CDC s Environmental Public Health Priorities

Transcription

1 CDC s Environmental Public Health Priorities Christopher J. Portier, Ph.D. Director National Center for Environmental Health Agency for Toxic Substances and Disease Registry State Environmental Health Directors Meeting September 2010 National Center for Environmental Health Agency for Toxic Substances and Disease Registry

2 Human Systems Gohlke and Portier (2006)

3 Understanding Environment and Human Disease Human Clinical Laboratory Epidemiology Animal Models Tissue Cultures Molecular Biology Cell Cultures Gohlke and Portier (2006) Boverhof and Zacharewski (Tox. Sci., 2006)

4 Our Environment and Our Health Gohlke and Portier (2007)

5 Air, Food, Water, Shelter Asthma and Air Pollution Program Lead Program Food Safety Safe Water Healthy Homes

6 Asthma & Air Pollution National Asthma Control Program 34 states, D.C., Puerto Rico Asthma surveillance Air pollution CO surveillance Epi studies Pm2.5 and Ozone

7 Asthma Control Program Multi-trigger, multi-component homebased intervention ~$5-14 reduction in direct medical costs for every $1 spent $12-57 reduction in cost per each symptom free day Intervention yielded median 21 additional symptom free days per year Intervention yielded median 12 unmissed school days per year

8 Food Safety Preventing Outbreaks Environmental Health Specialists Network (EHS-Net) food/water Examples Vector (Environment) Tomato-related risk factors for Salmonella proliferation National policy change on sale of undercooked meat to children Agent (Lab) (E. coli risk) National Voluntary Environmental Information System: state surveillance to monitor foodborne outbreaks and environmental contributing factors Host (Epi)

9 Safe Water Clean Water for Health Private Well Initiative

10 CDC's Healthy Homes Program Multihazard holistic approach Focus: to identify health, safety, and quality-of-life issues in the home environment and eliminate or mitigate problems Healthy housing surveillance Healthy housing policy Healthy housing research

11 Housing Conditions Have an Important Impact on Public Health Most people spend an average of 50% or more of every day inside their homes

12 The image cannot be display ed. Your computer may not hav e enough memory to open the image, or the image may hav e been corrupted. Restart y our computer, and then open the file again. If the red x still appears, y ou may hav e to delete the image and then insert it again. Healthy Community System Well The image cannot be display ed. Your computer may not hav e enough memory to open the image, or the image may hav e been corrupted. Restart y our computer, and then open the file again. If the red x still appears, y ou may hav e to delete the image and then insert it again. Surface Water Groundwater Household Level Healthy housing Onsite water/wastewater Personal Level: Physical activity Mental health Community/Environment Level Drinking water contamination Crumbling infrastructure

13 Community Design and Health Related to land use Related to automobile dependency Related to social processes Obesity, physical activity, CVD Water quantity and quality Air pollution and asthma Climate change contribution Car crashes Pedestrian injuries Mental health impact Social capital

14 Community Design and Land-Use Choices Can Either Promote or Harm Human Health One tool: health impact assessments (HIAs) CDC is building capacity for HIA in land-use and transportation sectors

15 Safety: Protection from Environmental Exposures National Conversation on Chemical Exposures Develop an action agenda that can help government agencies and other organizations strengthen their efforts to protect the public from harmful chemical exposures Community Conversation Toolkit for Chemical Exposures Environmental Justice ATSDR Public Health Assessments/Consults Environmental Health in Transportation Policy

16 ATSDR Active Sites (8/13/2010)

17 Energy Policy and Human Health Gohlke, et al., 2008

18 Transportation and Human Health Woodcock,et al, Lancet, Nov. 2009

19 Health Monitoring: How are we Doing National Biomonitoring Program Environmental Public Health Tracking Linking Environmental Health and Health Reform

20 CDC s National Biomonitoring Program General population Measuring blood lead levels Tracking exposure to secondhand smoke Publishing data in CDC s National Exposure Report Vulnerable populations Newborns Underserved Women of childbearing age Elderly Conducting collaborative exposure studies each year

21 Passive Smoking

22 Environmental Public Health Tracking Network Protect communities by providing information to 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 develop, implement, and evaluate regulatory and public health actions to prevent or control environment-related diseases

23 States Developing Detailed Data Sources

24 National Sources of Data

25 Improvement in Life Expectancy from Pollution Reduction

26 Health Reform Community Transformation Health Care Environmental Public Health Emergency Declaration

27 Environment and Human Health Shelter Eat Drink Sleep Doctor Family Breathe Physiological Factors Endogenous Factors Community Human Health Age Health Security Factors Personal Factors Friends Genes Family Job Belong Control Esteem

28 Environment and Disease Shelter Eat Drink Sleep Doctor Family Breathe Community Physiological Factors Endogenous Factors Asthma Age Health Security Factors Personal Factors Friends Genes Family Job Belong Control Esteem

29 Environment and Human Health Weather Ecosystems Soil Quality Water Quality Shelter Eat Drink Sleep Doctor Family Breathe Air Quality Physiological Factors Endogenous Factors Community Human Health Health Security Factors Personal Factors Friends Genes Family Job Age Belong Control Esteem

30 Environmental Health Workforce Support to States Training and Resources Improved Program to Program Coordination Increased Data Sharing

31 Questions? For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone, CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for Environmental Health Agency for Toxic Substances and Disease Registry

32 Environment and Health Meeting Hierarchy of Human Needs Self Community Safety and Security Air, Food, Water, Shelter