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Health Care Providers and the Environment: The World Health Organization Translating Research into Practice

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Title: Health Care Providers and the Environment: The World Health Organization Translating Research into Practice


1
Health Care Providers and the Environment The
World Health OrganizationTranslating Research
into Practice
  • Kristy Ivicek, WHO Intern
  • March 6, 2009

2
World Health Organization
  • Directing coordinating health authority for UN
  • Provides guidance to governments and health care
    professionals worldwide
  • HQ in Geneva, Switzerland
  • 6 Regional Offices
  • 147 Country Offices

3
Outline of the Talk
  1. Global occupational/ environmental health picture
  2. Role of WHO
  3. Internship Project

4
Environmental Health the Global Impact
  • Nearly a quarter of global disease burden
    attributed to environmental risk factors (WHO,
    2006)
  • Certain groups carry disproportionate share of
    burden
  • Low-income regions
  • Children (10 of population, 25 of
    death/illness)
  • Relationship to occupational health-- especially
    in less-developed countries

5
Occupational and Environmental Health
  • 50 of 3 billion workers worldwide in unhealthy
    conditions
  • 170 million children work in hazardous
    environments
  • Less-developed country issues
  • Global Plan of Action on Workers Health 2008-2017

6
Social Ecological Model of the Workplace
7
The State of Environmental Health Research at WHO
  • Estimating Global Burden of Disease
  • Childrens Environmental Health Indicators

8
Research to Practice Building Capacity in the
Health Workforce
  • Frontline health professionals not prepared to
    address environmental health
  • Under-utilization of key resource for
    research dissemination,
    advocacy, and data collection!

9
Childrens Environmental Health Modules
  • Collection of over 30 modules to train health
    care workers
  • 1 day to 40 hour course
  • Being adapted into Spanish, French and Russian
  • Current effort-- adapting them for nurses

10
Focus on Nurses
  • Largest group of HCPs globally
  • Present in areas most affected
  • See patients in community home, school,
    workplace
  • Trusted by patients and law-makers alike
  • Long history of involvement in social justice
    issues

11
Healthcare Providers Worldwide
12
Nursing Modules
  • Two modules
  • Introduction to Childrens Environmental Health
  • Environmental Health Assessment
  • Emphasize nursing roles
  • Practice
  • Education
  • Research
  • Advocacy

13
Nursing Module 1 Introduction
  • Outline
  • Defined CEH and general concepts
  • Children are not little adults
  • Large-scale implications
  • The role of nurses
  • Major hazards
  • Digest Version

14
Nursing Module 2 Assessment
  • Incorporating pediatric environmental health
    history into nursing practice
  • Next steps-- in-depth assessment and referral
  • Links to large-scale activities
  • one possibility-- the Green Page

15
  • The Green Page
  • Instrument for recording a child's environmental
    conditions
  • Harmonized data collection
  • Captures data for use in indicators
  • Provides a basis for alerting authorities to
    environmental problems that need to be corrected

WHO
16
Updates
  • WHO Executive Board resolution role of the
    health sector in climate change
  • June 7-10 International Conference on Childrens
    Health and the Environment (Busan, Republic of
    Korea)

17
Summary
  • Environmental health is an important global issue
  • WHO is a leader in translating research to
    practice and policy
  • Nurses and other health care providers are key in
    addressing the environmental burden of disease

18
References
  • Images from http//www.who.int
  • UNEP, WHO, ILO (2007). Labour and the
    Environment A Natural Synergy. Nairobi, Kenya
    UNEP.
  • WHO (2003). Making a Difference Indicators to
    Improve Childrens Environmental Health. Geneva,
    Switzerland WHO.
  • WHO (2005). Childrens Health and the
    Environment A Global Perspective. Geneva,
    Switzerland WHO.
  • WHO (2006). Preventing Disease Through Healthy
    Environments Towards an Estimate of the
    Environmental Burden of Disease. Geneva,
    Switzerland WHO.
  • WHO (2006). The World Health Report 2006
    Working Together for Health. Geneva,
    Switzerland WHO
  • WHO EURO (2008). Protecting Health in Europe
    from Climate Change. Copenhagen, Denmark WHO
    EURO.

19
Questions?
Public Health and the Environment www.who.int/peh
/en Childrens Environmental Health
www.who.int/ceh/en
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