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Epidemiology for Global Action - Day 2 - Shared screen with speaker view
Camille Raynes-Greenow
30:01
Welcome we will be starting once everyone is in the webinar
Rafael Moreira
30:36
Hi everyone!!! Happy to be here again!
Camille Raynes-Greenow
30:54
Hi Rafael!
Camille Raynes-Greenow
31:01
Welcome everyone
Dr Jim Gaudino MD MS MPH FACPM (he, him)
31:05
Greetings once again, colleagues & students. Kind regards Dr Jim GaudinoAffiliate ProfessorSchools of Public HealthOregon Health & Sciences University and Portland State University (OHSU-PSU) and University of Washington, Departments of Epidemiology, Health Services & MCH ProgramPast Chair, Epidemiology Section, American Public Health Assn. (APHA)Founding member, Treasurer, and APHA Epidemiology Section representative, International Network for Epidemiology in Policy (INEP), formerly the International Joint Policy Committee of the Societies of Epidemiology (IJPC-SE)https://epidemiologyinpolicy.orgIntegrity, Equity, and Evidence in Policies Impacting Health
Latasha Allen
32:36
Greetings!!! Excited to be joining the webinar again today!
Katy Gwiazdon
32:56
Happy to be here! Welcome everyone!
Dr Jim Gaudino MD MS MPH FACPM (he, him)
33:52
Many thanks to ACE & INEP. Please donate to both INEP & ACE. We have separate donation sites. Visit INEP’s website www.epidemiologyinpolicy.org We are a tax exempt 501(c)(3) charity in the US. Kindest regards Dr Jim
michele forman
34:29
Thanks for the heads up to the ACE Foundation, Camille. Best MIchele Forman
Katy Gwiazdon
40:50
And IPCC Working Group III (mitigation) was just released a couple of days ago
Dr Jim Gaudino MD MS MPH FACPM (he, him)
49:58
Eg, here in the US in Oregon, in response to legislation, our Oregon Occupational Health & Safety Admin (not all states have an OHSA) are finalizing 2 rules to protect workers from Extreme Heat & Wildfire Smoke exposures. How well these rules will be able to protect works needs to be evaluated
Dr Jim Gaudino MD MS MPH FACPM (he, him)
56:02
FYI - 2 current draft rules for OR OSHA wildfire smoke protections https://osha.oregon.gov/OSHARules/proposed/2022/text-chngs-proposed-wildfire-smoke.pdf
Dr Jim Gaudino MD MS MPH FACPM (he, him)
56:48
To all this time FYI current draft rules OR OSHA excessive heat https://osha.oregon.gov/OSHARules/proposed/2022/text-chngs-proposed-heat-exposure.pdf
Camille Raynes-Greenow
01:09:56
Pls add your questions to the Q&A
Melinda Aldrich
01:10:51
Is there a role for academic medical centers to have a role in addressing climate change?
Julie Leask
01:11:07
I can’t use Q&A but my question is, to what degree are the health impacts of climate change a factor that strongly compels governments than other factors perhaps?
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:15:00
To Professor Nadeau, fantastic presentation. We are grateful you are with us today!
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:17:17
Als in Q & A in terms of PH surveillance at the local, regional, tribal and state level, what should PH authorities be tracking ?
Melinda Aldrich
01:18:39
Opportunities exist for all departments within academic medical centers to engage. The Radiology Department at Vanderbilt University Medical Center is promoting discussions around addressing climate change.
Michaela McMahon
01:24:21
University programs (i.e., MPH, Pharmacy, MD, DO, PA, Social Work, Nursing etc.) can begin implementing more inter-professional communication and work at the program level that focuses on the effects of climate change on health and health institutions. What barriers do we need to overcome, if any, so that more inter-professional work can be done to begin combatting climate change?
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:24:47
What are your thoughts about the use of syndromic surveillance of EHR or other healthcare or public data bases in detecting upsurges in Climate related health impacts (e,g, ER visits before - during wildfire smoke )?
Melinda Aldrich
01:25:41
Fantastic, @Kari. Thank you!
Katy Gwiazdon
01:26:00
that was great, thank you Kari
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:27:04
To all panelists: What are needed curricula to prepare new public health professionals to address climate related issues ? In the US there are few programs specific to this needed training ….
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:27:27
In schools of public health I meant :)
Katy Gwiazdon
01:27:37
^oh good question, @Jim
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:28:42
👍🏾😉
Courtney Dillingham, MPH(c), RN
01:33:17
@Dr Gaudino - a timely question. The World Federation of Public Health Associations is hosting a session this evening about that this. You can find the information about the topic(s) and speakers here: https://www.eventbrite.ca/e/is-public-health-education-training-adequately-responding-to-emergencies-tickets-269547613167?utm_source=eventbrite&utm_medium=email&utm_campaign=event_reminder&utm_term=eventname#
Camille Raynes-Greenow
01:34:29
Pls add your questions to the Q&A
Dr Jim Gaudino MD MS MPH FACPM (he, him)
01:35:58
@CourtneyDillingham Yes during the last US national APHA meetings There have been sessions discussing what some SPH are doing to create degree tracks for Climate change related PH degrees Thx for this extra information that a larger discussion is underway!
