Lead Poisoning Prevention
Week
October 23-29, 2011
Lead-Free Kids for a Healthy Future
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Lead Poisoning Prevention
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Reportable levels
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Recent data from Head Start and Early Head
Start Collaboration Project
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BSU Idaho Providers Study
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Children under age 6 are most at risk for lead
poisoning.
Prevent lead poisoning. Get your home tested.
Get your child tested. Get the facts!
Was your house painted before 1978? Protect
your family from lead exposure.
Remodeling the home? Renovate right with leadsafe work practices.
Talk to your health department about testing
home paint and dust for lead.
CDC, Tools, Fliers and Posters and messages
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Screening BLL- capillary and venous blood
tests available
Reportable levels >10 mcg./dl have
decreased.
Sub acute levels remain high (HSCPS)
<10mcg/dl
Medicaid & Head Start Programs require
testing
Head Start Positive Tests Per Cent
Children Screened
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BSU, DON Study in
2010
Few children
screened
Why?
11.5 % Response rate
(69 surveys)
44% do not perceive
lead as a problem
but know it is a
neurotoxin.
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Some Findings_
Educational
materials:
Nutrition
Information:
Have resources
33.3%
Would use: 66.7%
Flyers/Brochures
Have 34.9%
Would use 69.2%
Need resources!
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Reviewed some of the
issues
Discussed ways to get
involved- local, state and
national
International- another
level of concern
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Now- What do you want
to do?
What are your next
steps?
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Contact:
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[email protected]
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or
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[email protected]
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Questions?
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Thank you!!
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Name
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Contact Information:
email,
phone,
address
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Issues:
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Skills/Events:
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Hiking the Sawtooth Mountains, Idaho
People and the Environment-