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UNITED STATES-MÉXICO BORDER BINATIONAL HEALTH WEEK “FAMILIES IN ACTION FOR HEALTH” October 1-7, 2011 TEXAS ACTIVITIES CONTENTS Pages Summary 3 1. Brownsville-Matamoros Binational Health Council 4 2. Hida-Rey Binational Health Council 5 3. SMAC Binational Health Council 6 4. Los Dos Laredos-Nuevo León Binational Health Council 8 5. HOPE-K Binational Health Council 12 6. Amistad Binational Health Council 23 7. Presidio-Ojinaga Binational Health Council 27 8. Paso del Norte Binational Health Council 35 9. South Texas Promotoras Association 39 Annexes 42 2 Summary The 8th Annual Border Binational Health Week (BBHW) was held on October 1-7, 2011 in conjunction with the Third Mexican National Health Week and the 11th Binational Health Week. These celebratory events are a partnership of the United States-México Border Health Commission, the U.S. Department of Health and Human Services; the México Secretariat of Health, the Health Initiative of the Americas, the Pan American Health Organization, and the ten U.S.-México Border States. The Border Binational Health Week is also an important part of the U.S.-México Border Health Councils’ 20102012 Operational Work Plans developed in El Paso, Texas on April 19-20, 2010 and updated in April 6-7, 2011. “The goal of BBHW is to promote sustainable partnerships to address border health problems. Intended outcomes include increased community and inter-agency networking relationships, increased information sharing and educational opportunities, and increased awareness of the BHC and other state and local initiatives.” The theme of 2011 BBHW was the same as in previous years, Families in Action for Health, with the focus on “Preventing Obesity and Diabetes”. The activities during BBHW were diverse in format, in targeted population, and in intended outcomes. They included health fairs, flu vaccines shots, opening and closing events, proclamations by public health authorities, educational and training opportunities, public celebratory events, forums, conferences and symposia on specific health related topics such as obesity and diabetes, tuberculosis, tobacco, and HIV-AIDS prevention, walk-a-thon and bike-a-thons, media (TV and radio interviews, news paper articles), messages to the community, and other activities sponsored in partnership with approximately 140 border agencies and organizations. A total of 47 local and binational activities were held on the Texas side of the border, with the overall goal to increase and promote public awareness of health threats posed by obesity and diabetes, as well as tuberculosis. These activities took place in different settings such as public parks and streets, malls, public schools and colleges, hotels, museums, city health departments, and ventanillas de salud at the Mexican Consulates. Approximately a total of 17,231 people participated in different activities during the 2011 Border Binational Health Week along the Texas-Mexico border, an increase of more than 3,000 participants from 2010. The BHC will continue with the complimentary theme of obesity and diabetes as priorities for 2012 in support of and in response to the XXVI U.S.–México Border Governor’s Conference Joint Declaration and the XXIX Joint Declaration. 3 1. Brownsville – Matamoros Binational Health Council Partners University of Texas School of Public Health at Brownsville; Consulate of Mexico in Brownsville; City of Brownsville Health Department; Department of State Health Services, Region 11; Cameron County Health Department; National Vaccine Program Office; U.S. Mexico Border Health Commission; and the Association of State and Territorial Health Officials, ASTHO. Activities and Events Border Research Forum This binational event took place on October 3-4 at UTB-TSC ITTEC Campus, in Brownsville. Target population was students from Schools of Public Health. UTHSPHBrownsville Regional Campus and the City of Brownsville Health Department sponsored the event. Approximately 40 participants. Ventanillas de Salud Health Fair The Health Fair took place on October 3-4th at the University of Texas at Brownsville, ITEC Campus, sponsored by the Mexican Consulate in Brownsville and the City of Brownsville Health Department. Target populations were children, men and women of all age groups, low to medium income levels. Approximately 40 participants. Region VI National Vaccine Plan Stakeholders’ Meeting This event, by invitation only, took place on Wednesday, October 5th 2011 at the UTHSPH Brownsville Regional Campus in Brownsville. Participated in the event local stakeholders, immunization providers, Health Departments, School of Public Health, School Districts, Promotora Groups, Faith Based Groups, Clinics and Hospitals, a total of approximately 50 health professionals. 4 2. Hida – Rey Binational Health Council Partners Office of Border Health, Texas Department of State Health Services, Region 11; Hidalgo County Health and Human Services (HCHHS); Hidalgo County Head Start and WIC programs; Consulado de Mexico in McAllen, Ventanilla de Salud; Texas A&M Health Science Center – School of Public Health; Instituto Politécnico Nacional – Centro Biotecnología Genómica; Secretaría de Salud de Tamaulipas, Jurisdicción Sanitaria No. IV; Dr. Richard Gillette; Gris Perez; Richards Pharmacy / Kiko; Liberty Medical. Activities and events HidalGO KIDS - Sesame Street Educational Videos “Get Healthy Now” show These videos, donated by the Hidalgo County WIC program, were viewed by approximately 3,700 children along the week of October 3-7, 2011 in all the 97 classrooms at the 43 Head Start centers Programs county-wide. Health Presentations at McAllen Mexican Consulate On October 5th at the Consulado de Mexico in McAllen, a binational event targeted to clientele at the Ventanilla de Salud lobby of the Consulate, sponsored by the Hidalgo County Health and Human Services, networking with the Mexican Consulate in McAllen. Approximately 100 individuals from the community participated. Video Presentations at HCHHS Clinics On October 7th, presentations on different health issues by staff were held on HCHHS Clinics in Mission, McAllen, Edinburg, Hidalgo, Pharr, Elsa, and Weslaco for clientele at the lobby of the health clinics, organized by the Hidalgo County Health and Human Services. Approximately 800 public clientele attended these video presentations. Binational HIDA-REY Public Health Forum The Binational Public Health Forum took place on October 7th at the Texas A&M Health Science Center-School of Rural Public Health in McAllen and was attended by university students from Biotecnología Genómica, Instituto Politécnico Nacional, Reynosa, Tamaulipas and Hidalgo County. The Forum allowed for Hidalgo County and Reynosa public health officials to raise awareness on binational public health issues and activities and the importance of collaboration between both countries. The Hidalgo County Health and Human Services Department sponsored the event. Approximately 50 binational students participated. 