Welcome we will be starting once everyone is in the webinar

Hi everyone!!! Happy to be here again!

Hi Rafael!

Welcome everyone

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

Greetings!!! Excited to be joining the webinar again today!

Happy to be here! Welcome everyone!

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

Thanks for the heads up to the ACE Foundation, Camille. Best MIchele Forman

And IPCC Working Group III (mitigation) was just released a couple of days ago

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

FYI - 2 current draft rules for OR OSHA wildfire smoke protections https://osha.oregon.gov/OSHARules/proposed/2022/text-chngs-proposed-wildfire-smoke.pdf

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

Pls add your questions to the Q&A

Is there a role for academic medical centers to have a role in addressing climate change?

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?

To Professor Nadeau, fantastic presentation. We are grateful you are with us today!

Als in Q & A in terms of PH surveillance at the local, regional, tribal and state level, what should PH authorities be tracking ?

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.

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?

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 )?

Fantastic, @Kari. Thank you!

that was great, thank you Kari

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 ….

In schools of public health I meant :)

^oh good question, @Jim

👍🏾😉

@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#

Pls add your questions to the Q&A

@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!

excellent open access book, https://link.springer.com/book/10.1007/978-3-030-31125-4

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

Have you seen any impact on the trust allotted to healthcare professionals in regard to climate impact in this time of pandemic distrust?

Pls save qtns to Q&A

@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

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 ?

@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.

@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.

Pls add your questions for the speakers to the Q&A.

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.

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

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

At least in the US, it is one thing to de-bunk, it is another to get those funding the misinformation out of politics

"Pre-bunking"--great concept!

Thank you so much!

Interesting parallels Julie

yes! good point

@Katy Gwiazdon - I thank you for adding on and agree de-bunking is an issue. Coming from Florida here, it is a bit frustrating

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 ?

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

Dr. Larson very appropriately opened this entire meeting with trust yesterday

Yes, social media is the actual Freud´s mass psychology

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

PS our work is only relevant IF we are truly understanding and serving the public

The One Health approach is a fantastic framework for this type of cross-disciplinary work

Yes, agreed on that point! ^^

Interesting perspective Julie. Thank you!

yes!

I read that Cali is asking tribes to take over fire management

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 ).

PLs add comments and questions to the Q&A

Fantastic panel! Many thanks organizers 🙏🏾

Yes, hopefully the public now understands that epidemiologists are no skin doctors :)

Not

Great panel discussion!

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

Interesting @katy. I would be interested to hear how you are doing the education of medical centers or providers to reduce their carbon footprint.

Pls add your questions to the Q&A - or ideas for action to the Q&A

Yes, @Kari! That ties in with what we heard yesterday in this meeting. We can learn from indigenous communities

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 ?

Yes, we must go to them

Great point Bertha

Plus we need to decolonize the gov’t public health system. But some of that is happening

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.

Wow Katy!! What a question!!

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

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

https://epidemiologyinpolicy.orgINEP – International network for Epidemiology in Policy Integrity, Equity, and Evidence in Policies Impacting Health

ACE Foundationhttps://www.myacefoundation.org/

Really thought provoking roundtable. Thank you!

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

Thanks to the organizers for this excellent discussion!!

absolutely agree, so well said!

Thanks for a wonderful conference!

If your epi organisation isn't a member of INEP - pls go to the web and contact me there. https://epidemiologyinpolicy.org

Thank you very much Melinda. I will definitely contact you.

A heartfelt thanks to the organizers and panelists!

Excellent. Thank you to everyone

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!

Thank you!!!

Thx to all for tolerating my many typos.

Thank you for the wonderful confrence

Thank you for having me!

thank you!

thanks Melinda and organisers

thanks, was wonderful!