Download One Health: The Environmental Health Perspective

One Health: The
Environmental Health
Perspective
Clifford S. Mitchell, MS, MD, MPH
Acting Assistant Director for Environmental Health
and Food Protection
Maryland Department of Health and Mental Hygiene
ASTHO One Health Webinar – April 15, 2010
Environmental Health: The
“Between” Profession
What is environmental health?
 Who is environmental health?
 What is the role of environmental health
and the environmental health
professional in animal-human health
interactions?

Infectious Disease & Environmental Health Administration
[Date]
2
The Classic Risk Model
Source/
Hazard
Generation
Transport/
Transformation
Exposure
Target Organ
Dose
Metabolism/
Internal
Distribution
Clinical
Outcome
Infectious Disease & Environmental Health Administration
April 15, 2010
3
One Health:
Environmental Health Perspective
Source/
Hazard Generation
Veterinary Medicine
Exposure
Metabolism/
Internal
Distribution
Target Organ
Dose
Clinical
Outcome
Transport/
Transformation
Health Care
Exposure
Environmental
Health
Metabolism/
Internal
Distribution
Target Organ
Dose
Clinical
Infectious Disease & Environmental
Health Administration
Outcome
April 15, 2010
4
The Environmental Health
Approach
Collaboration with health care providers
 Understand the environment,
opportunities for exposure
 Emphasis on prevention strategies

Infectious Disease & Environmental Health Administration
April 15, 2010
5
Hierarchy of Controls
Elimination
 Substitution
 Engineering Controls
 Administrative Controls
 Personal Protective Equipment

Infectious Disease & Environmental Health Administration
April 15, 2010
6
Environmental Health and
Vector Control

Historic and current
activity of
environmental
health in vector
control
 Responsibility often
spread over many
agencies
Source: Erin Jones, MS
CDC/CSTE Applied Epidemiology Fellow,
MD Dept of Health and Mental Hygiene
Infectious Disease & Environmental Health Administration
April 15, 2010
7

Harmful Algal
Blooms:
opportunity for
animal exposures
a leading indicator
 Maryland: 2
animal deaths in
2009
Acknowledgment: Maryland Department of the Environment
Infectious Disease & Environmental Health Administration
April 15, 2010
8
What Are The One Health Challenges
For Environmental Health?





Challenges to environmental health overall
Chronic exposures, disease, latency
Integration of surveillance systems
Understanding exposure – a challenge for
humans and animals – what about
biomonitoring?
Occupational setting – different perspectives
of agencies involved in animal health, food
production, occupational health, public health
Infectious Disease & Environmental Health Administration
April 15, 2010
9
Acknowledgments





Nancy Servatius, HAB Program Specialist
Katherine Feldman, State Public Health
Veterinarian
Erin Jones, CDC/CSTE Applied Epidemiology
Fellow
Charlie Poukish and Chris Luckett, MD Dept
of the Environment
Catherine Wazniak, HAB Manager, MD Dept
of Natural Resources
Infectious Disease & Environmental Health Administration
April 15, 2010
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