California Office of California Office of Binational Border Binational Border Health ProjectsHealth Projects

Advisory Group MeetingAdvisory Group MeetingMonday, March 2, 2009Monday, March 2, 2009

San DiegoSan Diego

Presented byPresented byApril FernándezApril FernándezMichael WeltonMichael Welton

Current ProjectsCurrent Projects

1)1) Binational Cervical Cancer ProjectBinational Cervical Cancer Project2)2) COBBH Web siteCOBBH Web site3)3) Spanish Immunization Web site WorkgroupSpanish Immunization Web site Workgroup4)4) Environmental Health Leadership SummitEnvironmental Health Leadership Summit5)5) Queso Fresco Task ForceQueso Fresco Task Force6)6) Annual Border Health Status ReportAnnual Border Health Status Report7)7) Pesticides ProjectPesticides Project8)8) Border MACH ProjectBorder MACH Project9)9) Lead Outreach ProjectLead Outreach Project10)10) Diabetes Workgroup and Outreach ProjectDiabetes Workgroup and Outreach Project

ProjectsProjects

PurposePurpose

PartnersPartners

OutcomesOutcomes

Next StepsNext Steps

Binational Cervical Binational Cervical Cancer Outreach ProjectCancer Outreach Project

Purpose Purpose To prevent invasive cervical cancer To prevent invasive cervical cancer

among Migrant Latina women in among Migrant Latina women in California and Mexico. California and Mexico.

Project objectives include: Project objectives include:

1) Establish a mechanism (i.e., steering committee and 1) Establish a mechanism (i.e., steering committee and technical advisory committee) for collaboration technical advisory committee) for collaboration between California and Mexico on cervical cancer between California and Mexico on cervical cancer prevention;prevention;

2) Identify or develop and disseminate bilingual 2) Identify or develop and disseminate bilingual outreach materials to raise awareness about outreach materials to raise awareness about cervical cancer cervical cancer

Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project

PartnersPartners

CDPH: STD Control Branch, Health Information CDPH: STD Control Branch, Health Information Unit; Cancer Detection Section, and Office of Unit; Cancer Detection Section, and Office of Women’s HealthWomen’s Health

Public Health InstitutePublic Health Institute Planned Parenthood of SD and Riverside CountiesPlanned Parenthood of SD and Riverside Counties SDSU Institute for Public Health SDSU Institute for Public Health American Cancer Society, and American Cancer Society, and CCLHOCCLHO

Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project

OutcomesOutcomes Produced a 30 sec and 60 sec Public Produced a 30 sec and 60 sec Public

Service AnnouncementsService Announcements

Radio Bilingue Radio Bilingue

Bustos MediaBustos Media Available on the SWAP site (Available on the SWAP site (http://http://

www.stdhivtraining.orgwww.stdhivtraining.org))

Binational Cervical Cancer Binational Cervical Cancer Outreach ProjectOutreach Project

Next StepsNext Steps

Continue disseminating PSA to public health Continue disseminating PSA to public health venuesvenues

Develop a promotora curriculumDevelop a promotora curriculum

Develop informational brochure or cardDevelop informational brochure or card

Develop and implement an evaluation tool Develop and implement an evaluation tool to measure outcomesto measure outcomes

COBBH Web siteCOBBH Web site

PurposePurpose To inform public health professionals on To inform public health professionals on

COBBH projects, outreach materials, and COBBH projects, outreach materials, and serve as a clearinghouse on border health serve as a clearinghouse on border health issues issues

COBBH Web siteCOBBH Web site

Partners Partners

CDPH DCDC Web TeamCDPH DCDC Web Team

Provide links to border health partners, Provide links to border health partners, e.g., Border State Offices, USMBHC, HIA, e.g., Border State Offices, USMBHC, HIA, CDC, etc…CDC, etc…

COBBH Web siteCOBBH Web site

Outcomes Outcomes

http://www.cdph.ca.gov/programs/cobbhhttp://www.cdph.ca.gov/programs/cobbh

Includes: reports, outreach materials, Includes: reports, outreach materials, related links, contact information, Advisory related links, contact information, Advisory Group rosterGroup roster

COBBH Web siteCOBBH Web site

Next StepsNext Steps

Create a Bilingual optionCreate a Bilingual option

Spanish Immunization Web Spanish Immunization Web site Workgroupsite Workgroup

PurposePurpose To produce an immunization web site withTo produce an immunization web site with

accurate and comprehensive information, asaccurate and comprehensive information, as

a “one-stop” health shop for Latinosa “one-stop” health shop for Latinos. .