5 3. SMAC (Starr County-Miguel Alemán-Camargo) Binational Health Council Partners The Pediatric Care Center; Rio Grande City Lions Club; BFG Laboratory Services; DSHS Family and Community Health Services; Starr County Fire Department; Rio Grande City Health Department; Rio Grande Lion’s Club; Rio Grande City Economic Development Council. Activities and Events BBHW Health Fair On October 3, 2011, the Starr County-Miguel Aleman-Camargo (SMAC) Bi-National Health Council hosted an Annual Health Fair. The event was held at the Wal-Mart Parking Lot in Rio Grande City, Texas. It was a local event that targeted diabetes, and obesity awareness and prevention; and it also promoted healthy eating and exercise. During this event flu vaccine and glucose screenings were also offered and different participating agencies had resource tables displaying information on diabetes, healthy foods, obesity and tuberculosis. Glucometers were provided to participants free of charge. SMAC Health Fair Another important activity during the health fair was a Walk-a-Thon lead by Rio Grande City Lions Club. Anna Villarreal (Starr County Judge Appointee) was in charge of coordinating these events. 6 SMAC Walk-a-Thon One of the highlights of this event was the participation of our special guests, Starr County Judge, Honorable Mr. Eloy Vera, Starr County Commissioners Mr. Eloy Garza and Mr. Jaime Álvarez, Starr County Sheriff Mr. Rene Fuentes, Starr County Health Authority Dr. José Vásquez and from the Texas Department of State Health Services, Office of Border Health, Ms. Lupita Mata. A total of 250 participants attended this event. 7 4. Los Dos Laredos-Nuevo León Binational Health Council Partners Mercy Ministries of Laredo; Domestic Violence Coalition; U.S.-Mexico Border Health Commission; Texas A&M International University (TAMIU), Cooperative Extension Program; Escuela de Enfermería Universidad Autónoma de Tamaulipas (UAT) Nuevo Laredo; Ruth B Cowl Rehabilitation Center; Area Health Education Center (AHEC); Sistema de Integración Familiar (DIF) Nuevo Laredo; People with Ideas of Love, Liberty, Acceptance and Respect (PILLAR); Laredo Educational Testing Services (LETS); Mexican Consulate, Ventanillas de Salud; Department of State Health Services (DSHS), Office of Border Health; Women, Infant and Child (WIC) Program; Cancer Research Institute of Texas (CPRIT), Laredo Program; Secretaría de Salud, Jurisdicción V, Nuevo Laredo; City of Laredo Health Department (CLHD). Activities and events 8th Annual BBHW Local Proclamation Ceremony This event took place at the City of Laredo Health Department on October 3rd, 2011, sponsored by the City of Laredo Health Department. After a nutrition demonstration and discussion, Zumba demonstration was also given to the public and some partners participated. Approximately 70 participants received free screening services for BMI, height and weight, glucose screening, and blood pressure measurements. Proclamation Ceremony Zumba Demonstration at the Proclamation Ceremony 8 High Blood Pressure, Glucose and Cholesterol Screening Testing On Tuesday October 4th, these services were provided free to the binational community at the Mexican General Consulate in Laredo. It was sponsored by the Mexican Consulate and the Laredo Health Department. Approximately 100 individuals were served while visiting the Consulate. Glucose Screening Vaccination Clinic On Wednesday, October 5th, 2011, seasonal flu vaccines were delivered at the Mexican General Consulate in Laredo, sponsored by the Mexican Consulate and the Laredo Health Department and targeted to binational population. Approximately 100 vaccines were provided. 9 Glaucoma Testing Held on Thursday, October 6, 2011 at the Mexican Consulate, the purpose of this event was to screen clients attending the Consulate for glaucoma. Information about glaucoma was also provided on a one-to-one basis. A total of 100 screenings were provided. Diabetes Counseling and BMI Calculation On Friday, October 7, 2011, these services were provided to clients attending the Mexican Consulate to help with diabetes management and Body Mass Index (BMI) calculation. The public where able to get their height, weight, BMI and enjoy a healthy breakfast. Healthy cooking demonstration by WIC and Nutrition Program 10 Binational Conference 2011 Held on Friday, October 7, 2011 at the Holiday Inn in Laredo, Texas, this event brought together binational health professionals and universities to discuss border health issues. The binational conference initiated with the binational EWIDS program giving an epidemiological update on how disease surveillance and reporting process is done. The binational nutrition program gave an overview of what they do in their institutions and how hey identify, diagnose and treat their patients. Ms. Nora Martinez, Chief of the WIC program, explained the importance of early identification of patient with obesity and chronic health issues. “La Familia” program presented on diabetes diagnosis and management using patient testimonies. Dr. Karina de los Santos, chief of “Adulto Mayor” program gave an update end discussed the new program “5 Pasos para la Salud”. Dr. Ramon Castillo, from Nuevo Laredo presented an update of the binational Tuberculosis program. Welcoming Remarks by Dr. Héctor González, Director of Health Binational Conference, October 7, 2011 The innovative part of this conference was the use of an educational gave to provide survey results to health professionals regarding public health services in the border. Approximately 100 health professionals from both sides of the border participated. 