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  • I do not have any financial arrangements or affiliations with commercial sponsors which have direct interest in the subject matter:
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  • BORDER HEALTH CHALLENGES June 20, 2014 Prisci Quijada Orozovich,MPH Connie Lafuente
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  • Established in 1999 by State Legislation (AB 63, Ducheny) as a unit of the California Department of Public Health Services Focus Area: Border and binational communities throughout California and Baja California 3 OBBH Core Program Background
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  • 4 Focus Area: Border and Binational Communities In California And Baja California
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  • With contributions and cooperation from CDPH branches 5
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  • Jim Arriola, MBA Paula Kriner, MPH President/Chief Executive Officer Senior Epidemiologist Sekure Healthcare Imperial County Public Health Dept. Rosemarie Johnson, MD Blanca Lomeli, MD Medical Community LiasionRegional Director, North America External Relations Project Director TB Solution San Diego Medical Society Foundation Project Concern International Alberto Manetta, MD Gil Ojeda Professor Emeritus Board President University of California, Irvine Latino Coalition for a Healthy California Alvaro Garza, MD, MPH Carmen Nevarez, MD, MPH Representative Vice President of External Relations California Conference of Local Health Officers and Preventative Medicine Advisor (CCLHO) Public Health Institute Mario Gutirrez, MPH Interim CEO Barbara Jimenez Center for Connected Health Policy Deputy Director for Central and South Regions San Diego County Health and Human Rose Anne Rodriguez, Esq. Director Communications County of Los Angeles Department of Public Health Services Agency 6
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  • To facilitate communication, coordination, and collaboration between California and Mexico health officials, health professionals and communities in order to optimize border and binational health. 7
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  • Chief April Fernndez Health Program Manager II (619) 688-0159 Administrative Assistant(s) Diane Velez (.5 FTE) Vacant (.5 FTE) (619) 688-0252 OBBH Program Manager Prisci Quijada Orozovich (619) 688-0218 TB Branch Comm. Disease Manager II Anne Cass (619) 688-0253 Administrative Assistant Katiana Snchez (619) 688-0263 Border Health Outreach Coordinator Connie Lafuente (619) 688-4285 Project Assistant Abel Martinez (619) 688-0154 Project Assistant Natalie Svistoonoff (619) 688-0142 Epidemiologist Margarita Santibaez MPH,MD (619) 688-6483 STD Branch Disease Intervention Section Comm. Disease Specialist I Patricia Gonzales (619) 688-0234 STD Branch HIV Partner Services Jeffrey Egan (619) 688-3187 Infectious Disease Epidemiology Program Esmeralda Iniguez-Stevens Ph.D., MPH (619) 688-0111 USMBHC-COO Program Manager (619) 688-0178 Surveillance Officer Maria Fierro (760) 482-4702 CA BIDS Imperial County Public Health Dept. Surveillance Officer Maria Fierro (760) 482-4702 CA BIDS Imperial County Public Health Dept. Surveillance Officer Maria Fierro (760) 482-4702 Student Intern Vacant (619) 688-0110 April 28, 2014 Surveillance Officer Maria Fierro (760) 482-4702 =CDPH Employee =Contract Employee Operations & Finance Staff Services Manager I Maria Celaya (619) 688-0267 California Department of Public Health Center for Infectious Disease California Office of Binational Border Health
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  • A.)175,000 B.) 120,000 C.) 60,000 D.) 10,000
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  • 1. A. Los Angeles County 2. B. San Diego County 3. C. Imperial County 4. D. none of the above
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  • A.) 10.3% B.)30.4% C.)61.2% D.) 80.3%
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  • Social Political Environmental Health
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  • Population Growth in both U.S & Mexico border counties Unemployment rates Higher Poverty rates Deportation Education
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  • Border Security Economic
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  • Agricultural operations Vehicular pollution Industrial facilities Power plants Dust from unpaved roads Trash burning
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  • Inequitable health conditions Higher rates of infectious diseases Higher rates of chronic diseases Other adverse health outcomes 17
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  • What are our Goals & Current Activities? 18
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  • Health Status Report Binational Infectious Disease Surveillance collaboration Influenza-Like-Illness Surveillance Health Briefs Binational Communication during Emergencies 19
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  • Mercury in Face Cream: Notification to Mexico and Outreach Materials Communicate and collaborate during disease outbreaks and/or increase of cases e.g, Meningococcal, Influenza etc.
