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[ Recorded presentation ] Recorded presentation

Pesticide Health and Prevention, Collaboration with Native American Communities: The Tribal Medicine Program

David F. Goldsmith, MSPH, PhD, Department of Environmental and Occupational Health, George Washington University, 2100 M Street, NW, Suite 203, Washington, DC 20052, Lisa Neel, MPH, Native American Programs, Native American Management Services, 6858 Old Dominion Drive, Suite 302, McLean, VA 22101, 703-821-2226, lneel@namsinc.org, and Ana Maria Osorio, MD, MPH, US Food and Drug Administration, Pacific Region, U.S. Public Health Service, 1301 Clay Street, Suite 1180N, Oakland, CA 94612.

Background: The Tribal Pesticide Program Committee (TPPC) and U.S. Environmental Protection Agency (EPA) defined the need for enhanced prevention and collaborative training on pesticides in 2000-2001. Training was desired for Tribal health care providers, for Tribal members, and for nonTribal members who collaborated with Tribes in production agriculture, environmental protection of traditional and sacred plants. In addition, there was a desire for enhanced training about pesticides because many Tribes had regional EPA pesticide enforcement programs in place, or wanted to initiate those programs. Results: EPA awarded George Washington University (GWU) small grants, and GWU collaborated with Tribal members on 1- or 2-day training programs. From 2001 to 2003 TMP/GWU offered 11 training workshops hosted by 10 nations. GWU strove for mutually agreed-upon agendas with issues such as diagnosing pesticide intoxications and clinical management, basic pesticide safety and health, listing of common pesticides applied to Tribal lands, NAGRPA and knowledge of repatriation pesticide hazards, prevention of herbicide application to traditional plants, knowledge of pesticide labels, proper use of personal protective equipment (PPE), disposal of containers, and dialogue between Regional EPA, State enforcement, and Tribal sovereignty in managing pesticides applied to their lands. Synthesis: This model of Tribal-university collaboration worked best in a climate of professional trust and cultural sensitivity to community issues. Support by TPPC and regional and national EPA staff was crucial to providing dialogue and prevention expertise. Future work on issues such as Homeland Security, rural air pollution, and children's health and injuries could follow a similar model.

Learning Objectives:

Keywords: Pesticides, Community Outreach

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

[ Recorded presentation ] Recorded presentation

Environmental Health and Native Communities

The 132nd Annual Meeting (November 6-10, 2004) of APHA