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American College
of Preventive Medicine
Environmental
Health Committee Report
January 2003
Chair: Diane Matuszak, MD, MPH,
FACPM
Staff: Jennifer Bretsch
Vice Chair: Ruth Etzel, MD, PhD
Since reporting to the Board in
November 2002, the Environmental Health Committee has focused on
planning and attending a January meeting with CDC's National
Center for Environmental Health (NCEH) and the Agency for Toxic
Substances and Disease Registry (ATSDR).
Meeting with CDC/NCEH and ATSDR
The 2-day meeting in Atlanta was
an opportunity to learn about the diversity, breadth, and scope of
work at NCEH and ATSDR, and to discuss possible collaborative
efforts with ACPM. The Committee discussed such topics as genomics,
radiological emergency preparedness and response, asthma, and
revitalizing environmental health services in the United States.
NCEH Director Dr. Richard Jackson and ATSDR Assistant
Administrator Dr. Henry Falk presented each agency’s priorities
and key issues. Several longstanding ACPM members employed with
NCEH or ATSDR also gave presentations.
The Environmental Health
Committee has identified several opportunities for partnership
activities.
Leadership:
A) The committee may offer its
support to CDC Director Dr. Julie Gerberding in anticipation of
the proposed merger of NCEH and ATSDR, outlining the benefits for
the environmental and public health system. The committee, on
behalf of ACPM, would offer its expertise if called upon by the
CDC leadership to provide input into the merger process.
Education and Training:
B) The committee may pursue the
creation of Preventive Medicine Fellowship opportunities in
partnership with NCEH and ATSDR to boost the pipeline of
physicians with environmental health training. Preventive Medicine
Residents would develop environmental health knowledge and skills
by spending part of their residency training on-site with NCEH and
ATSDR.
Practice:
C) The committee may offer its
expertise and support of two NCEH conferences. The first
conference, Managing Commensal Rodents and Mosquitoes: A
Comprehensive Approach is scheduled for September 12, 2003.
The second proposed conference, Environmental Health Services:
The Key to Healthy Homes is slated for 2004 (pending approval
and funding from HUD). ACPM involvement may include assisting with
program planning, suggesting ACPM experts as speakers, and
publicizing the events.
Environmental Health Policy
During its recent in-person
meeting the Committee also discussed producing a number of
position statements and guidance for practitioners on emerging
environmental health issues. Possible topics include:
environmental tobacco smoke; indoor air quality; molds in schools;
cancer and/or disease cluster mapping; relaxing of federal air
pollution standards; heavy metals; vector-borne diseases; natural
and man-made radiation; environmental health tracking and the
quality of data; funding of the public health and environmental
health infrastructure; and the impact of community design and land
use choices on public health.
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