Spanish Immunization Web site Spanish Immunization Web site WorkgroupWorkgroup

PartnersPartners

CDPH-CID-DCDC-IMM and CDPH-CFH-MCAH-PDCDPH-CID-DCDC-IMM and CDPH-CFH-MCAH-PD San Diego CountySan Diego County San Ysidro Health Center San Ysidro Health Center Imperial Co.Imperial Co. Amador Co. Amador Co. Santa Barbara Co.Santa Barbara Co. Solano Co. Solano Co. L.A. Co., and more…L.A. Co., and more…

Spanish Immunization Web site Spanish Immunization Web site WorkgroupWorkgroup

Outcomes (projected)Outcomes (projected)

Launch Web site by the end of April Launch Web site by the end of April 20092009-Necessary vaccinations-Necessary vaccinations

-Vaccinations for school-Vaccinations for school

-Resources-Resources

Environmental Health Environmental Health Leadership SummitLeadership Summit

PurposePurpose

To bring together environmental health and To bring together environmental health and justice advocates, government agencies, justice advocates, government agencies, and community residents to identify and community residents to identify strategies to address issues in Imperial strategies to address issues in Imperial County through community engagement. County through community engagement.

New RiverNew River Pesticide ExposurePesticide Exposure

Environmental Health Leadership Environmental Health Leadership SummitSummitPartners Partners

Comite Civico del Valle in Imperial CountyComite Civico del Valle in Imperial County Department of Pesticides RegulationDepartment of Pesticides Regulation Department of Toxic Substance ControlDepartment of Toxic Substance Control Environmental Health Protection BranchEnvironmental Health Protection Branch National Latino Research CenterNational Latino Research Center The California EndowmentThe California Endowment The California Wellness FoundationThe California Wellness Foundation California Rural Legal AssistanceCalifornia Rural Legal Assistance American Lung Association in CaliforniaAmerican Lung Association in California New River CommitteeNew River Committee California Hazardous Materials Investigators California Hazardous Materials Investigators

AssociationAssociation

Environmental Health Leadership Environmental Health Leadership SummitSummit

OutcomesOutcomes 150+ Participants150+ Participants COBBH presented on COBBH presented on

Panel with DTSC, DPR, Panel with DTSC, DPR, and EHIBand EHIB

Cancer association with Cancer association with New RiverNew River

Environmental Pollution Environmental Pollution Reporting GuideReporting Guide

Cross-Border Pollution Cross-Border Pollution ProsecutionProsecution

Environmental Health Leadership Environmental Health Leadership SummitSummit

Next StepsNext Steps

DTSC Environmental Justice WorkshopDTSC Environmental Justice Workshop

-4/14/09-4/14/09

Environmental Pollution GuideEnvironmental Pollution Guide

Queso Fresco Task ForceQueso Fresco Task Force

PurposePurpose To confirm that by establishing and To confirm that by establishing and

enforcing a personal use limit at U.S. enforcing a personal use limit at U.S. ports of entry, there will be a significant ports of entry, there will be a significant reduction in commercial trafficking of reduction in commercial trafficking of high-risk raw-milk cheese.high-risk raw-milk cheese.

Queso Fresco Task ForceQueso Fresco Task Force

Partners Partners CA Department of Food & Agriculture, Milk & Dairy BranchCA Department of Food & Agriculture, Milk & Dairy Branch U.S. Food and Drug AdministrationU.S. Food and Drug Administration U.S. Customs and Border ProtectionU.S. Customs and Border Protection Orange County Department of Environmental HealthOrange County Department of Environmental Health Riverside County Department of Environmental HealthRiverside County Department of Environmental Health San Diego County Department of Environmental Health San Diego County Department of Environmental Health San Diego County Office of Border HealthSan Diego County Office of Border Health

Annual Border Health Status Annual Border Health Status Report 2007-2008Report 2007-2008

PurposePurpose

The Border Health Status Report provides The Border Health Status Report provides current data on key border and binational current data on key border and binational health indicators.health indicators.

Maternal and child health, general health Maternal and child health, general health indicators, diabetes, obesity, nutrition, and indicators, diabetes, obesity, nutrition, and

physical activityphysical activity

Annual Border Health Status Annual Border Health Status Report Report

2007-20082007-2008PartnersPartners

CDPH-Maternal, Child and Adolescent CDPH-Maternal, Child and Adolescent

Health Program/Center for Family HealthHealth Program/Center for Family Health CDPH-California Diabetes ProgramCDPH-California Diabetes Program CDPH-Immunization BranchCDPH-Immunization Branch Imperial County Public Health DepartmentImperial County Public Health Department San Diego County Public Health San Diego County Public Health

DepartmentDepartment

Annual Border Health Status Annual Border Health Status Report Report

2007-20082007-2008OutcomesOutcomes

Report to be completed May 2009Report to be completed May 2009

Percent of Teen and Adult (age 12+) Diabetics Who Have Type II Diabetes by Ethnicity and Region (2007)

76.982.2

78.3 78.9

86.9 85.781.8

89.786.7

0

10

20

30

40

50

60

70

80

90

100

Hispanic White All Hispanic White All Hispanic White All

Imperial San Diego California

Per

cen

t o

f P

op

ula

tio

n

.

Percent of Children (age <12) Without Health Insurance Coverage by Ethnicity and Region (2007)

10.2 10.68.3

2.44.8

7.1

3.25.1

~0

5

10

15

20

25

30

35

40

45

50

Hispanic White All Hispanic White All Hispanic White All

Imperial San Diego California

Per

cen

t o

f C

hil

d P

op

ula

tio

n

.