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  • Meetings with Baja CA Health Officials Border Health Consortium of the Californias: To enhance communication, coordination, and collaboration among public, private, and academic institutions in order to improve the quality of life in the border region 35 + public, private, academic institutions US-Mexico Border Health Commission 21
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  • American Diabetes Association Por tu Familia-2014 Adelante Promotores Conference to build Capacity-July 2014 Promotores Education Conference-Oct 2014 Cervical Cancer DVD Baja California Pediatric Oncology Conference Jornadas Epidemiolgicas
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  • Collaboration with US, Mexico, and Canada to Plan and Coordinate Binational Health Week 2014 Conference Coordination and Participation: Sexual Reproductive Health Summit-2014 US Mexico Border Binational Infectious Disease Conference-2014 Adelante Promotores Conference-2014 Annual Promotores Education Conference-2014 National HIV/AIDS Conference-2014 26
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  • United States-Mxico United States-Mxico Border Health Border Health Commission (BHC) Commission (BHC)
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  • Mission To provide international leadership to optimize health and quality of life along the United States Mxico border Goals Institutionalize a domestic focus on border health that can transcend political changes Create an effective venue for binational discussion to address key public health issues at the border
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  • Serves as a unique binational and horizontal framework that brings together two federal governments,10 states and a multitude of other public and private partners to address border and binational health issues. Serves as a catalyst to identify, convene, and encourage action on key strategic binational issues that also brings focus to diverse populations. Serves as a focal point to assist federal and state agencies in both countries in addressing specific border health related issues.
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  • U.S. and Mxico Federal Governments 10 State Health Departments 4 Offices of Border Health 10 BHC Outreach Offices 90 Local Health Departments Mexican Consulates Binational Health Councils Clinics, Hospitals, and Health Service Providers Community-based Organizations Promotores Organizations Academic Institutions Pan American Health Organization Border Governors Conference National Rural Health Association U.S. and Mexico Media Outlets
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  • Operates along the busiest and most complex binational borders in the world in support of diverse national, state, and local public health systems. Has limited resources to address the whole host of border health issues Identify unified priorities from each government Focus health system to address chronic diseases as well as infectious disease Utilize comprehensive approaches that includes health care systems, policy makers, academia, media, and public health Focus resources to the border region Expand focus to include preventive and health promotion strategies Promote sustainable partnerships among various sectors
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  • Tuberculosis Obesity/Diabetes Access to Care Research, Data Collection, and Academic Alliances
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  • Binational Mammography Day January 1- February 1, 2014 Cancer Resource Center of the Desert- Community Symposium: Utilization of Health Services by Mexican Immigrants With Breast Cancer On the U.S./Mexico Border: Struggles and Aspirations September 7, 2013 Promotores Conference 2013 October 18, 2013 Town hall Resource Fair- Chula Vista & San Ysidro November 5, 2013 and January 11, 2014
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  • Border Reproductive Health Symposium - March 19, 2014 PPPSW 5 th Annual Binational Dialogue - October 3, 2013 Affordable Care Act Webinar - September 8, 2013
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  • 5 th annual United States Mexico Border Tuberculosis Consortium Meeting (TB Consortium) July 14-15, 2014
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  • American Diabetes Association Promotores Training: Prevention and management of diabetes
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  • Vulnerable Populations Network meeting Imperial County July 10, 2014 Power of Collaboration August 6 & 7 Border Health Research Workgroup and Expert panel TBD
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  • Office of Binational Border Health 5353 Mission Center Rd., Suite 215 San Diego, CA 92108 619-688-0218 http://www.cdph.ca.gov/programs/cobbh 40