11 5. HOPE-K Trinational Health Council Eagle Pass, Piedras Negras, and Kickapoo Tribe Partners BioLife Plasma Services; Camino Real Community Interventions; Community Outreach Center; City of Eagle Pass Health Department; City of Eagle Pass – Police Department; Kickapoo Traditional Tribe of Texas (KTTT); Maverick County Health Department; Maverick County Hospital District (MCHD); Maverick County Outreach Center PCT 1; Methodist Healthcare Ministries of South Texas, Inc. (MHM); Mexican Consulate – Ventanilla de Salud; Molina Health Care Inc.; Office of Border Health – DSHS; Quad Counties Council on Alcohol and Drug Abuse; Secretaría de Salud de México, Jurisdicción 1 y 2; South Texas Poison Center; South Texas Border Area Health Education Center (AHEC); South West Texas Junior College (SWTJC); Texas A&M SRPH – McAllen; Texas Department of State Health Services – TB Elimination Program; Texas Poison Care Inc.; UMC Ryan White Program; United Medical Centers # 1; University of Texas SRPH – Brownsville; Winter Garden Women’s Shelter Inc. Activities and Events Childhood Walking for Obesity Awareness and Dance The HOPE-K Trinational Health Council started its BBHW activities with a Walking for Obesity Awareness event. This event took place September 24th, 2011 at the Maverick County Lake in Eagle Pass, Texas and the target population was children of all ages. Sister Ursula Herrera, Maverick County Hospital District (MCHD) Diabetes Educator was in charge of this event. MCHD distributed information on healthy eating and the need for exercise, and offered healthy snacks and water to participants. Participants who registered (29) were given pedometers which they were to use on a daily basis and keep a record of their steps or other activity on a calendar which was issued when they registered. Trinational Border Health Week 2011 – Inauguration El lunes 3 de octubre, en la Pirámide del Sol de la Plaza de las Tres Culturas en Piedras Negras, Coahuila, fue realizado el evento inaugural de la Semana Trinacional de Salud (STN) 2011. 12 Presidieron el evento las siguientes autoridades de ambos lados de la frontera: el Lic. Ricardo Santana Velázquez, Cónsul de México en Eagle Pass; el Dr. Arturo Botello Méndez, Director de la Jurisdicción Sanitaria No. 1 de la Secretaría de Salud de Piedras Negras y Co-presidente de HOPE-K; el representante del General Luis Crescencio Sandoval de la Guarnición Militar; y el Dr. Carrales del ISSSTE, el Representante del Dr. Longinos del IMSS, entre otros. El Cónsul Santana y el Dr. Botello dieron la bienvenida a los presentes y declararon inaugurada la semana trinacional. 13 Foro / Conferencias Embarazo en Adolescentes / La Juventud y el VIH-SIDA Luego de la Inauguración de la STS, se llevó a cabo el Foro de Conferencias: El Embarazo en Adolescentes y La Juventud y el VIH dirigido a más de 200 alumnos de escuelas secundarias de la localidad. La primera conferencia fue dictada por la Dra. Minerva Contreras y la segunda por el Dr. Iván Moscoso, ambos de la Jurisdicción Sanitaria No. 1 de Piedras Negras, quienes lograron despertar gran interés de los jóvenes participantes. National Night Out On October 4th HOPE-K joined cities nationwide for America’s Night Out Against Crime. National Night Out is designed to heighten crime and drug prevention awareness, to generate support for and participation in local anticrime efforts. On this night Eagle Pass Police Department, HOPE-K, City of Eagle Pass and different agencies of the community got together at Guedea Park in Eagle Pass, Texas hosting a variety of events for the neighborhood, with games, information booth, health fair, and contests for youth and adults. Approximately 400 residents attended this activity. 14 Save the Environment. Plant a Tree A group of twenty five students from the Kinesiology Class at South West Texas Junior College participated in this event in Eagle Pass on October 4th, 2011. 15 First annual Behavioral Health Symposium Childhood Obesity “Improving Our Health along the U.S.-Mexico Border. Best Practices to Prevent Childhood Obesity”. This Joint trinational Forum with a Symposium held in Eagle Pass at the International Center for Trade on October 5th, was sponsored and organized as a trinational event with participation of U.S. and Mexico child obesity prevention programs from DSHS and Coahuila Secretariat of Health by Amistad and HOPE-K Binational / Trinational Health Councils, DSHS Office of Border Health, the Health and Human Services Commission (HHSC), and MALDEF. Durante el Foro fueron presentadas un total de 12 ponencias y por parte del presidente municipal, Ramsey English–Cantú se realizó la Proclama de mes de “Octubre, mes de concientización sobre la NO violencia doméstica” Mr. Simon Sotelo (Executive Director of QUAD Counties Council on Alcohol and Drug Abuse) and Mr. Calixto Seca (Co-President of HOPE-K THC) provided the opening remarks declaring this symposium a joint effort between the cities of Eagle Pass and Del Rio, between councils, and binationally as a means to share effective strategies for the purpose of increasing awareness among health and community professionals specific to substance abuse, mental health and domestic violence and for the purpose of identifying best practices to prevent childhood obesity along the U.S.-Mexico border. Given the disproportionate problems that exist on the border specific to childhood obesity, substance abuse, and domestic violence, this symposium provided an opportunity for professionals from both sides of the border to gather and learn about effective strategies necessary to address these health concerns. 16 Promotoras de salud at the Symposium Dr. Nelda Mier, Texas A&M School of Public Health Dr. Allison Banicki, Epidemiologist DSHS, Office Border Health A total of 60 public health workers participated in this Forum and Symposium. For a complete report on this activity see supplemental report. 17 6th Annual KTTT Bike-a-Thon This activity took place at the KTTT Reservation in Eagle Pass on October 6th, 2011 from 18:00 to 20:00 hrs, and was sponsored by HOPE-K and KTTT. Opening remarks were given by Monica Perez, KTTT Education Committee and Calixto Seca, Jr., HOPE-K Tri-National Health Council Co-President. A bicycle safety educational course was given by Eagle Pass Police Department Bike Patrol Unit. This was followed by a bike parade around the KTTT Reservation. Prizes were awarded to the finalist. A Mini-Health Fair also took place during the Bike-a-Thon in front of the KTTT Multimedia Building. Different agencies provided health screenings and check-ups as well as disseminated health information. Dr. Antonio Garza, KTTT Community Health and Environmental Coordinator, was in charge of the event. A total of 190 children participated in the activities. 