California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure

Prevention ProjectPrevention ProjectPurposePurpose

Implement a binational institutional Implement a binational institutional protocol, and provide tools and training protocol, and provide tools and training necessary for addressing pesticide necessary for addressing pesticide illness recognition, treatment, and illness recognition, treatment, and reporting.reporting.

California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure

Prevention ProjectPrevention ProjectPartnersPartners

U.S.-Environmental Protection AgencyU.S.-Environmental Protection Agency Department of Pesticide RegulationDepartment of Pesticide Regulation Imperial County Public Health DepartmentImperial County Public Health Department Imperial County Agricultural CommissionerImperial County Agricultural Commissioner ComitComité Civico del Valleé Civico del Valle CDPH Occupational Health BranchCDPH Occupational Health Branch Border Environment Cooperation CommissionBorder Environment Cooperation Commission

California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure

Prevention ProjectPrevention ProjectOutcomesOutcomes

Protocol DraftProtocol Draft 4/6 Provider Trainings4/6 Provider Trainings Outreach MaterialsOutreach Materials

Poster/FlyerPoster/FlyerPocket CardPocket CardRadio PSARadio PSA

California-Baja California Integrated California-Baja California Integrated Pesticide Illness Surveillance and Exposure Pesticide Illness Surveillance and Exposure

Prevention ProjectPrevention Project

California-Baja California California-Baja California Integrated Pesticide Illness Integrated Pesticide Illness Surveillance and Exposure Surveillance and Exposure

Prevention ProjectPrevention Project

Next StepsNext Steps

Distribution and EvaluationDistribution and Evaluation

Implement and Evaluate ProtocolImplement and Evaluate Protocol

Two Provider Trainings in MexicaliTwo Provider Trainings in Mexicali

Border MACHBorder MACH

PurposePurpose

Building and reinforcing sustainable Building and reinforcing sustainable binational collaborative partnerships and binational collaborative partnerships and capacity to share, maximize use and capacity to share, maximize use and translate Maternal and Child Health data translate Maternal and Child Health data into actions for the benefit of communities into actions for the benefit of communities in the Border Regionin the Border Region

Border MACHBorder MACH

PartnersPartners

Centers for Disease Control and PreventionCenters for Disease Control and Prevention USMBHC-TXUSMBHC-TX Imperial County Public Health DepartmentImperial County Public Health Department Others-TX & Mexico - Others-TX & Mexico - To be announcedTo be announced

Border MACHBorder MACH

Outcomes (projected)Outcomes (projected)

TimelineTimelineJune 15-17, 2009June 15-17, 2009

11stst BorderMACH workshop BorderMACH workshopMarch 2010March 2010

2nd BorderMACH workshop2nd BorderMACH workshopAugust 2010August 2010

33rdrd BorderMACH workshop BorderMACH workshop

U.S. Border Lead Outreach U.S. Border Lead Outreach Project:Project:

Lead in Traditional PotteryLead in Traditional Pottery PurposePurpose

To raise awareness in at-risk populations To raise awareness in at-risk populations about lead in traditional potteryabout lead in traditional pottery

To provide information on how to prevent To provide information on how to prevent lead exposure from traditional potterylead exposure from traditional pottery

U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery

PartnersPartners

USMBHC CA Outreach OfficeUSMBHC CA Outreach Office USMBHC AZ Outreach OfficeUSMBHC AZ Outreach Office U.S. Food and Drug AdministrationU.S. Food and Drug Administration Centers for Disease Control and PreventionCenters for Disease Control and Prevention U.S. Environmental Protection AgencyU.S. Environmental Protection Agency New Mexico Department of Public HealthNew Mexico Department of Public Health Texas Department of Health ServicesTexas Department of Health Services CDPH Childhood Lead Poisoning Prevention CDPH Childhood Lead Poisoning Prevention

BranchBranch Universidad Autonoma de Baja CaliforniaUniversidad Autonoma de Baja California

U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery

OutcomesOutcomes

U.S. Border Lead Outreach Project:U.S. Border Lead Outreach Project:Lead in Traditional PotteryLead in Traditional Pottery

OutcomesOutcomes

Final Report and all materials available at:Final Report and all materials available at:http://www.cdph.ca.gov/programs/cobbh/Pages/default.aspxhttp://www.cdph.ca.gov/programs/cobbh/Pages/default.aspx

Diabetes Workgroup and Diabetes Workgroup and OutreachOutreachPurposePurpose

To create awareness in the border To create awareness in the border region about the prevalence and risk of region about the prevalence and risk of diabetesdiabetes

Diabetes Workgroup and OutreachDiabetes Workgroup and Outreach

PartnersPartners

CDPH-Diabetes ProgramCDPH-Diabetes Program Radio BilingueRadio Bilingue

Diabetes Workgroup and OutreachDiabetes Workgroup and Outreach

OutcomesOutcomes

Spanish/English Radio PSA to be Spanish/English Radio PSA to be developed for PAHO Binational Health developed for PAHO Binational Health Forum in San Luis, AZ.Forum in San Luis, AZ.