Katy Gwiazdon
01:38:05
excellent open access book, https://link.springer.com/book/10.1007/978-3-030-31125-4
Katy Gwiazdon
01:48:52
excellent talk @Wael - it is so important to bring all of these issues together - governance, justice, environment, racism, health, security - it is all connected and is the only way we will move policy
Tamara L Chavez-Lindell
01:49:18
Have you seen any impact on the trust allotted to healthcare professionals in regard to climate impact in this time of pandemic distrust?
Camille Raynes-Greenow
01:55:36
Pls save qtns to Q&A
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:01:37
@CourtneyDillingham re today’s WFPHA Conf discussion event on training curriculaWill there be a document or recommendations coming out ?I checked the website & didn’t see a page re climate change & PHWould you share one of the website has one ?Thx & kindest regardsDr Jim
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:05:32
To all panelistsGiven the large forces working to slow actions & policies to address climate mitigation & adaption policiesw findingsHow do we avoid having our epi & policy actions “green washed” and discarded ?
Courtney Dillingham, MPH(c), RN
02:06:16
@Dr. Gaudino - I am not entirely sure if a document will be shared. The event description states the session will be recorded. If I learn of any documents or if/where the recording will be posted I’d be happy to share that information with you.
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:10:16
@Countney. I saw that the registration is closed. Would you be able to share a link to the recording? Many thx. (See chat above, I’m on likedIn.
Camille Raynes-Greenow
02:10:54
Pls add your questions for the speakers to the Q&A.
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:17:16
The targeting of Indigenous people in AU is deplorable. Indigenous people here in No America were greatly impacted by vaccine preventable diseases during European colonization (massive population losses) Thus these populations have had the highest vaccination rates in the recent past. Here in OR some years ago, we did outreach to those communities on reserves via their Tribal clinics & consistently heard that more & more that their indigenous-American patients came in with questions and concerns about vaccinating themselves and their children. Our multi-state regional Tribal Epidemiology Center & State health authority has been working with these communities to address vaccine hesitancy issues but I have not seen how effective these efforts have been since I transitioned from this work.
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:22:08
Many thanks for this terrific presentation! Let me share: Here are findings about community-level interventions to increase vaccinations from the US Task Force on Community Preventive Services:https://www.thecommunityguide.org/content/task-force-findings-increasing-vaccinationAs mentioned multi-component interventions are the most effective but require investment and evaluation
Katy Gwiazdon
02:22:35
Hi Camille - I added to a Q and it moved to "answered" - I apologize! Please be sure to ask Michaela's Q to the panel as well
Katy Gwiazdon
02:26:31
At least in the US, it is one thing to de-bunk, it is another to get those funding the misinformation out of politics
Robin Taylor Wilson
02:27:21
"Pre-bunking"--great concept!
Michaela McMahon
02:27:41
Thank you so much!
Melinda Aldrich
02:27:42
Interesting parallels Julie
Katy Gwiazdon
02:28:18
yes! good point
Michaela McMahon
02:31:24
@Katy Gwiazdon - I thank you for adding on and agree de-bunking is an issue. Coming from Florida here, it is a bit frustrating
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:31:42
Also in. The Q & A: The US Acad of Science, Engineering & Medicine has begin to organize Workgroups of research to actually study the tools & impacts of misinformation science. What would be needed to create a global community of researchers & practitioners to be able to understand and intervene to counter misinformation that impacts health & wellbeing ? How can we move this forward as a community ?
Katy Gwiazdon
02:31:49
yes! we could start an advocacy task force within INEP, and then later, possibly an even bigger step - register INEP to lobby for specific legislation
Katy Gwiazdon
02:33:00
Dr. Larson very appropriately opened this entire meeting with trust yesterday
Rafael Moreira
02:35:32
Yes, social media is the actual Freud´s mass psychology
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:35:57
Wael is absolutely correct —political backlash on public health by political leaders. Public health has not properly reached out and joined hands with communities… we need to open up to the communities we serve rather then buckle down to the ‘chain of command” esp in gov’t public health practice
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:37:32
PS our work is only relevant IF we are truly understanding and serving the public
Courtney Dillingham, MPH(c), RN
02:42:56
The One Health approach is a fantastic framework for this type of cross-disciplinary work
Michaela McMahon
02:43:33
Yes, agreed on that point! ^^
Melinda Aldrich
02:46:10
Interesting perspective Julie. Thank you!
Katy Gwiazdon
02:46:15
yes!
Katy Gwiazdon
02:46:30
I read that Cali is asking tribes to take over fire management
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:49:23
Tragically, Oregon’s Pacific Islander/Native Hawaiian community had the highest rates of COVID-19 cases and deaths (~10 times the white rates) when published 3 months after the pandemic hit here. Over these years, with support from PH authorities, they now have the highest rates of COVID-19 vaccinations. Yet the losses have remain traumatic to this community (Oregon populations are 90 European-American in race/ethnicity ).