18 Eighth Annual Border Trinational Health Fair “Walk happily for better health”, and BBHW Closing Event On October 8, 2011, the HOPE-K Tri-National Health Council hosted the Eight Annual Tri-National Health Fair. The event was held at Mall de las Aguilas in Eagle Pass, Texas. Mr. Calixto Seca (Eagle Pass HOPE-K Co-President) provided the opening remarks and thanked all the agencies participating in the event to make it possible. He mentioned the celebratory events are a partnership of the United States-Mexico Border Health Commission, the U.S. Department of Health and Human Services; the Mexico Secretariat of Health, the Health Initiative of the Americas, and the Pan American Health Organization. The theme for this event was Walk happily for better health with the purpose of raising community awareness to prevent obesity and diabetes. Healthy Snacks and recipe booklets were provided by the HOPE-K Diabetes/Obesity Committee at the BTHW annual health fair Con un gran evento el día 8 de octubre se realizó en Eagle Pass en el Mall de las Águilas una gran Feria de Salud y la clausura de la Semana Trinacional de Salud. El Ballet Folclórico del Colegio SWTJC presentó bailables de los Estados de Veracruz y Michoacán. Posteriormente se presentaron agencias dedicadas a actividades como baile y taekwondo en fomento a la actividad física. 19 Como parte de este evento fueron presentadas las banderas y se interpretaron los himnos nacionales de ambos lados de la Frontera. Posteriormente el presidente municipal de la ciudad, Ramsey English–Cantu, y en representación del Juez del Condado de Maverick el Prof. Roberto Ruiz, dieron lectura y entregaron a las autoridades de Salud las Proclamas de la Semana Trinacional 2011. Con una gran asistencia la Feria de Salud en el Mall de las Águilas con más de 40 agencias participantes en la que se ofrecieron análisis gratuitos de glucosa, presión arterial, peso–talla, índice de masa corporal, glaucoma y otros. Fue diseminada información con más de tres mil trípticos de muy diversas temáticas y fueron rifados premios a los asistentes como botiquines de la Ventanilla de Salud del Consulado, playeras de la agencia Axion entre otros. Fueron preparados platillos saludables para degustarlos entre los presentes. 20 The Maverick County Hospital District (MCHD) also had talks regarding healthy foods and portion control for children at a couple of Community Centers and during the Annual HOPE-K Health Fair. Twenty to thirty parents attended each of the three talks and more than 300 people enjoyed healthy snacks. MCHD also participated in a Health Fair at Loma Bonita Community Center, distributed information on the prevention of diabetes and obesity in children, and provided glucose and blood pressure monitoring. The health fair started with the presentation of the U.S. and Mexico flags and National Anthems; and the presentation of members of the presidium followed. The presidium was composed by Mr. David Saucedo, Maverick County Judge; Mr. Ramsey English-Cantu, City of Eagle Pass Mayor; Ms. Rosa Maria Muñoz Montes, Representative of Consul of Mexico in Eagle Pass; Dr Arturo Botello Mendez, Piedras Negras Health Department Chief and Piedras Negras HOPE-K Co-President; Mr. Rene Lopez, Fort Duncan Regional Medical Center Director; and Elvia Ledezma, Texas Department of State Health Services, Office of Border Health Regional Coordinator. Dr. Arturo Botello Mendez, Mr. Rene Lopez, Elvia Ledezma and Mayor Ramsey English-Cantu addressed the audience inviting them to live healthier lives. Later the Border Tri-National Health Week Proclamations were read jointly by Eagle Pass, Mayor Ramsey English-Cantu and Mr. Roberto Ruiz representing Maverick County Judge David Saucedo. 21 Speakers at the Annual Health Fair The event concluded with artistic numbers performed by Folkloric Ballet “Cuauhtli” and Letty’s Dance Studio and by inviting all the attendees to visit the different booths of agencies participating in this event. Approximately 600 participants attended the different activities developed during the HOPE-K Eighth Annual Border Trinational Health Fair, and BBHW Closing Event. 22 6. AMISTAD Binational Health Council Partners Ventanillas de Salud Consulado de México; Instituto de los Mexicanos en el Exterior; US-México Border Health Commission (USMBHC); Secretaría de Salud de México; Health and Human Services Commission – Office of Border Affairs; Texas Department of State Health Services - Office of Border Health; Contra Adicciones Unidos Del RioAcuña (CAUDA); QUAD Counties Council on Alcohol and Drug Abuse; City of Del Rio; Val Verde Regional Medical Center (Lab); Sul Ross State / Rio Grande College; A Plus Family Care; Maverick County Hospital District BCCS; UMC (Glucose blood pressure, BMI, Health Education); Val Verde County Health Department. Events and activities 11th Annual Andale Del Rio This is a Wellness 5K run family activity to help combat diabetes and obesity. It took place on October 1st, 2011 at the Buena Vista Park, open to the public, sponsored by Amistad BHC. Approximately 450 people of all ages from the community participated. Border Binational Health Week Inauguration, and Proclamation This event took place on October 3rd. at the Mexican Consulate in Del Rio, sponsored by the USMBHC, Amistad BHC and Mexican Health Secretariat (SSA). Proclamation was sponsored by IME and Amistad Binational Health Council. Approximately 40 health providers and dignitaries participated. Body Works inauguration The inaugural event of the BodyWorks program was held in Del Rio, Texas at the Val Verde Community Center on October 4, 2011 and was organized by the Amistad Binational Health Council in conjunction with the Mexican Consulate-Ventanillas de Salud, the DSHS-Office of Border Health, and local community volunteers. The BodyWorks program is a 10-week program promoting physical activity and nutrition among parents and their pre adolescent and adolescent children. The program uses a coordinated family and community approach to target, modify behaviors, and sustain a healthy life style for parents and children. Ms. Elizabeth Wong-Castillo gave the opening remarks and welcomed participants to the event and declared this event an introduction to the 10-week BodyWorks program, which is open to the community and will be initiating in November 2011. Participants provided their contact information and expressed their interest in initiating with the BodyWorks program. The promotoras from the Val Verde Community Center will continue to spread flyers in the community and continue to recruit participants. To date approximately 42 persons have been recruited and have expressed a desire to initiate with the program. 23 Sandra Dominguez, volunteer nutritionist, prepares and educates on preparation of a healthy shake. Overall this meeting was a model event for other activities promoted during Border Binational Health Week. This community meeting is not a one-time event but instead will be a continued effort, which is necessary for educating and promoting healthy behaviors. This inaugural event will lead to sustained changes in community residents’ lifestyles and help decrease obesity and its complications. The BodyWorks program is set to start on November 2011 and will be supported by the Amistad Binational Health Council and the DSHS Office of Border Health. The Amistad Binational Health Council will also work with community leaders to promote environmental changes which will promote healthier lifestyles at the community and school level. Left: BodyWorks Volunteers provide a healthy demonstration for Del Rio Community residents. Right: BodyWorks volunteers. From left to right: Sandra Dominguez, Isabel Fernandez, and Elizabeth Wong Castillo The inaugural BodyWorks program event was open to the public, and approximately 100 individuals participated. See Annex 3.j for a complete report on this activity. 24 Lotería / Drug and Alcohol abuse This event open to the public took place on October 4th at the Val Verde Community Center in Del Rio, and was sponsored by Amistad Binational Health Council, in conjunction with the QUAD counties, Mexican Consulate Ventanillas de Salud, the DSHS-Office of Border Health and local community volunteers. The Lotería is a program promoting and assisting family members on the signs and symptoms of alcohol and drug abuse. Approximately 75 individuals participated. Ninth Binational Annual Juvenile Conference on Drug and Alcohol Prevention This Annual Conference took place on October 6th, 2011 from 9:00 a.m. to 1:00 p.m. at the Infoteca Pública Municipal from Ciudad Acuña, and was organized by Amistad Binational Health Council in conjunction with Contra Adicciones Unidos Del Rio-Acuña (CAUDA), QUAD Counties Council on Alcohol and Drug Abuse, the Mexican Consulate and its Ventanilla de Salud in Del Rio, the Presidencia Municipal from Ciudad Acuña, Coahuila, Mexico, the Dirección Municipal de Salud, la Secretaría de Educación Pública, la Red Social por un Acuña Libre de Drogas, DSHS-Office of Border Health and local community volunteers. The conference offered an interactive program promoting prevention and assisting youth, students, parents and all family members on the signs and symptoms of alcohol and drug abuse, along with the consequences, and venues to obtain support and solutions. This binational event used a coordinated approach to educate students and parents about behavioral issues, mood swings and other indicators that may arise within family members as a result of alcohol and/or substance abuse. Approximately 350 youths participated. Third Annual Amistad Binational Health Fair The 3rd Annual Binational Health Fair was held on October 7th at Plaza del Sol Mall in Del Rio, Texas, targeted to promotoras, sponsored by Amistad Binational Health Council in collaboration with HHSC Office of Border Affairs, QUAD Counties Council on Alcohol and Drug Abuse, the DSHS-Office of Border Health, Plaza del Sol Mall and local community volunteers. The Health Fair focused on Diabetes and Obesity and provided other health services. Participating agencies promoted these subject areas and other health topics through individual education for many family members. Hector M. Guerra, HHSC Office of Border Affairs, coordinated the event along with promotoras from QUAD counties. Flu shots were also provided to the participants by the Val Verde Urgent Care Clinic. Approximately 220 people from the community participated. 25 3rd Annual Health Fair Lotería / Diabetes On October 6, 2011, the Amistad Binational Health Council in conjunction with QUAD Counties Council on Alcohol and Drug Abuse, the Mexican Consulate-Ventanillas de Salud, the DSHS-Office of Border Health and local community volunteers, hosted the Lotería Mexicana with the topic of “How people can gain access to health services”. This event was held in Del Rio, Texas at the Cienegas Val Verde County Community Center. Professor Carlos Lara Gonzalez gave the opening remarks and welcomed participants to the event. QUAD Counties and the Mexican Consulate staff provided a power point presentation and an informational booklet (Libreto de Seguro Popular de la Ventanilla de Salud) to all participants. The Mexican Lotería is a program promoting and assisting family members on how to access health services in Mexico and in the U.S. Approximately 75 community residents participated in this event. 26 7. Presidio – Ojinaga Binational Health Council Partners / Sponsors Mexican Consulate in Presidio; Presidio Health Services; Ojinaga Health Department; Jurisdicción Sanitaria de Ojinaga; Presidio Independent School District (PISD); El Paso Diabetes Association; Rio Grande Safe Communities; DSHS-Office of Border Health; U.S-México Border Health Commission; Maquiladora Selkirk. Activities Presidio-Ojinaga BBHW Inauguration El día sábado 1de octubre de 2011, en coordinación con el Consulado de México en Presidio, Texas, se llevó a cabo el desfile promocional de la Semana Binacional de Salud y Semana Binacional de Salud Fronteriza, con la presentación de carros alegóricos alusivos a la prevención de diabetes, hipertensión y obesidad. Dicho desfile tuvo inicio en la Calle O’Reilly en Presidio, Texas y concluyó en el Zócalo Municipal de Ojinaga después de haber cruzando el puente internacional. Aproximadamente 120 personas participaron. 27 Inter Border -Soccer Tournaments Simultáneamente se desarrolló en el campo deportivo Manuel Hernández de la ciudad de Presidio, la primera edición de la Copa Binacional, actividad realizada en favor de la promoción de la actividad física entre la comunidad residentes en Estados Unidos. En esta actividad participaron aproximadamente 50 jóvenes de equipos provenientes de Odessa (La Laguna Soccer League), Presidio (Elementary y High School) y Ojinaga, Chihuahua (CETIS 98). Participantes y ganadores fueron premiados con trofeos y regalos Bicicletada Binacional Realizado el domingo, 2 de octubre, como uno de los eventos que la comunidad ha adoptado como tradición, la Bicicletada Binacional comenzó en la escuela Preparatoria (High School) de la ciudad de Presidio, recorriendo las avenidas más concurridas de ambas ciudades en este punto fronterizo. Este año, la Bicicletada se destacó por el alto número de familias participantes que en su mayoría provenían de la maquiladora Selkirk. La premiación, que tuvo lugar en el parque Manuel Ojinaga, contempló las siguientes categorías: Familia más Numerosa; Participante más joven; Grupo más numeroso. 