Camille Raynes-Greenow
02:50:04
PLs add comments and questions to the Q&A
Dr Jim Gaudino MD MS MPH FACPM (he, him)
02:54:14
Fantastic panel! Many thanks organizers 🙏🏾
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:01:45
Yes, hopefully the public now understands that epidemiologists are no skin doctors :)
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:01:57
Not
Melinda Aldrich
03:02:03
Great panel discussion!
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:08:39
I agree w Dr Hidalgo However in the US the media accolades about the rapid response by pharmaceutical companies, in retrospect, also added to the mistrust of COVID-19 vaccines & other treatments, given that in surveys the pharmaceutical industry often comes out as the most distrusted health information source. Would love to hear-read comments and perspectives about this observation . Thx Knd regards! Dr Jim
Melinda Aldrich
03:09:47
Interesting @katy. I would be interested to hear how you are doing the education of medical centers or providers to reduce their carbon footprint.
Camille Raynes-Greenow
03:12:18
Pls add your questions to the Q&A - or ideas for action to the Q&A
Melinda Aldrich
03:19:27
Yes, @Kari! That ties in with what we heard yesterday in this meeting. We can learn from indigenous communities
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:20:05
Also in Q & A for the panelWe know that the public health approach is an effective upstream approach to addressing population-level threats to community healthOn a community-level, there is a critical role for the gov’t public health systems esp state, tribal, local public health authorities,However they are not funded to do that work.What are the critical roles for these PH authorities in leading - addressing (planning for mitigation, adaption, disaster coordination, etc). climate disaster health issues ?& how do we get them funded to do this work ?
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:24:28
Yes, we must go to them
Melinda Aldrich
03:32:48
Great point Bertha
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:32:49
Plus we need to decolonize the gov’t public health system. But some of that is happening
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:36:52
Yes that’s where my question was going. However I push back because communities can use our expertise and assistance. Partnerships & collaborations are the way to do this.
Camille Raynes-Greenow
03:40:42
Wow Katy!! What a question!!
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:41:01
Melissa is correct. EG here in the US under Obama, our massively funded Health Care reform bill the ACA cut funding in that bill to Prevention & Public Health to a mere 1 $ Billion & has been on the chopping block each year since passed 12 years ago…. We need to do better in making our case & building the political will and support to invest more in prevention. Many thanks all. Terrific conference Humbly yours Dr Jim
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:42:41
As we wrap up today, Many thanks to all the speakers and attendees ! Don’t forget to donate to both INEP & ACE. Visit INEP’s website www.epidemiologyinpolicy.org We are a tax exempt 501(c)(3) charity in the US. Kindest regards Dr Jim
Camille Raynes-Greenow
03:44:13
https://epidemiologyinpolicy.orgINEP – International network for Epidemiology in Policy Integrity, Equity, and Evidence in Policies Impacting Health
Camille Raynes-Greenow
03:44:24
ACE Foundationhttps://www.myacefoundation.org/
Melinda Aldrich
03:46:17
Really thought provoking roundtable. Thank you!
Latasha Allen
03:46:35
Great conference! I am so glad I stumbled upon the ACE website and saw the announcement for this conference. The discussions are very much aligned with my dissertation research, so it was truly a delightful learning experience to be able to attend. Thank you to the organizers from ACE and INEP. I look forward to learning more about these organizations and attending future conferences and meetings. Thank you
Melissa Bondy
03:47:19
Thanks to the organizers for this excellent discussion!!
Abbey; on Turrbal/Jagera land
03:47:31
absolutely agree, so well said!
Kari Nadeau
03:48:02
Thanks for a wonderful conference!
Camille Raynes-Greenow
03:48:32
If your epi organisation isn't a member of INEP - pls go to the web and contact me there. https://epidemiologyinpolicy.org
Latasha Allen
03:48:40
Thank you very much Melinda. I will definitely contact you.
Robin Taylor Wilson
03:49:09
A heartfelt thanks to the organizers and panelists!
Camille Raynes-Greenow
03:49:21
Excellent. Thank you to everyone
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:49:22
Yes, in SPH training. We don;t train our trainees to advocate effective Yet we can only be effective in our work as Epi’s & PH practitioners unless we do so. Kind regards all!
Melinda Aldrich
03:49:24
Thank you!!!
Dr Jim Gaudino MD MS MPH FACPM (he, him)
03:50:41
Thx to all for tolerating my many typos.
Sara Abdalla
03:50:45
Thank you for the wonderful confrence
Bertha Hidalgo
03:50:47
Thank you for having me!
Katy Gwiazdon
03:50:47
thank you!
Abbey; on Turrbal/Jagera land
03:50:50
thanks Melinda and organisers
Rafael Moreira
03:50:55
thanks, was wonderful!