28 A los más de 150 participantes se les otorgó un kit de limpieza bucal por parte de la Oficina de Salud Fronteriza y la Comisión de Salud Fronteriza México Estados Unidos. Inauguración de la Tercera Semana Nacional de Vacunación La inauguración se desarrolló el lunes, 3 de octubre, en las instalaciones de la escuela primaria Miguel Hidalgo en la ciudad de Ojinaga, Chihuahua, con la participación de autoridades de los tres niveles de gobierno. Ya que los padecimientos no tienen frontera, la XI Semana Binacional de Salud y la VIII Semana Binacional de Salud Fronteriza incluyen en sus agendas las campañas que la Secretaría de Salud impulsa en México. Participaron de la ceremonia unas 200 personas incluyendo autoridades y profesionales binacionales de salud. Foro de Enfermedades Crónico Degenerativas y Obesidad Este Foro, dirigido al público binacional en general, fue impartido por las autoridades de salud en la ciudad de Ojinaga el martes, 4 de octubre, con el objetivo orientar sobre la prevención y tratamiento de enfermedades crónico-degenerativas, destacando la actividad física como principal medio para lograr los mejores resultados. En este sentido los 29 miembros del Programa 5 Pasos del Centro de Salud de Ojinaga, desarrollaron una rutina práctica de ejercicios aptos para cualquier persona y que pueden ser realizados incluso en la oficina. Unas 50 personas de la comunidad participaron. Healthy Parents, Healthy Kids / Programa 5 Pasos por tu Salud El jueves, 6 de octubre, el Doctor Darrell Parsons, médico de la Oficina de Salud del Condado de Presidio, invitó a los padres de familia asistentes a acercarse a sus hijos a través de prácticas saludables que propicien una mayor comunicación, mismas que indudablemente mejorarán su calidad de vida, si reciben buenos ejemplos desde pequeños. En este sentido, el Doctor Parsons, enfatizó la problemática que surge a partir de la persuasión de empresas transnacionales que estimulan el consumismo, sobre todo de alimentos chatarra, y recomendó no dejarse llevar por ese tipo de información, ofreciendo como segunda opción el consumo de alimentos saludables preparados en casa, así como evitar la ingesta de bebidas que contengan saborizantes artificiales. Lo anterior en función de que Estados Unidos es el primer lugar en obesidad y diabetes, enfermedades que asechan principalmente a los hispanos. Caminata Binacional del Adulto Mayor y Abrazo Mundial El domingo, 9 de octubre, adultos mayores y sus familiares se dieron cita en la sede de la Oficina de Servicios de Salud de Ojinaga, Chihuahua, para dar inicio a la octava edición de la caminata. En esta ocasión cerca de 500 participantes acudieron para acompañar a los adultos mayores a través de la actividad física, recorriendo la avenida Libre 30 Comercio, el Boulevard Oscar Flores para concluir en el Zócalo Municipal de la ciudad de Ojinaga con el tradicional Abrazo Mundial. Antes de comenzar con la caminata los participantes fueron revisados de sus signos vitales por parte de enfermeras del Centro de Salud. Habiendo llegado a la meta, los participantes recibieron un regalo por su participación que contenía despensa, juego de ropa térmica, bufanda, pantuflas, libro de lectura y paquete con artículos de salud, al tiempo que La Rondalla y las Vaqueritas del CETIS 98 amenizaron el evento. Para finalizar esta fiesta de la salud, la Presidenta del DIF Municipal, la Administradora de Industrias Selkirk, el Presidente Municipal, el Director de Servicios de Salud y el Encargado de Asuntos Comunitarios de esta Misión dirigieron un mensaje a los participantes para reconocer el papel tan importante que los adultos mayores tienen en nuestra sociedad ya que ellos son el eje de las familias. Conferencia sobre Enfermedades de Transmisión Sexual El viernes, 14 de octubre, Yuri Orozco, Epidemióloga del Departamento de Salud de Texas, impartió en dos sesiones ante más de 600 estudiantes de las escuelas Lucy Rede Franco Middle School y Presidio High School, una interesante conferencia de amplio contenido gráfico que concientizó a los jóvenes en el tema de enfermedades sexuales, producidas principalmente por falta de información, tabúes, la ingesta de bebidas alcohólicas y consumo de drogas. 31 Tobacco Conference La Secretaria Ejecutiva de la Comisión de Salud México-Estados Unidos, Doctora María Teresa Zorrilla Carcaño, engalanó la XI-SBS y VIII SBSF, con su visita a la Ventanilla de Salud de esta Representación consular, así como para la impartición de la conferencia sobre tabaquismo dirigida a más de 300 alumnos de nivel preparatoria. Esta actividad tuvo lugar el 14 de octubre, 2011 en el Presidio High School y se dieron cita el Superintendente del Distrito Escolar de Presidio, Dennis McEntire, Concejal de la Ciudad de Presidio, John Ferguson, Director de la High School de Presidio, Doctor Dale Morris, el Director de la Oficina de Servicios de Salud del Estado subsede Ojinaga, Dr. Jesús Manuel Acosta Muñoz y el Dr. Acosta Flores. Binational Health Fair Como uno de los eventos principales, el 14 de octubre de 2011, 25 agencias de salud provenientes de El Paso, Alpine, Marfa, Presidio, Texas y Ojinaga, Chihuahua, brindaron información y servicios gratuitos a más de 1000 asistentes que se dieron cita en el edificio principal de la High School de la ciudad de Presidio. Durante la feria, las agencias participantes brindaron asesoría para enfrentar los padecimientos derivados de enfermedades del corazón, tabaquismo, cáncer de mama, drogadicción, diabetes y otros padecimientos crónico-degenerativos recurrentes en esta región fronteriza. 32 Durante la feria se prestaron los siguientes servicios: examen de la glucosa, examen de colesterol, masa corporal, presión arterial y aplicación de las siguientes vacunas: Tétanos, Hepatitis Tipo A, Hepatitis Tipo B, Influenza Estacional, Influenza AH1N1. Simultáneamente, los asistentes a la feria de salud disfrutaron de rifas, concursos y presentaciones culturales. 33 34 8. Paso del Norte Binational Health Council Partners Paso del Norte Foundation; No Bully Zone; El Paso Diabetes Association; Paso del Norte Binational Diabetes Committee; Paso del Norte Rehabilitation Center; Mexican Consulate; Red de Promotora Network; Alliance of Border Collaborative; New Mexico Department of Health, Office of Border Health; Chihuahua State Health Services; Southern N.M. Promotora Committee; Pan American Health Organization (PAHO); Programa Compañeros; Alliance of Border Collaboratives; El Paso Community College; Texas Tech School of Medicine; University Medical Center; Tenet Health Network; El Paso Health Department; Substance Abuse Collaborative Member; University Medical Center; Character Kids Inc.; Rio Grande Safe Coalition RGSCC; NMSU Nursing Students; El Paso Juv. Justice Center; DEA; Texas Department of State Health Services, Office of Border Health; Texas A&M PRC & Colonias Program; West TX HIDTA; Fort Bliss ASAP; Centro Integracional Juvenil; TXMF-LES-CD; Aliviane-Alianza Familiar; Tierra Madre – NM; EP Tuner Coalition; UTEP – Police Dept. SISD; Border Patrol. Activities and events Binational Health Fair This binational event took place on October 1st, 2011 at the Chamizal Memorial National Park in El Paso, open to the general public, was organized by the Mexican Consulate and the City of El Paso Department of Public Health. Approximately 100 participants. 35 Obesity Forum The Obesity Forum was held at the Doubletree Hotel in El Paso, Texas on October 5th with the title “Education, Communications and Operational Strategies to Reduce Child and Adolescent Obesity in the Binational Paso del Norte Region”. It was a binational event sponsored by MALDEF and the USMBHC targeted to public health workers in the U.S. and Mexico from child obesity prevention programs. Paul Dulin, New Mexico Office of Border Health director and Dr. Elisa Aguilar, Chihuahua State Outreach Office coordinator-U.S.-Mexico Border Health Commission presented the forum’s purpose and objectives. Adriana Corona Luevanos, Office of Border Health-El Paso manager, presented on “Trends in Child and Adolescent Obesity in the Paso del Norte Region. Dr. Fernando Gonzales, Lead Epidemiologist, City of El Paso Health Department. For a complete report on this activity see supplemental report. Faces of Diabetes Conference This binational conference took place on Friday, October 7th, 2011 at Marriott Hotel, organized by Paso del Norte Binational Health Council, El Paso Diabetes Association (EPDA), Pan American Health Organization (PAHO), and Paso del Norte Binational Diabetes Committee. The target audience for the conference was: physicians, nurses, certified diabetes Educators, physician assistants, pharmacists, social workers, registered dieticians, CHES, health promoters, and other providers involved in the care and treatment of patients with diabetes. The purpose was to provide a one-day conference on the treatment, management, and current research related to diabetes. The information provided was intended to help diabetes care providers and educators with the prevention and management of diabetes and its complications. A total of 235 health care professionals attended the Conference. 8th Annual Red de Promotora Binational Health Conference This event took place on October 12th at the Camino Real Hotel in El Paso with the theme: “Promotoras knocking on doors, impacting families”. It was sponsored by Red de Promotora Network, Paso del Norte Binational Health Council, Alliance of Border Collaborative, New Mexico Department of Health, N.M. Office of Border Health, Chihuahua State Health Services, Southern N.M. Promotora Committee. The objectives 36 of the conference were to bring new information and techniques in public health promotion to the community health workers (Promotores) of the Paso Del Norte Region (El Paso, Southern New Mexico, and Northern Chihuahua). This year the workshops central theme of the conference is centered along Diabetes prevention, control and education for our most vulnerable communities. This year more than 25 agencies across the tri state are joining efforts to make this forum available. The network committee designed a forum that focused on Diabetes and how it impacts the life of our community for approximately 250 Promotores/as This year’s track offered presenters the opportunity to share new technology and new methods of diabetes promotion for Promotores as well as public health issues affecting our community and that go hand in hand with diabetes such as obesity. 37 9th Annual Binational Red Ribbon Rally & Diabetes and Obesity Health Fair On October 15, 2011, the 9th Annual Red Ribbon Rally and Diabetes & Obesity Health Fair in El Paso Texas at the Bowie High School took place. A total of 2,500 plus youth and adults attend this year’s Annual Bi-national Red Ribbon Rally. This event is held annually in collaboration with the Drug Enforcement Administration (DEA) to commemorate the death of Enrique "Kiki" Camarena. In addition with the coordination and facilitation of coalition members and other partnerships, a health and safety fair was organized. This was the second year that the Coalition partnered with the NM Office of Border Health in the Bi-national Border Health Week. A special focus on Juvenile Diabetes and Childhood Obesity were the two main focuses of the Health Fair. Special kid friendly events were held (hula hoop, jump rope, basketball youth tournaments, jumping balloons and a toddler youth section of basketball and t-ball setup). A total of 30 health fair tables were set up where no candy or unhealthy snacks were allowed. A special tribute to Law Enforcement was conducted by RGSCC and DEA. Law enforcement officers working in prevention were recognized by DEA and RGSCC after submission of names by respectful agencies. A car show and law enforcement displays were the key participants in the safety fair. Two laps around the track by all participants including dignitaries for the law enforcement event concluded the health and safety fairs. The first event had participation of approximately 75 attendees from both sides of the border. In total, approximately 2,500 individuals participated in both events. 38 9. South Texas Promotoras Association (STPA) Partners Texas Health and Human Services Commission, Office of Border Affairs (HHSC-OBA) Laredo; DSHS, Office of Border Health, Laredo; DSHS, Office of Border Health, Austin; DSHS, Region 11; Prairie View A&M University Cooperative Extension Program; U.S. Department of Health and Human Services, Office of Minority Health; Texas A&M Health School of Rural Public Health; Universidad Autónoma de Tamaulipas, Mexico; Edinburg Medical Hospital; Día de la Mujer Latina; Visión y Compromiso; U.S.–Mexico Border Health Commission; United Stated Department of Health & Human Services; Health Initiative of the Americas; Pan American Health Organization. Activities and Events Hidalgo County Commissioners Court Meeting This activity was held on September 27, 2011 in Edinburg, Texas, with the participation of Hidalgo County’s seven Health Department and South Texas Promotora Association. During this meeting the Court approved a proclamation announcing October 1-7 as “Border Binational Health Week”, with the purpose of focusing on women’s health, as well as obesity and diabetes prevention. Approximately 100 people from the community participated. See Annex 4. Border Binational Health Awareness This local event held on October 1st in San Juan, Texas, by the South Texas Promotoras Association with the slogan “Get it D.O.N.E.” (Diabetes, Obesity, Nutrition & Exercise) provided outreach and information on diabetes, obesity, nutrition and exercise for a healthier future. Target audience was Starr county residents and community partners. Approximately 100 Starr county residents participated. 39 Promotoras Promoting Women’s Health This event took place on October 1st at the San Juan Centro Comunitario, in San Juan, Texas, targeted to women of the local community. Approximately 150 women participated. Presentations at HCHHS Clinics These presentations at the lobby of eight Hidalgo County Health & Human Services Clinics on October 1st–7th were attended by 800 persons attending those clinics. Childhood Obesity-Diabetes Promotora Workshop This Workshop took place on October 4th, 2011 at Prairie View A&M University in Laredo, Texas and targeted the local and Nuevo Laredo promotoras. Ms. Crisanta Mussett, Extension Agent-Family and Consumer Sciences Cooperative Extension Program with Prairie View A&M University spoke on childhood obesity. The “My Plate” concept was used as model. Shopping tips for healthy foods. Toddler and school age children’s healthy nutrition were discussed followed by questions and answers period. Ms. Norma Cavazos Lopez, Director for Nutrition at Laredo Medical Center, presented on Diabetes. Concept of a well balanced diet, its components, and their benefits for Diabetes patients. Also addressed were the six food groups, their nutrients and their importance in diabetic’s daily diets. Ms. Cavazos also spoke on the recommended number and size of servings for each of the different food groups. Strategies in the selection, preparation and consumption of food for diabetes prevention and management were other topics covered in the presentation. Certificates of attendance and a few certificates of CEU’s were issued at the end of the workshop. Each one of the 45 participants received a bag with educational material, as well as some goodies. The BBHW Promotora Conference “Promotoras Get It D.O.N.E.” was the slogan for the Border Binational Conference sponsored by the South Texas Promotora Association. The event was held in Edinburg, Texas, on October 7th 2011 to promote the 8th Annual Border Binational Health Week (BHW) and the 11th Binational Health Week. Ms. Mary Lou Duque, Hilda Molina, Petra Rubio and Rosie Bryan participated along with more than 200 state certified promotoras from United States and Mexico in obtaining CEUs and non- CEUs from the Department of State Health Services. From welcoming, to topics related to Diabetes, Obesity and Nutrition were addressed. The Honorable Hidalgo County Judge Ramon Garcia welcomed the promotoras and praised them for all the hard work they do out in their communities. Eddie Olivarez, Chief Administrator, HCHHS; Dago Garza, HHSC; Brian Smith, M.D., Regional Director DSHS; Linda Resendez, CEO Edinburg Regional Hospital; Dra. Dinora Martinez Universidad Autónoma de Tamaulipas; Vicky Avila-Medrano from the State of Baja 40 California; Julie St. John, South Texas Regional Director, Center for Community Health Development .Texas A&M Health Science Center School of Rural Public Health; DSHS Office of Border Health, Austin, Texas provided the introductions, presentations and strong support. Mary Lou Duque, Hilda Molina & Aurora Cortez A total of 220 promotoras from U.S. and Mexico participated in the Conference. The Hidalgo County Health Department also participated with a booth and plenty of health information (diabetes, obesity, and nutrition) distributed to more than 200 individuals. 41 ANNEXES 1. Texas BBHW 2011 Matrix [see file enclosed] 2. Activities’ Flyers a. HOPE-K 6th Annual Bike-a-Thon Flyer http://www.borderhealth.org/files/res_1948.pdf Bike-A-Thon Agenda_2011 [see file enclosed] b. HOPE-K 8th Trinational Health Fair, Oct 8th 2011 HOPE-K Health Fair Flyer c. Nineth Binational Youth Conference Novena Jornada Anual Binacional - Poster 3. Activity Agendas and Reports a. Programa de actividades. VIII Semana Trinacional de Salud Fronteriza Programa de Actividades HOPE-K b. BBHW HOPE-K Eagle Pass Report c. HOPE-K 8th Trinational Health Week, Opening Event HOPE-K BTHW Agenda 2011 – Opening Event [see file enclosed] d. HOPE-K 6th Annual Bike-a-Thon – Agenda Bike-A-Thon Agenda_2011 [see file enclosed] e. HOPE-K 8th Trinational Health Week, Closing Event http://www.borderhealth.org/files/res_1952.pdf f. Child and Adolescent Obesity Summit Child and Adolescent Obesity Summit_Agenda p.1 (This file include presentations) Child and Adolescent Obesity Summit_Agenda p.2 (This file include presentations) Child and Adolescent Obesity Summit_Agenda p.3 (This file include presentations) g. Save the Environment. Plant a Tree Event BTHW Save the Environment - Plant a Tree Pictures 2011 [See file enclosed] h. First annual Behavioral Health/Childhood Obesity Symposium i. First annual Behavioral Health Childhood Obesity Symposium 10052011_IndividualReport [see file enclosed] j. First Inauguration for the BodyWorks Program [see file enclosed] k. Reporte Semana Binacional de Salud 2011 Presidio-Ojinaga [see file enclosed] l. Presidio - Ojinaga 8va Semana Bin de Salud [see file enclosed] m. Paso del Norte Binational Health Council [see file enclosed] 2011 BBHW Paso Del Norte BBHW TX [see file enclosed] 4. Border Binational Health Week Proclamation South Texas Promotora Association, Inc. Proclamation, Hidalgo County Commissioners 42